Effect of metabolic syndrome on incidence of oral potentially malignant disorder: a prospective cohort study in Taiwan.
BMJ Open
; 10(10): e041971, 2020 10 14.
Article
en En
| MEDLINE
| ID: mdl-33055124
ABSTRACT
OBJECTIVES:
We aimed to assess the effect of metabolic syndrome (MetS) on incident oral potentially malignant disorder (OPMD).DESIGN:
We conducted a prospective cohort study of the Changhua community-based integrated screening (CHCIS) programme and nationwide oral cancer screening programme during the period between 2005 and 2014.SETTING:
CHCIS, Taiwan.PARTICIPANTS:
We enrolled 17 590 participants aged 30 years and older. MAIN OUTCOMES ANDMEASURES:
We assessed the impact of MetS on the outcome measured by incident OPMD.RESULTS:
The incidences of OPMD among subjects with and without MetS were 7.68 and 5.38 , respectively. After adjusting for confounders, subjects with MetS exhibited a statistically greater risk of developing OPMD compared with those who were free of MetS by 33% (adjusted rate ratio, aRR=1.33, 95% CI 1.14 to 1.55). Individual components of MetS still remained significant, including central obesity (aRR=1.22, 95% CI 1.04 to 1.44), hypertriglyceridaemia (aRR=1.26, 95% CI 1.07 to 1.49) and hyperglycaemia (aRR=1.20, 95% CI 1.02 to 1.41). Central obesity and hypertriglyceridaemia were also statistically associated with a subtype of OPMD, namely, leukoplakia.CONCLUSION:
The temporal influence of MetS on the risk of incident OPMD was noted in our prospective cohort study. Therefore, promoting an MetS prevention and control programme might reduce the occurrence of OPMD and oral cancer.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Síndrome Metabólico
/
Obesidad Abdominal
Tipo de estudio:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Adult
/
Humans
País/Región como asunto:
Asia
Idioma:
En
Revista:
BMJ Open
Año:
2020
Tipo del documento:
Article
País de afiliación:
Taiwán