Journal of Preventive Medicine and Public Health

Volume 52(5); September 2019

Special Article

Introduction of Vaccinomics to Develop Personalized Vaccines in Light of Changes in the Usage of Hantaan Virus Vaccine (Hantavax^®) in Korea: Jong-Myon Bae; J Prev Med Public Health. 2019;52(5):277-280. Published online August 7, 2019; DOI: https://doi.org/10.3961/jpmph.19.018

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Abstract Summary PDF Supplementary Material

The Ministry of Food and Drug Safety of Korea made an official announcement in March 2018 that the total number of inoculations of Hantaan virus vaccine (Hantavax^®) would change from 3 to 4. Some aspects of this decision remain controversial. Based on the characteristics of Hantaan virus (HTNV) and its role in the pathogenesis of hemorrhagic fever with renal syndrome, it might be difficult to develop an effective and safe HTNV vaccine through the isolate-inactivate-inject paradigm. With the development of high-throughput ‘omics’ technologies in the 21st century, vaccinomics has been introduced. While the goal of vaccinomics is to develop equations to describe and predict the immune response, it could also serve as a tool for developing new vaccine candidates and individualized approaches to vaccinology. Thus, the possibility of applying the innovative field of vaccinomics to develop a more effective and safer HTNV vaccine should be considered.

Summary

Korean summary
신증후출혈열 (Hemorrhagic fever with renal syndrome, HFRS)를 예방하기 위한 백신들이 여러 가지로 개발 중에 있지만, 한탄 바이러스 (Hantaan virus) 의 병원체 특성과 HFRS의 임상적 특성으로 효과적이고 안전한 백신 개발을 어렵게 하고 있다. 투여할 백신에 대한 ‘면역과정을 이해하고 백신효능을 예측하여’ 백신개발에 활용하는 백신체학의 적용을 적극 강구할 필요가 있다.

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Safety and Immunogenicity of an Andes Virus DNA Vaccine by Needle-Free Injection: A Randomized, Controlled Phase 1 Study
Grant C Paulsen, Robert Frenck, Kay M Tomashek, Rodolfo M Alarcon, Elizabeth Hensel, Ashley Lowe, Rebecca L Brocato, Steve A Kwilas, Matthew D Josleyn, Jay W Hooper
The Journal of Infectious Diseases.2024; 229(1): 30. CrossRef
Zoonotic Hantaviridae with Global Public Health Significance
Rui-Xu Chen, Huan-Yu Gong, Xiu Wang, Ming-Hui Sun, Yu-Fei Ji, Su-Mei Tan, Ji-Ming Chen, Jian-Wei Shao, Ming Liao
Viruses.2023; 15(8): 1705. CrossRef
Current Challenges in Vaccinology
Richard B. Kennedy, Inna G. Ovsyannikova, Peter Palese, Gregory A. Poland
Frontiers in Immunology.2020;[Epub] CrossRef
Association between predator species richness and human hantavirus infection emergence in Brazil
Kyung-Duk Min, Maria Cristina Schneider, Sung-il Cho
One Health.2020; 11: 100196. CrossRef

Review

Measurement of Socioeconomic Position in Research on Cardiovascular Health Disparities in Korea: A Systematic Review: Chi-Young Lee, Yong-Hwan Lee; J Prev Med Public Health. 2019;52(5):281-291. Published online August 14, 2019; DOI: https://doi.org/10.3961/jpmph.19.094

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Abstract PDF

Objectives
The validity of instruments measuring socioeconomic position (SEP) has been a major area of concern in research on cardiovascular health disparities. The purpose of this systematic review is to identify the current status of the methods used to measure SEP in research on cardiovascular health disparities in Korea and to provide directions for future research.
Methods
Relevant articles were obtained through electronic database searches with manual searches of reference lists and no restriction on the date of publication. SEP indicators were categorized into compositional, contextual, composite, and life-course measures.
Results
Forty-eight studies published from 2003 to 2018 satisfied the review criteria. Studies utilizing compositional measures mainly relied on a limited number of SEP parameters. In addition, these measures hardly addressed the time-varying and subjective features of SEP. Finding valid contextual measures at the organizational, community, and societal levels that are appropriate to Korea’s context remains a challenge, and these are rarely modeled simultaneously. Studies have rarely focused on composite and life-course measures.
Conclusions
Future studies should develop and utilize valid compositional and contextual measures and appraise social patterns that vary across time, place, and culture using such measures. Studies should also consider multilevel influences, adding a focus on the interactions between different levels of intertwined SEP factors to advance the design of research. More attention should be given to composite and life-course measures.

Summary

Citations

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Differences in office-based personal space perception between British and Korean populations
Mike Richardson, Crescent Jicol, Gerald Taulo, Jaehyun Park, Hyun K. Kim, Michael J. Proulx, Alexandra A. de Sousa
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Self-Reported Dental Caries by Mexican Elementary and Middle-School Schoolchildren in the Context of Socioeconomic Indicators: A National Ecological Study
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A Two-step Clustering Approach for Measuring Socioeconomic Factors Associated with Cardiovascular Health among Older Adults in South Korea
Chi-Young Lee
Korean Journal of Adult Nursing.2020; 32(6): 551. CrossRef

Original Articles

Associations Between Activities Outside Work and Presenteeism Among Korean Wage Workers: An Analysis Using a Nationwide Survey: Sung Won Jung, June-Hee Lee, Kyung-Jae Lee; J Prev Med Public Health. 2019;52(5):292-298. Published online August 2, 2019; DOI: https://doi.org/10.3961/jpmph.19.132

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Abstract Summary PDF

Objectives
Presenteeism is currently recognized as a significant global health issue that can potentially cause productivity losses. Hence, many studies have analyzed the relationships between workplace factors and presenteeism. However, few studies have considered non-occupational factors. This study examined the associations between presenteeism and activities outside work, including volunteering, self-development, leisure/sports, and gardening and house repair activities, in Korean wage workers.
Methods
This study analyzed the fourth Korean Working Conditions Survey, in which a total of 19 294 wage workers participated. To identify relationships between presenteeism and activities outside work, multivariate logistic regression analysis was used after adjusting for general and occupational characteristics.
Results
Self-development and leisure/sports activities significantly increased the odds ratio (OR) of presenteeism (OR, 1.166; 95% confidence interval [CI], 1.061 to 1.282 and OR, 1.276; 95% CI, 1.181 to 1.379, respectively).
Conclusions
Certain activities outside work, such as self-development or leisure/sports, were related to presenteeism among Korean wage workers. Although many previous studies have emphasized the positive effects of those activities on health, this study documented negative effects of these activities outside work on health.

Summary

Korean summary
본 연구는 제4차 근로환경조사를 통해 한국인 임금근로자들에서 다양한 ‘업무 외 활동’과 프리젠티즘과의 연관성을 알아보았다. 자기계발 및 레저/스포츠활동 등의 ‘업무 외 활동’에 참여할 경우 프리젠티즘 위험도가 상승했으며, 이를 통해 자기계발의 긍정적인 역할을 강조 하였던 기존 연구들과는 달리 ‘업무 외 활동’의 부정적인 면을 확인 할 수 있었다.

Citations

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Investigating Associations Between Physical Activity and Presenteeism – A Scoping Review
Valérie Hervieux, Caroline Biron, Justine Dima
American Journal of Health Promotion.2023; 37(8): 1147. CrossRef
Musculoskeletal symptoms and presentism among professionals of public health management of Belem-PA, Brazil
William Rafael Almeida Moraes, Laura Maria Tomazi Neves, Rita Cristina Cotta Alcântara
ABCS Health Sciences.2021;[Epub] CrossRef

Microbusinesses and Occupational Stress: Emotional Demands, Job Resources, and Depression Among Korean Immigrant Microbusiness Owners in Toronto, Canada: Il-Ho Kim, Samuel Noh, Cyu-Chul Choi, Kwame McKenzie; J Prev Med Public Health. 2019;52(5):299-307. Published online August 16, 2019; DOI: https://doi.org/10.3961/jpmph.19.134

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Abstract Summary PDF

Objectives
While occupational stress has long been a central focus of psychological research, few studies have investigated how immigrant microbusiness owners (MBOs) respond to their unusually demanding occupation, or how their unresolved occupational stress manifests in psychological distress. Based on the job demands-resources model, this study compared MBOs to employees with regard to the relationships among emotional demands, job resources, and depressive symptoms.
Methods
Data were derived from a cross-sectional survey of 1288 Korean immigrant workers (MBOs, professionals, office workers, and manual workers) aged 30 to 70, living in Toronto and surrounding areas. Face-to-face interviews were conducted between March 2013 and November 2013.
Results
Among the four occupational groups, MBOs appeared to endure the greatest level of emotional demands, while reporting relatively lower levels of job satisfaction and job security; but MBOs reported the greatest job autonomy. The effect of emotional demands on depressive symptoms was greater for MBOs than for professionals. However, an inspection of stress-resource interactions indicated that though MBOs enjoyed the greatest autonomy, the protective effects of job satisfaction and security on the psychological risk of emotional demands appeared to be more pronounced for MBOs than for any of the employee groups.
Conclusions
One in two Korean immigrants choose self-employment, most typically in family-owned microbusinesses that involve emotionally taxing dealings with clients and suppliers. However, the benefits of job satisfaction and security may protect MBOs from the adverse mental health effects of job stress.

Summary

Korean summary
이 연구는 고용직(전문직, 사무직, 육체직)에 비교하여 영세사업자의 감정노동이 우울 수준에 미치는 영향과 직무자원(직업자율성, 직업만족도, 직업안정성)의 조절효과를 분석하였다. 연구결과 영세사업자가 전문직에 비하여 감정노동이 우울감에 미치는 영향이 유의하게 높았다. 또한 전문직에 비하여 영세사업자에서 직업만족도와 직업안정성이 감정노동의 우울 영향을 유의하게 감소시켰으나, 직업자율성은 큰 영향을 미치지 않았다.

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Upgrading of IOT Big Data Governance Scheme in Microenterprise Governance
Dewen Liu, Jian Wang, Kalidoss Rajakani
Wireless Communications and Mobile Computing.2022; 2022: 1. CrossRef
Prevalence and factors associated with anxiety and depressive symptoms among patients hospitalized with hematological malignancies after chimeric antigen receptor T-cell (CAR-T) therapy: A cross-sectional study
Hongyuan Dai, Shuya Xu, Jing Han, Zhenyu Li, Jiang Cao, Tingyu Hu, Hongxia Li, Jing Wei, Xue Dou, Fang Zhou, Junnian Zheng
Journal of Affective Disorders.2021; 286: 33. CrossRef
Objective Job Demands of Oneself and One’s Partner, and Depressive Symptoms. Evidence from a Nationally Representative Longitudinal Study
Benedikt Kretzler, Hans-Helmut König, André Hajek
International Journal of Environmental Research and Public Health.2021; 18(23): 12688. CrossRef

Estimating Influenza-associated Mortality in Korea: The 2009-2016 Seasons: Kwan Hong, Sangho Sohn, Byung Chul Chun; J Prev Med Public Health. 2019;52(5):308-315. Published online August 23, 2019; DOI: https://doi.org/10.3961/jpmph.19.156

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Abstract Summary PDF

Objectives
Estimating influenza-associated mortality is important since seasonal influenza affects persons of all ages, causing severe illness or death. This study aimed to estimate influenza-associated mortality, considering both periodic changes and age-specific mortality by influenza subtypes.
Methods
Using the Microdata Integrated Service from Statistics Korea, we collected weekly mortality data including cause of death. Laboratory surveillance data of respiratory viruses from 2009 to 2016 were obtained from the Korea Centers for Disease Control and Prevention. After adjusting for the annual age-specific population size, we used a negative binomial regression model by age group and influenza subtype.
Results
Overall, 1 859 890 deaths were observed and the average rate of influenza virus positivity was 14.7% (standard deviation [SD], 5.8), with the following subtype distribution: A(H1N1), 5.0% (SD, 5.8); A(H3N2), 4.4% (SD, 3.4); and B, 5.3% (SD, 3.7). As a result, among individuals under 65 years old, 6774 (0.51%) all-cause deaths, 2521 (3.05%) respiratory or circulatory deaths, and 1048 (18.23%) influenza or pneumonia deaths were estimated. Among those 65 years of age or older, 30 414 (2.27%) all-cause deaths, 16 411 (3.42%) respiratory or circulatory deaths, and 4906 (6.87%) influenza or pneumonia deaths were estimated. Influenza A(H3N2) virus was the major contributor to influenza-associated all-cause and respiratory or circulatory deaths in both age groups. However, influenza A(H1N1) virus–associated influenza or pneumonia deaths were more common in those under 65 years old.
Conclusions
Influenza-associated mortality was substantial during this period, especially in the elderly. By subtype, influenza A(H3N2) virus made the largest contribution to influenza-associated mortality.

Summary

Korean summary
계절 인플루엔자는 심각한 호흡기 합병증으로 진행할 수 있어 질병 부담의 추산이 중요한 질병이다. 현재까지는 연령별, 인플루엔자 연관 사망을 정확하게 추산하기 어려웠으나, 본 연구에서는 이를 추산하기 위해 고안된 다양한 방법 중 음이항 회귀 분석을 이용하여 2009년부터 2016년간 인플루엔자 아형별 연관 사망을 추산하였다. 그 결과, 전체 사망자 중 65세 미만에서 약 6,774명, 65세 이상에서 약 30,414명의 연간 인플루엔자 사망이 추산되었고, 이는 특히 인플루엔자 아형 중 전체 연령에서 A(H3N2) 연관 사망이 가장 많은 비율을 차지했다.

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Influenza vaccination before and during the COVID-19 pandemic in the elderly in South Korea
Dong Jun Kim, Kyoung Hee Cho, Seongju Kim, Hooyeon Lee
Journal of Infection and Public Health.2024; 17(3): 503. CrossRef
An 8-Year Prospective, Observational, Multi-centre Post-Marketing Safety Surveillance Study Conducted in South Korea (2014–2022) Following the Introduction of GSK’s Inactivated Quadrivalent Seasonal Influenza Vaccine (Fluarix Tetra) for Subjects Aged 6 Mo
Gaël Dos Santos, Raghavendra Devadiga, Chun Soo Kim, Joon Bang
Drug Safety.2024; 47(4): 365. CrossRef
Incidence, Severity, and Mortality of Influenza During 2010–2020 in Korea: A Nationwide Study Based on the Population-Based National Health Insurance Service Database
Soo-Hee Hwang, Hyejin Lee, Myunghoo Jung, Sang-Hyun Kim, Ho Kyung Sung, Myoung-don Oh, Jin Yong Lee
Journal of Korean Medical Science.2023;[Epub] CrossRef
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Kyung Wan Kwon, Ka Hyeon Bae, Jeong Hwan Park, Tae Oh Kim, Jin Young Kim, Seung Min Baek, Sang Hyun Park, Ju Young Lee, Bo Hyun Park, Mi Ah Han
Asia Pacific Journal of Public Health.2023; 35(2-3): 217. CrossRef
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Sunho Choe, Oxana Talanova, Sooyoun Shin, Olga Syrkina, Marion Fournier
Infectious Diseases and Therapy.2023; 12(6): 1715. CrossRef
All-Cause and Cause-Specific Mortality Attributable to Seasonal Influenza: A Nationwide Matched Cohort Study
Heeseon Jang, Jaelim Cho, Seong-Kyung Cho, Donghan Lee, Sung-il Cho, Sang-Baek Koh, Dong-Chun Shin, Changsoo Kim
Journal of Korean Medical Science.2023;[Epub] CrossRef
Global trends of seasonal influenza-associated mortality in 2001–2018: A longitudinal epidemiological study
Hideharu Hagiya, Yuka Osaki, Michio Yamamoto, Takahiro Niimura, Ko Harada, Tsukasa Higashionna, Hirofumi Hamano, Yoshito Zamami, Shiro Hinotsu, Toshihiro Koyama
Journal of Infection.2023; 87(3): e54. CrossRef
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Hyun Kyung Kim, Kyung-Duk Min, Sung-il Cho
BMC Infectious Diseases.2023;[Epub] CrossRef
Systematic review of influenza vaccine effectiveness against laboratory-confirmed influenza among older adults living in aged care facilities
Aye Moa, Mohana Kunasekaran, Zubair Akhtar, Valentina Costantino, C. Raina MacIntyre
Human Vaccines & Immunotherapeutics.2023;[Epub] CrossRef
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Open Journal of Natural Science.2023; 11(06): 1003. CrossRef
The impact of free vaccination policies under the Korean Influenza National Immunization Program: Trends in influenza vaccination rates in South Korea from 2010 to 2019
Jeongmin Seo, Juwon Lim, Dong Keon Yon
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Post-marketing Surveillance of a Quadrivalent Influenza Vaccine (Vaxigrip Tetra) in South Korea
Sookyung Lim, Xiaoling Li, Olga Syrkina, Marion Fournier
Infectious Diseases and Therapy.2022; 11(5): 2035. CrossRef
Novel respiratory infectious diseases in Korea
Hyun Jung Kim
Yeungnam University Journal of Medicine.2020; 37(4): 286. CrossRef

Reliability and Validity of the Appropriateness Evaluation Protocol for Public Hospitals in Korea: Clara Lee, Stella Jung-Hyun Kim, Changwoo Lee, Euichul Shin; J Prev Med Public Health. 2019;52(5):316-322. Published online September 12, 2019; DOI: https://doi.org/10.3961/jpmph.19.125

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Abstract Summary PDF

Objectives
This study was conducted to assess the applicability of the Appropriateness Evaluation Protocol (AEP) for public hospitals in Korea.
Methods
In May 2016, 1500 admission claims were collected from Korean public district hospitals using stratified random sampling. Of these claims, 560 admissions to 37 hospitals were retrieved for analysis. Medical records administrators determined the appropriateness of admission using the criteria detailed in the AEP, and a physician separately assessed the appropriateness of admission based on her clinical judgment. To examine the applicability of the AEP, the concordance of the decisions made between a pair of AEP reviewers and between an AEP reviewer and a physician reviewer was compared.
Results
The results showed an almost perfect inter-rater agreement between the AEP reviewers and a moderate agreement between the AEP reviewers and the physician. The sensitivity and specificity of the AEP were calculated as 0.86 and 0.56, respectively.
Conclusions
Our findings suggest that the AEP could potentially be applied to Korean public hospitals as a reliable and valid instrument for assessing the appropriateness of admissions.

Summary

Korean summary
이 연구는 우리나라 공공병원을 대상으로 Appropriateness Evaluation Protocol(AEP) 도구를 적용가능성을 검토하기 위해 실시되었다. 우리나라의 지역공공병원 입원자료(2016년 5월 기준)를 층화무작위추출을 통해 1,500건을 추출하였으며, 이중 37개 병원의 560건에 대해 입원적정성을 분석하였다. 의무기록사 2인은 AEP 도구를 이용하여 입원적정성을 각각 검토하였고, 의사 1인은 전문가적 판단을 기준으로 검토하였다. AEP 도구의 적용가능성을 판단하기 위해 의무기록사간 그리고 의무기록사-의사간 일치율을 산출하였다. 의무기록사간 일치율은 거의 완벽한 수준으로 나타났고, 의무기록사-의사간은 중등도의 일치율을 보였다. 민감도, 특이도는 각각 0.86 그리고 0.56이었다. 이러한 결과는 AEP 도구가 우리나라 공공병원의 입원적정성을 평가하기 위한 일관적이고 정확한 도구임을 제시한다.

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Inappropriate hospital admission as a risk factor for the subsequent development of adverse events: a cross-sectional study
Diego San Jose-Saras, Jorge Vicente-Guijarro, Paulo Sousa, Paloma Moreno-Nunez, Jesús María Aranaz-Andres, Cristina Díaz-Agero Pérez, Miguel Ignacio Cuchi Alfaro, Juan Manuel Ramos López, Mercedes García Haro, Abelardo Claudio Fernández Chávez, Cornelia B
BMC Medicine.2023;[Epub] CrossRef
Inappropriate Hospital Admission According to Patient Intrinsic Risk Factors: an Epidemiological Approach
D. San Jose-Saras, J. Vicente-Guijarro, P. Sousa, P. Moreno-Nunez, M. Espejo-Mambié, J. M. Aranaz-Andres
Journal of General Internal Medicine.2023; 38(7): 1655. CrossRef
Strategies to improve the flow of admissions and hospital stays: a Delphi study of an adaptation of the Appropriateness Evaluation Protocol (AEP)
A. Morillo-Rodríguez, S. Alonso-Fernández, J.M. Mòdol Deltell, B. Soldevila Madorell, Ll. Benito-Aracil, D. Parés
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Patients’ and General Practitioners’ Views About Preventive Care in Family Medicine in Switzerland: A Cross-sectional Study: Christine Cohidon, Fabienne Imhof, Laure Bovy, Priska Birrer, Jacques Cornuz, Nicolas Senn; J Prev Med Public Health. 2019;52(5):323-332. Published online September 17, 2019; DOI: https://doi.org/10.3961/jpmph.19.184

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Abstract PDF

Objectives
The aim of this study was to describe general practitioners (GPs)’ opinions and practices of preventive care and patients’ opinions, attitudes, and behaviors towards prevention.
Methods
The data stemmed from a cross-sectional national survey on prevention conducted in Switzerland from 2015 to 2016. In total, 170 randomly drawn GPs and 1154 of their patients participated. The GPs answered an online questionnaire and the patients answered a questionnaire administrated by fieldworkers present at their practices.
Results
Both patients and GPs agreed that delivering preventive care is the dedicated role of a GP. It appeared that beyond classical topics of prevention such as cardiovascular risk factors, other prevention areas (e.g., cannabis consumption, immunization, occupational risks) were scarcely covered by GPs and reported as little-known by patients. In addition, GPs seemed to use a selective approach to prevention, responding to the clinical context, rather than a systematic approach to health promotion. The results also highlight possibilities to improve prevention in family medicine through options such as more supportive tools and public advertising, more time and more delegated tasks and, finally, a more recognized role.
Conclusions
Despite an unfavorable context of prevention within the healthcare system, preventive care in family medicine is reasonably good in Switzerland. However, some limitations appear regarding the topics and the circumstances of preventive care delivery. A global effort is needed to implement necessary changes, and the responsibility should be broadened to other stakeholders.

Summary

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Association Between Dental Implants and Cognitive Function in Community-dwelling Older Adults in Korea: Seungkook Ki, Jihye Yun, Jinhee Kim, Yunhwan Lee; J Prev Med Public Health. 2019;52(5):333-343. Published online September 20, 2019; DOI: https://doi.org/10.3961/jpmph.19.163

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Abstract Summary PDF Supplementary Material

Objectives
This study aimed to evaluate the association between dental implants and cognitive function in community-dwelling older adults.
Methods
Data were collected from the baseline survey (2016-2017) of the Korean Frailty and Aging Cohort Study. The study sample comprised 1115 community-dwelling people aged 70 years to 84 years who had 0-19 natural teeth. Dental implants and natural teeth were identified by panoramic radiography, while the cognitive function was assessed by the Korean version of the Mini-Mental State Examination (MMSE-KC). The association between dental implants and cognitive function was analyzed by multiple linear regression. Sensitivity analysis was performed to test for potential bias.
Results
The mean number of natural teeth in the study population was 9.50 (standard deviation [SD], 6.42), and the mean MMSE-KC score was 24.93 (SD, 3.55). In the simple univariate analysis, tooth replacement, age, sex, smoking status, alcohol consumption, body mass index, osteoporosis, number of natural teeth, periodontitis, chewing discomfort, tooth-brushing frequency, education level, monthly household income, participation in economic activity, living alone, and marital status had a significant impact on the association. After adjusting for confounders, the association between dental implants and cognitive function remained significant (B, 0.85; standard error, 0.40; p<0.05). Age, body mass index, periodontitis, tooth-brushing frequency, and education level were also significantly associated with cognitive function. The results of the sensitivity analyses were consistent with those of the primary analysis.
Conclusions
Dental implants were associated with cognitive function in older adults living in the community. Dental implants as tooth replacements may play a role in preserving cognitive function.

Summary

Korean summary
임플란트 내지 임플란터블 디바이스는 생활 양식에 미치는 영향이 적고 직접적인 행동이나 복잡한 기술을 덜 필요로 하므로 임플란트는 라이프스타일 변경보다 더 수정성이 있는 효과적인 개입이 될 수 있다. 이 연구에서는 임플란터블 디바이스의 일종인 치아 임플란트와 인지 기능 사이의 관계를 조사하였다. 연구 결과 70세 이상의 지역사회 거주 노인에 있어 치아 탈락의 치료로서 치아 임플란트가 인지 기능과 연관성이 있음을 보여주었다. 치아 임플란트는 인지 예비능력의 보존에 기여하는 것으로 생각되며, 지역 사회 거주 노인에서 인지 저하의 예방으로서 치아 임플란트 치료를 충분히 고려해볼 수 있을 것이다.

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