Bidirectional association between eating disorder and temporomandibular joint disorder: A retrospective longitudinal nationwide population-based cohort study

被引：3

作者：

Tseng, Hsiang -Jung ^{[1
,2
]}

Lo, Wen-Liang ^{[3
,4
]}

Chen, Mu -Hong ^{[1
,2
]}

Tsai, Shih-Jen ^{[1
,2
]}

Chen, Tzeng-Ji ^{[5
,6
,7
]}

Liou, Ying-Jay ^{[1
,2
]}

机构：

[1] Taipei Vet Gen Hosp, Dept Psychiat, 201,Sect 2,Shih Pai Rd, Taipei 11217, Taiwan

[2] Natl Yang Ming Chiao Tung Univ, Coll Med, Dept Psychiat, Taipei, Taiwan

[3] Taipei Vet Gen Hosp, Dept Stomatol, Div Oral & Maxillofacial Surg, Taipei, Taiwan

[4] Natl Yang Ming Chiao Tung Univ, Coll Dent, Dept Dent, Taipei, Taiwan

[5] Taipei Vet Gen Hosp, Hsinchu Branch, Dept Family Med, Hsinchu, Taiwan

[6] Taipei Vet Gen Hosp, Dept Family Med, Taipei, Taiwan

[7] Natl Chung Hsing Univ, Dept Postbaccalaureate Med, Taichung, Taiwan

来源：

JOURNAL OF DENTAL SCIENCES | 2024年 / 19卷 / 02期

关键词：

Eating disorder; Temporomandibular disorder; Temporomandibular joint disorder; Anorexia nervosa; Bulimia nervosa; DIAGNOSTIC-CRITERIA; PREVALENCE; SYMPTOMS; HEALTH; SIGNS;

D O I：

10.1016/j.jds.2023.11.010

中图分类号：

R78 [口腔科学];

学科分类号：

1003 ;

摘要：

Background/purpose: An increasing body of evidence indicates correlations between the symptoms of temporomandibular disorder and those of eating disorder (ED). However, further investigation is required to elucidate the temporal and causal relationships between the aforementioned disorders. Materials and methods: This retrospective cohort study was conducted using data from the Taiwan National Health Insurance Research Database. Temporomandibular joint disorder (TMJD) was analyzed both as the cause and consequence of ED. We collected the data (from January 1, 1998, to December 31, 2011) of patients with antecedent TMJD (N = 15,059) or ED (N = 1219) and their respective controls (1:10), matched by age, sex, income level, residential location, and comorbidities. This study included patients who had received a new diagnosis of an ED or a TMJD between January 1, 1998, and December 31, 2013. Cox regression models were used to assess the risk of ED or TMJD development in patients with antecedent TMJD or ED. Results: TMJD patients had an approximately 3.70 -fold (95 % confidence interval [CI]: 1.93 -7.10) risk of ED development. Similarly, patients with ED had an approximately 4.78 -fold (95 % CI: 2.52-9.09) risk of TMJD development. Subgroup analyses based on ED subtypes indi- cated antecedent TMJD and bulimia nervosa as the predictors of increased bulimia nervosa and TMJD risks (hazard ratios: 6.41 [95 % CI: 2.91 to 14.11] and 5.84 [95 % CI: 2.75 to 12.41]), respectively. Conclusion: Previous TMJD and ED are associated with increased risks of subsequent ED and TMJD; these findings suggest the presence of a bidirectional temporal association between TMJD and ED. <feminine ordinal indicator> 2024 Association for Dental Sciences of the Republic of China. Publishing services by Elsevier B.V. This is an open access article under the CC BY -NC -ND license (http://creativecommons. org/licenses/by-nc-nd/4.0/).

引用

页码：1200 / 1207

页数：8

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