Ontology highlight
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 and measures
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.
SUBMITTER: Siewchaisakul P
PROVIDER: S-EPMC7559119 | biostudies-literature | 2020 Oct
REPOSITORIES: biostudies-literature
Siewchaisakul Pallop P Wang Sen-Te ST Peng Szu-Min SM Sarakarn Pongdech P Chen Li-Sheng LS Chen Tony Hsiu-Hsi TH Yeh Yen-Po YP Yen Amy Ming-Fang AM
BMJ open 20201014 10
<h4>Objectives</h4>We aimed to assess the effect of metabolic syndrome (MetS) on incident oral potentially malignant disorder (OPMD).<h4>Design</h4>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.<h4>Setting</h4>CHCIS, Taiwan.<h4>Participants</h4>We enrolled 17 590 participants aged 30 years and older.<h4>Main outcomes and measures</h4>We assessed ...[more]