Research Article

Risk Factors for Reduced Salivary Flow Rate in a Japanese Population: The Hisayama Study

Table 2

Association of obvious reduction in salivary flow rate with its predictors determined by using logistic regression.

Model 1Model 2 Obvious reduction in salivary flow rate (%) PAF (%)
Crude OR
(95% CI)
Multivariate ORa
(95% CI)

Salivary flow rate (mL/min)0.98 (0.86–1.11) NANA
Age per decadeb1.38 (1.16–1.63)1.25 (1.03–1.51)NANA
Sex (ref. women)    
 Men 1.28 (0.91–1.80)1.11 (0.78–1.58)12.3 9.6
Medical history of stroke2.82 (1.25–6.40)2.14 (0.92–4.97)25.0 3.1
Use of antihypertensive agents1.31 (0.90–1.91) 13.0 6.3
Smoking habits (ref. noncurrent smoker)    
 Current smoker1.08 (0.71–1.67) 11.6 1.4
Alcohol intake (ref. noncurrent drinker)   
 Current drinker0.94 (0.67–1.32) 10.6 −3.0
Tooth brushing frequency (ref. twice or more a day)    
 Once a day1.31 (0.92–1.87) 12.7 7.6
BMI (ref. <25)    
 ≥250.77 (0.51–1.15) 9.1 −6.1
Serum albumin levels [ref. normal (≥4 g/dL)]    
 Low (<4 g/dL) 1.68 (1.11–2.56)1.60 (1.04–2.46)15.8 8.0
2 h postload plasma glucose levels [ref. nondiabetes (<200 mg/dL)]    
 Diabetes (≥200 mg/dL)1.24 (0.73–2.10) 12.8 2.1
Dental prosthetic status (ref. ≥20 remaining natural teeth without dentures)    
 ≥20 remaining natural teeth with dentures1.94 (1.09–3.44)1.48 (0.81–2.71)17.4 10.0
 <20 remaining natural teeth without dentures2.36 (1.11–5.05)2.06 (0.95–4.46)20.5
 <20 remaining natural teeth with dentures1.25 (0.74–2.13)0.85 (0.48–1.52)12.0
Plaque score (ref. <1)    
 ≥11.83 (1.28–2.61)1.53 (1.04–2.24)15.6 15.6
Periodontal status (ref. non-periodontitis)    
 Periodontitis1.45 (1.03–2.03)1.16 (0.81–1.66)12.8 15.3

OR: odds ratio; CI: confidence interval; PAF: population attributable fraction; NA: not applicable; BMI: body mass index.
aThe multivariable logistic regression model included sex and all other risk factors with a significance level of < 0.05 in the univariate analysis (model 1).
bAge in years scaled to decades.