{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T07:39:37Z","timestamp":1785224377209,"version":"3.55.0"},"reference-count":45,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2020,1,29]],"date-time":"2020-01-29T00:00:00Z","timestamp":1580256000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"New Faculty Startup Fund from Seoul National University","award":["860-20190102"],"award-info":[{"award-number":["860-20190102"]}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Comm Dent Oral Epid"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>This study aimed to investigate the association between general physical activity level and TMD pain in Koreans in a large\u2010scale national database established through a nationwide survey.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data from the Fourth Korean National Health and Nutrition Examination Survey (KNHANES IV), which was conducted from 2007 to 2009, were analysed. In total, 16\u00a0941 participants were included in this cross\u2010sectional study. Data on sociodemographic characteristics, TMD\u2010related variables, and general physical activity level were collected. Participants were divided into moderate\u2010 and low\u2010intensity exercise groups according to their physical activity levels. Multivariate logistic regression analyses were performed, adjusting for sociodemographic and other covariates.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The adjusted odds ratio (OR) (95% confidence interval; CI) for TMD pain was 1.373 (1.017\u20101.854) for people doing moderate\u2010intensity exercises and 0.797 (0.629\u20101.008) among people doing low\u2010intensity exercises. Those who did moderate\u2010intensity exercises had significantly more TMD pain. This was higher in the 30\u2010 to 39\u2010year age group (OR: 1.991, 95% CI: 1.137\u20103.488), with significantly higher risk for TMD pain in those who did moderate\u2010intensity exercise, whereas low\u2010intensity exercise significantly decreased the risk for TMD pain in the same age group (OR: 0.625, 95% CI: 0.409\u20100.958).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Moderate\u2010intensity physical activity is associated with more TMD pain. Patients with TMD should avoid high\u2010intensity level exercises and continue low\u2010intensity exercises to prevent pain aggravation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cdoe.12519","type":"journal-article","created":{"date-parts":[[2020,1,29]],"date-time":"2020-01-29T08:59:19Z","timestamp":1580288359000},"page":"225-231","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Physical activity level and temporomandibular disorders in South Koreans"],"prefix":"10.1111","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3079-8629","authenticated-orcid":false,"given":"Hyun\u2010Jae","family":"Cho","sequence":"first","affiliation":[{"name":"Department of Preventive Dentistry and Public Oral Health School of Dentistry and Dental Research Institute Seoul National University Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5909-5743","authenticated-orcid":false,"given":"Seon\u2010Jip","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Preventive Dentistry and Public Oral Health School of Dentistry and Dental Research Institute Seoul National University Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8273-4037","authenticated-orcid":false,"given":"Seo Eun","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Oral Medicine and Oral Diagnosis School of Dentistry and Dental Research Institute Seoul National University Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0625-7021","authenticated-orcid":false,"given":"Ji Woon","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Oral Medicine and Oral Diagnosis School of Dentistry and Dental Research Institute Seoul National University Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,1,29]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"Orofacial Pain: Guidelines for Assessment, Diagnosis, and Management","author":"Leeuw R","year":"2008"},{"key":"e_1_2_8_3_1","first-page":"29","article-title":"Gender difference in symptoms related to temporomandibular disorders in a population of 50\u2010year\u2010old subjects","volume":"17","author":"Johansson A","year":"2003","journal-title":"J Orofac Pain"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.1990.0043"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016357.2019.1650955"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1079-2104(97)90104-9"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra0802472"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.2000.0148"},{"key":"e_1_2_8_9_1","first-page":"318","article-title":"A randomized clinical trial assessing the efficacy of adding 6 x 6 exercises to self\u2010care for the treatment of masticatory myofascial pain","volume":"21","author":"Mulet M","year":"2007","journal-title":"J Orofac Pain"},{"issue":"114","key":"e_1_2_8_10_1","first-page":"725","article-title":"Regular physical activity prevents development of chronic pain and activation of central neurons","volume":"2013","author":"Sluka KA","year":"1985","journal-title":"J Appl Physiol"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD003786"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare4020022"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00296-011-1958-z"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11916-011-0214-2"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.20828"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2016-097352"},{"key":"e_1_2_8_17_1","unstructured":"Korea Centers for Disease Control and Prevention.The Fourth Korea National Health and Nutrition Examination Survey (KNHANES IV). 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