Associations between measures of central adiposity and periodontitis among older adults
Identifieur interne : 000516 ( Ncbi/Merge ); précédent : 000515; suivant : 000517Associations between measures of central adiposity and periodontitis among older adults
Auteurs : Francisco J. Mu Oz Torres ; Monik C. Jiménez ; Sona Rivas-Tumanyan ; Kaumudi J. JoshipuraSource :
- Community dentistry and oral epidemiology [ 0301-5661 ] ; 2013.
Abstract
To evaluate the association between measures of adiposity and periodontitis among older Puerto Rican adults.
A cross-sectional study was conducted among 147 representative adults ≥70 years living in the San Juan metropolitan area. Height, weight, waist (WC) and hip circumference were measured by trained personnel. Periodontal probing depth and attachment loss (AL) were measured by calibrated examiners. Periodontitis was classified according to the Center for Disease Control/American Academy of Periodontology (CDC-AAP) definitions, and using tertiles of mean AL and percent of sites with AL≥3mm. Multivariable polytomous logistic regression models adjusted for age, gender, smoking, education, diabetes status, physical activity and total fruit and vegetable intake were used to model associations between WC, waist-to-hip ratio (WHR), and periodontitis.
High WC (men: ≥102cm vs. <102cm, women: ≥88cm vs. <88cm) compared to normal showed non-significant associations with severe (OR=2.56, 95%CI: 0.76-8.67), moderate periodontitis (OR=1.53, 95%CI: 0.65-3.60), and upper tertile of mean AL (OR=2.28, 95%CI: 0.83-6.23). Elevated WHR vs. normal (men: ≥0.95 vs. <0.95, women: ≥0.88 vs. <0.88) was associated with moderate periodontitis (OR=2.36, 95%CI: 1.01-5.52) and showed a borderline significant association with the upper tertile of mean AL (OR=2.52, 95%CI: 0.96-6.63, p=0.06).
Central adiposity was associated with a greater risk of periodontitis in this population of older adults, although analyses were underpowered. These results hold important public health implications given the high prevalence of adiposity and periodontitis among older adults.
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DOI: 10.1111/cdoe.12069
PubMed: 24010953
PubMed Central: 3949210
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<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">0410263</journal-id><journal-id journal-id-type="pubmed-jr-id">3109</journal-id><journal-id journal-id-type="nlm-ta">Community Dent Oral Epidemiol</journal-id><journal-id journal-id-type="iso-abbrev">Community Dent Oral Epidemiol</journal-id><journal-title-group><journal-title>Community dentistry and oral epidemiology</journal-title></journal-title-group><issn pub-type="ppub">0301-5661</issn><issn pub-type="epub">1600-0528</issn></journal-meta><article-meta><article-id pub-id-type="pmid">24010953</article-id><article-id pub-id-type="pmc">3949210</article-id><article-id pub-id-type="doi">10.1111/cdoe.12069</article-id><article-id pub-id-type="manuscript">NIHMS514293</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Associations between measures of central adiposity and periodontitis among older adults</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Torres</surname><given-names>Francisco J. Muñoz</given-names></name><degrees>MPH</degrees><aff id="A1">Center for Clinical Research and Health Promotion, School of Dental Medicine, University of Puerto Rico</aff></contrib><contrib contrib-type="author"><name><surname>Jiménez</surname><given-names>Monik C.</given-names></name><degrees>ScD SM</degrees><aff id="A2">Brigham and Women’s Hospital, Division of Preventive Medicine, Harvard Medical School, Department of Medicine</aff></contrib><contrib contrib-type="author"><name><surname>Rivas-Tumanyan</surname><given-names>Sona</given-names></name><degrees>DMD, DrPH</degrees><aff id="A3">Center for Clinical Research and Health Promotion, School of Dental Medicine, University of Puerto Rico</aff></contrib><contrib contrib-type="author"><name><surname>Joshipura</surname><given-names>Kaumudi J.</given-names></name><degrees>BDS ScD</degrees><aff id="A4">Center for Clinical Research and Health Promotion, School of Dental Medicine, University of Puerto Rico</aff></contrib></contrib-group><author-notes><corresp id="CR1">Corresponding Author: Address: Center for Clinical Research and Health Promotion, School of Dental Medicine, University of Puerto Rico 1rst Floor, Main Bldg, Office A107A, San Juan, Puerto Rico 00935, <email>francisco.munoz@upr.edu</email>, Telephone: (787) 758-2525 ext: 1182 Fax: (787) 763-4868</corresp></author-notes><pub-date pub-type="nihms-submitted"><day>29</day><month>9</month><year>2013</year></pub-date><pub-date pub-type="epub"><day>07</day><month>9</month><year>2013</year></pub-date><pub-date pub-type="ppub"><month>4</month><year>2014</year></pub-date><pub-date pub-type="pmc-release"><day>01</day><month>4</month><year>2015</year></pub-date><volume>42</volume><issue>2</issue><fpage>170</fpage><lpage>177</lpage><pmc-comment>elocation-id from pubmed: 10.1111/cdoe.12069</pmc-comment>
<abstract><sec id="S1"><title>Objective</title><p id="P1">To evaluate the association between measures of adiposity and periodontitis among older Puerto Rican adults.</p></sec><sec id="S2"><title>Methods</title><p id="P2">A cross-sectional study was conducted among 147 representative adults ≥70 years living in the San Juan metropolitan area. Height, weight, waist (WC) and hip circumference were measured by trained personnel. Periodontal probing depth and attachment loss (AL) were measured by calibrated examiners. Periodontitis was classified according to the Center for Disease Control/American Academy of Periodontology (CDC-AAP) definitions, and using tertiles of mean AL and percent of sites with AL≥3mm. Multivariable polytomous logistic regression models adjusted for age, gender, smoking, education, diabetes status, physical activity and total fruit and vegetable intake were used to model associations between WC, waist-to-hip ratio (WHR), and periodontitis.</p></sec><sec id="S3"><title>Results</title><p id="P3">High WC (men: ≥102cm vs. <102cm, women: ≥88cm vs. <88cm) compared to normal showed non-significant associations with severe (OR=2.56, 95%CI: 0.76-8.67), moderate periodontitis (OR=1.53, 95%CI: 0.65-3.60), and upper tertile of mean AL (OR=2.28, 95%CI: 0.83-6.23). Elevated WHR vs. normal (men: ≥0.95 vs. <0.95, women: ≥0.88 vs. <0.88) was associated with moderate periodontitis (OR=2.36, 95%CI: 1.01-5.52) and showed a borderline significant association with the upper tertile of mean AL (OR=2.52, 95%CI: 0.96-6.63, p=0.06).</p></sec><sec id="S4"><title>Conclusion</title><p id="P4">Central adiposity was associated with a greater risk of periodontitis in this population of older adults, although analyses were underpowered. These results hold important public health implications given the high prevalence of adiposity and periodontitis among older adults.</p></sec></abstract></article-meta></front></pmc><affiliations><list></list><tree><noCountry><name sortKey="Jimenez, Monik C" sort="Jimenez, Monik C" uniqKey="Jimenez M" first="Monik C." last="Jiménez">Monik C. Jiménez</name><name sortKey="Joshipura, Kaumudi J" sort="Joshipura, Kaumudi J" uniqKey="Joshipura K" first="Kaumudi J." last="Joshipura">Kaumudi J. Joshipura</name><name sortKey="Rivas Tumanyan, Sona" sort="Rivas Tumanyan, Sona" uniqKey="Rivas Tumanyan S" first="Sona" last="Rivas-Tumanyan">Sona Rivas-Tumanyan</name><name sortKey="Torres, Francisco J Mu Oz" sort="Torres, Francisco J Mu Oz" uniqKey="Torres F" first="Francisco J. Mu Oz" last="Torres">Francisco J. Mu Oz Torres</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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