Serveur d'exploration sur le patient édenté

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Periodontal Status and A1C Change: Longitudinal results from the Study of Health in Pomerania (SHIP)

Identifieur interne : 000141 ( France/Analysis ); précédent : 000140; suivant : 000142

Periodontal Status and A1C Change: Longitudinal results from the Study of Health in Pomerania (SHIP)

Auteurs : Ryan T. Demmer [États-Unis] ; Henri Wallaschofski [Allemagne] ; Moise Desvarieux [États-Unis, France] ; Matthias Nauck [Allemagne] ; Birte Holtfreter [Allemagne] ; Henry Völzke [Allemagne] ; David R. Jr Jacobs [Norvège] ; Thomas Kocher [Allemagne]

Source :

RBID : Pascal:10-0249261

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English descriptors

Abstract

OBJECTIVE - Infection may be a type 2 diabetes risk factor. Periodontal disease is a chronic infection. We hypothesized that periodontal disease was related to A1C progression in diabetes-free participants. RESEARCH DESIGN AND METHODS - The Study of Health in Pomerania (SHIP) is a population-based cohort in Germany including 2,973 diabetes-free participants (53% women; aged 20-81 years). Participants were categorized into four groups according to increasing baseline periodontal disease levels (percentage of sites per mouth with attachment loss ≥5 mm, determined a priori); sample sizes for each respective category were 1,122, 488, 463, and 479 (241 participants were edentulous). Mean absolute changes (year 5 minus baseline) in A1C (ΔA1C) were regressed across periodontal categories while adjusting for confounders (e.g., age, sex, smoking, obesity, physical activity, and family history). RESULTS - Across baseline periodontal disease categories, ΔA1C ± SEM values were 0.023 ± 0.02, 0.023 ± 0.02, 0.065 ± 0.03, and 0.106 ± 0.03 (Ptrend = 0.02), yielding an approximate fivefold increase in the absolute difference in ΔA1C when dentate participants in the highest versus lowest periodontal disease category were compared; these results were markedly stronger among participants with high-sensitivity C-reactive protein ≥1.0 mg/l (Pinteraction = 0.01). When individuals who had neither baseline periodontal disease nor deterioration in periodontal status at 5 years were compared with individuals with both poor baseline periodontal health and longitudinal periodontal deterioration, mean ΔA1C values were 0.005 vs. 0.143% (P = 0.003). CONCLUSIONS - Periodontal disease was associated with 5-year A1C progression, which was similar to that observed for a 2-SD increase in either waist-to-hip ratio or age in this population.


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Pascal:10-0249261

Le document en format XML

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<name sortKey="Nauck, Matthias" sort="Nauck, Matthias" uniqKey="Nauck M" first="Matthias" last="Nauck">Matthias Nauck</name>
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<wicri:noRegion>University of Greifswald</wicri:noRegion>
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<name sortKey="Holtfreter, Birte" sort="Holtfreter, Birte" uniqKey="Holtfreter B" first="Birte" last="Holtfreter">Birte Holtfreter</name>
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<inist:fA14 i1="04">
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<sZ>5 aut.</sZ>
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<country>Allemagne</country>
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<wicri:noRegion>Greifswald</wicri:noRegion>
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<wicri:noRegion>Greifswald</wicri:noRegion>
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<wicri:noRegion>Greifswald</wicri:noRegion>
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<name sortKey="Jacobs, David R Jr" sort="Jacobs, David R Jr" uniqKey="Jacobs D" first="David R. Jr" last="Jacobs">David R. Jr Jacobs</name>
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<s1>Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, Minnesota, and the Department of Nutrition, University of Oslo</s1>
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<s3>NOR</s3>
<sZ>7 aut.</sZ>
</inist:fA14>
<country>Norvège</country>
<placeName>
<settlement type="city">Oslo</settlement>
<region nuts="2">Østlandet</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Kocher, Thomas" sort="Kocher, Thomas" uniqKey="Kocher T" first="Thomas" last="Kocher">Thomas Kocher</name>
<affiliation wicri:level="1">
<inist:fA14 i1="04">
<s1>Unit of Periodontology, Department of Restorative Dentistry, Periodontology and Endodontology, Ernst-Moritz-Arndt-University Greifswald</s1>
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<s3>DEU</s3>
<sZ>5 aut.</sZ>
<sZ>8 aut.</sZ>
</inist:fA14>
<country>Allemagne</country>
<wicri:noRegion>Greifswald</wicri:noRegion>
<wicri:noRegion>Ernst-Moritz-Arndt-University Greifswald</wicri:noRegion>
<wicri:noRegion>Greifswald</wicri:noRegion>
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<series>
<title level="j" type="main">Diabetes care</title>
<title level="j" type="abbreviated">Diabetes care</title>
<idno type="ISSN">0149-5992</idno>
<imprint>
<date when="2010">2010</date>
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<idno type="ISSN">0149-5992</idno>
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<term>Change</term>
<term>Endocrinology</term>
<term>Follow up study</term>
<term>Hemoglobin A1c</term>
<term>Human</term>
<term>Inositol-1,4,5-trisphosphate 5-phosphatase</term>
<term>Metabolic diseases</term>
<term>Nutrition</term>
<term>Public health</term>
<term>Result</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr">
<term>Hémoglobine A1c</term>
<term>Changement</term>
<term>Etude longitudinale</term>
<term>Résultat</term>
<term>Santé publique</term>
<term>Inositol-1,4,5-trisphosphate 5-phosphatase</term>
<term>Endocrinologie</term>
<term>Maladie métabolique</term>
<term>Nutrition</term>
<term>Homme</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr">
<term>Santé publique</term>
<term>Nutrition</term>
<term>Homme</term>
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<front>
<div type="abstract" xml:lang="en">OBJECTIVE - Infection may be a type 2 diabetes risk factor. Periodontal disease is a chronic infection. We hypothesized that periodontal disease was related to A1C progression in diabetes-free participants. RESEARCH DESIGN AND METHODS - The Study of Health in Pomerania (SHIP) is a population-based cohort in Germany including 2,973 diabetes-free participants (53% women; aged 20-81 years). Participants were categorized into four groups according to increasing baseline periodontal disease levels (percentage of sites per mouth with attachment loss ≥5 mm, determined a priori); sample sizes for each respective category were 1,122, 488, 463, and 479 (241 participants were edentulous). Mean absolute changes (year 5 minus baseline) in A1C (ΔA1C) were regressed across periodontal categories while adjusting for confounders (e.g., age, sex, smoking, obesity, physical activity, and family history). RESULTS - Across baseline periodontal disease categories, ΔA1C ± SEM values were 0.023 ± 0.02, 0.023 ± 0.02, 0.065 ± 0.03, and 0.106 ± 0.03 (P
<sub>trend</sub>
= 0.02), yielding an approximate fivefold increase in the absolute difference in ΔA1C when dentate participants in the highest versus lowest periodontal disease category were compared; these results were markedly stronger among participants with high-sensitivity C-reactive protein ≥1.0 mg/l (P
<sub>interaction</sub>
= 0.01). When individuals who had neither baseline periodontal disease nor deterioration in periodontal status at 5 years were compared with individuals with both poor baseline periodontal health and longitudinal periodontal deterioration, mean ΔA1C values were 0.005 vs. 0.143% (P = 0.003). CONCLUSIONS - Periodontal disease was associated with 5-year A1C progression, which was similar to that observed for a 2-SD increase in either waist-to-hip ratio or age in this population.</div>
</front>
</TEI>
<affiliations>
<list>
<country>
<li>Allemagne</li>
<li>France</li>
<li>Norvège</li>
<li>États-Unis</li>
</country>
<region>
<li>État de New York</li>
<li>Île-de-France</li>
<li>Østlandet</li>
</region>
<settlement>
<li>New York</li>
<li>Oslo</li>
<li>Paris</li>
</settlement>
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<li>Université Columbia</li>
</orgName>
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<region name="État de New York">
<name sortKey="Demmer, Ryan T" sort="Demmer, Ryan T" uniqKey="Demmer R" first="Ryan T." last="Demmer">Ryan T. Demmer</name>
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<name sortKey="Desvarieux, Moise" sort="Desvarieux, Moise" uniqKey="Desvarieux M" first="Moise" last="Desvarieux">Moise Desvarieux</name>
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<country name="Allemagne">
<noRegion>
<name sortKey="Wallaschofski, Henri" sort="Wallaschofski, Henri" uniqKey="Wallaschofski H" first="Henri" last="Wallaschofski">Henri Wallaschofski</name>
</noRegion>
<name sortKey="Holtfreter, Birte" sort="Holtfreter, Birte" uniqKey="Holtfreter B" first="Birte" last="Holtfreter">Birte Holtfreter</name>
<name sortKey="Kocher, Thomas" sort="Kocher, Thomas" uniqKey="Kocher T" first="Thomas" last="Kocher">Thomas Kocher</name>
<name sortKey="Nauck, Matthias" sort="Nauck, Matthias" uniqKey="Nauck M" first="Matthias" last="Nauck">Matthias Nauck</name>
<name sortKey="Volzke, Henry" sort="Volzke, Henry" uniqKey="Volzke H" first="Henry" last="Völzke">Henry Völzke</name>
</country>
<country name="France">
<region name="Île-de-France">
<name sortKey="Desvarieux, Moise" sort="Desvarieux, Moise" uniqKey="Desvarieux M" first="Moise" last="Desvarieux">Moise Desvarieux</name>
</region>
<name sortKey="Desvarieux, Moise" sort="Desvarieux, Moise" uniqKey="Desvarieux M" first="Moise" last="Desvarieux">Moise Desvarieux</name>
</country>
<country name="Norvège">
<region name="Østlandet">
<name sortKey="Jacobs, David R Jr" sort="Jacobs, David R Jr" uniqKey="Jacobs D" first="David R. Jr" last="Jacobs">David R. Jr Jacobs</name>
</region>
</country>
</tree>
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</record>

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   |area=    EdenteV2
   |flux=    France
   |étape=   Analysis
   |type=    RBID
   |clé=     Pascal:10-0249261
   |texte=   Periodontal Status and A1C Change: Longitudinal results from the Study of Health in Pomerania (SHIP)
}}

Wicri

This area was generated with Dilib version V0.6.32.
Data generation: Thu Nov 30 15:26:48 2017. Site generation: Tue Mar 8 16:36:20 2022