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Relationships among bone turnover, renal function and periodontal disease in elderly Japanese

Identifieur interne : 007B74 ( Istex/Corpus ); précédent : 007B73; suivant : 007B75

Relationships among bone turnover, renal function and periodontal disease in elderly Japanese

Auteurs : A. Yoshihara ; Y. Hayashi ; H. Miyazaki

Source :

RBID : ISTEX:F9F40E20CBB48C612775A91285059EEBDABB0D6F

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Abstract

Yoshihara A, Hayashi Y, Miyazaki H. Relationships among bone turnover, renal function and periodontal disease in elderly Japanese. J Periodont Res 2011; 46: 491–496. © 2011 John Wiley & Sons A/S

Url:
DOI: 10.1111/j.1600-0765.2011.01365.x

Links to Exploration step

ISTEX:F9F40E20CBB48C612775A91285059EEBDABB0D6F

Le document en format XML

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<p>
<hi rend="italic">Yoshihara A, Hayashi Y, Miyazaki H. Relationships among bone turnover, renal function and periodontal disease in elderly Japanese. J Periodont Res 2011; 46: 491–496. © 2011 John Wiley & Sons A/S</hi>
</p>
<p>
<hi rend="bold">Background and Objective: </hi>
We hypothesized that renal function is associated with the relationship between periodontal disease and bone metabolism. The present study evaluated the relationship of bone formation and resorption markers to periodontal disease, taking renal function into consideration, in elderly Japanese subjects.</p>
<p>
<hi rend="bold">Material and Methods: </hi>
We selected 148 subjects aged 77 years. The periodontal examination included the assessment of clinical attachment level (CAL). We measured two bone formation markers (serum bone‐specific alkaline phosphatase and serum osteocalcin) and two bone resorption markers (urinary deoxypyridinoline and urinary cross‐linked N‐telopeptide of type I collagen). Creatinine clearance per 24 h, as a measure of renal function, was also determined. The correlations between mean CAL or percentage of sites with ≥6 mm CAL (6+mm CAL) and bone turnover markers, and between bone turnover markers and creatinine clearance levels, were performed by multiple linear regression analysis.</p>
<p>
<hi rend="bold">Results: </hi>
There were significant negative relationships between mean CAL or 6+mm CAL and serum osteocalcin levels adjusted for gender, smoking habits and oral care habits (β = −0.25,
<hi rend="italic">p </hi>
=
<hi rend="italic"></hi>
0.014 and β = −0.35,
<hi rend="italic">p </hi>
=
<hi rend="italic"></hi>
0.001, respectively). In addition, there was a negative relationship between serum osteocalcin and creatinine clearance levels adjusted for gender and smoking habits (β = −0.45,
<hi rend="italic">p </hi>
<
<hi rend="italic"></hi>
0.0001).</p>
<p>
<hi rend="bold">Conclusion: </hi>
Results from the present study suggest that serum osteocalcin was significantly associated with renal function and periodontal disease. The low systemic bone metabolism, which might be caused by low renal function, is associated with periodontal disease.</p>
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<correspondenceTo>Akihiro Yoshihara, DDS, PhD, Division of Preventive Dentistry, Department of Oral Health Science, Graduate School of Medical and Dental Sciences, Niigata University, 2‐5274 Gakkocho‐Dori, Chuo‐ku, Niigata 951‐8514, Japan
Tel: +81 25 227 2858
Fax: +81 25 227 0807
e‐mail:
<email normalForm="akihiro@dent.niigata-u.ac.jp">akihiro@dent.niigata‐u.ac.jp</email>
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<title type="main">Relationships among bone turnover, renal function and periodontal disease in elderly Japanese</title>
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<i>Yoshihara</i>
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<i>Bone turnover, renal function and periodontal diseases</i>
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<i>Yoshihara A, Hayashi Y, Miyazaki H. Relationships among bone turnover, renal function and periodontal disease in elderly Japanese. J Periodont Res 2011; 46: 491–496. © 2011 John Wiley & Sons A/S</i>
</p>
<p>
<b>Background and Objective: </b>
We hypothesized that renal function is associated with the relationship between periodontal disease and bone metabolism. The present study evaluated the relationship of bone formation and resorption markers to periodontal disease, taking renal function into consideration, in elderly Japanese subjects.</p>
<p>
<b>Material and Methods: </b>
We selected 148 subjects aged 77 years. The periodontal examination included the assessment of clinical attachment level (CAL). We measured two bone formation markers (serum bone‐specific alkaline phosphatase and serum osteocalcin) and two bone resorption markers (urinary deoxypyridinoline and urinary cross‐linked N‐telopeptide of type I collagen). Creatinine clearance per 24 h, as a measure of renal function, was also determined. The correlations between mean CAL or percentage of sites with ≥6 mm CAL (6+mm CAL) and bone turnover markers, and between bone turnover markers and creatinine clearance levels, were performed by multiple linear regression analysis.</p>
<p>
<b>Results: </b>
There were significant negative relationships between mean CAL or 6+mm CAL and serum osteocalcin levels adjusted for gender, smoking habits and oral care habits (β = −0.25,
<i>p </i>
=
<i></i>
0.014 and β = −0.35,
<i>p </i>
=
<i></i>
0.001, respectively). In addition, there was a negative relationship between serum osteocalcin and creatinine clearance levels adjusted for gender and smoking habits (β = −0.45,
<i>p </i>
<
<i></i>
0.0001).</p>
<p>
<b>Conclusion: </b>
Results from the present study suggest that serum osteocalcin was significantly associated with renal function and periodontal disease. The low systemic bone metabolism, which might be caused by low renal function, is associated with periodontal disease.</p>
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<abstract>Yoshihara A, Hayashi Y, Miyazaki H. Relationships among bone turnover, renal function and periodontal disease in elderly Japanese. J Periodont Res 2011; 46: 491–496. © 2011 John Wiley & Sons A/S</abstract>
<abstract>Background and Objective:  We hypothesized that renal function is associated with the relationship between periodontal disease and bone metabolism. The present study evaluated the relationship of bone formation and resorption markers to periodontal disease, taking renal function into consideration, in elderly Japanese subjects.</abstract>
<abstract>Material and Methods:  We selected 148 subjects aged 77 years. The periodontal examination included the assessment of clinical attachment level (CAL). We measured two bone formation markers (serum bone‐specific alkaline phosphatase and serum osteocalcin) and two bone resorption markers (urinary deoxypyridinoline and urinary cross‐linked N‐telopeptide of type I collagen). Creatinine clearance per 24 h, as a measure of renal function, was also determined. The correlations between mean CAL or percentage of sites with ≥6 mm CAL (6+mm CAL) and bone turnover markers, and between bone turnover markers and creatinine clearance levels, were performed by multiple linear regression analysis.</abstract>
<abstract>Results:  There were significant negative relationships between mean CAL or 6+mm CAL and serum osteocalcin levels adjusted for gender, smoking habits and oral care habits (β = −0.25, p = 0.014 and β = −0.35, p = 0.001, respectively). In addition, there was a negative relationship between serum osteocalcin and creatinine clearance levels adjusted for gender and smoking habits (β = −0.45, p < 0.0001).</abstract>
<abstract>Conclusion:  Results from the present study suggest that serum osteocalcin was significantly associated with renal function and periodontal disease. The low systemic bone metabolism, which might be caused by low renal function, is associated with periodontal disease.</abstract>
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