Inverse association between number of teeth and left ventricular mass in women
Identifieur interne : 006B20 ( Main/Curation ); précédent : 006B19; suivant : 006B21Inverse association between number of teeth and left ventricular mass in women
Auteurs : Henry Völzke [Allemagne] ; Christian Schwahn [Allemagne] ; Marcus Dörr [Allemagne] ; Nicole Aumann [Allemagne] ; Stephan B. Felix [Allemagne] ; Ulrich John [Allemagne] ; Rainer Rettig [Allemagne] ; Martina Dören [Allemagne] ; Reiner Biffar [Allemagne] ; Thomas Kocher [Allemagne]Source :
- Journal of hypertension [ 0263-6352 ] ; 2007.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
Abstract
Objectives Recently, we have demonstrated a sex-specific inverse association between the number of teeth and hypertension. Left ventricular hypertrophy is a major cardiac sequel of hypertension. With the present study we sought to investigate whether there is also an inverse association between the number of teeth and left ventricular mass (LVM). Methods We used data from 1913 subjects (1036 women and 877 men) who were recruited for the population-based Study of Health in Pomerania (SHIP). The number of teeth, with the exception of the third molars, was counted in the full mouth. LVM was determined echocardiographically. Multivariable analyses were adjusted for major confounders. Results Women with fewer teeth had higher values for LVM than women with more teeth. This association was stable when controlled for major confounders. In the full model, edentulous women had an adjusted LVM of178.4 g [95% confidence interval (Cl) 170.4,186.3 g] while women with 24-28 teeth had an adjusted LVM of164.8 g (95% Cl 156.8, 172.9 g; P< 0.01). In men, no such differences were observed. Conclusions We conclude that there is an association between the number of teeth and LVM in women aged 45 years or older. In women, these findings further explain why poor oral health predicts all-cause and circulatory mortality. Further research in young, low-risk populations is needed to explore this association in men.
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<author><name sortKey="Felix, Stephan B" sort="Felix, Stephan B" uniqKey="Felix S" first="Stephan B." last="Felix">Stephan B. Felix</name>
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<author><name sortKey="John, Ulrich" sort="John, Ulrich" uniqKey="John U" first="Ulrich" last="John">Ulrich John</name>
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<author><name sortKey="Doren, Martina" sort="Doren, Martina" uniqKey="Doren M" first="Martina" last="Dören">Martina Dören</name>
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<author><name sortKey="Biffar, Reiner" sort="Biffar, Reiner" uniqKey="Biffar R" first="Reiner" last="Biffar">Reiner Biffar</name>
<affiliation wicri:level="1"><inist:fA14 i1="02"><s1>School of Dentistry, Ernst Moritz Arndt University</s1>
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<s3>DEU</s3>
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<wicri:noRegion>Greifswald</wicri:noRegion>
<wicri:noRegion>Ernst Moritz Arndt University</wicri:noRegion>
<wicri:noRegion>Greifswald</wicri:noRegion>
</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="02"><s1>School of Dentistry, Ernst Moritz Arndt University</s1>
<s2>Greifswald</s2>
<s3>DEU</s3>
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<sZ>9 aut.</sZ>
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<country>Allemagne</country>
<wicri:noRegion>Greifswald</wicri:noRegion>
<wicri:noRegion>Ernst Moritz Arndt University</wicri:noRegion>
<wicri:noRegion>Greifswald</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series><title level="j" type="main">Journal of hypertension</title>
<title level="j" type="abbreviated">J. hypertens.</title>
<idno type="ISSN">0263-6352</idno>
<imprint><date when="2007">2007</date>
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<seriesStmt><title level="j" type="main">Journal of hypertension</title>
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</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Cardiovascular disease</term>
<term>Human</term>
<term>Hypertension</term>
<term>Left ventricle</term>
<term>Oral administration</term>
<term>Tooth</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Appareil circulatoire pathologie</term>
<term>Hypertension artérielle</term>
<term>Dent</term>
<term>Ventricule gauche</term>
<term>Homme</term>
<term>Voie orale</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term>
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<front><div type="abstract" xml:lang="en">Objectives Recently, we have demonstrated a sex-specific inverse association between the number of teeth and hypertension. Left ventricular hypertrophy is a major cardiac sequel of hypertension. With the present study we sought to investigate whether there is also an inverse association between the number of teeth and left ventricular mass (LVM). Methods We used data from 1913 subjects (1036 women and 877 men) who were recruited for the population-based Study of Health in Pomerania (SHIP). The number of teeth, with the exception of the third molars, was counted in the full mouth. LVM was determined echocardiographically. Multivariable analyses were adjusted for major confounders. Results Women with fewer teeth had higher values for LVM than women with more teeth. This association was stable when controlled for major confounders. In the full model, edentulous women had an adjusted LVM of178.4 g [95% confidence interval (Cl) 170.4,186.3 g] while women with 24-28 teeth had an adjusted LVM of164.8 g (95% Cl 156.8, 172.9 g; P< 0.01). In men, no such differences were observed. Conclusions We conclude that there is an association between the number of teeth and LVM in women aged 45 years or older. In women, these findings further explain why poor oral health predicts all-cause and circulatory mortality. Further research in young, low-risk populations is needed to explore this association in men.</div>
</front>
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