Number of teeth, C-reactive protein, and fibrinogen and cardiovascular mortality: A 15-year follow-up study in a Finnish cohort
Identifieur interne : 002354 ( Main/Exploration ); précédent : 002353; suivant : 002355Number of teeth, C-reactive protein, and fibrinogen and cardiovascular mortality: A 15-year follow-up study in a Finnish cohort
Auteurs : Sok-Ja Janket [États-Unis] ; Alison E. Baird [États-Unis] ; Judith A. Jones [États-Unis] ; Elizabeth A. Jackson [États-Unis] ; Markku Surraka [Finlande] ; Wen Tao [États-Unis] ; Jukka H. Meurman [Finlande] ; Thomas E. Van Dyke [États-Unis]Source :
- Journal of clinical periodontology [ 0303-6979 ] ; 2013.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Bouche édentée (épidémiologie), Caries dentaires (épidémiologie), Denture, Diabète (épidémiologie), Facteurs de l'âge, Femelle, Fibrinogène (analyse), Finlande (épidémiologie), Humains, Hypertension artérielle (épidémiologie), Indice de masse corporelle, Lipoprotéines (sang), Maladie des artères coronaires (mortalité), Maladies parodontales (épidémiologie), Maladies périapicales (épidémiologie), Mâle, Protéine C-réactive (analyse), Péricoronarite (épidémiologie), Sujet âgé, Tabagisme (épidémiologie), Tartre dentaire (épidémiologie), Études cas-témoins, Études de cohortes, Études de suivi, Études longitudinales, Études prospectives.
- MESH :
- analyse : Fibrinogène, Protéine C-réactive.
- mortalité : Maladie des artères coronaires.
- sang : Lipoprotéines.
- épidémiologie : Bouche édentée, Caries dentaires, Diabète, Finlande, Hypertension artérielle, Maladies parodontales, Maladies périapicales, Péricoronarite, Tabagisme, Tartre dentaire.
- Adulte d'âge moyen, Denture, Facteurs de l'âge, Femelle, Humains, Indice de masse corporelle, Mâle, Sujet âgé, Études cas-témoins, Études de cohortes, Études de suivi, Études longitudinales, Études prospectives.
- Wicri :
- geographic : Finlande.
English descriptors
- KwdEn :
- Age Factors, Aged, Body Mass Index, C-Reactive Protein (analysis), Case-Control Studies, Cohort Studies, Coronary Artery Disease (mortality), Dental Calculus (epidemiology), Dental Caries (epidemiology), Dentition, Diabetes Mellitus (epidemiology), Female, Fibrinogen (analysis), Finland (epidemiology), Follow-Up Studies, Humans, Hypertension (epidemiology), Lipoproteins (blood), Longitudinal Studies, Male, Middle Aged, Mouth, Edentulous (epidemiology), Periapical Diseases (epidemiology), Pericoronitis (epidemiology), Periodontal Diseases (epidemiology), Prospective Studies, Smoking (epidemiology).
- MESH :
- chemical , analysis : C-Reactive Protein, Fibrinogen.
- chemical , blood : Lipoproteins.
- geographic , epidemiology : Finland.
- epidemiology : Dental Calculus, Dental Caries, Diabetes Mellitus, Hypertension, Mouth, Edentulous, Periapical Diseases, Pericoronitis, Periodontal Diseases, Smoking.
- mortality : Coronary Artery Disease.
- Age Factors, Aged, Body Mass Index, Case-Control Studies, Cohort Studies, Dentition, Female, Follow-Up Studies, Humans, Longitudinal Studies, Male, Middle Aged, Prospective Studies.
Abstract
To test whether the number of teeth, an inverse proxy for composite oral infection scores is associated with better survival.
The Kuopio Oral Health and Heart study initiated a case-control study in 1995–1996 consisting of 256 consecutive coronary artery disease patients and 250 age and gender matched controls. We appended the mortality data and formulated a longitudinal study. By May 31st, 2011, 124 mortalities had occurred and 80 of which were of cardiovascular origin. Using Cox proportional hazards models, we assessed the association of the teeth group (Teethgrp) – consisting of 10 teeth – with cardiovascular and all-cause mortality after 15.8 years of median follow-up.
In multivariate models, with the edentulous state as reference, one level increase in Teethgrp was associated with significantly increased survival from cardiovascular (CVD) mortality with a Hazard Ratio (HR) 0.73, P-value = 0.02 but not with all-cause mortality (HR= 0.87, p=0.13). The findings were not mediated by CRP levels ≥ 3 mg/L or by median fibrinogen levels but were mediated by CRP levels > 5 mg/L.
Each increment of 10 teeth from the edentulous state was associated with a 27% improved CVD survival, independent of low-grade systemic inflammation.
Url:
DOI: 10.1111/jcpe.12192
PubMed: 24354534
PubMed Central: 3934352
Affiliations:
- Finlande, États-Unis
- Massachusetts, Michigan, Uusimaa, État de New York
- Helsinki
- Université d'Helsinki
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Le document en format XML
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Meurman</name><affiliation wicri:level="4"><nlm:aff id="A6">Department of Oral and Maxillofacial Diseases, Helsinki Central Hospital, and Institute of Dentistry, University of Helsinki, Helsinki, Finland</nlm:aff><country xml:lang="fr">Finlande</country><wicri:regionArea>Department of Oral and Maxillofacial Diseases, Helsinki Central Hospital, and Institute of Dentistry, University of Helsinki, Helsinki</wicri:regionArea><orgName type="university">Université d'Helsinki</orgName><placeName><settlement type="city">Helsinki</settlement><region type="région" nuts="2">Uusimaa</region></placeName></affiliation></author><author><name sortKey="Van Dyke, Thomas E" sort="Van Dyke, Thomas E" uniqKey="Van Dyke T" first="Thomas E." last="Van Dyke">Thomas E. 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(epidemiology)</term><term>Female</term><term>Fibrinogen (analysis)</term><term>Finland (epidemiology)</term><term>Follow-Up Studies</term><term>Humans</term><term>Hypertension (epidemiology)</term><term>Lipoproteins (blood)</term><term>Longitudinal Studies</term><term>Male</term><term>Middle Aged</term><term>Mouth, Edentulous (epidemiology)</term><term>Periapical Diseases (epidemiology)</term><term>Pericoronitis (epidemiology)</term><term>Periodontal Diseases (epidemiology)</term><term>Prospective Studies</term><term>Smoking (epidemiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Bouche édentée (épidémiologie)</term><term>Caries dentaires (épidémiologie)</term><term>Denture</term><term>Diabète (épidémiologie)</term><term>Facteurs de l'âge</term><term>Femelle</term><term>Fibrinogène (analyse)</term><term>Finlande (épidémiologie)</term><term>Humains</term><term>Hypertension artérielle (épidémiologie)</term><term>Indice de masse corporelle</term><term>Lipoprotéines (sang)</term><term>Maladie des artères coronaires (mortalité)</term><term>Maladies parodontales (épidémiologie)</term><term>Maladies périapicales (épidémiologie)</term><term>Mâle</term><term>Protéine C-réactive (analyse)</term><term>Péricoronarite (épidémiologie)</term><term>Sujet âgé</term><term>Tabagisme (épidémiologie)</term><term>Tartre dentaire (épidémiologie)</term><term>Études cas-témoins</term><term>Études de cohortes</term><term>Études de suivi</term><term>Études longitudinales</term><term>Études prospectives</term></keywords><keywords scheme="MESH" type="chemical" qualifier="analysis" xml:lang="en"><term>C-Reactive Protein</term><term>Fibrinogen</term></keywords><keywords scheme="MESH" type="chemical" qualifier="blood" xml:lang="en"><term>Lipoproteins</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Finland</term></keywords><keywords scheme="MESH" qualifier="analyse" xml:lang="fr"><term>Fibrinogène</term><term>Protéine C-réactive</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Dental Calculus</term><term>Dental Caries</term><term>Diabetes Mellitus</term><term>Hypertension</term><term>Mouth, Edentulous</term><term>Periapical Diseases</term><term>Pericoronitis</term><term>Periodontal Diseases</term><term>Smoking</term></keywords><keywords scheme="MESH" qualifier="mortality" xml:lang="en"><term>Coronary Artery Disease</term></keywords><keywords scheme="MESH" qualifier="mortalité" xml:lang="fr"><term>Maladie des artères coronaires</term></keywords><keywords scheme="MESH" qualifier="sang" xml:lang="fr"><term>Lipoprotéines</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Bouche édentée</term><term>Caries dentaires</term><term>Diabète</term><term>Finlande</term><term>Hypertension artérielle</term><term>Maladies parodontales</term><term>Maladies 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xml:lang="fr"><term>Finlande</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Aim(s)</title><p id="P1">To test whether the number of teeth, an inverse proxy for composite oral infection scores is associated with better survival.</p></sec><sec id="S2"><title>Materials and Methods</title><p id="P2">The Kuopio Oral Health and Heart study initiated a case-control study in 1995–1996 consisting of 256 consecutive coronary artery disease patients and 250 age and gender matched controls. We appended the mortality data and formulated a longitudinal study. By May 31<sup>st</sup>, 2011, 124 mortalities had occurred and 80 of which were of cardiovascular origin. Using Cox proportional hazards models, we assessed the association of the teeth group (Teethgrp) – consisting of 10 teeth – with cardiovascular and all-cause mortality after 15.8 years of median follow-up.</p></sec><sec id="S3"><title>Results</title><p id="P3">In multivariate models, with the edentulous state as reference, one level increase in Teethgrp was associated with significantly increased survival from cardiovascular (CVD) mortality with a Hazard Ratio (HR) 0.73, P-value = 0.02 but not with all-cause mortality (HR= 0.87, p=0.13). The findings were not mediated by CRP levels ≥ 3 mg/L or by median fibrinogen levels but were mediated by CRP levels > 5 mg/L.</p></sec><sec id="S4"><title>Conclusion</title><p id="P4">Each increment of 10 teeth from the edentulous state was associated with a 27% improved CVD survival, independent of low-grade systemic inflammation.</p></sec></div></front></TEI><affiliations><list><country><li>Finlande</li><li>États-Unis</li></country><region><li>Massachusetts</li><li>Michigan</li><li>Uusimaa</li><li>État de New York</li></region><settlement><li>Helsinki</li></settlement><orgName><li>Université d'Helsinki</li></orgName></list><tree><country name="États-Unis"><region name="Massachusetts"><name sortKey="Janket, Sok Ja" sort="Janket, Sok Ja" uniqKey="Janket S" first="Sok-Ja" last="Janket">Sok-Ja Janket</name></region><name sortKey="Baird, Alison E" sort="Baird, Alison E" uniqKey="Baird A" first="Alison E." last="Baird">Alison E. Baird</name><name sortKey="Jackson, Elizabeth A" sort="Jackson, Elizabeth A" uniqKey="Jackson E" first="Elizabeth A." last="Jackson">Elizabeth A. Jackson</name><name sortKey="Jones, Judith A" sort="Jones, Judith A" uniqKey="Jones J" first="Judith A." last="Jones">Judith A. Jones</name><name sortKey="Tao, Wen" sort="Tao, Wen" uniqKey="Tao W" first="Wen" last="Tao">Wen Tao</name><name sortKey="Van Dyke, Thomas E" sort="Van Dyke, Thomas E" uniqKey="Van Dyke T" first="Thomas E." last="Van Dyke">Thomas E. Van Dyke</name></country><country name="Finlande"><noRegion><name sortKey="Surraka, Markku" sort="Surraka, Markku" uniqKey="Surraka M" first="Markku" last="Surraka">Markku Surraka</name></noRegion><name sortKey="Meurman, Jukka H" sort="Meurman, Jukka H" uniqKey="Meurman J" first="Jukka H." last="Meurman">Jukka H. Meurman</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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