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Association Between Glycemia, Serum Lipoproteins, and the Risk of Oral Leukoplakia

Identifieur interne : 004E16 ( Main/Exploration ); précédent : 004E15; suivant : 004E17

Association Between Glycemia, Serum Lipoproteins, and the Risk of Oral Leukoplakia

Auteurs : Peter Meisel [Allemagne] ; Michael Dau [Allemagne] ; Wolfgang Sümnig [Allemagne] ; Birte Holtfreter [Allemagne] ; Mohammad Houshmand [Allemagne] ; Matthias Nauck [Allemagne] ; Thomas Kocher [Allemagne]

Source :

RBID : PMC:2875428

Abstract

OBJECTIVE

Oral leukoplakia is an oral lesion with a premalignant character. Besides smoking and alcohol, diabetes could be a risk factor. The aim is to search for such an association.

RESEARCH DESIGN AND METHODS

Subjects with leukoplakia (N = 123) from the population-based Study of Health in Pomerania (SHIP) were matched 1:2 for age and sex with unaffected control subjects. Behavioral and lifestyle factors were assessed by a questionnaire. Lipoprotein concentrations, glycemia, and inflammation parameters were determined.

RESULTS

Subjects with oral leukoplakia showed higher levels of diabetes-related metabolites, a higher LDL/HDL cholesterol ratio (P = 0.004), and higher A1C (P = 0.002), and they were more frequently smokers (P < 0.001). Assessed by conditional logistic regression, the probability of leukoplakia increases with current smoking (odds ratio 2.20 [95% CI 1.16–4.17]) and higher levels of A1C (1.51 [95% CI 1.08–2.12]), revealing interaction between both factors (P = 0.012).

CONCLUSIONS

Diabetes is associated with the risk of oral leukoplakia, which is exaggerated by smoking. The risk is positively correlated with A1C concentrations.


Url:
DOI: 10.2337/dc09-1262
PubMed: 20215451
PubMed Central: 2875428


Affiliations:


Links toward previous steps (curation, corpus...)


Le document en format XML

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<country xml:lang="fr">Allemagne</country>
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<series>
<title level="j">Diabetes Care</title>
<idno type="ISSN">0149-5992</idno>
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<div type="abstract" xml:lang="en">
<sec>
<title>OBJECTIVE</title>
<p>Oral leukoplakia is an oral lesion with a premalignant character. Besides smoking and alcohol, diabetes could be a risk factor. The aim is to search for such an association.</p>
</sec>
<sec>
<title>RESEARCH DESIGN AND METHODS</title>
<p>Subjects with leukoplakia (
<italic>N</italic>
= 123) from the population-based Study of Health in Pomerania (SHIP) were matched 1:2 for age and sex with unaffected control subjects. Behavioral and lifestyle factors were assessed by a questionnaire. Lipoprotein concentrations, glycemia, and inflammation parameters were determined.</p>
</sec>
<sec>
<title>RESULTS</title>
<p>Subjects with oral leukoplakia showed higher levels of diabetes-related metabolites, a higher LDL/HDL cholesterol ratio (
<italic>P</italic>
= 0.004), and higher A1C (
<italic>P</italic>
= 0.002), and they were more frequently smokers (
<italic>P</italic>
< 0.001). Assessed by conditional logistic regression, the probability of leukoplakia increases with current smoking (odds ratio 2.20 [95% CI 1.16–4.17]) and higher levels of A1C (1.51 [95% CI 1.08–2.12]), revealing interaction between both factors (
<italic>P</italic>
= 0.012).</p>
</sec>
<sec>
<title>CONCLUSIONS</title>
<p>Diabetes is associated with the risk of oral leukoplakia, which is exaggerated by smoking. The risk is positively correlated with A1C concentrations.</p>
</sec>
</div>
</front>
<back>
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<author>
<name sortKey="Pihlstrom, Bl" uniqKey="Pihlstrom B">BL Pihlstrom</name>
</author>
<author>
<name sortKey="Michalowicz, Bs" uniqKey="Michalowicz B">BS Michalowicz</name>
</author>
<author>
<name sortKey="Johnson, Nw" uniqKey="Johnson N">NW Johnson</name>
</author>
</analytic>
</biblStruct>
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<analytic>
<author>
<name sortKey="Mealey, Bl" uniqKey="Mealey B">BL Mealey</name>
</author>
<author>
<name sortKey="Rose, Lf" uniqKey="Rose L">LF Rose</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Van Der Waal, I" uniqKey="Van Der Waal I">I van der Waal</name>
</author>
<author>
<name sortKey="Schepman, Kp" uniqKey="Schepman K">KP Schepman</name>
</author>
<author>
<name sortKey="Van Der Meij, Eh" uniqKey="Van Der Meij E">EH van der Meij</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Ashrafian, H" uniqKey="Ashrafian H">H Ashrafian</name>
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<list>
<country>
<li>Allemagne</li>
</country>
</list>
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<country name="Allemagne">
<noRegion>
<name sortKey="Meisel, Peter" sort="Meisel, Peter" uniqKey="Meisel P" first="Peter" last="Meisel">Peter Meisel</name>
</noRegion>
<name sortKey="Dau, Michael" sort="Dau, Michael" uniqKey="Dau M" first="Michael" last="Dau">Michael Dau</name>
<name sortKey="Holtfreter, Birte" sort="Holtfreter, Birte" uniqKey="Holtfreter B" first="Birte" last="Holtfreter">Birte Holtfreter</name>
<name sortKey="Houshmand, Mohammad" sort="Houshmand, Mohammad" uniqKey="Houshmand M" first="Mohammad" last="Houshmand">Mohammad Houshmand</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="Sumnig, Wolfgang" sort="Sumnig, Wolfgang" uniqKey="Sumnig W" first="Wolfgang" last="Sümnig">Wolfgang Sümnig</name>
</country>
</tree>
</affiliations>
</record>

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