Toothbrushing, inflammation, and risk of cardiovascular disease: results from Scottish Health Survey
Identifieur interne : 004E72 ( Main/Exploration ); précédent : 004E71; suivant : 004E73Toothbrushing, inflammation, and risk of cardiovascular disease: results from Scottish Health Survey
Auteurs : Cesar De Oliveira [Royaume-Uni] ; Richard Watt [Royaume-Uni] ; Mark Hamer [Royaume-Uni]Source :
- BMJ [ 0959-8138 ] ; 2010.
Descripteurs français
- Wicri :
- topic : Maladie cardio-vasculaire, Santé publique.
English descriptors
- KwdEn :
- Acute infections, Arch intern, Behaviour, Blood pressure, Blood samples, Cardiovascular, Cardiovascular disease, Cardiovascular disease event, Cardiovascular disease events, Cardiovascular risk, Clinic blood pressure, Clinic blood pressure reading, Commercial entities, Community dent, Confidence interval, Coronary heart disease, Dental disease, Epidemiological studies, Family history, Fibrinogen, Fibrinogen concentrations, Further multivariate models, General population, Grade inflammation, Hazard ratio, Health behaviour, Heart disease, High prevalence, Hospital admissions, Hygiene, Hypertension, Inflammation, Inflammatory, Inflammatory burden, Inflammatory markers, Information services division, Large scale population studies, Major cause, Multiple adjustments, Myocardial infarction, Oral health, Oral health behaviour, Oral hygiene, Oral infections, Participant, Periodontal, Periodontal disease, Periodontol, Physical activity, Present study, Principal diagnosis, Proportional hazards models, Public health, Reactive, Reactive protein, Regression coefficients, Regression models, Relative risk, Representative sample, Research table, Risk factors, Scottish health survey, Single item self, Socioeconomic group, Specific thirds, Systemic inflammation, Tooth loss, Toothbrushing, Toothbrushing behaviour, Tract infections, Trend model.
- Teeft :
- Acute infections, Arch intern, Behaviour, Blood pressure, Blood samples, Cardiovascular, Cardiovascular disease, Cardiovascular disease event, Cardiovascular disease events, Cardiovascular risk, Clinic blood pressure, Clinic blood pressure reading, Commercial entities, Community dent, Confidence interval, Coronary heart disease, Dental disease, Epidemiological studies, Family history, Fibrinogen, Fibrinogen concentrations, Further multivariate models, General population, Grade inflammation, Hazard ratio, Health behaviour, Heart disease, High prevalence, Hospital admissions, Hygiene, Hypertension, Inflammation, Inflammatory, Inflammatory burden, Inflammatory markers, Information services division, Large scale population studies, Major cause, Multiple adjustments, Myocardial infarction, Oral health, Oral health behaviour, Oral hygiene, Oral infections, Participant, Periodontal, Periodontal disease, Periodontol, Physical activity, Present study, Principal diagnosis, Proportional hazards models, Public health, Reactive, Reactive protein, Regression coefficients, Regression models, Relative risk, Representative sample, Research table, Risk factors, Scottish health survey, Single item self, Socioeconomic group, Specific thirds, Systemic inflammation, Tooth loss, Toothbrushing, Toothbrushing behaviour, Tract infections, Trend model.
Abstract
Objective To examine if self reported toothbrushing behaviour is associated with cardiovascular disease and markers of inflammation (C reactive protein) and coagulation (fibrinogen). Design National population based survey. Setting Scottish Health Survey, which draws a nationally representative sample of the general population living in households in Scotland. Participants 11 869 men and women, mean age 50 (SD 11). Main outcome measures Oral hygiene assessed from self reported frequency of toothbrushing. Surveys were linked prospectively to clinical hospital records, and Cox proportional hazards models were used to estimate the risk of cardiovascular disease events or death according to oral hygiene. The association between oral hygiene and inflammatory markers and coagulation was examined in a subsample of participants (n=4830) by using general linear models with adjustments. Results There were a total of 555 cardiovascular disease events over an average of 8.1 (SD 3.4) years of follow-up, of which 170 were fatal. In about 74% (411) of cardiovascular disease events the principal diagnosis was coronary heart disease. Participants who reported poor oral hygiene (never/rarely brushed their teeth) had an increased risk of a cardiovascular disease event (hazard ratio 1.7, 95% confidence interval 1.3 to 2.3; P<0.001) in a fully adjusted model. They also had increased concentrations of both C reactive protein (β 0.04, 0.01 to 0.08) and fibrinogen (0.08, −0.01 to 0.18). Conclusions Poor oral hygiene is associated with higher levels of risk of cardiovascular disease and low grade inflammation, though the causal nature of the association is yet to be determined.
Url:
- https://api.istex.fr/document/C2D7E71887BDBBC327656A283EEDAB37189DC62C/fulltext/pdf
- http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2877809
DOI: 10.1136/bmj.c2451
Affiliations:
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Le document en format XML
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pressure</term><term>Blood samples</term><term>Cardiovascular</term><term>Cardiovascular disease</term><term>Cardiovascular disease event</term><term>Cardiovascular disease events</term><term>Cardiovascular risk</term><term>Clinic blood pressure</term><term>Clinic blood pressure reading</term><term>Commercial entities</term><term>Community dent</term><term>Confidence interval</term><term>Coronary heart disease</term><term>Dental disease</term><term>Epidemiological studies</term><term>Family history</term><term>Fibrinogen</term><term>Fibrinogen concentrations</term><term>Further multivariate models</term><term>General population</term><term>Grade inflammation</term><term>Hazard ratio</term><term>Health behaviour</term><term>Heart disease</term><term>High prevalence</term><term>Hospital admissions</term><term>Hygiene</term><term>Hypertension</term><term>Inflammation</term><term>Inflammatory</term><term>Inflammatory burden</term><term>Inflammatory markers</term><term>Information services division</term><term>Large scale population studies</term><term>Major cause</term><term>Multiple adjustments</term><term>Myocardial infarction</term><term>Oral health</term><term>Oral health behaviour</term><term>Oral hygiene</term><term>Oral infections</term><term>Participant</term><term>Periodontal</term><term>Periodontal disease</term><term>Periodontol</term><term>Physical activity</term><term>Present study</term><term>Principal diagnosis</term><term>Proportional hazards models</term><term>Public health</term><term>Reactive</term><term>Reactive protein</term><term>Regression coefficients</term><term>Regression models</term><term>Relative risk</term><term>Representative sample</term><term>Research table</term><term>Risk factors</term><term>Scottish health survey</term><term>Single item self</term><term>Socioeconomic group</term><term>Specific thirds</term><term>Systemic inflammation</term><term>Tooth loss</term><term>Toothbrushing</term><term>Toothbrushing behaviour</term><term>Tract infections</term><term>Trend model</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Acute infections</term><term>Arch intern</term><term>Behaviour</term><term>Blood pressure</term><term>Blood samples</term><term>Cardiovascular</term><term>Cardiovascular disease</term><term>Cardiovascular disease event</term><term>Cardiovascular disease events</term><term>Cardiovascular risk</term><term>Clinic blood pressure</term><term>Clinic blood pressure reading</term><term>Commercial entities</term><term>Community dent</term><term>Confidence interval</term><term>Coronary heart disease</term><term>Dental disease</term><term>Epidemiological studies</term><term>Family history</term><term>Fibrinogen</term><term>Fibrinogen concentrations</term><term>Further multivariate models</term><term>General population</term><term>Grade inflammation</term><term>Hazard ratio</term><term>Health behaviour</term><term>Heart disease</term><term>High prevalence</term><term>Hospital admissions</term><term>Hygiene</term><term>Hypertension</term><term>Inflammation</term><term>Inflammatory</term><term>Inflammatory burden</term><term>Inflammatory markers</term><term>Information services division</term><term>Large scale population studies</term><term>Major cause</term><term>Multiple adjustments</term><term>Myocardial infarction</term><term>Oral health</term><term>Oral health behaviour</term><term>Oral hygiene</term><term>Oral infections</term><term>Participant</term><term>Periodontal</term><term>Periodontal disease</term><term>Periodontol</term><term>Physical activity</term><term>Present study</term><term>Principal diagnosis</term><term>Proportional hazards models</term><term>Public health</term><term>Reactive</term><term>Reactive protein</term><term>Regression coefficients</term><term>Regression models</term><term>Relative risk</term><term>Representative sample</term><term>Research table</term><term>Risk factors</term><term>Scottish health survey</term><term>Single item self</term><term>Socioeconomic group</term><term>Specific thirds</term><term>Systemic inflammation</term><term>Tooth loss</term><term>Toothbrushing</term><term>Toothbrushing behaviour</term><term>Tract infections</term><term>Trend model</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Maladie cardio-vasculaire</term><term>Santé publique</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract">Objective To examine if self reported toothbrushing behaviour is associated with cardiovascular disease and markers of inflammation (C reactive protein) and coagulation (fibrinogen). Design National population based survey. Setting Scottish Health Survey, which draws a nationally representative sample of the general population living in households in Scotland. Participants 11 869 men and women, mean age 50 (SD 11). Main outcome measures Oral hygiene assessed from self reported frequency of toothbrushing. Surveys were linked prospectively to clinical hospital records, and Cox proportional hazards models were used to estimate the risk of cardiovascular disease events or death according to oral hygiene. The association between oral hygiene and inflammatory markers and coagulation was examined in a subsample of participants (n=4830) by using general linear models with adjustments. Results There were a total of 555 cardiovascular disease events over an average of 8.1 (SD 3.4) years of follow-up, of which 170 were fatal. In about 74% (411) of cardiovascular disease events the principal diagnosis was coronary heart disease. Participants who reported poor oral hygiene (never/rarely brushed their teeth) had an increased risk of a cardiovascular disease event (hazard ratio 1.7, 95% confidence interval 1.3 to 2.3; P<0.001) in a fully adjusted model. They also had increased concentrations of both C reactive protein (β 0.04, 0.01 to 0.08) and fibrinogen (0.08, −0.01 to 0.18). Conclusions Poor oral hygiene is associated with higher levels of risk of cardiovascular disease and low grade inflammation, though the causal nature of the association is yet to be determined.</div></front></TEI><affiliations><list><country><li>Royaume-Uni</li></country></list><tree><country name="Royaume-Uni"><noRegion><name sortKey="De Oliveira, Cesar" sort="De Oliveira, Cesar" uniqKey="De Oliveira C" first="Cesar" last="De Oliveira">Cesar De Oliveira</name></noRegion><name sortKey="Hamer, Mark" sort="Hamer, Mark" uniqKey="Hamer M" first="Mark" last="Hamer">Mark Hamer</name><name sortKey="Watt, Richard" sort="Watt, Richard" uniqKey="Watt R" first="Richard" last="Watt">Richard Watt</name><name sortKey="Watt, Richard" sort="Watt, Richard" uniqKey="Watt R" first="Richard" last="Watt">Richard Watt</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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