EdenteV2, Main, Exploration, bibRecord, 005688

Periodontal Disease Status in Gullah African Americans with Type 2 Diabetes living in South Carolina

Identifieur interne : 005688 ( Main/Exploration ); précédent : 005687; suivant : 005689

Periodontal Disease Status in Gullah African Americans with Type 2 Diabetes living in South Carolina

Auteurs : Jyotika K. Fernandes [États-Unis] ; Ryan E. Wiegand [États-Unis] ; Carlos F. Salinas [États-Unis] ; Sarah G. Grossi [États-Unis] ; John J. Sanders [États-Unis] ; Maria F. Lopes-Virella [États-Unis] ; Elizabeth H. Slate [États-Unis]

Source :

Journal of periodontology [ 0022-3492 ] ; 2009.

RBID : PMC:2862011

Abstract

Background

African Americans have a disproportionate burden of diabetes. Gullah African Americans are the most genetically homogeneous population of African descent in the US, with an estimated European Caucasian admixture of only 3.5%. This study assessed the previously unknown prevalence of periodontal disease among a sample of Gullah African Americans with diabetes and investigated the association between diabetes control and presence of periodontal disease.

Methods

Gullah African Americans with Type 2 diabetes (n=235) were included. Diabetes control was assessed by HbA1C, and divided into three categories: well controlled, <7%; moderately controlled, 7–8.5%; and poorly controlled, >8.5%. Participants were categorized as healthy, having no clinical attachment loss (CAL) or bleeding on probing (BOP); early periodontitis, having CAL ≥1 mm in ≥2 teeth; moderate periodontitis, having 3 sites with CAL ≥4 mm and at least 2 sites with probing depth (PD) ≥3 mm; and severe periodontitis, having CAL ≥6 mm in ≥2 teeth and PD ≥5 mm in ≥1 site. Observed prevalences of periodontitis were compared to rates reported for the NHANES studies.

Results

All subjects had evidence of periodontal disease: 70.6% had moderate periodontitis and 28.5% had severe disease. Diabetes control was not associated with periodontal disease. The periodontal disease proportions were significantly higher than the reported national prevalence of 10.6% among African Americans without diabetes.

Conclusions

Our sample of Gullah African Americans with type 2 diabetes exhibits higher prevalence of periodontal disease than African Americans, both with and without diabetes, described in NHANES III and NHANES 1999–2000.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2862011

DOI: 10.1902/jop.2009.080486
PubMed: 19563285
PubMed Central: 2862011

Affiliations:

Le document en format XML

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Department of Medicine, Medical University South Carolina, Charleston, SC</nlm:aff>
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<author><name sortKey="Lopes Virella, Maria F" sort="Lopes Virella, Maria F" uniqKey="Lopes Virella M" first="Maria F." last="Lopes-Virella">Maria F. Lopes-Virella</name>
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<series><title level="j">Journal of periodontology</title>
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title>
<p id="P1">African Americans have a disproportionate burden of diabetes. Gullah African Americans are the most genetically homogeneous population of African descent in the US, with an estimated European Caucasian admixture of only 3.5%. This study assessed the previously unknown prevalence of periodontal disease among a sample of Gullah African Americans with diabetes and investigated the association between diabetes control and presence of periodontal disease.</p>
</sec>
<sec sec-type="methods" id="S2"><title>Methods</title>
<p id="P2">Gullah African Americans with Type 2 diabetes (n=235) were included. Diabetes control was assessed by HbA1C, and divided into three categories: well controlled, <7%; moderately controlled, 7–8.5%; and poorly controlled, >8.5%. Participants were categorized as healthy, having no clinical attachment loss (CAL) or bleeding on probing (BOP); early periodontitis, having CAL ≥1 mm in ≥2 teeth; moderate periodontitis, having 3 sites with CAL ≥4 mm and at least 2 sites with probing depth (PD) ≥3 mm; and severe periodontitis, having CAL ≥6 mm in ≥2 teeth and PD ≥5 mm in ≥1 site. Observed prevalences of periodontitis were compared to rates reported for the NHANES studies.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">All subjects had evidence of periodontal disease: 70.6% had moderate periodontitis and 28.5% had severe disease. Diabetes control was not associated with periodontal disease. The periodontal disease proportions were significantly higher than the reported national prevalence of 10.6% among African Americans without diabetes.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">Our sample of Gullah African Americans with type 2 diabetes exhibits higher prevalence of periodontal disease than African Americans, both with and without diabetes, described in NHANES III and NHANES 1999–2000.</p>
</sec>
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Periodontal Disease Status in Gullah African Americans with Type 2 Diabetes living in South Carolina

Periodontal Disease Status in Gullah African Americans with Type 2 Diabetes living in South Carolina

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Abstract

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