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Periodontal disease, but not edentulism, is independently associated with increased plasma fibrinogen levels: Results from a population-based study : The many faces of wound healing regulators

Identifieur interne : 007B48 ( Main/Exploration ); précédent : 007B47; suivant : 007B49

Periodontal disease, but not edentulism, is independently associated with increased plasma fibrinogen levels: Results from a population-based study : The many faces of wound healing regulators

Auteurs : Christian Schwahn [Allemagne] ; Henry Völzke [Allemagne] ; Daniel M. Robinson [Allemagne] ; Jan Luedemann [Allemagne] ; Olaf Bernhardt [Allemagne] ; Dietmar Gesch [Allemagne] ; Ulrich John [Allemagne] ; Thomas Kocher [Allemagne]

Source :

RBID : Pascal:04-0449576

Descripteurs français

English descriptors

Abstract

The systemic response to periodontal disease was analyzed in the cross-sectional Study of Health in Pomerania (SHIP). The completed data of 2,738 subjects aged 20 to 59 years were used for logistic regression analysis with an increased plasma fibrinogen level (≥3.25 g/L according to Clauss) as the dependent variable. Participants were divided into four groups according to the number of periodontal pockets ≥ 4mm (0, I-7, 8-14, ≥ 15 pocketing). An additional group comprised the 52 edentulous subjects. The adjusted odds ratio (OR) of ≥15 periodontal pockets for increased plasma fibrinogen levels was 1.88 (95% Cl: 1.25-2.83). Edentulism per se was not associated with increased plasma fibrinogen levels but was contained in a two-way interaction with the number of cigarettes/day in current smokers (p = 0.031). For edentulous nonsmokers the adjusted OR was 1.10 (95% Cl: 0.51-2.39). Furthermore, body mass index, the interaction between gender and body mass index, serum LDL cholesterol, medication, the interaction between LDL cholesterol and medication, aspirin, smoking, school education, chronic bronchitis, and the interaction between alcohol consumption and chronic gastritis were associated with plasma fibrinogen levels. Our results show that periodontal disease but not edentulism per se is associated with an increased plasma fibrinogen level.


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<term>Adult</term>
<term>Age Factors</term>
<term>Aged</term>
<term>Alcohol Drinking</term>
<term>Blood plasma</term>
<term>Body Mass Index</term>
<term>Cardiovascular Diseases (blood)</term>
<term>Cholesterol, LDL (metabolism)</term>
<term>Edentulousness</term>
<term>Female</term>
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<term>Fibrinogen (biosynthesis)</term>
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<term>Odds Ratio</term>
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<term>Adulte</term>
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<term>Consommation d'alcool</term>
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<term>Facteurs sexuels</term>
<term>Facteurs temps</term>
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<term>Fibrinogène (métabolisme)</term>
<term>Humains</term>
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<term>Bouche édentée</term>
<term>Maladies cardiovasculaires</term>
<term>Maladies parodontales</term>
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<term>Adult</term>
<term>Age Factors</term>
<term>Aged</term>
<term>Alcohol Drinking</term>
<term>Body Mass Index</term>
<term>Female</term>
<term>Humans</term>
<term>Logistic Models</term>
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<term>Middle Aged</term>
<term>Odds Ratio</term>
<term>Sex Factors</term>
<term>Time Factors</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Consommation d'alcool</term>
<term>Facteurs de l'âge</term>
<term>Facteurs sexuels</term>
<term>Facteurs temps</term>
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<term>Humains</term>
<term>Indice de masse corporelle</term>
<term>Modèles logistiques</term>
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<term>Odds ratio</term>
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<term>Périodontopathie</term>
<term>Plasma sanguin</term>
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<term>Fibrinogène</term>
<term>Homme</term>
<term>Santé</term>
<term>Inositol-1,4,5-trisphosphate 5-phosphatase</term>
<term>Phosphatase SHIP</term>
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<front>
<div type="abstract" xml:lang="en">The systemic response to periodontal disease was analyzed in the cross-sectional Study of Health in Pomerania (SHIP). The completed data of 2,738 subjects aged 20 to 59 years were used for logistic regression analysis with an increased plasma fibrinogen level (≥3.25 g/L according to Clauss) as the dependent variable. Participants were divided into four groups according to the number of periodontal pockets ≥ 4mm (0, I-7, 8-14, ≥ 15 pocketing). An additional group comprised the 52 edentulous subjects. The adjusted odds ratio (OR) of ≥15 periodontal pockets for increased plasma fibrinogen levels was 1.88 (95% Cl: 1.25-2.83). Edentulism per se was not associated with increased plasma fibrinogen levels but was contained in a two-way interaction with the number of cigarettes/day in current smokers (p = 0.031). For edentulous nonsmokers the adjusted OR was 1.10 (95% Cl: 0.51-2.39). Furthermore, body mass index, the interaction between gender and body mass index, serum LDL cholesterol, medication, the interaction between LDL cholesterol and medication, aspirin, smoking, school education, chronic bronchitis, and the interaction between alcohol consumption and chronic gastritis were associated with plasma fibrinogen levels. Our results show that periodontal disease but not edentulism per se is associated with an increased plasma fibrinogen level.</div>
</front>
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