Periodontal disease and risk of cerebrovascular disease : The First National Health and Nutrition examination survey and its follow-up study
Identifieur interne : 009073 ( Main/Exploration ); précédent : 009072; suivant : 009074Periodontal disease and risk of cerebrovascular disease : The First National Health and Nutrition examination survey and its follow-up study
Auteurs : TIEJIAN WU [États-Unis] ; Maurizio Trevisan [États-Unis] ; Robert J. Genco [États-Unis] ; Joan P. Dorn [États-Unis] ; Karen L. Falkner [États-Unis] ; Christopher T. Sempos [États-Unis]Source :
- Archives of internal medicine : (1960) [ 0003-9926 ] ; 2000.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
Abstract
Background: Periodontal disease has been found to be a potential risk factor for coronary heart disease. However, its association with cerebrovascular accidents (CVAs) is much less studied. Methods: This study examines the association between periodontal disease and CVA. The study cohort comprises 9962 adults aged 25 to 74 years who participated in the First National Health and Nutrition Examination Survey and its follow-up study. Baseline periodontal status was categorized into (1) no periodontal disease, (2) gingivitis, (3) periodontitis, and (4) edentulousness. All CVAs (International Classification of Diseases, Ninth Revision [ICD-9], codes 430-438) were ascertained by hospital records for nonfatal events and death certificates for fatal events. The first CVA, nonfatal or fatal, was used to define incidence. Relative risks were estimated by hazard ratios from the Cox proportional hazard model with adjustment for several demographic variables and well-established cardiovascular risk factors. Weights were used to generate risk estimates. Results: Periodontitis is a significant risk factor for total CVA and, in particular, nonhemorrhagic stroke (ICD-9, 433-434 and 436-438). Compared with no periodontal disease, the relative risks (95% confidence intervals) for incident nonhemorrhagic stroke were 1.24 (0.74-2.08) for gingivitis, 2.11 (1.30-3.42) for periodontitis, and 1.41 (0.96-2.06) for edentulousness. For total CVA, the results were 1.02 (0.70-1.48) for gingivitis, 1.66 (1.15-2.39) for periodontitis, and 1.23 (0.91-1.66) for edentulousness. Increased relative risks for total CVA and nonhemorrhagic stroke associated with periodontitis were also seen in white men, white women, and African Americans. Similar results were found for fatal CVA. Conclusion: Periodontal disease is an important risk factor for total CVA and, in particular, nonhemorrhagic stroke.
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream PascalFrancis, to step Corpus: 000671
- to stream PascalFrancis, to step Curation: 000033
- to stream PascalFrancis, to step Checkpoint: 000672
- to stream Main, to step Merge: 009459
- to stream Main, to step Curation: 009073
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en" level="a">Periodontal disease and risk of cerebrovascular disease : The First National Health and Nutrition examination survey and its follow-up study</title>
<author><name sortKey="Tiejian Wu" sort="Tiejian Wu" uniqKey="Tiejian Wu" last="Tiejian Wu">TIEJIAN WU</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Social and Preventive Medicine, State University of New York at Buffalo</s1>
<s2>Bethesda, Md</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Bethesda, Md</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Trevisan, Maurizio" sort="Trevisan, Maurizio" uniqKey="Trevisan M" first="Maurizio" last="Trevisan">Maurizio Trevisan</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Social and Preventive Medicine, State University of New York at Buffalo</s1>
<s2>Bethesda, Md</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Bethesda, Md</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Genco, Robert J" sort="Genco, Robert J" uniqKey="Genco R" first="Robert J." last="Genco">Robert J. Genco</name>
<affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Oral Biology, State University of New York at Buffalo</s1>
<s2>Bethesda, Md</s2>
<s3>USA</s3>
<sZ>3 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Bethesda, Md</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Dorn, Joan P" sort="Dorn, Joan P" uniqKey="Dorn J" first="Joan P." last="Dorn">Joan P. Dorn</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Social and Preventive Medicine, State University of New York at Buffalo</s1>
<s2>Bethesda, Md</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Bethesda, Md</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Falkner, Karen L" sort="Falkner, Karen L" uniqKey="Falkner K" first="Karen L." last="Falkner">Karen L. Falkner</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Social and Preventive Medicine, State University of New York at Buffalo</s1>
<s2>Bethesda, Md</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Bethesda, Md</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Sempos, Christopher T" sort="Sempos, Christopher T" uniqKey="Sempos C" first="Christopher T." last="Sempos">Christopher T. Sempos</name>
<affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Office of Research on Minority Health, National Institutes of Health</s1>
<s2>Bethesda, Md</s2>
<s3>USA</s3>
<sZ>6 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Bethesda, Md</wicri:noRegion>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">INIST</idno>
<idno type="inist">00-0508261</idno>
<date when="2000">2000</date>
<idno type="stanalyst">PASCAL 00-0508261 INIST</idno>
<idno type="RBID">Pascal:00-0508261</idno>
<idno type="wicri:Area/PascalFrancis/Corpus">000671</idno>
<idno type="wicri:Area/PascalFrancis/Curation">000033</idno>
<idno type="wicri:Area/PascalFrancis/Checkpoint">000672</idno>
<idno type="wicri:explorRef" wicri:stream="PascalFrancis" wicri:step="Checkpoint">000672</idno>
<idno type="wicri:doubleKey">0003-9926:2000:Tiejian Wu:periodontal:disease:and</idno>
<idno type="wicri:Area/Main/Merge">009459</idno>
<idno type="wicri:Area/Main/Curation">009073</idno>
<idno type="wicri:Area/Main/Exploration">009073</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Periodontal disease and risk of cerebrovascular disease : The First National Health and Nutrition examination survey and its follow-up study</title>
<author><name sortKey="Tiejian Wu" sort="Tiejian Wu" uniqKey="Tiejian Wu" last="Tiejian Wu">TIEJIAN WU</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Social and Preventive Medicine, State University of New York at Buffalo</s1>
<s2>Bethesda, Md</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Bethesda, Md</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Trevisan, Maurizio" sort="Trevisan, Maurizio" uniqKey="Trevisan M" first="Maurizio" last="Trevisan">Maurizio Trevisan</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Social and Preventive Medicine, State University of New York at Buffalo</s1>
<s2>Bethesda, Md</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Bethesda, Md</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Genco, Robert J" sort="Genco, Robert J" uniqKey="Genco R" first="Robert J." last="Genco">Robert J. Genco</name>
<affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Oral Biology, State University of New York at Buffalo</s1>
<s2>Bethesda, Md</s2>
<s3>USA</s3>
<sZ>3 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Bethesda, Md</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Dorn, Joan P" sort="Dorn, Joan P" uniqKey="Dorn J" first="Joan P." last="Dorn">Joan P. Dorn</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Social and Preventive Medicine, State University of New York at Buffalo</s1>
<s2>Bethesda, Md</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Bethesda, Md</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Falkner, Karen L" sort="Falkner, Karen L" uniqKey="Falkner K" first="Karen L." last="Falkner">Karen L. Falkner</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Social and Preventive Medicine, State University of New York at Buffalo</s1>
<s2>Bethesda, Md</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Bethesda, Md</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Sempos, Christopher T" sort="Sempos, Christopher T" uniqKey="Sempos C" first="Christopher T." last="Sempos">Christopher T. Sempos</name>
<affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Office of Research on Minority Health, National Institutes of Health</s1>
<s2>Bethesda, Md</s2>
<s3>USA</s3>
<sZ>6 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Bethesda, Md</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series><title level="j" type="main">Archives of internal medicine : (1960)</title>
<title level="j" type="abbreviated">Arch. intern. med. : (1960)</title>
<idno type="ISSN">0003-9926</idno>
<imprint><date when="2000">2000</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt><title level="j" type="main">Archives of internal medicine : (1960)</title>
<title level="j" type="abbreviated">Arch. intern. med. : (1960)</title>
<idno type="ISSN">0003-9926</idno>
</seriesStmt>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Cohort study</term>
<term>Follow up study</term>
<term>Human</term>
<term>Multivariate analysis</term>
<term>Periodontal disease</term>
<term>Questionnaire</term>
<term>Risk factor</term>
<term>Stroke</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Parodontopathie</term>
<term>Facteur risque</term>
<term>Etude longitudinale</term>
<term>Accident cérébrovasculaire</term>
<term>Questionnaire</term>
<term>Analyse multivariable</term>
<term>Etude cohorte</term>
<term>Homme</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">Background: Periodontal disease has been found to be a potential risk factor for coronary heart disease. However, its association with cerebrovascular accidents (CVAs) is much less studied. Methods: This study examines the association between periodontal disease and CVA. The study cohort comprises 9962 adults aged 25 to 74 years who participated in the First National Health and Nutrition Examination Survey and its follow-up study. Baseline periodontal status was categorized into (1) no periodontal disease, (2) gingivitis, (3) periodontitis, and (4) edentulousness. All CVAs (International Classification of Diseases, Ninth Revision [ICD-9], codes 430-438) were ascertained by hospital records for nonfatal events and death certificates for fatal events. The first CVA, nonfatal or fatal, was used to define incidence. Relative risks were estimated by hazard ratios from the Cox proportional hazard model with adjustment for several demographic variables and well-established cardiovascular risk factors. Weights were used to generate risk estimates. Results: Periodontitis is a significant risk factor for total CVA and, in particular, nonhemorrhagic stroke (ICD-9, 433-434 and 436-438). Compared with no periodontal disease, the relative risks (95% confidence intervals) for incident nonhemorrhagic stroke were 1.24 (0.74-2.08) for gingivitis, 2.11 (1.30-3.42) for periodontitis, and 1.41 (0.96-2.06) for edentulousness. For total CVA, the results were 1.02 (0.70-1.48) for gingivitis, 1.66 (1.15-2.39) for periodontitis, and 1.23 (0.91-1.66) for edentulousness. Increased relative risks for total CVA and nonhemorrhagic stroke associated with periodontitis were also seen in white men, white women, and African Americans. Similar results were found for fatal CVA. Conclusion: Periodontal disease is an important risk factor for total CVA and, in particular, nonhemorrhagic stroke.</div>
</front>
</TEI>
<affiliations><list><country><li>États-Unis</li>
</country>
</list>
<tree><country name="États-Unis"><noRegion><name sortKey="Tiejian Wu" sort="Tiejian Wu" uniqKey="Tiejian Wu" last="Tiejian Wu">TIEJIAN WU</name>
</noRegion>
<name sortKey="Dorn, Joan P" sort="Dorn, Joan P" uniqKey="Dorn J" first="Joan P." last="Dorn">Joan P. Dorn</name>
<name sortKey="Falkner, Karen L" sort="Falkner, Karen L" uniqKey="Falkner K" first="Karen L." last="Falkner">Karen L. Falkner</name>
<name sortKey="Genco, Robert J" sort="Genco, Robert J" uniqKey="Genco R" first="Robert J." last="Genco">Robert J. Genco</name>
<name sortKey="Sempos, Christopher T" sort="Sempos, Christopher T" uniqKey="Sempos C" first="Christopher T." last="Sempos">Christopher T. Sempos</name>
<name sortKey="Trevisan, Maurizio" sort="Trevisan, Maurizio" uniqKey="Trevisan M" first="Maurizio" last="Trevisan">Maurizio Trevisan</name>
</country>
</tree>
</affiliations>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Santé/explor/EdenteV2/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 009073 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 009073 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Wicri/Santé |area= EdenteV2 |flux= Main |étape= Exploration |type= RBID |clé= Pascal:00-0508261 |texte= Periodontal disease and risk of cerebrovascular disease : The First National Health and Nutrition examination survey and its follow-up study }}
![]() | This area was generated with Dilib version V0.6.32. | ![]() |