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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 : 009074

Periodontal 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.

RBID : Pascal:00-0508261

Descripteurs français

Pascal (Inist)
- Parodontopathie, Facteur risque, Etude longitudinale, Accident cérébrovasculaire, Questionnaire, Analyse multivariable, Etude cohorte, Homme.
Wicri :
- topic : Homme.

English descriptors

KwdEn :
- Cohort study, Follow up study, Human, Multivariate analysis, Periodontal disease, Questionnaire, Risk factor, Stroke.

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:

États-Unis

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Le document en format XML

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<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>
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Periodontal disease and risk of cerebrovascular disease : The First National Health and Nutrition examination survey and its follow-up study

Periodontal disease and risk of cerebrovascular disease : The First National Health and Nutrition examination survey and its follow-up study

Source :

Descripteurs français

English descriptors

Abstract

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

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Pour manipuler ce document sous Unix (Dilib)

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