Periodontal disease and mortality in an aged population.
Identifieur interne : 010F94 ( Main/Exploration ); précédent : 010F93; suivant : 010F95Periodontal disease and mortality in an aged population.
Auteurs : Shilpi Ajwani [Nouvelle-Zélande] ; Kimmo J. Mattila ; Reijo S. Tilvis ; Anja AinamoSource :
- Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry [ 0275-1879 ]
Descripteurs français
- KwdFr :
- Analyse de variance, Bouche édentée (épidémiologie), Consommation d'alcool (épidémiologie), Diabète (épidémiologie), Facteurs de risque, Femelle, Finlande (épidémiologie), Humains, Hypertension artérielle (épidémiologie), Loi du khi-deux, Maladies cardiovasculaires (épidémiologie), Modèles de hasards proportionnels, Mortalité, Mâle, Parodontite (épidémiologie), Protéine C-réactive (analyse), Statistique non paramétrique, Sujet âgé, Sujet âgé de 80 ans ou plus, Tabagisme (épidémiologie), Études de cohortes, Études de suivi.
- MESH :
- analyse : Protéine C-réactive.
- épidémiologie : Bouche édentée, Consommation d'alcool, Diabète, Finlande, Hypertension artérielle, Maladies cardiovasculaires, Parodontite, Tabagisme.
- Analyse de variance, Facteurs de risque, Femelle, Humains, Loi du khi-deux, Modèles de hasards proportionnels, Mortalité, Mâle, Statistique non paramétrique, Sujet âgé, Sujet âgé de 80 ans ou plus, Études de cohortes, Études de suivi.
- Wicri :
- geographic : Finlande.
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Alcohol Drinking (epidemiology), Analysis of Variance, C-Reactive Protein (analysis), Cardiovascular Diseases (epidemiology), Chi-Square Distribution, Cohort Studies, Diabetes Mellitus (epidemiology), Female, Finland (epidemiology), Follow-Up Studies, Humans, Hypertension (epidemiology), Male, Mortality, Mouth, Edentulous (epidemiology), Periodontitis (epidemiology), Proportional Hazards Models, Risk Factors, Smoking (epidemiology), Statistics, Nonparametric.
- MESH :
- chemical , analysis : C-Reactive Protein.
- geographic , epidemiology : Finland.
- epidemiology : Alcohol Drinking, Cardiovascular Diseases, Diabetes Mellitus, Hypertension, Mouth, Edentulous, Periodontitis, Smoking.
- Aged, Aged, 80 and over, Analysis of Variance, Chi-Square Distribution, Cohort Studies, Female, Follow-Up Studies, Humans, Male, Mortality, Proportional Hazards Models, Risk Factors, Statistics, Nonparametric.
Abstract
We investigated the relationship between periodontitis and mortality in home-dwelling individuals aged (75+ years), considering potential confounders including C-reactive protein levels. This study involved 364 individuals, originally part of the Helsinki Ageing Study cohort, who underwent medical and dental examinations in 1990 and were followed for five years. After five years, 52 of the 175 dentate subjects had died. Using univariate analysis, the association between baseline periodontitis and mortality was of borderline significance. After controlling for the common risk factors, periodontitis more than doubled the risk of cardiovascular disease-related mortality (HR 2.28, CI 1.03-5.05). The increase in total mortality was, however, not statistically significant (HR 1.43, CI 0.81-2.50). Subjects who were edentulous had higher mortality than those who were dentate without periodontitis, but the difference was not statistically significant. A baseline CRP level above 3 mg/l was associated with high mortality; but this effect was significant only among individuals with periodontitis. These results suggest that periodontitis influences the pathogenesis and outcome of cardiovascular disease, especially in individuals who also have evidence of a systemic inflammatory reaction.
PubMed: 14765890
Affiliations:
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Mattila</name></author><author><name sortKey="Tilvis, Reijo S" sort="Tilvis, Reijo S" uniqKey="Tilvis R" first="Reijo S" last="Tilvis">Reijo S. Tilvis</name></author><author><name sortKey="Ainamo, Anja" sort="Ainamo, Anja" uniqKey="Ainamo A" first="Anja" last="Ainamo">Anja Ainamo</name></author></analytic><series><title level="j">Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry</title><idno type="ISSN">0275-1879</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Alcohol Drinking (epidemiology)</term><term>Analysis of Variance</term><term>C-Reactive Protein (analysis)</term><term>Cardiovascular Diseases (epidemiology)</term><term>Chi-Square Distribution</term><term>Cohort Studies</term><term>Diabetes Mellitus (epidemiology)</term><term>Female</term><term>Finland (epidemiology)</term><term>Follow-Up Studies</term><term>Humans</term><term>Hypertension (epidemiology)</term><term>Male</term><term>Mortality</term><term>Mouth, Edentulous (epidemiology)</term><term>Periodontitis (epidemiology)</term><term>Proportional Hazards Models</term><term>Risk Factors</term><term>Smoking (epidemiology)</term><term>Statistics, Nonparametric</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Analyse de variance</term><term>Bouche édentée (épidémiologie)</term><term>Consommation d'alcool (épidémiologie)</term><term>Diabète (épidémiologie)</term><term>Facteurs de risque</term><term>Femelle</term><term>Finlande (épidémiologie)</term><term>Humains</term><term>Hypertension artérielle (épidémiologie)</term><term>Loi du khi-deux</term><term>Maladies cardiovasculaires (épidémiologie)</term><term>Modèles de hasards proportionnels</term><term>Mortalité</term><term>Mâle</term><term>Parodontite (épidémiologie)</term><term>Protéine C-réactive (analyse)</term><term>Statistique non paramétrique</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tabagisme (épidémiologie)</term><term>Études de cohortes</term><term>Études de suivi</term></keywords><keywords scheme="MESH" type="chemical" qualifier="analysis" xml:lang="en"><term>C-Reactive Protein</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Finland</term></keywords><keywords scheme="MESH" qualifier="analyse" xml:lang="fr"><term>Protéine C-réactive</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Alcohol Drinking</term><term>Cardiovascular Diseases</term><term>Diabetes Mellitus</term><term>Hypertension</term><term>Mouth, Edentulous</term><term>Periodontitis</term><term>Smoking</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Bouche édentée</term><term>Consommation d'alcool</term><term>Diabète</term><term>Finlande</term><term>Hypertension artérielle</term><term>Maladies cardiovasculaires</term><term>Parodontite</term><term>Tabagisme</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Analysis of Variance</term><term>Chi-Square Distribution</term><term>Cohort Studies</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Male</term><term>Mortality</term><term>Proportional Hazards Models</term><term>Risk Factors</term><term>Statistics, Nonparametric</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Analyse de variance</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Loi du khi-deux</term><term>Modèles de hasards proportionnels</term><term>Mortalité</term><term>Mâle</term><term>Statistique non paramétrique</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Études de cohortes</term><term>Études de suivi</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Finlande</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">We investigated the relationship between periodontitis and mortality in home-dwelling individuals aged (75+ years), considering potential confounders including C-reactive protein levels. This study involved 364 individuals, originally part of the Helsinki Ageing Study cohort, who underwent medical and dental examinations in 1990 and were followed for five years. After five years, 52 of the 175 dentate subjects had died. Using univariate analysis, the association between baseline periodontitis and mortality was of borderline significance. After controlling for the common risk factors, periodontitis more than doubled the risk of cardiovascular disease-related mortality (HR 2.28, CI 1.03-5.05). The increase in total mortality was, however, not statistically significant (HR 1.43, CI 0.81-2.50). Subjects who were edentulous had higher mortality than those who were dentate without periodontitis, but the difference was not statistically significant. A baseline CRP level above 3 mg/l was associated with high mortality; but this effect was significant only among individuals with periodontitis. These results suggest that periodontitis influences the pathogenesis and outcome of cardiovascular disease, especially in individuals who also have evidence of a systemic inflammatory reaction.</div></front></TEI><affiliations><list><country><li>Nouvelle-Zélande</li></country></list><tree><noCountry><name sortKey="Ainamo, Anja" sort="Ainamo, Anja" uniqKey="Ainamo A" first="Anja" last="Ainamo">Anja Ainamo</name><name sortKey="Mattila, Kimmo J" sort="Mattila, Kimmo J" uniqKey="Mattila K" first="Kimmo J" last="Mattila">Kimmo J. Mattila</name><name sortKey="Tilvis, Reijo S" sort="Tilvis, Reijo S" uniqKey="Tilvis R" first="Reijo S" last="Tilvis">Reijo S. Tilvis</name></noCountry><country name="Nouvelle-Zélande"><noRegion><name sortKey="Ajwani, Shilpi" sort="Ajwani, Shilpi" uniqKey="Ajwani S" first="Shilpi" last="Ajwani">Shilpi Ajwani</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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