Predicted vitamin D status and incidence of tooth loss and periodontitis
Identifieur interne : 004528 ( Ncbi/Curation ); précédent : 004527; suivant : 004529Predicted vitamin D status and incidence of tooth loss and periodontitis
Auteurs : Monik Jimenez [États-Unis] ; Edward Giovannucci [États-Unis] ; Elizabeth Krall Kaye [États-Unis] ; Kaumudi J. Joshipura [Porto Rico] ; Thomas Dietrich [Royaume-Uni]Source :
- Public health nutrition [ 1368-9800 ] ; 2013.
Abstract
Vitamin D insufficiency is highly prevalent, with particular subgroups at greater risk (e.g. the elderly and those with darker skin). Vitamin D insufficiency may partly explain US racial/ethnic disparities in the prevalence of periodontitis and tooth loss. We evaluated the association between a predictor score of plasma 25-hydroxyvitamin D (25(OH)D) and incidence of periodontitis and tooth loss.
Detailed biennial questionnaires were collected on medical history, lifestyle practices and incident periodontitis and tooth loss. The predictor score was derived from variables known to influence circulating concentrations of plasma 25(OH)D and validated against plasma concentrations among a sub-sample. Multivariable Cox proportional-hazards models with time-varying covariates estimated the association between the predicted 25(OH)D score and time until first tooth loss.
A total of 42 730 participants of the Health Professionals Follow-Up Study aged 40–75 years at baseline were followed from 1986 to 2006.
USA, representing all fifty states and the District of Columbia.
We observed 13 581 incident tooth loss events from 539 335 person-years. There was a dose-dependent significant inverse association across quintiles of the predicted 25(OH)D score and incidence of tooth loss. In multivariable analyses, the highest quintile of the updated predicted 25(OH)D score compared with the lowest was associated with a 20 % lower incidence of tooth loss (hazard ratio 5 0·80, 95 % CI 0·76, 0·85;
These results are suggestive of an association between predictors of vitamin D and lower incidence of tooth loss and periodontitis.
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DOI: 10.1017/S1368980013000177
PubMed: 23469936
PubMed Central: 4911807
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Goldman School of Dental Medicine, Boston, MA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Health Policy and Health Services Research, Boston University Henry M. Goldman School of Dental Medicine, Boston, MA</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation></author><author><name sortKey="Joshipura, Kaumudi J" sort="Joshipura, Kaumudi J" uniqKey="Joshipura K" first="Kaumudi J" last="Joshipura">Kaumudi J. Joshipura</name><affiliation wicri:level="1"><nlm:aff id="A4">University of Puerto Rico School of Dentistry, San Juan, Puerto Rico</nlm:aff><country xml:lang="fr">Porto Rico</country><wicri:regionArea>University of Puerto Rico School of Dentistry, San Juan</wicri:regionArea><wicri:noRegion>San Juan</wicri:noRegion></affiliation></author><author><name sortKey="Dietrich, Thomas" sort="Dietrich, Thomas" uniqKey="Dietrich T" first="Thomas" last="Dietrich">Thomas Dietrich</name><affiliation wicri:level="4"><nlm:aff id="A5">Department of Oral Surgery, The School of Dentistry, University of Birmingham, St Chad’s Queensway, Birmingham B4 6NN, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Oral Surgery, The School of Dentistry, University of Birmingham, St Chad’s Queensway, Birmingham B4 6NN</wicri:regionArea><orgName type="university">Université de Birmingham</orgName><placeName><settlement type="city">Birmingham</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Midlands de l'Ouest</region></placeName></affiliation></author></analytic><series><title level="j">Public health nutrition</title><idno type="ISSN">1368-9800</idno><idno type="eISSN">1475-2727</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objective</title><p id="P1">Vitamin D insufficiency is highly prevalent, with particular subgroups at greater risk (e.g. the elderly and those with darker skin). Vitamin D insufficiency may partly explain US racial/ethnic disparities in the prevalence of periodontitis and tooth loss. We evaluated the association between a predictor score of plasma 25-hydroxyvitamin D (25(OH)D) and incidence of periodontitis and tooth loss.</p></sec><sec id="S2"><title>Design</title><p id="P2">Detailed biennial questionnaires were collected on medical history, lifestyle practices and incident periodontitis and tooth loss. The predictor score was derived from variables known to influence circulating concentrations of plasma 25(OH)D and validated against plasma concentrations among a sub-sample. Multivariable Cox proportional-hazards models with time-varying covariates estimated the association between the predicted 25(OH)D score and time until first tooth loss.</p></sec><sec id="S3"><title>Subjects</title><p id="P3">A total of 42 730 participants of the Health Professionals Follow-Up Study aged 40–75 years at baseline were followed from 1986 to 2006.</p></sec><sec id="S4"><title>Setting</title><p id="P4">USA, representing all fifty states and the District of Columbia.</p></sec><sec id="S5"><title>Results</title><p id="P5">We observed 13 581 incident tooth loss events from 539 335 person-years. There was a dose-dependent significant inverse association across quintiles of the predicted 25(OH)D score and incidence of tooth loss. In multivariable analyses, the highest quintile of the updated predicted 25(OH)D score compared with the lowest was associated with a 20 % lower incidence of tooth loss (hazard ratio 5 0·80, 95 % CI 0·76, 0·85; <italic>P</italic> value for trend <0·0 0 1); UV-B was also independently associated. Results for the predicted 25(OH)D score and periodontitis were similar.</p></sec><sec id="S6"><title>Conclusions</title><p id="P6">These results are suggestive of an association between predictors of vitamin D and lower incidence of tooth loss and periodontitis.</p></sec></div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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