Periodontal Disease Status in Gullah African Americans with Type 2 Diabetes living in South Carolina
Identifieur interne : 002811 ( Ncbi/Merge ); précédent : 002810; suivant : 002812Periodontal Disease Status in Gullah African Americans with Type 2 Diabetes living in South Carolina
Auteurs : Jyotika K. Fernandes [États-Unis] ; Ryan E. Wiegand [États-Unis] ; Carlos F. Salinas [États-Unis] ; Sarah G. Grossi [États-Unis] ; John J. Sanders [États-Unis] ; Maria F. Lopes-Virella [États-Unis] ; Elizabeth H. Slate [États-Unis]Source :
- Journal of periodontology [ 0022-3492 ] ; 2009.
Abstract
African Americans have a disproportionate burden of diabetes. Gullah African Americans are the most genetically homogeneous population of African descent in the US, with an estimated European Caucasian admixture of only 3.5%. This study assessed the previously unknown prevalence of periodontal disease among a sample of Gullah African Americans with diabetes and investigated the association between diabetes control and presence of periodontal disease.
Gullah African Americans with Type 2 diabetes (n=235) were included. Diabetes control was assessed by HbA1C, and divided into three categories: well controlled, <7%; moderately controlled, 7–8.5%; and poorly controlled, >8.5%. Participants were categorized as healthy, having no clinical attachment loss (CAL) or bleeding on probing (BOP); early periodontitis, having CAL ≥1 mm in ≥2 teeth; moderate periodontitis, having 3 sites with CAL ≥4 mm and at least 2 sites with probing depth (PD) ≥3 mm; and severe periodontitis, having CAL ≥6 mm in ≥2 teeth and PD ≥5 mm in ≥1 site. Observed prevalences of periodontitis were compared to rates reported for the NHANES studies.
All subjects had evidence of periodontal disease: 70.6% had moderate periodontitis and 28.5% had severe disease. Diabetes control was not associated with periodontal disease. The periodontal disease proportions were significantly higher than the reported national prevalence of 10.6% among African Americans without diabetes.
Our sample of Gullah African Americans with type 2 diabetes exhibits higher prevalence of periodontal disease than African Americans, both with and without diabetes, described in NHANES III and NHANES 1999–2000.
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DOI: 10.1902/jop.2009.080486
PubMed: 19563285
PubMed Central: 2862011
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Wiegand</name><affiliation wicri:level="2"><nlm:aff id="A2"> Department of Biostatistics, Bioinformatics and Epidemiology, Medical University South Carolina, Charleston, SC</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Caroline du Sud</region></placeName><wicri:cityArea> Department of Biostatistics, Bioinformatics and Epidemiology, Medical University South Carolina, Charleston</wicri:cityArea></affiliation></author><author><name sortKey="Salinas, Carlos F" sort="Salinas, Carlos F" uniqKey="Salinas C" first="Carlos F." last="Salinas">Carlos F. 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Fernandes</name><affiliation wicri:level="2"><nlm:aff id="A1"><sup>1</sup>Department of Medicine, Medical University South Carolina, Charleston, SC</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Caroline du Sud</region></placeName><wicri:cityArea>Department of Medicine, Medical University South Carolina, Charleston</wicri:cityArea></affiliation></author><author><name sortKey="Wiegand, Ryan E" sort="Wiegand, Ryan E" uniqKey="Wiegand R" first="Ryan E" last="Wiegand">Ryan E. Wiegand</name><affiliation wicri:level="2"><nlm:aff id="A2"> Department of Biostatistics, Bioinformatics and Epidemiology, Medical University South Carolina, Charleston, SC</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Caroline du Sud</region></placeName><wicri:cityArea> Department of Biostatistics, Bioinformatics and Epidemiology, Medical University South Carolina, Charleston</wicri:cityArea></affiliation></author><author><name sortKey="Salinas, Carlos F" sort="Salinas, Carlos F" uniqKey="Salinas C" first="Carlos F." last="Salinas">Carlos F. Salinas</name><affiliation wicri:level="2"><nlm:aff id="A4"> Brody School of Medicine, East Carolina University, Greenville, NC, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea> Brody School of Medicine, East Carolina University, Greenville, NC</wicri:regionArea><placeName><region type="state">Caroline du Nord</region></placeName></affiliation></author><author><name sortKey="Grossi, Sarah G" sort="Grossi, Sarah G" uniqKey="Grossi S" first="Sarah G" last="Grossi">Sarah G. Grossi</name><affiliation wicri:level="2"><nlm:aff id="A3"> College of Dental Medicine, Medical University of South Carolina, Charleston, SC</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Caroline du Sud</region></placeName><wicri:cityArea> College of Dental Medicine, Medical University of South Carolina, Charleston</wicri:cityArea></affiliation></author><author><name sortKey="Sanders, John J" sort="Sanders, John J" uniqKey="Sanders J" first="John J" last="Sanders">John J. Sanders</name><affiliation wicri:level="2"><nlm:aff id="A2"> Department of Biostatistics, Bioinformatics and Epidemiology, Medical University South Carolina, Charleston, SC</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Caroline du Sud</region></placeName><wicri:cityArea> Department of Biostatistics, Bioinformatics and Epidemiology, Medical University South Carolina, Charleston</wicri:cityArea></affiliation></author><author><name sortKey="Lopes Virella, Maria F" sort="Lopes Virella, Maria F" uniqKey="Lopes Virella M" first="Maria F." last="Lopes-Virella">Maria F. Lopes-Virella</name><affiliation wicri:level="2"><nlm:aff id="A1"><sup>1</sup>Department of Medicine, Medical University South Carolina, Charleston, SC</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Caroline du Sud</region></placeName><wicri:cityArea>Department of Medicine, Medical University South Carolina, Charleston</wicri:cityArea></affiliation></author><author><name sortKey="Slate, Elizabeth H" sort="Slate, Elizabeth H" uniqKey="Slate E" first="Elizabeth H." last="Slate">Elizabeth H. Slate</name><affiliation wicri:level="2"><nlm:aff id="A2"> Department of Biostatistics, Bioinformatics and Epidemiology, Medical University South Carolina, Charleston, SC</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Caroline du Sud</region></placeName><wicri:cityArea> Department of Biostatistics, Bioinformatics and Epidemiology, Medical University South Carolina, Charleston</wicri:cityArea></affiliation></author></analytic><series><title level="j">Journal of periodontology</title><idno type="ISSN">0022-3492</idno><idno type="eISSN">1943-3670</idno><imprint><date when="2009">2009</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title><p id="P1">African Americans have a disproportionate burden of diabetes. Gullah African Americans are the most genetically homogeneous population of African descent in the US, with an estimated European Caucasian admixture of only 3.5%. This study assessed the previously unknown prevalence of periodontal disease among a sample of Gullah African Americans with diabetes and investigated the association between diabetes control and presence of periodontal disease.</p></sec><sec sec-type="methods" id="S2"><title>Methods</title><p id="P2">Gullah African Americans with Type 2 diabetes (n=235) were included. Diabetes control was assessed by HbA1C, and divided into three categories: well controlled, <7%; moderately controlled, 7–8.5%; and poorly controlled, >8.5%. Participants were categorized as healthy, having no clinical attachment loss (CAL) or bleeding on probing (BOP); early periodontitis, having CAL ≥1 mm in ≥2 teeth; moderate periodontitis, having 3 sites with CAL ≥4 mm and at least 2 sites with probing depth (PD) ≥3 mm; and severe periodontitis, having CAL ≥6 mm in ≥2 teeth and PD ≥5 mm in ≥1 site. Observed prevalences of periodontitis were compared to rates reported for the NHANES studies.</p></sec><sec id="S3"><title>Results</title><p id="P3">All subjects had evidence of periodontal disease: 70.6% had moderate periodontitis and 28.5% had severe disease. Diabetes control was not associated with periodontal disease. The periodontal disease proportions were significantly higher than the reported national prevalence of 10.6% among African Americans without diabetes.</p></sec><sec id="S4"><title>Conclusions</title><p id="P4">Our sample of Gullah African Americans with type 2 diabetes exhibits higher prevalence of periodontal disease than African Americans, both with and without diabetes, described in NHANES III and NHANES 1999–2000.</p></sec></div></front></TEI><pmc article-type="research-article" xml:lang="EN"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">8000345</journal-id><journal-id journal-id-type="pubmed-jr-id">5144</journal-id><journal-id journal-id-type="nlm-ta">J Periodontol</journal-id><journal-title>Journal of periodontology</journal-title><issn pub-type="ppub">0022-3492</issn><issn pub-type="epub">1943-3670</issn></journal-meta><article-meta><article-id pub-id-type="pmid">19563285</article-id><article-id pub-id-type="pmc">2862011</article-id><article-id pub-id-type="doi">10.1902/jop.2009.080486</article-id><article-id pub-id-type="manuscript">NIHMS192417</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Periodontal Disease Status in Gullah African Americans with Type 2 Diabetes living in South Carolina</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Fernandes</surname><given-names>Jyotika K</given-names></name><degrees>MD</degrees><xref rid="A1" ref-type="aff">*</xref></contrib><contrib contrib-type="author"><name><surname>Wiegand</surname><given-names>Ryan E</given-names></name><degrees>MS</degrees><xref rid="A2" ref-type="aff">‡</xref></contrib><contrib contrib-type="author"><name><surname>Salinas</surname><given-names>Carlos F.</given-names></name><degrees>DMD</degrees><xref rid="A4" ref-type="aff">||</xref></contrib><contrib contrib-type="author"><name><surname>Grossi</surname><given-names>Sarah G</given-names></name><degrees>PhD</degrees><xref rid="A3" ref-type="aff">¶</xref></contrib><contrib contrib-type="author"><name><surname>Sanders</surname><given-names>John J</given-names></name><degrees>DDS</degrees><xref rid="A2" ref-type="aff">‡</xref></contrib><contrib contrib-type="author"><name><surname>Lopes-Virella</surname><given-names>Maria F.</given-names></name><degrees>PhD</degrees><xref rid="A1" ref-type="aff">*</xref></contrib><contrib contrib-type="author"><name><surname>Slate</surname><given-names>Elizabeth H.</given-names></name><degrees>PhD</degrees><xref rid="A2" ref-type="aff">‡</xref></contrib></contrib-group><aff id="A1"><label>*</label><sup>1</sup>Department of Medicine, Medical University South Carolina, Charleston, SC</aff><aff id="A2"><label>‡</label> Department of Biostatistics, Bioinformatics and Epidemiology, Medical University South Carolina, Charleston, SC</aff><aff id="A3"><label>¶</label> College of Dental Medicine, Medical University of South Carolina, Charleston, SC</aff><aff id="A4"><label>||</label> Brody School of Medicine, East Carolina University, Greenville, NC, USA</aff><author-notes><corresp id="FN1">Corresponding Author: Jyotika K Fernandes, MD, MUSC Medicine/Endocrinology, Diabetes & Medical Genetics, POB 250624, Clinical Science Bldg., 96 Jonathan Lucas St., Charleston, SC 29425; <email>fernanjk@musc.edu</email>; Phone: 843-792-2529; Fax: 843-792-4114</corresp></author-notes><pub-date pub-type="nihms-submitted"><day>5</day><month>4</month><year>2010</year></pub-date><pub-date pub-type="ppub"><month>7</month><year>2009</year></pub-date><pub-date pub-type="pmc-release"><day>1</day><month>7</month><year>2010</year></pub-date><volume>80</volume><issue>7</issue><fpage>1062</fpage><lpage>1068</lpage><abstract><sec id="S1"><title>Background</title><p id="P1">African Americans have a disproportionate burden of diabetes. Gullah African Americans are the most genetically homogeneous population of African descent in the US, with an estimated European Caucasian admixture of only 3.5%. This study assessed the previously unknown prevalence of periodontal disease among a sample of Gullah African Americans with diabetes and investigated the association between diabetes control and presence of periodontal disease.</p></sec><sec sec-type="methods" id="S2"><title>Methods</title><p id="P2">Gullah African Americans with Type 2 diabetes (n=235) were included. Diabetes control was assessed by HbA1C, and divided into three categories: well controlled, <7%; moderately controlled, 7–8.5%; and poorly controlled, >8.5%. Participants were categorized as healthy, having no clinical attachment loss (CAL) or bleeding on probing (BOP); early periodontitis, having CAL ≥1 mm in ≥2 teeth; moderate periodontitis, having 3 sites with CAL ≥4 mm and at least 2 sites with probing depth (PD) ≥3 mm; and severe periodontitis, having CAL ≥6 mm in ≥2 teeth and PD ≥5 mm in ≥1 site. Observed prevalences of periodontitis were compared to rates reported for the NHANES studies.</p></sec><sec id="S3"><title>Results</title><p id="P3">All subjects had evidence of periodontal disease: 70.6% had moderate periodontitis and 28.5% had severe disease. Diabetes control was not associated with periodontal disease. The periodontal disease proportions were significantly higher than the reported national prevalence of 10.6% among African Americans without diabetes.</p></sec><sec id="S4"><title>Conclusions</title><p id="P4">Our sample of Gullah African Americans with type 2 diabetes exhibits higher prevalence of periodontal disease than African Americans, both with and without diabetes, described in NHANES III and NHANES 1999–2000.</p></sec></abstract><kwd-group><kwd>Type 2 diabetes</kwd><kwd>Gullah African Americans</kwd><kwd>Periodontal disease</kwd></kwd-group><contract-num rid="RR1">P20 RR017696-039002
||RR</contract-num><contract-num rid="RR1">P20 RR017696-019001
||RR</contract-num><contract-sponsor id="RR1">National Center for Research Resources : NCRR</contract-sponsor></article-meta></front></pmc><affiliations><list><country><li>États-Unis</li></country><region><li>Caroline du Nord</li><li>Caroline du Sud</li></region></list><tree><country name="États-Unis"><region name="Caroline du Sud"><name sortKey="Fernandes, Jyotika K" sort="Fernandes, Jyotika K" uniqKey="Fernandes J" first="Jyotika K" last="Fernandes">Jyotika K. Fernandes</name></region><name sortKey="Grossi, Sarah G" sort="Grossi, Sarah G" uniqKey="Grossi S" first="Sarah G" last="Grossi">Sarah G. Grossi</name><name sortKey="Lopes Virella, Maria F" sort="Lopes Virella, Maria F" uniqKey="Lopes Virella M" first="Maria F." last="Lopes-Virella">Maria F. Lopes-Virella</name><name sortKey="Salinas, Carlos F" sort="Salinas, Carlos F" uniqKey="Salinas C" first="Carlos F." last="Salinas">Carlos F. Salinas</name><name sortKey="Sanders, John J" sort="Sanders, John J" uniqKey="Sanders J" first="John J" last="Sanders">John J. Sanders</name><name sortKey="Slate, Elizabeth H" sort="Slate, Elizabeth H" uniqKey="Slate E" first="Elizabeth H." last="Slate">Elizabeth H. Slate</name><name sortKey="Wiegand, Ryan E" sort="Wiegand, Ryan E" uniqKey="Wiegand R" first="Ryan E" last="Wiegand">Ryan E. Wiegand</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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