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Lipid lowering agents use and systemic and oral inflammation in overweight or obese adult Puerto Ricans: the San Juan Overweight Adults Longitudinal Study (SOALS)

Identifieur interne : 005F78 ( Ncbi/Merge ); précédent : 005F77; suivant : 005F79

Lipid lowering agents use and systemic and oral inflammation in overweight or obese adult Puerto Ricans: the San Juan Overweight Adults Longitudinal Study (SOALS)

Auteurs : Oelisoa M. Andriankaja ; James J. Jiménez ; Francisco J. Mu Oz-Torres ; Cynthia M. Pérez ; José L. Vergara ; Kaumudi Joshipura

Source :

RBID : PMC:4808494

Abstract

The effects of lipid-lowering agents (LLA) on reducing systemic and oral inflammation have not been evaluated.

Objective

To assess the association of LLA use with high-sensitivity C-reactive protein (hs-CRP) and oral inflammation.

Design

Cross-sectional analysis using baseline data from 1,300 overweight/obese participants aged 40–65 years, recruited for the ongoing San Juan Overweight Adults Longitudinal Study. Serum hs-CRP was measured by ELISA, gingival/periodontal inflammation was evaluated as bleeding upon probing (BOP), and LLA was self-reported. Separate logistic models were performed for systemic and oral inflammation.

Results

24% participants reported history of dyslipidemia, of which, 50.3% self-reported LLA use. Sixty percent of the participants had elevated hs-CRP (>3 mg/dL) and 50% had high BOP (defined as at or above the median: 21%). After adjusting for age, gender, smoking, HDL-C, physical activity, diabetes, blood pressure medications, and percent body fat composition, LLA users had significantly lower odds of elevated hs-CRP compared to LLA non-users (OR=0.58; 95% CI: 0.39–0.85). After adjusting for age, gender, smoking status, educational level, mean plaque index, and percent body fat, LLA users had significantly lower odds of high BOP compared to LLA non-users (OR= 0.62; 95% CI: 0.42–0.91).

Conclusions

Lipid-lowering agents may reduce both systemic and oral inflammatory responses.


Url:
DOI: 10.1111/jcpe.12461
PubMed: 26407668
PubMed Central: 4808494

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PMC:4808494

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<div type="abstract" xml:lang="en">
<p id="P1">The effects of lipid-lowering agents (LLA) on reducing systemic and oral inflammation have not been evaluated.</p>
<sec id="S1">
<title>Objective</title>
<p id="P2">To assess the association of LLA use with high-sensitivity C-reactive protein (hs-CRP) and oral inflammation.</p>
</sec>
<sec id="S2">
<title>Design</title>
<p id="P3">Cross-sectional analysis using baseline data from 1,300 overweight/obese participants aged 40–65 years, recruited for the ongoing San Juan Overweight Adults Longitudinal Study. Serum hs-CRP was measured by ELISA, gingival/periodontal inflammation was evaluated as bleeding upon probing (BOP), and LLA was self-reported. Separate logistic models were performed for systemic and oral inflammation.</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P4">24% participants reported history of dyslipidemia, of which, 50.3% self-reported LLA use. Sixty percent of the participants had elevated hs-CRP (>3 mg/dL) and 50% had high BOP (defined as at or above the median: 21%). After adjusting for age, gender, smoking, HDL-C, physical activity, diabetes, blood pressure medications, and percent body fat composition, LLA users had significantly lower odds of elevated hs-CRP compared to LLA non-users (OR=0.58; 95% CI: 0.39–0.85). After adjusting for age, gender, smoking status, educational level, mean plaque index, and percent body fat, LLA users had significantly lower odds of high BOP compared to LLA non-users (OR= 0.62; 95% CI: 0.42–0.91).</p>
</sec>
<sec id="S4">
<title>Conclusions</title>
<p id="P5">Lipid-lowering agents may reduce both systemic and oral inflammatory responses.</p>
</sec>
</div>
</front>
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<journal-id journal-id-type="nlm-journal-id">0425123</journal-id>
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<article-title>Lipid lowering agents use and systemic and oral inflammation in overweight or obese adult Puerto Ricans: the San Juan Overweight Adults Longitudinal Study (SOALS)</article-title>
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<contrib contrib-type="author">
<name>
<surname>Andriankaja</surname>
<given-names>Oelisoa M.</given-names>
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<xref ref-type="aff" rid="A1">1</xref>
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<surname>Jiménez</surname>
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<surname>Muñoz-Torres</surname>
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<surname>Pérez</surname>
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<surname>Joshipura</surname>
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Center for Clinical Research and Health Promotion, School of Dental Medicine, Medical Sciences Campus, University of Puerto Rico</aff>
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Department of Biostatistics and Epidemiology, Graduate School of Public Health, Medical Sciences Campus, University of Puerto Rico</aff>
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<italic>Corresponding author:</italic>
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Oelisoa M. Andriankaja, DDS, MS, PhD, Center for Clinical Research and Health Promotion, University of Puerto Rico, School of Dental Medicine, Office A107, Box 365067, San Juan, PR 00936-5067, Tel: 787 758-2525 ext. 1182, Fax: 787-763-4868,
<email>Oelisoa.andriankaja@upr.edu</email>
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<month>12</month>
<year>2015</year>
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<pub-date pub-type="ppub">
<month>12</month>
<year>2015</year>
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<pub-date pub-type="pmc-release">
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<year>2016</year>
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<pmc-comment>elocation-id from pubmed: 10.1111/jcpe.12461</pmc-comment>
<abstract>
<p id="P1">The effects of lipid-lowering agents (LLA) on reducing systemic and oral inflammation have not been evaluated.</p>
<sec id="S1">
<title>Objective</title>
<p id="P2">To assess the association of LLA use with high-sensitivity C-reactive protein (hs-CRP) and oral inflammation.</p>
</sec>
<sec id="S2">
<title>Design</title>
<p id="P3">Cross-sectional analysis using baseline data from 1,300 overweight/obese participants aged 40–65 years, recruited for the ongoing San Juan Overweight Adults Longitudinal Study. Serum hs-CRP was measured by ELISA, gingival/periodontal inflammation was evaluated as bleeding upon probing (BOP), and LLA was self-reported. Separate logistic models were performed for systemic and oral inflammation.</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P4">24% participants reported history of dyslipidemia, of which, 50.3% self-reported LLA use. Sixty percent of the participants had elevated hs-CRP (>3 mg/dL) and 50% had high BOP (defined as at or above the median: 21%). After adjusting for age, gender, smoking, HDL-C, physical activity, diabetes, blood pressure medications, and percent body fat composition, LLA users had significantly lower odds of elevated hs-CRP compared to LLA non-users (OR=0.58; 95% CI: 0.39–0.85). After adjusting for age, gender, smoking status, educational level, mean plaque index, and percent body fat, LLA users had significantly lower odds of high BOP compared to LLA non-users (OR= 0.62; 95% CI: 0.42–0.91).</p>
</sec>
<sec id="S4">
<title>Conclusions</title>
<p id="P5">Lipid-lowering agents may reduce both systemic and oral inflammatory responses.</p>
</sec>
</abstract>
<kwd-group>
<title>Key terms</title>
<kwd>Lipid lowering agents</kwd>
<kwd>statins</kwd>
<kwd>periodontitis</kwd>
<kwd>systemic inflammation</kwd>
<kwd>hs-CRP</kwd>
</kwd-group>
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<name sortKey="Jimenez, James J" sort="Jimenez, James J" uniqKey="Jimenez J" first="James J." last="Jiménez">James J. Jiménez</name>
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