Periodontal Disease and Incident Type 2 Diabetes : Results from the First National Health and Nutrition Examination Survey and its Epidemiologic Follow-Up Study
Identifieur interne : 000336 ( PascalFrancis/Checkpoint ); précédent : 000335; suivant : 000337Periodontal Disease and Incident Type 2 Diabetes : Results from the First National Health and Nutrition Examination Survey and its Epidemiologic Follow-Up Study
Auteurs : Ryan T. Demmer [États-Unis] ; David R. Jacobs [États-Unis, Norvège] ; Moise Desvarieux [États-Unis, France]Source :
- Diabetes care [ 0149-5992 ] ; 2008.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Santé publique, Nutrition, Homme.
English descriptors
- KwdEn :
Abstract
OBJECTIVE - Type 2 diabetes and periodontal disease are known to be associated, but the temporality of this relationship has not been firmly established. We investigated whether baseline periodontal disease independently predicts incident diabetes over two decades of follow-up. RESEARCH DESIGN AND METHODS - A total of 9,296 nondiabetic male and female National Health and Nutrition Examination Survey (NHANES I) participants aged 25-74 years who completed a baseline dental examination (1971-1976) and had at least one follow-up evaluation (1982-1992) were studied. We defined six categories of baseline periodontal disease using the periodontal index. Of 7,168 dentate participants, 47% had periodontal index = 0 (periodontally healthy); the remaining were classified into periodontal index quintiles. Incident diabetes was defined by 1) death certificate (ICD-9 code 250), 2) self-report of diabetes requiring pharmacological treatment, or 3) health care facility stay with diabetes discharge code. Multivariable logistic regression models assessed incident diabetes odds across increasing levels of periodontal index in comparison with periodontally healthy participants. RESULTS - The adjusted odds ratios (ORs) for incident diabetes in periodontal index categories 1 and 2 were not elevated, whereas the ORs in periodontal index categories 3 through 5 were 2.26 (95% Cl 1.56-3.27), 1.71 (1.0-2.69), and 1.50 (0.99-2.27), respectively. The ORin edentulous participants was 1.30 (1.00-1.70). Dentate participants with advanced tooth loss had an OR of 1.70 (P < 0.05) relative to those with minimal tooth loss. CONCLUSIONS - Baseline periodontal disease is an independent predictor of incident diabetes in the nationally representative sample of NHANES I.
Affiliations:
- France, Norvège, États-Unis
- Minnesota, État de New York, Île-de-France, Østlandet
- New York, Oslo, Paris
- Université Columbia
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Jacobs</name><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Division of Epidemiology and Community Health, School of Public Health, University of Minnesota</s1><s2>Minneapolis, Minnesota</s2><s3>USA</s3><sZ>2 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Minnesota</region></placeName></affiliation><affiliation wicri:level="3"><inist:fA14 i1="03"><s1>Department of Nutrition, University of Oslo</s1><s2>Oslo</s2><s3>NOR</s3><sZ>2 aut.</sZ></inist:fA14><country>Norvège</country><placeName><settlement type="city">Oslo</settlement><region nuts="2">Østlandet</region></placeName></affiliation></author><author><name sortKey="Desvarieux, Moise" sort="Desvarieux, Moise" uniqKey="Desvarieux M" first="Moise" last="Desvarieux">Moise Desvarieux</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Department of Epidemiology, Mailman School of Public Health, Columbia University</s1><s2>New York, New York</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region><settlement type="city">New York</settlement></placeName><orgName type="university">Université Columbia</orgName></affiliation><affiliation wicri:level="3"><inist:fA14 i1="04"><s1>Institut National de la Santé et de la Recherche Médicale and Unité Mixte de Recherche S707, Universite Pierre et Marie Curie-Paris6</s1><s2>Paris</s2><s3>FRA</s3><sZ>3 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">08-0376383</idno><date when="2008">2008</date><idno type="stanalyst">PASCAL 08-0376383 INIST</idno><idno type="RBID">Pascal:08-0376383</idno><idno type="wicri:Area/PascalFrancis/Corpus">000348</idno><idno type="wicri:Area/PascalFrancis/Curation">000355</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">000336</idno><idno type="wicri:explorRef" wicri:stream="PascalFrancis" wicri:step="Checkpoint">000336</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Periodontal Disease and Incident Type 2 Diabetes : Results from the First National Health and Nutrition Examination Survey and its Epidemiologic Follow-Up Study</title><author><name sortKey="Demmer, Ryan T" sort="Demmer, Ryan T" uniqKey="Demmer R" first="Ryan T." last="Demmer">Ryan T. Demmer</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Department of Epidemiology, Mailman School of Public Health, Columbia University</s1><s2>New York, New York</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region><settlement type="city">New York</settlement></placeName><orgName type="university">Université Columbia</orgName></affiliation></author><author><name sortKey="Jacobs, David R" sort="Jacobs, David R" uniqKey="Jacobs D" first="David R." last="Jacobs">David R. Jacobs</name><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Division of Epidemiology and Community Health, School of Public Health, University of Minnesota</s1><s2>Minneapolis, Minnesota</s2><s3>USA</s3><sZ>2 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Minnesota</region></placeName></affiliation><affiliation wicri:level="3"><inist:fA14 i1="03"><s1>Department of Nutrition, University of Oslo</s1><s2>Oslo</s2><s3>NOR</s3><sZ>2 aut.</sZ></inist:fA14><country>Norvège</country><placeName><settlement type="city">Oslo</settlement><region nuts="2">Østlandet</region></placeName></affiliation></author><author><name sortKey="Desvarieux, Moise" sort="Desvarieux, Moise" uniqKey="Desvarieux M" first="Moise" last="Desvarieux">Moise Desvarieux</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Department of Epidemiology, Mailman School of Public Health, Columbia University</s1><s2>New York, New York</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region><settlement type="city">New York</settlement></placeName><orgName type="university">Université Columbia</orgName></affiliation><affiliation wicri:level="3"><inist:fA14 i1="04"><s1>Institut National de la Santé et de la Recherche Médicale and Unité Mixte de Recherche S707, Universite Pierre et Marie Curie-Paris6</s1><s2>Paris</s2><s3>FRA</s3><sZ>3 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author></analytic><series><title level="j" type="main">Diabetes care</title><title level="j" type="abbreviated">Diabetes care</title><idno type="ISSN">0149-5992</idno><imprint><date when="2008">2008</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Diabetes care</title><title level="j" type="abbreviated">Diabetes care</title><idno type="ISSN">0149-5992</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Endocrinology</term><term>Epidemiology</term><term>Feeding</term><term>Follow up study</term><term>Health status</term><term>Human</term><term>Metabolic diseases</term><term>Nutrition</term><term>Nutrition survey</term><term>Periodontal disease</term><term>Public health</term><term>Result</term><term>Type 2 diabetes</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Parodontopathie</term><term>Résultat</term><term>Santé publique</term><term>Diabète de type 2</term><term>Etat sanitaire</term><term>Alimentation</term><term>Nutrition</term><term>Enquête nutritionnelle</term><term>Epidémiologie</term><term>Etude longitudinale</term><term>Endocrinologie</term><term>Maladie métabolique</term><term>Homme</term><term>Enquête alimentaire</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Santé publique</term><term>Nutrition</term><term>Homme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">OBJECTIVE - Type 2 diabetes and periodontal disease are known to be associated, but the temporality of this relationship has not been firmly established. We investigated whether baseline periodontal disease independently predicts incident diabetes over two decades of follow-up. RESEARCH DESIGN AND METHODS - A total of 9,296 nondiabetic male and female National Health and Nutrition Examination Survey (NHANES I) participants aged 25-74 years who completed a baseline dental examination (1971-1976) and had at least one follow-up evaluation (1982-1992) were studied. We defined six categories of baseline periodontal disease using the periodontal index. Of 7,168 dentate participants, 47% had periodontal index = 0 (periodontally healthy); the remaining were classified into periodontal index quintiles. Incident diabetes was defined by 1) death certificate (ICD-9 code 250), 2) self-report of diabetes requiring pharmacological treatment, or 3) health care facility stay with diabetes discharge code. Multivariable logistic regression models assessed incident diabetes odds across increasing levels of periodontal index in comparison with periodontally healthy participants. RESULTS - The adjusted odds ratios (ORs) for incident diabetes in periodontal index categories 1 and 2 were not elevated, whereas the ORs in periodontal index categories 3 through 5 were 2.26 (95% Cl 1.56-3.27), 1.71 (1.0-2.69), and 1.50 (0.99-2.27), respectively. The ORin edentulous participants was 1.30 (1.00-1.70). Dentate participants with advanced tooth loss had an OR of 1.70 (P < 0.05) relative to those with minimal tooth loss. 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Of 7,168 dentate participants, 47% had periodontal index = 0 (periodontally healthy); the remaining were classified into periodontal index quintiles. Incident diabetes was defined by 1) death certificate (ICD-9 code 250), 2) self-report of diabetes requiring pharmacological treatment, or 3) health care facility stay with diabetes discharge code. Multivariable logistic regression models assessed incident diabetes odds across increasing levels of periodontal index in comparison with periodontally healthy participants. RESULTS - The adjusted odds ratios (ORs) for incident diabetes in periodontal index categories 1 and 2 were not elevated, whereas the ORs in periodontal index categories 3 through 5 were 2.26 (95% Cl 1.56-3.27), 1.71 (1.0-2.69), and 1.50 (0.99-2.27), respectively. The ORin edentulous participants was 1.30 (1.00-1.70). Dentate participants with advanced tooth loss had an OR of 1.70 (P < 0.05) relative to those with minimal tooth loss. 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Demmer</name></region><name sortKey="Desvarieux, Moise" sort="Desvarieux, Moise" uniqKey="Desvarieux M" first="Moise" last="Desvarieux">Moise Desvarieux</name><name sortKey="Jacobs, David R" sort="Jacobs, David R" uniqKey="Jacobs D" first="David R." last="Jacobs">David R. Jacobs</name></country><country name="Norvège"><region name="Østlandet"><name sortKey="Jacobs, David R" sort="Jacobs, David R" uniqKey="Jacobs D" first="David R." last="Jacobs">David R. Jacobs</name></region></country><country name="France"><region name="Île-de-France"><name sortKey="Desvarieux, Moise" sort="Desvarieux, Moise" uniqKey="Desvarieux M" first="Moise" last="Desvarieux">Moise Desvarieux</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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