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 : 000348 ( PascalFrancis/Corpus ); précédent : 000347; suivant : 000349Periodontal 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 ; David R. Jacobs ; Moise DesvarieuxSource :
- Diabetes care [ 0149-5992 ] ; 2008.
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- Pascal (Inist)
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.
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Format Inist (serveur)
NO : | PASCAL 08-0376383 INIST |
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ET : | Periodontal Disease and Incident Type 2 Diabetes : Results from the First National Health and Nutrition Examination Survey and its Epidemiologic Follow-Up Study |
AU : | DEMMER (Ryan T.); JACOBS (David R.); DESVARIEUX (Moise) |
AF : | Department of Epidemiology, Mailman School of Public Health, Columbia University/New York, New York/Etats-Unis (1 aut., 3 aut.); Division of Epidemiology and Community Health, School of Public Health, University of Minnesota/Minneapolis, Minnesota/Etats-Unis (2 aut.); Department of Nutrition, University of Oslo/Oslo/Norvège (2 aut.); Institut National de la Santé et de la Recherche Médicale and Unité Mixte de Recherche S707, Universite Pierre et Marie Curie-Paris6/Paris/France (3 aut.) |
DT : | Publication en série; Niveau analytique |
SO : | Diabetes care; ISSN 0149-5992; Coden DICAD2; Etats-Unis; Da. 2008; Vol. 31; No. 7; Pp. 1373-1379; Bibl. 27 ref. |
LA : | Anglais |
EA : | 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. |
CC : | 002B21E01A; 002B22; 002B30A11 |
FD : | Parodontopathie; Résultat; Santé publique; Diabète de type 2; Etat sanitaire; Alimentation; Nutrition; Enquête nutritionnelle; Epidémiologie; Etude longitudinale; Endocrinologie; Maladie métabolique; Homme; Enquête alimentaire |
FG : | Stomatologie; Endocrinopathie |
ED : | Periodontal disease; Result; Public health; Type 2 diabetes; Health status; Feeding; Nutrition; Nutrition survey; Epidemiology; Follow up study; Endocrinology; Metabolic diseases; Human |
EG : | Stomatology; Endocrinopathy |
SD : | Parodontopatía; Resultado; Salud pública; Diabetes de tipo 2; Estado sanitario; Alimentación; Nutrición; Encuesta nutricional; Epidemiología; Estudio longitudinal; Endocrinología; Metabolismo patología; Hombre |
LO : | INIST-18054.354000196018720190 |
ID : | 08-0376383 |
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Pascal:08-0376383Le document en format XML
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<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. CONCLUSIONS - Baseline periodontal disease is an independent predictor of incident diabetes in the nationally representative sample of NHANES I.</div>
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<ET>Periodontal Disease and Incident Type 2 Diabetes : Results from the First National Health and Nutrition Examination Survey and its Epidemiologic Follow-Up Study</ET>
<AU>DEMMER (Ryan T.); JACOBS (David R.); DESVARIEUX (Moise)</AU>
<AF>Department of Epidemiology, Mailman School of Public Health, Columbia University/New York, New York/Etats-Unis (1 aut., 3 aut.); Division of Epidemiology and Community Health, School of Public Health, University of Minnesota/Minneapolis, Minnesota/Etats-Unis (2 aut.); Department of Nutrition, University of Oslo/Oslo/Norvège (2 aut.); Institut National de la Santé et de la Recherche Médicale and Unité Mixte de Recherche S707, Universite Pierre et Marie Curie-Paris6/Paris/France (3 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Diabetes care; ISSN 0149-5992; Coden DICAD2; Etats-Unis; Da. 2008; Vol. 31; No. 7; Pp. 1373-1379; Bibl. 27 ref.</SO>
<LA>Anglais</LA>
<EA>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.</EA>
<CC>002B21E01A; 002B22; 002B30A11</CC>
<FD>Parodontopathie; Résultat; Santé publique; Diabète de type 2; Etat sanitaire; Alimentation; Nutrition; Enquête nutritionnelle; Epidémiologie; Etude longitudinale; Endocrinologie; Maladie métabolique; Homme; Enquête alimentaire</FD>
<FG>Stomatologie; Endocrinopathie</FG>
<ED>Periodontal disease; Result; Public health; Type 2 diabetes; Health status; Feeding; Nutrition; Nutrition survey; Epidemiology; Follow up study; Endocrinology; Metabolic diseases; Human</ED>
<EG>Stomatology; Endocrinopathy</EG>
<SD>Parodontopatía; Resultado; Salud pública; Diabetes de tipo 2; Estado sanitario; Alimentación; Nutrición; Encuesta nutricional; Epidemiología; Estudio longitudinal; Endocrinología; Metabolismo patología; Hombre</SD>
<LO>INIST-18054.354000196018720190</LO>
<ID>08-0376383</ID>
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