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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 : 000349

Periodontal 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 Desvarieux

Source :

RBID : Pascal:08-0376383

Descripteurs français

English descriptors

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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Pour connaître la documentation sur le format Inist Standard.

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A02 01      @0 DICAD2
A03   1    @0 Diabetes care
A05       @2 31
A06       @2 7
A08 01  1  ENG  @1 Periodontal Disease and Incident Type 2 Diabetes : Results from the First National Health and Nutrition Examination Survey and its Epidemiologic Follow-Up Study
A11 01  1    @1 DEMMER (Ryan T.)
A11 02  1    @1 JACOBS (David R.)
A11 03  1    @1 DESVARIEUX (Moise)
A14 01      @1 Department of Epidemiology, Mailman School of Public Health, Columbia University @2 New York, New York @3 USA @Z 1 aut. @Z 3 aut.
A14 02      @1 Division of Epidemiology and Community Health, School of Public Health, University of Minnesota @2 Minneapolis, Minnesota @3 USA @Z 2 aut.
A14 03      @1 Department of Nutrition, University of Oslo @2 Oslo @3 NOR @Z 2 aut.
A14 04      @1 Institut National de la Santé et de la Recherche Médicale and Unité Mixte de Recherche S707, Universite Pierre et Marie Curie-Paris6 @2 Paris @3 FRA @Z 3 aut.
A20       @1 1373-1379
A21       @1 2008
A23 01      @0 ENG
A43 01      @1 INIST @2 18054 @5 354000196018720190
A44       @0 0000 @1 © 2008 INIST-CNRS. All rights reserved.
A45       @0 27 ref.
A47 01  1    @0 08-0376383
A60       @1 P
A61       @0 A
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C01 01    ENG  @0 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
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:08-0376383

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<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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<s5>12</s5>
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<s5>18</s5>
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<s0>Homme</s0>
<s5>25</s5>
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<s5>25</s5>
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<s5>25</s5>
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<s4>INC</s4>
<s5>86</s5>
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<s0>Stomatologie</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
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<s5>37</s5>
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<s5>37</s5>
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<fC07 i1="02" i2="X" l="FRE">
<s0>Endocrinopathie</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>Endocrinopathy</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>Endocrinopatía</s0>
<s5>38</s5>
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<s1>238</s1>
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<NO>PASCAL 08-0376383 INIST</NO>
<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>
</server>
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