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Association of tooth loss with hypertension

Identifieur interne : 000365 ( PascalFrancis/Corpus ); précédent : 000364; suivant : 000366

Association of tooth loss with hypertension

Auteurs : Olalekan A. Ayo-Yusuf ; Imade J. Ayo-Yusuf

Source :

RBID : Pascal:08-0283362

Descripteurs français

English descriptors

Abstract

Objective. Hypertension may result from changes in dietary quality and nutrient intake. We therefore sought to determine the epidemiological association between tooth loss and hypertension in South African adults. Methods. This is a secondary data analysis of a cross-sectional survey of a nationally representative sample of adults aged 25 - 70 years who participated in the South African Demographic and Health Survey during 1998 (N=9 098). The primary data were collected using a validated questionnaire, which included information on past experience of tooth loss (partial or complete), use of dental services, tobacco use and other known risk factors for hypertension. Hypertension was defined as having a measured average blood pressure (BP) ≥160/95 mmHg and/or taking antihypertensive medication. Results. The prevalences of hypertension, any tooth loss and complete edentulousness were 18.1%, 72.2% and 9.4% respectively. Tooth loss was more common among overweight/obese respondents than among those with a normal body mass index (76.7% v. 66.7%; p<0.01). Compared with the fully dentate respondents, the completely edentulous respondents had mean systolic and diastolic BPs that were respectively 12 mmHg and 5 mmHg higher. After adjusting for known risk factors for hypertension in a multiple logistic regression model, being completely edentulous remained significantly associated with hypertension (odds ratio 1.35, 95% confidence interval 1.02 - 1.78). The estimated population-attributable fraction of hypertension resulting from complete edentulousness was 10%. Conclusions. The findings suggest that complete edentulousness is a risk indicator for hypertension in South Africa and highlights the importance of primary care practitioner involvement in oral health promotion.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

pA  
A01 01  1    @0 0256-9574
A02 01      @0 SAMJAF
A03   1    @0 SAMJ, S. Afr. med. j.
A05       @2 98
A06       @2 5
A08 01  1  ENG  @1 Association of tooth loss with hypertension
A11 01  1    @1 AYO-YUSUF (Olalekan A.)
A11 02  1    @1 AYO-YUSUF (Imade J.)
A14 01      @1 Department of Community Dentistry, School of Dentistry, University of Pretoria @3 ZAF @Z 1 aut. @Z 2 aut.
A20       @1 381-385
A21       @1 2008
A23 01      @0 ENG
A43 01      @1 INIST @2 4357 @5 354000196006920020
A44       @0 0000 @1 © 2008 INIST-CNRS. All rights reserved.
A45       @0 17 ref.
A47 01  1    @0 08-0283362
A60       @1 P
A61       @0 A
A64 01  1    @0 SAMJ. South African medical journal
A66 01      @0 ZAF
C01 01    ENG  @0 Objective. Hypertension may result from changes in dietary quality and nutrient intake. We therefore sought to determine the epidemiological association between tooth loss and hypertension in South African adults. Methods. This is a secondary data analysis of a cross-sectional survey of a nationally representative sample of adults aged 25 - 70 years who participated in the South African Demographic and Health Survey during 1998 (N=9 098). The primary data were collected using a validated questionnaire, which included information on past experience of tooth loss (partial or complete), use of dental services, tobacco use and other known risk factors for hypertension. Hypertension was defined as having a measured average blood pressure (BP) ≥160/95 mmHg and/or taking antihypertensive medication. Results. The prevalences of hypertension, any tooth loss and complete edentulousness were 18.1%, 72.2% and 9.4% respectively. Tooth loss was more common among overweight/obese respondents than among those with a normal body mass index (76.7% v. 66.7%; p<0.01). Compared with the fully dentate respondents, the completely edentulous respondents had mean systolic and diastolic BPs that were respectively 12 mmHg and 5 mmHg higher. After adjusting for known risk factors for hypertension in a multiple logistic regression model, being completely edentulous remained significantly associated with hypertension (odds ratio 1.35, 95% confidence interval 1.02 - 1.78). The estimated population-attributable fraction of hypertension resulting from complete edentulousness was 10%. Conclusions. The findings suggest that complete edentulousness is a risk indicator for hypertension in South Africa and highlights the importance of primary care practitioner involvement in oral health promotion.
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C03 01  X  SPA  @0 Diente patología @5 01
C03 02  X  FRE  @0 Hypertension artérielle @5 02
C03 02  X  ENG  @0 Hypertension @5 02
C03 02  X  SPA  @0 Hipertensión arterial @5 02
C03 03  X  FRE  @0 Association @5 09
C03 03  X  ENG  @0 Association @5 09
C03 03  X  SPA  @0 Asociación @5 09
C03 04  X  FRE  @0 Santé bucco-dentaire @5 10
C03 04  X  ENG  @0 Bucco-dental health @5 10
C03 04  X  SPA  @0 Salud bucodental @5 10
C03 05  X  FRE  @0 Médecine tropicale @5 11
C03 05  X  ENG  @0 Tropical medicine @5 11
C03 05  X  SPA  @0 Medicina tropical @5 11
C07 01  X  FRE  @0 Stomatologie @5 37
C07 01  X  ENG  @0 Stomatology @5 37
C07 01  X  SPA  @0 Estomatología @5 37
C07 02  X  FRE  @0 Pathologie de l'appareil circulatoire @5 38
C07 02  X  ENG  @0 Cardiovascular disease @5 38
C07 02  X  SPA  @0 Aparato circulatorio patología @5 38
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Format Inist (serveur)

NO : PASCAL 08-0283362 INIST
ET : Association of tooth loss with hypertension
AU : AYO-YUSUF (Olalekan A.); AYO-YUSUF (Imade J.)
AF : Department of Community Dentistry, School of Dentistry, University of Pretoria/Afrique du Sud (1 aut., 2 aut.)
DT : Publication en série; Niveau analytique
SO : SAMJ. South African medical journal; ISSN 0256-9574; Coden SAMJAF; Afrique du Sud; Da. 2008; Vol. 98; No. 5; Pp. 381-385; Bibl. 17 ref.
LA : Anglais
EA : Objective. Hypertension may result from changes in dietary quality and nutrient intake. We therefore sought to determine the epidemiological association between tooth loss and hypertension in South African adults. Methods. This is a secondary data analysis of a cross-sectional survey of a nationally representative sample of adults aged 25 - 70 years who participated in the South African Demographic and Health Survey during 1998 (N=9 098). The primary data were collected using a validated questionnaire, which included information on past experience of tooth loss (partial or complete), use of dental services, tobacco use and other known risk factors for hypertension. Hypertension was defined as having a measured average blood pressure (BP) ≥160/95 mmHg and/or taking antihypertensive medication. Results. The prevalences of hypertension, any tooth loss and complete edentulousness were 18.1%, 72.2% and 9.4% respectively. Tooth loss was more common among overweight/obese respondents than among those with a normal body mass index (76.7% v. 66.7%; p<0.01). Compared with the fully dentate respondents, the completely edentulous respondents had mean systolic and diastolic BPs that were respectively 12 mmHg and 5 mmHg higher. After adjusting for known risk factors for hypertension in a multiple logistic regression model, being completely edentulous remained significantly associated with hypertension (odds ratio 1.35, 95% confidence interval 1.02 - 1.78). The estimated population-attributable fraction of hypertension resulting from complete edentulousness was 10%. Conclusions. The findings suggest that complete edentulousness is a risk indicator for hypertension in South Africa and highlights the importance of primary care practitioner involvement in oral health promotion.
CC : 002B01; 002B10C02; 002B12B05
FD : Pathologie dentaire; Hypertension artérielle; Association; Santé bucco-dentaire; Médecine tropicale
FG : Stomatologie; Pathologie de l'appareil circulatoire
ED : Dental disease; Hypertension; Association; Bucco-dental health; Tropical medicine
EG : Stomatology; Cardiovascular disease
SD : Diente patología; Hipertensión arterial; Asociación; Salud bucodental; Medicina tropical
LO : INIST-4357.354000196006920020
ID : 08-0283362

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