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Periodontal Diseases and Carotid Intima-Media Thickness in Bangladesh

Identifieur interne : 002623 ( Pmc/Corpus ); précédent : 002622; suivant : 002624

Periodontal Diseases and Carotid Intima-Media Thickness in Bangladesh

Auteurs : Fen Wu ; Yu Chen ; Ryan T. Demmer ; Faruque Parvez ; Rina Rani Paul ; Ishrat Shaheen ; Golam Sarwar ; Alauddin Ahmed ; Mahbub Eunus ; Nafiz Ahsan ; Nur Mohammad Habibullah ; Tariqul Islam ; Tatjana Rundek ; Habibul Ahsan ; Moise Desvarieux

Source :

RBID : PMC:5063685

Abstract

Aim

To evaluate the relationship between periodontal diseases and subclinical atherosclerosis in a younger and lean South Asian population.

Methods

We conducted a cross-sectional study in 917 subjects (mean age 46 years and mean body mass index 21.1 kg/m2) from the Health Effects of Arsenic Longitudinal Study in Bangladesh. Multivariate linear regression models were used to assess the associations between multiple clinical measures of periodontal diseases and carotid intima-media thickness (IMT).

Results

Mean attachment loss (AL) and percentage of sites with AL ≥ 4 mm (% AL ≥ 4) were associated with increased IMT. The IMT was 20.0-μm (95% CI: 2.2, 37.8) and 26.5-μm (95% CI: 8.9, 44.1) higher in those in the top quartile of mean AL (> 3.72 mm) and % AL ≥ 4 (> 58.4%), respectively, compared to those in the bottom quartile. In a subset of 366 subjects, mean AL was positively associated with plasma levels of matrix metalloproteinase-9 (P < 0.05) and soluble intercellular adhesion molecule-1 (P < 0.01).

Conclusions

Attachment loss was associated with subclinical atherosclerosis in this young and lean Bangladeshi population. Future prospective studies are needed to confirm this association.


Url:
DOI: 10.1111/jcpe.12597
PubMed: 27394059
PubMed Central: 5063685

Links to Exploration step

PMC:5063685

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<name sortKey="Habibullah, Nur Mohammad" sort="Habibullah, Nur Mohammad" uniqKey="Habibullah N" first="Nur Mohammad" last="Habibullah">Nur Mohammad Habibullah</name>
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<name sortKey="Rundek, Tatjana" sort="Rundek, Tatjana" uniqKey="Rundek T" first="Tatjana" last="Rundek">Tatjana Rundek</name>
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<name sortKey="Desvarieux, Moise" sort="Desvarieux, Moise" uniqKey="Desvarieux M" first="Moise" last="Desvarieux">Moise Desvarieux</name>
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<name sortKey="Demmer, Ryan T" sort="Demmer, Ryan T" uniqKey="Demmer R" first="Ryan T." last="Demmer">Ryan T. Demmer</name>
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<name sortKey="Parvez, Faruque" sort="Parvez, Faruque" uniqKey="Parvez F" first="Faruque" last="Parvez">Faruque Parvez</name>
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<nlm:aff id="A3">Department of Environmental Health Sciences, Mailman School of Public Health, Columbia University, New York City, New York, USA</nlm:aff>
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<name sortKey="Paul, Rina Rani" sort="Paul, Rina Rani" uniqKey="Paul R" first="Rina Rani" last="Paul">Rina Rani Paul</name>
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<nlm:aff id="A4">U-Chicago Research Bangladesh, Ltd., Dhaka, Bangladesh</nlm:aff>
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<name sortKey="Rundek, Tatjana" sort="Rundek, Tatjana" uniqKey="Rundek T" first="Tatjana" last="Rundek">Tatjana Rundek</name>
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<nlm:aff id="A5">Departments of Neurology and Public Health Sciences, Miller School of Medicine, University of Miami, Miami, Florida, USA</nlm:aff>
</affiliation>
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<name sortKey="Ahsan, Habibul" sort="Ahsan, Habibul" uniqKey="Ahsan H" first="Habibul" last="Ahsan">Habibul Ahsan</name>
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<nlm:aff id="A6">Department of Health Studies, Center for Cancer Epidemiology and Prevention, The University of Chicago, Chicago, Illinois, USA</nlm:aff>
</affiliation>
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<name sortKey="Desvarieux, Moise" sort="Desvarieux, Moise" uniqKey="Desvarieux M" first="Moise" last="Desvarieux">Moise Desvarieux</name>
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<title level="j">Journal of clinical periodontology</title>
<idno type="ISSN">0303-6979</idno>
<idno type="eISSN">1600-051X</idno>
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<front>
<div type="abstract" xml:lang="en">
<sec id="S1">
<title>Aim</title>
<p id="P1">To evaluate the relationship between periodontal diseases and subclinical atherosclerosis in a younger and lean South Asian population.</p>
</sec>
<sec id="S2">
<title>Methods</title>
<p id="P2">We conducted a cross-sectional study in 917 subjects (mean age 46 years and mean body mass index 21.1 kg/m
<sup>2</sup>
) from the Health Effects of Arsenic Longitudinal Study in Bangladesh. Multivariate linear regression models were used to assess the associations between multiple clinical measures of periodontal diseases and carotid intima-media thickness (IMT).</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P3">Mean attachment loss (AL) and percentage of sites with AL ≥ 4 mm (% AL ≥ 4) were associated with increased IMT. The IMT was 20.0-μm (95% CI: 2.2, 37.8) and 26.5-μm (95% CI: 8.9, 44.1) higher in those in the top quartile of mean AL (> 3.72 mm) and % AL ≥ 4 (> 58.4%), respectively, compared to those in the bottom quartile. In a subset of 366 subjects, mean AL was positively associated with plasma levels of matrix metalloproteinase-9 (
<italic>P</italic>
< 0.05) and soluble intercellular adhesion molecule-1 (
<italic>P</italic>
< 0.01).</p>
</sec>
<sec id="S4">
<title>Conclusions</title>
<p id="P4">Attachment loss was associated with subclinical atherosclerosis in this young and lean Bangladeshi population. Future prospective studies are needed to confirm this association.</p>
</sec>
</div>
</front>
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<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
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<front>
<journal-meta>
<journal-id journal-id-type="nlm-journal-id">0425123</journal-id>
<journal-id journal-id-type="pubmed-jr-id">4645</journal-id>
<journal-id journal-id-type="nlm-ta">J Clin Periodontol</journal-id>
<journal-id journal-id-type="iso-abbrev">J. Clin. Periodontol.</journal-id>
<journal-title-group>
<journal-title>Journal of clinical periodontology</journal-title>
</journal-title-group>
<issn pub-type="ppub">0303-6979</issn>
<issn pub-type="epub">1600-051X</issn>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">27394059</article-id>
<article-id pub-id-type="pmc">5063685</article-id>
<article-id pub-id-type="doi">10.1111/jcpe.12597</article-id>
<article-id pub-id-type="manuscript">NIHMS802094</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Periodontal Diseases and Carotid Intima-Media Thickness in Bangladesh</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Wu</surname>
<given-names>Fen</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Chen</surname>
<given-names>Yu</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Demmer</surname>
<given-names>Ryan T.</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Parvez</surname>
<given-names>Faruque</given-names>
</name>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Paul</surname>
<given-names>Rina Rani</given-names>
</name>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Shaheen</surname>
<given-names>Ishrat</given-names>
</name>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Sarwar</surname>
<given-names>Golam</given-names>
</name>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ahmed</surname>
<given-names>Alauddin</given-names>
</name>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Eunus</surname>
<given-names>Mahbub</given-names>
</name>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ahsan</surname>
<given-names>Nafiz</given-names>
</name>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Habibullah</surname>
<given-names>Nur Mohammad</given-names>
</name>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Islam</surname>
<given-names>Tariqul</given-names>
</name>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Rundek</surname>
<given-names>Tatjana</given-names>
</name>
<xref ref-type="aff" rid="A5">5</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ahsan</surname>
<given-names>Habibul</given-names>
</name>
<xref ref-type="aff" rid="A6">6</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Desvarieux</surname>
<given-names>Moise</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
</contrib-group>
<aff id="A1">
<label>1</label>
Departments of Population Health and Environmental Medicine, New York University School of Medicine, New York, New York, USA</aff>
<aff id="A2">
<label>2</label>
Department of Epidemiology, Mailman School of Public Health, Columbia University, New York City, New York, USA</aff>
<aff id="A3">
<label>3</label>
Department of Environmental Health Sciences, Mailman School of Public Health, Columbia University, New York City, New York, USA</aff>
<aff id="A4">
<label>4</label>
U-Chicago Research Bangladesh, Ltd., Dhaka, Bangladesh</aff>
<aff id="A5">
<label>5</label>
Departments of Neurology and Public Health Sciences, Miller School of Medicine, University of Miami, Miami, Florida, USA</aff>
<aff id="A6">
<label>6</label>
Department of Health Studies, Center for Cancer Epidemiology and Prevention, The University of Chicago, Chicago, Illinois, USA</aff>
<author-notes>
<corresp id="CR1">
<bold>Correspondence to</bold>
: Dr. Yu Chen, Departments of Population Health and Environmental Medicine, School of Medicine, New York University, 650 First Avenue, Room 510, New York, NY 10016 (Tel.: +1 212 263 4839; fax: +1 212 263 8570;
<email>yu.chen@nyumc.org</email>
); or Dr. Moise Desvarieux, Department of Epidemiology, Mailman School of Public Health, Columbia University, 722 W 168th Street, Room 525, New York, NY 10032 (Tel.: +1 212 305 5172; fax: +1 212 342 2756;
<email>mdesvarieux@columbia.edu</email>
).</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted">
<day>19</day>
<month>8</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>12</day>
<month>8</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="ppub">
<month>11</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>01</day>
<month>11</month>
<year>2017</year>
</pub-date>
<volume>43</volume>
<issue>11</issue>
<fpage>909</fpage>
<lpage>917</lpage>
<pmc-comment>elocation-id from pubmed: 10.1111/jcpe.12597</pmc-comment>
<abstract>
<sec id="S1">
<title>Aim</title>
<p id="P1">To evaluate the relationship between periodontal diseases and subclinical atherosclerosis in a younger and lean South Asian population.</p>
</sec>
<sec id="S2">
<title>Methods</title>
<p id="P2">We conducted a cross-sectional study in 917 subjects (mean age 46 years and mean body mass index 21.1 kg/m
<sup>2</sup>
) from the Health Effects of Arsenic Longitudinal Study in Bangladesh. Multivariate linear regression models were used to assess the associations between multiple clinical measures of periodontal diseases and carotid intima-media thickness (IMT).</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P3">Mean attachment loss (AL) and percentage of sites with AL ≥ 4 mm (% AL ≥ 4) were associated with increased IMT. The IMT was 20.0-μm (95% CI: 2.2, 37.8) and 26.5-μm (95% CI: 8.9, 44.1) higher in those in the top quartile of mean AL (> 3.72 mm) and % AL ≥ 4 (> 58.4%), respectively, compared to those in the bottom quartile. In a subset of 366 subjects, mean AL was positively associated with plasma levels of matrix metalloproteinase-9 (
<italic>P</italic>
< 0.05) and soluble intercellular adhesion molecule-1 (
<italic>P</italic>
< 0.01).</p>
</sec>
<sec id="S4">
<title>Conclusions</title>
<p id="P4">Attachment loss was associated with subclinical atherosclerosis in this young and lean Bangladeshi population. Future prospective studies are needed to confirm this association.</p>
</sec>
</abstract>
<kwd-group>
<kwd>atherosclerosis</kwd>
<kwd>Bangladesh</kwd>
<kwd>cardiovascular disease</kwd>
<kwd>carotid intima-media thickness</kwd>
<kwd>periodontal diseases</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>

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