Tooth loss and obstructive sleep apnea signs and symptoms in the US population
Identifieur interne : 002796 ( Pmc/Corpus ); précédent : 002795; suivant : 002797Tooth loss and obstructive sleep apnea signs and symptoms in the US population
Auteurs : Anne E. Sanders ; Aderonke A. Akinkugbe ; Gary D. Slade ; Greg K. EssickSource :
- Sleep & breathing = Schlaf & Atmung [ 1520-9512 ] ; 2016.
Abstract
The aim of this study is to investigate the relationship between tooth loss and signs and symptoms of obstructive sleep apnea (OSA) in a representative sample of the general US population.
Data were from 7305 men and women aged ≥25 years participating in the 2005–2008 National Health and Nutrition Examination Survey. Tooth loss, occlusal contacts, and denture use were determined by dental examination. Four cardinal OSA signs and symptoms were evaluated by questions based on American Academy of Sleep Medicine criteria. Adults with ≥2 signs/symptoms of OSA were classified at high-risk of OSA. Prevalence ratios (PR) and 95 % confidence limits (CL) from log binomial regression models estimated the strength of association between tooth loss and high-risk for OSA, adjusting for demographic characteristics, body mass index, dentures, and sleep duration.
Prevalence of high-risk for OSA increased 2 % for each additional lost tooth (PR = 1.02, 95 % CL, 1.01, 1.03) among adults aged 25 to 65 years. When tooth loss was modeled as an ordinal variable with 0–4 lost teeth as the referent category, adjusted prevalence of high-risk for OSA was as follows: 25 % greater in those missing 5–8 teeth (PR = 1.25, 95 % CL, 1.07, 1.46); 36 % greater in those missing 9–31 teeth (PR = 1.36, 95 % CL, 1.06, 1.73); and 61 % greater in the edentulous (PR = 1.61, 95 % CL, 1.11, 2.33).
Tooth loss may be an independent risk factor for OSA.
Url:
DOI: 10.1007/s11325-015-1310-z
PubMed: 26779902
PubMed Central: 4947024
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PMC:4947024Le document en format XML
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Slade</name><affiliation><nlm:aff id="A1">Department of Dental Ecology, School of Dentistry, University of North Carolina at Chapel Hill, 385 S. Columbia Street, Room 4502, Chapel Hill, NC 27599-7455, USA</nlm:aff></affiliation></author><author><name sortKey="Essick, Greg K" sort="Essick, Greg K" uniqKey="Essick G" first="Greg K." last="Essick">Greg K. Essick</name><affiliation><nlm:aff id="A3">Department of Prosthodontics and Center for Pain Research and Innovation, School of Dentistry, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7455, USA</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26779902</idno><idno type="pmc">4947024</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4947024</idno><idno type="RBID">PMC:4947024</idno><idno type="doi">10.1007/s11325-015-1310-z</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">002796</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002796</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Tooth loss and obstructive sleep apnea signs and symptoms in the US population</title><author><name sortKey="Sanders, Anne E" sort="Sanders, Anne E" uniqKey="Sanders A" first="Anne E." last="Sanders">Anne E. Sanders</name><affiliation><nlm:aff id="A1">Department of Dental Ecology, School of Dentistry, University of North Carolina at Chapel Hill, 385 S. Columbia Street, Room 4502, Chapel Hill, NC 27599-7455, USA</nlm:aff></affiliation></author><author><name sortKey="Akinkugbe, Aderonke A" sort="Akinkugbe, Aderonke A" uniqKey="Akinkugbe A" first="Aderonke A." last="Akinkugbe">Aderonke A. Akinkugbe</name><affiliation><nlm:aff id="A2">Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA</nlm:aff></affiliation></author><author><name sortKey="Slade, Gary D" sort="Slade, Gary D" uniqKey="Slade G" first="Gary D." last="Slade">Gary D. Slade</name><affiliation><nlm:aff id="A1">Department of Dental Ecology, School of Dentistry, University of North Carolina at Chapel Hill, 385 S. Columbia Street, Room 4502, Chapel Hill, NC 27599-7455, USA</nlm:aff></affiliation></author><author><name sortKey="Essick, Greg K" sort="Essick, Greg K" uniqKey="Essick G" first="Greg K." last="Essick">Greg K. Essick</name><affiliation><nlm:aff id="A3">Department of Prosthodontics and Center for Pain Research and Innovation, School of Dentistry, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7455, USA</nlm:aff></affiliation></author></analytic><series><title level="j">Sleep & breathing = Schlaf & Atmung</title><idno type="ISSN">1520-9512</idno><idno type="eISSN">1522-1709</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Purpose</title><p id="P1">The aim of this study is to investigate the relationship between tooth loss and signs and symptoms of obstructive sleep apnea (OSA) in a representative sample of the general US population.</p></sec><sec id="S2"><title>Methods</title><p id="P2">Data were from 7305 men and women aged ≥25 years participating in the 2005–2008 National Health and Nutrition Examination Survey. Tooth loss, occlusal contacts, and denture use were determined by dental examination. Four cardinal OSA signs and symptoms were evaluated by questions based on American Academy of Sleep Medicine criteria. Adults with ≥2 signs/symptoms of OSA were classified at high-risk of OSA. Prevalence ratios (PR) and 95 % confidence limits (CL) from log binomial regression models estimated the strength of association between tooth loss and high-risk for OSA, adjusting for demographic characteristics, body mass index, dentures, and sleep duration.</p></sec><sec id="S3"><title>Results</title><p id="P3">Prevalence of high-risk for OSA increased 2 % for each additional lost tooth (PR = 1.02, 95 % CL, 1.01, 1.03) among adults aged 25 to 65 years. When tooth loss was modeled as an ordinal variable with 0–4 lost teeth as the referent category, adjusted prevalence of high-risk for OSA was as follows: 25 % greater in those missing 5–8 teeth (PR = 1.25, 95 % CL, 1.07, 1.46); 36 % greater in those missing 9–31 teeth (PR = 1.36, 95 % CL, 1.06, 1.73); and 61 % greater in the edentulous (PR = 1.61, 95 % CL, 1.11, 2.33).</p></sec><sec id="S4"><title>Conclusion</title><p id="P4">Tooth loss may be an independent risk factor for OSA.</p></sec></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">9804161</journal-id><journal-id journal-id-type="pubmed-jr-id">26744</journal-id><journal-id journal-id-type="nlm-ta">Sleep Breath</journal-id><journal-id journal-id-type="iso-abbrev">Sleep Breath</journal-id><journal-title-group><journal-title>Sleep & breathing = Schlaf & Atmung</journal-title></journal-title-group><issn pub-type="ppub">1520-9512</issn><issn pub-type="epub">1522-1709</issn></journal-meta><article-meta><article-id pub-id-type="pmid">26779902</article-id><article-id pub-id-type="pmc">4947024</article-id><article-id pub-id-type="doi">10.1007/s11325-015-1310-z</article-id><article-id pub-id-type="manuscript">NIHMS754467</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Tooth loss and obstructive sleep apnea signs and symptoms in the US population</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Sanders</surname><given-names>Anne E.</given-names></name><xref ref-type="aff" rid="A1">1</xref><email>anne_sanders@unc.edu</email></contrib><contrib contrib-type="author"><name><surname>Akinkugbe</surname><given-names>Aderonke A.</given-names></name><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Slade</surname><given-names>Gary D.</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Essick</surname><given-names>Greg K.</given-names></name><xref ref-type="aff" rid="A3">3</xref></contrib></contrib-group><aff id="A1"><label>1</label>Department of Dental Ecology, School of Dentistry, University of North Carolina at Chapel Hill, 385 S. Columbia Street, Room 4502, Chapel Hill, NC 27599-7455, USA</aff><aff id="A2"><label>2</label>Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA</aff><aff id="A3"><label>3</label>Department of Prosthodontics and Center for Pain Research and Innovation, School of Dentistry, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7455, USA</aff><pub-date pub-type="nihms-submitted"><day>29</day><month>1</month><year>2016</year></pub-date><pub-date pub-type="epub"><day>15</day><month>1</month><year>2016</year></pub-date><pub-date pub-type="ppub"><month>9</month><year>2016</year></pub-date><pub-date pub-type="pmc-release"><day>17</day><month>9</month><year>2016</year></pub-date><volume>20</volume><issue>3</issue><fpage>1095</fpage><lpage>1102</lpage><pmc-comment>elocation-id from pubmed: 10.1007/s11325-015-1310-z</pmc-comment>
<abstract><sec id="S1"><title>Purpose</title><p id="P1">The aim of this study is to investigate the relationship between tooth loss and signs and symptoms of obstructive sleep apnea (OSA) in a representative sample of the general US population.</p></sec><sec id="S2"><title>Methods</title><p id="P2">Data were from 7305 men and women aged ≥25 years participating in the 2005–2008 National Health and Nutrition Examination Survey. Tooth loss, occlusal contacts, and denture use were determined by dental examination. Four cardinal OSA signs and symptoms were evaluated by questions based on American Academy of Sleep Medicine criteria. Adults with ≥2 signs/symptoms of OSA were classified at high-risk of OSA. Prevalence ratios (PR) and 95 % confidence limits (CL) from log binomial regression models estimated the strength of association between tooth loss and high-risk for OSA, adjusting for demographic characteristics, body mass index, dentures, and sleep duration.</p></sec><sec id="S3"><title>Results</title><p id="P3">Prevalence of high-risk for OSA increased 2 % for each additional lost tooth (PR = 1.02, 95 % CL, 1.01, 1.03) among adults aged 25 to 65 years. When tooth loss was modeled as an ordinal variable with 0–4 lost teeth as the referent category, adjusted prevalence of high-risk for OSA was as follows: 25 % greater in those missing 5–8 teeth (PR = 1.25, 95 % CL, 1.07, 1.46); 36 % greater in those missing 9–31 teeth (PR = 1.36, 95 % CL, 1.06, 1.73); and 61 % greater in the edentulous (PR = 1.61, 95 % CL, 1.11, 2.33).</p></sec><sec id="S4"><title>Conclusion</title><p id="P4">Tooth loss may be an independent risk factor for OSA.</p></sec></abstract><kwd-group><kwd>Epidemiology</kwd><kwd>Population</kwd><kwd>Tooth loss</kwd><kwd>Oral health</kwd><kwd>Sleep-disordered breathing</kwd><kwd>NHANES</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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