Obstructive airway disease and edentulism in the atherosclerosis risk in communities (ARIC) study
Identifieur interne : 002864 ( Pmc/Curation ); précédent : 002863; suivant : 002865Obstructive airway disease and edentulism in the atherosclerosis risk in communities (ARIC) study
Auteurs : Steven Offenbacher [États-Unis] ; James D. Beck [États-Unis] ; Silvana P. Barros [États-Unis] ; Robert Y. Suruki [États-Unis] ; Zvi G. Loewy [États-Unis]Source :
- BMJ Open [ 2044-6055 ] ; 2012.
Abstract
We examined the potential association between prior chronic obstructive pulmonary disease (COPD) and edentulism, and whether the association varied by COPD severity using data from the Dental Atherosclerosis Risk in Communities Study.
Cross-sectional.
Community dwelling subjects from four US communities.
Cases were identified as edentulous (without teeth) and subjects with one or more natural teeth were identified as dentate. COPD cases were defined by spirometry measurements that showed the ratio of forced expiratory volume (1 s) to vital capacity to be less than 0.7. The severity of COPD cases was also determined using a modified Global Initiative for Chronic Obstructive Lung Disease classification criteria (GOLD stage I–IV). Multiple logistic regression was used to examine the association between COPD and edentulism, while adjusting for age, gender, centre/race, ethnicity, education level, income, diabetes, hypertension, coronary heart disease and congestive heart failure, body mass index, smoking, smokeless tobacco use and alcohol consumption.
13 465 participants were included in this analysis (2087 edentulous; 11 378 dentate). Approximately 28.3% of edentulous participants had prior COPD compared with 19.6% among dentate participants (p<0.0001). After adjustment for potential confounders, we observed a 1.3 (1.08 to 1.62) and 2.5 (1.68 to 3.63) fold increased risk of edentulism among GOLD II and GOLD III/IV COPD, respectively, as compared with the non-COPD/dentate referent. Given the short period of time between the measurements of COPD (visit 2) and dentate status (visit 4) relative to the natural history of both diseases, neither temporality nor insight as to the directionality of the association can be ascertained.
We found a statistically significant association between prior COPD and edentulism, with evidence of a positive incremental effect seen with increasing GOLD classification.
Url:
DOI: 10.1136/bmjopen-2012-001615
PubMed: 23253873
PubMed Central: 3533002
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<author><name sortKey="Offenbacher, Steven" sort="Offenbacher, Steven" uniqKey="Offenbacher S" first="Steven" last="Offenbacher">Steven Offenbacher</name>
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<author><name sortKey="Beck, James D" sort="Beck, James D" uniqKey="Beck J" first="James D" last="Beck">James D. Beck</name>
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<author><name sortKey="Barros, Silvana P" sort="Barros, Silvana P" uniqKey="Barros S" first="Silvana P" last="Barros">Silvana P. Barros</name>
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<author><name sortKey="Suruki, Robert Y" sort="Suruki, Robert Y" uniqKey="Suruki R" first="Robert Y" last="Suruki">Robert Y. Suruki</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Obstructive airway disease and edentulism in the atherosclerosis risk in communities (ARIC) study</title>
<author><name sortKey="Offenbacher, Steven" sort="Offenbacher, Steven" uniqKey="Offenbacher S" first="Steven" last="Offenbacher">Steven Offenbacher</name>
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<author><name sortKey="Beck, James D" sort="Beck, James D" uniqKey="Beck J" first="James D" last="Beck">James D. Beck</name>
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,<addr-line>Chapel Hill, North Carolina</addr-line>
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<author><name sortKey="Barros, Silvana P" sort="Barros, Silvana P" uniqKey="Barros S" first="Silvana P" last="Barros">Silvana P. Barros</name>
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,<addr-line>Chapel Hill, North Carolina</addr-line>
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<author><name sortKey="Suruki, Robert Y" sort="Suruki, Robert Y" uniqKey="Suruki R" first="Robert Y" last="Suruki">Robert Y. Suruki</name>
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<front><div type="abstract" xml:lang="en"><sec><title>Objectives</title>
<p>We examined the potential association between prior chronic obstructive pulmonary disease (COPD) and edentulism, and whether the association varied by COPD severity using data from the Dental Atherosclerosis Risk in Communities Study.</p>
</sec>
<sec><title>Design</title>
<p>Cross-sectional.</p>
</sec>
<sec><title>Setting</title>
<p>Community dwelling subjects from four US communities.</p>
</sec>
<sec><title>Participants and measurements</title>
<p>Cases were identified as edentulous (without teeth) and subjects with one or more natural teeth were identified as dentate. COPD cases were defined by spirometry measurements that showed the ratio of forced expiratory volume (1 s) to vital capacity to be less than 0.7. The severity of COPD cases was also determined using a modified Global Initiative for Chronic Obstructive Lung Disease classification criteria (GOLD stage I–IV). Multiple logistic regression was used to examine the association between COPD and edentulism, while adjusting for age, gender, centre/race, ethnicity, education level, income, diabetes, hypertension, coronary heart disease and congestive heart failure, body mass index, smoking, smokeless tobacco use and alcohol consumption.</p>
</sec>
<sec><title>Results</title>
<p>13 465 participants were included in this analysis (2087 edentulous; 11 378 dentate). Approximately 28.3% of edentulous participants had prior COPD compared with 19.6% among dentate participants (p<0.0001). After adjustment for potential confounders, we observed a 1.3 (1.08 to 1.62) and 2.5 (1.68 to 3.63) fold increased risk of edentulism among GOLD II and GOLD III/IV COPD, respectively, as compared with the non-COPD/dentate referent. Given the short period of time between the measurements of COPD (visit 2) and dentate status (visit 4) relative to the natural history of both diseases, neither temporality nor insight as to the directionality of the association can be ascertained.</p>
</sec>
<sec><title>Conclusions</title>
<p>We found a statistically significant association between prior COPD and edentulism, with evidence of a positive incremental effect seen with increasing GOLD classification.</p>
</sec>
</div>
</front>
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<journal-id journal-id-type="iso-abbrev">BMJ Open</journal-id>
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<article-id pub-id-type="pmc">3533002</article-id>
<article-id pub-id-type="publisher-id">bmjopen-2012-001615</article-id>
<article-id pub-id-type="doi">10.1136/bmjopen-2012-001615</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Dentistry and Oral Medicine</subject>
<subj-group><subject>Research</subject>
</subj-group>
</subj-group>
<subj-group subj-group-type="hwp-journal-coll"><subject>1506</subject>
<subject>1686</subject>
<subject>1731</subject>
<subject>1683</subject>
</subj-group>
</article-categories>
<title-group><article-title>Obstructive airway disease and edentulism in the atherosclerosis risk in communities (ARIC) study</article-title>
<alt-title alt-title-type="short">COPD and edentulism</alt-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Offenbacher</surname>
<given-names>Steven</given-names>
</name>
<xref ref-type="aff" rid="af1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Beck</surname>
<given-names>James D</given-names>
</name>
<xref ref-type="aff" rid="af2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Barros</surname>
<given-names>Silvana P</given-names>
</name>
<xref ref-type="aff" rid="af1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Suruki</surname>
<given-names>Robert Y</given-names>
</name>
<xref ref-type="aff" rid="af3">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Loewy</surname>
<given-names>Zvi G</given-names>
</name>
<xref ref-type="aff" rid="af4">4</xref>
<xref ref-type="aff" rid="af5">5</xref>
</contrib>
</contrib-group>
<aff id="af1"><label>1</label>
<addr-line>Department of Periodontology</addr-line>
,<institution>School of Dentistry, University of North Carolina</institution>
,<addr-line>Chapel Hill, North Carolina</addr-line>
,<country>USA</country>
</aff>
<aff id="af2"><label>2</label>
<addr-line>Department of Dental Ecology</addr-line>
,<institution>School of Dentistry, University of North Carolina</institution>
,<addr-line>Chapel Hill, North Carolina</addr-line>
,<country>USA</country>
</aff>
<aff id="af3"><label>3</label>
<addr-line>GlaxoSmithKline R&D</addr-line>
,<institution>Worldwide Epidemiology</institution>
,<addr-line>Research Triangle Park, North Carolina</addr-line>
,<country>USA</country>
</aff>
<aff id="af4"><label>4</label>
<addr-line>Department of Pharmaceutical and Biomedical Sciences</addr-line>
,<institution>Touro College of Pharmacy</institution>
,<addr-line>New York, New York</addr-line>
,<country>USA</country>
</aff>
<aff id="af5"><label>5</label>
<addr-line>Department of Biochemistry & Molecular Biology</addr-line>
,<institution>New York Medical College</institution>
,<addr-line>Valhalla, New York</addr-line>
,<country>USA</country>
</aff>
<author-notes><corresp><label>Correspondence to</label>
Dr Steven Offenbacher; <email>steve_offenbacher@dentistry.unc.edu</email>
</corresp>
</author-notes>
<pub-date pub-type="collection"><year>2012</year>
</pub-date>
<pub-date pub-type="epub"><day>18</day>
<month>12</month>
<year>2012</year>
</pub-date>
<volume>2</volume>
<issue>6</issue>
<elocation-id>e001615</elocation-id>
<history><date date-type="received"><day>12</day>
<month>7</month>
<year>2012</year>
</date>
<date date-type="rev-recd"><day>17</day>
<month>10</month>
<year>2012</year>
</date>
<date date-type="accepted"><day>1</day>
<month>11</month>
<year>2012</year>
</date>
</history>
<permissions><copyright-statement>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</copyright-statement>
<copyright-year>2012</copyright-year>
<license license-type="open-access"><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited, the use is non commercial and is otherwise in compliance with the license. See: <ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/2.0/">http://creativecommons.org/licenses/by-nc/2.0/</ext-link>
and <ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/2.0/legalcode">http://creativecommons.org/licenses/by-nc/2.0/legalcode</ext-link>
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<abstract><sec><title>Objectives</title>
<p>We examined the potential association between prior chronic obstructive pulmonary disease (COPD) and edentulism, and whether the association varied by COPD severity using data from the Dental Atherosclerosis Risk in Communities Study.</p>
</sec>
<sec><title>Design</title>
<p>Cross-sectional.</p>
</sec>
<sec><title>Setting</title>
<p>Community dwelling subjects from four US communities.</p>
</sec>
<sec><title>Participants and measurements</title>
<p>Cases were identified as edentulous (without teeth) and subjects with one or more natural teeth were identified as dentate. COPD cases were defined by spirometry measurements that showed the ratio of forced expiratory volume (1 s) to vital capacity to be less than 0.7. The severity of COPD cases was also determined using a modified Global Initiative for Chronic Obstructive Lung Disease classification criteria (GOLD stage I–IV). Multiple logistic regression was used to examine the association between COPD and edentulism, while adjusting for age, gender, centre/race, ethnicity, education level, income, diabetes, hypertension, coronary heart disease and congestive heart failure, body mass index, smoking, smokeless tobacco use and alcohol consumption.</p>
</sec>
<sec><title>Results</title>
<p>13 465 participants were included in this analysis (2087 edentulous; 11 378 dentate). Approximately 28.3% of edentulous participants had prior COPD compared with 19.6% among dentate participants (p<0.0001). After adjustment for potential confounders, we observed a 1.3 (1.08 to 1.62) and 2.5 (1.68 to 3.63) fold increased risk of edentulism among GOLD II and GOLD III/IV COPD, respectively, as compared with the non-COPD/dentate referent. Given the short period of time between the measurements of COPD (visit 2) and dentate status (visit 4) relative to the natural history of both diseases, neither temporality nor insight as to the directionality of the association can be ascertained.</p>
</sec>
<sec><title>Conclusions</title>
<p>We found a statistically significant association between prior COPD and edentulism, with evidence of a positive incremental effect seen with increasing GOLD classification.</p>
</sec>
</abstract>
<kwd-group><kwd>Pulmonary disease</kwd>
<kwd>Edentulism</kwd>
<kwd>Chronic Obstructive disease</kwd>
<kwd>bronchitis</kwd>
</kwd-group>
</article-meta>
</front>
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