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The association between cumulative periodontal disease and stroke history in older adults.

Identifieur interne : 001F45 ( PubMed/Checkpoint ); précédent : 001F44; suivant : 001F46

The association between cumulative periodontal disease and stroke history in older adults.

Auteurs : Hyo-Jung Lee [États-Unis] ; Raul I. Garcia ; Sok-Ja Janket ; Judith A. Jones ; Ana Karina Mascarenhas ; Thayer E. Scott ; Martha E. Nunn

Source :

RBID : pubmed:17032119

Descripteurs français

English descriptors

Abstract

Since the late 1980s, several studies have been conducted to investigate the relationship between periodontal disease and ischemic stroke. The purpose of this study is to investigate the relationship of periodontal disease to the self-reported history of stroke in the elderly (60 years of age and older) by examining the data of the Third National Health and Nutrition Examination Survey (NHANES III).

DOI: 10.1902/jop.2006.050339
PubMed: 17032119


Affiliations:


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pubmed:17032119

Le document en format XML

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<term>Brain Ischemia (epidemiology)</term>
<term>Confounding Factors (Epidemiology)</term>
<term>Cross-Sectional Studies</term>
<term>Dentition</term>
<term>Humans</term>
<term>Jaw, Edentulous, Partially (epidemiology)</term>
<term>Middle Aged</term>
<term>Mouth, Edentulous (epidemiology)</term>
<term>Periodontal Attachment Loss (epidemiology)</term>
<term>Periodontal Diseases (epidemiology)</term>
<term>Periodontal Index</term>
<term>Population Surveillance</term>
<term>Risk Factors</term>
<term>Smoking (epidemiology)</term>
<term>Stroke (epidemiology)</term>
<term>United States (epidemiology)</term>
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<term>Accident vasculaire cérébral (épidémiologie)</term>
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<term>Bouche édentée (épidémiologie)</term>
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<term>Encéphalopathie ischémique (épidémiologie)</term>
<term>Facteurs de confusion (épidémiologie)</term>
<term>Facteurs de l'âge</term>
<term>Facteurs de risque</term>
<term>Humains</term>
<term>Indice parodontal</term>
<term>Maladies parodontales (épidémiologie)</term>
<term>Mâchoire partiellement édentée (épidémiologie)</term>
<term>Perte d'attache parodontale (épidémiologie)</term>
<term>Sujet âgé</term>
<term>Surveillance de la population</term>
<term>Tabagisme (épidémiologie)</term>
<term>États-Unis d'Amérique (épidémiologie)</term>
<term>Études transversales</term>
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<term>Periodontal Attachment Loss</term>
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<term>Stroke</term>
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<term>Mâchoire partiellement édentée</term>
<term>Perte d'attache parodontale</term>
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<term>Age Factors</term>
<term>Aged</term>
<term>Confounding Factors (Epidemiology)</term>
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<term>Dentition</term>
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<term>Middle Aged</term>
<term>Periodontal Index</term>
<term>Population Surveillance</term>
<term>Risk Factors</term>
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<term>Adulte d'âge moyen</term>
<term>Denture</term>
<term>Facteurs de confusion (épidémiologie)</term>
<term>Facteurs de l'âge</term>
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<term>Indice parodontal</term>
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<term>Études transversales</term>
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<front>
<div type="abstract" xml:lang="en">Since the late 1980s, several studies have been conducted to investigate the relationship between periodontal disease and ischemic stroke. The purpose of this study is to investigate the relationship of periodontal disease to the self-reported history of stroke in the elderly (60 years of age and older) by examining the data of the Third National Health and Nutrition Examination Survey (NHANES III).</div>
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<Month>12</Month>
<Day>20</Day>
</DateCompleted>
<DateRevised>
<Year>2007</Year>
<Month>11</Month>
<Day>15</Day>
</DateRevised>
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<ISSN IssnType="Print">0022-3492</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>77</Volume>
<Issue>10</Issue>
<PubDate>
<Year>2006</Year>
<Month>Oct</Month>
</PubDate>
</JournalIssue>
<Title>Journal of periodontology</Title>
<ISOAbbreviation>J. Periodontol.</ISOAbbreviation>
</Journal>
<ArticleTitle>The association between cumulative periodontal disease and stroke history in older adults.</ArticleTitle>
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<MedlinePgn>1744-54</MedlinePgn>
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<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Since the late 1980s, several studies have been conducted to investigate the relationship between periodontal disease and ischemic stroke. The purpose of this study is to investigate the relationship of periodontal disease to the self-reported history of stroke in the elderly (60 years of age and older) by examining the data of the Third National Health and Nutrition Examination Survey (NHANES III).</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Data from NHANES III, a large population-based cross-sectional survey of the United States, were used for this study. Because 1,563 of the 5,123 subjects in the study were edentulous, and periodontal disease is a major cause of tooth loss, it was necessary to account for edentulousness in the statistical analysis to avoid bias. Hence, a new index called the periodontal health status (PHS) index was developed to address this problem. Two measures of PHS were developed: PHS I, based on the median percentage of sites with >/=2 mm clinical attachment loss (CAL), and PHS II, based on the median percentage of sites with >/=3 mm CAL. Multiple logistic regression analysis was used to test for the association of PHS with stroke history. Two types of a multiple logistic regression model were fit: 1) logistic regression modeling with adjustment for age and tobacco use only; and 2) logistic regression modeling with adjustment of all statistically significant confounders.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Based on multiple logistic regression analysis of PHS with adjustment for age and tobacco use only, completely edentulous elderly adults (PHS Class 5) and partially edentulous (teeth in one arch) elderly adults with appreciable clinical attachment loss (PHS Class 4) were significantly more likely to have a history of stroke compared to dentate adults (teeth in both arches) without appreciable clinical attachment loss (PHS Class 1). When multiple logistic regression models were fit with adjustment of all significant confounders, no statistically significant association was found between PHS and stroke.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Based on the results of this study, there is evidence of an association between cumulative periodontal disease, based on PHS, and a history of stroke. However, it is unclear whether cumulative periodontal disease is an independent risk factor for stroke or a risk marker for the disease.</AbstractText>
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<DescriptorName UI="D020521" MajorTopicYN="N">Stroke</DescriptorName>
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