Tooth loss strongly associates with malnutrition in chronic kidney disease.
Identifieur interne : 000823 ( PubMed/Corpus ); précédent : 000822; suivant : 000824Tooth loss strongly associates with malnutrition in chronic kidney disease.
Auteurs : E. Ioannidou ; H. Swede ; G. Fares ; J. HimmelfarbSource :
- Journal of periodontology [ 1943-3670 ] ; 2014.
English descriptors
- KwdEn :
- Albuminuria (urine), Biomarkers (blood), Biomarkers (urine), Creatinine (blood), Creatinine (urine), Cystatin C (urine), Denture, Complete (statistics & numerical data), Denture, Partial (statistics & numerical data), Diabetes Mellitus (epidemiology), Diet, Educational Status, Female, Glomerular Filtration Rate, Humans, Male, Malnutrition (epidemiology), Middle Aged, Mouth, Edentulous (epidemiology), Nutrition Surveys, Nutritional Status, Poverty (statistics & numerical data), Protein-Energy Malnutrition (epidemiology), Renal Insufficiency, Chronic (epidemiology), Serum Albumin (analysis), Smoking (epidemiology), Tooth Loss (epidemiology), United States (epidemiology).
- MESH :
- chemical , analysis : Serum Albumin.
- chemical , blood : Biomarkers, Creatinine.
- geographic , epidemiology : United States.
- epidemiology : Diabetes Mellitus, Malnutrition, Mouth, Edentulous, Protein-Energy Malnutrition, Renal Insufficiency, Chronic, Smoking, Tooth Loss.
- statistics & numerical data : Denture, Complete, Denture, Partial, Poverty.
- urine : Albuminuria, Biomarkers, Creatinine, Cystatin C.
- Diet, Educational Status, Female, Glomerular Filtration Rate, Humans, Male, Middle Aged, Nutrition Surveys, Nutritional Status.
Abstract
In chronic kidney disease (CKD), inadequate nutritional intake, inflammation, and increased oxidative stress have been the major contributing factors in malnutrition pathogenesis. However, there is still a paucity of evidence assessing the magnitude of the effect of tooth loss on malnutrition in CKD populations. The authors hypothesize that among patients with CKD, tooth loss may affect nutritional status, using the National Health and Nutrition Examination Survey 1988 to 1994 (NHANES III).
DOI: 10.1902/jop.2013.130347
PubMed: 24215204
Links to Exploration step
pubmed:24215204Le document en format XML
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<author><name sortKey="Swede, H" sort="Swede, H" uniqKey="Swede H" first="H" last="Swede">H. Swede</name>
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<author><name sortKey="Fares, G" sort="Fares, G" uniqKey="Fares G" first="G" last="Fares">G. Fares</name>
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<author><name sortKey="Himmelfarb, J" sort="Himmelfarb, J" uniqKey="Himmelfarb J" first="J" last="Himmelfarb">J. Himmelfarb</name>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Albuminuria (urine)</term>
<term>Biomarkers (blood)</term>
<term>Biomarkers (urine)</term>
<term>Creatinine (blood)</term>
<term>Creatinine (urine)</term>
<term>Cystatin C (urine)</term>
<term>Denture, Complete (statistics & numerical data)</term>
<term>Denture, Partial (statistics & numerical data)</term>
<term>Diabetes Mellitus (epidemiology)</term>
<term>Diet</term>
<term>Educational Status</term>
<term>Female</term>
<term>Glomerular Filtration Rate</term>
<term>Humans</term>
<term>Male</term>
<term>Malnutrition (epidemiology)</term>
<term>Middle Aged</term>
<term>Mouth, Edentulous (epidemiology)</term>
<term>Nutrition Surveys</term>
<term>Nutritional Status</term>
<term>Poverty (statistics & numerical data)</term>
<term>Protein-Energy Malnutrition (epidemiology)</term>
<term>Renal Insufficiency, Chronic (epidemiology)</term>
<term>Serum Albumin (analysis)</term>
<term>Smoking (epidemiology)</term>
<term>Tooth Loss (epidemiology)</term>
<term>United States (epidemiology)</term>
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<keywords scheme="MESH" type="chemical" qualifier="analysis" xml:lang="en"><term>Serum Albumin</term>
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<keywords scheme="MESH" type="chemical" qualifier="blood" xml:lang="en"><term>Biomarkers</term>
<term>Creatinine</term>
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<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>United States</term>
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<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Diabetes Mellitus</term>
<term>Malnutrition</term>
<term>Mouth, Edentulous</term>
<term>Protein-Energy Malnutrition</term>
<term>Renal Insufficiency, Chronic</term>
<term>Smoking</term>
<term>Tooth Loss</term>
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<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Denture, Complete</term>
<term>Denture, Partial</term>
<term>Poverty</term>
</keywords>
<keywords scheme="MESH" qualifier="urine" xml:lang="en"><term>Albuminuria</term>
<term>Biomarkers</term>
<term>Creatinine</term>
<term>Cystatin C</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Diet</term>
<term>Educational Status</term>
<term>Female</term>
<term>Glomerular Filtration Rate</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
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<front><div type="abstract" xml:lang="en">In chronic kidney disease (CKD), inadequate nutritional intake, inflammation, and increased oxidative stress have been the major contributing factors in malnutrition pathogenesis. However, there is still a paucity of evidence assessing the magnitude of the effect of tooth loss on malnutrition in CKD populations. The authors hypothesize that among patients with CKD, tooth loss may affect nutritional status, using the National Health and Nutrition Examination Survey 1988 to 1994 (NHANES III).</div>
</front>
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<Month>05</Month>
<Day>15</Day>
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<Month>10</Month>
<Day>19</Day>
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<Issue>7</Issue>
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<Title>Journal of periodontology</Title>
<ISOAbbreviation>J. Periodontol.</ISOAbbreviation>
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<ArticleTitle>Tooth loss strongly associates with malnutrition in chronic kidney disease.</ArticleTitle>
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<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">In chronic kidney disease (CKD), inadequate nutritional intake, inflammation, and increased oxidative stress have been the major contributing factors in malnutrition pathogenesis. However, there is still a paucity of evidence assessing the magnitude of the effect of tooth loss on malnutrition in CKD populations. The authors hypothesize that among patients with CKD, tooth loss may affect nutritional status, using the National Health and Nutrition Examination Survey 1988 to 1994 (NHANES III).</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Glomerular filtration rate (GFR) was estimated based on cystatin C levels using the relevant equation. Urinary albumin-to-creatinine ratio (albuminuria) was calculated in milligrams per gram with a cutoff point of 30 mg/g. CKD was defined based on estimated GFR <60 mL/minute/1.73m(2) and albuminuria ≥30 mg/g. The cutoff point for serum albumin was set at 3.7 g/dL. Tooth loss categories were based on the number of missing and replaced teeth.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 2,749 patients was included and stratified based on their oral health status. There was a statistically significant correlation between tooth loss and the proportion of patients with low protein and caloric intake (P = 0.02 and 0.01, respectively). Serum albumin reached a frequency peak in the fully edentulous group without dentures (group 4, 19.2%). In the same group, individuals had lower protein (30.1%) and caloric intake (30.2%) (P = 0.01 and 0.02, respectively). Furthermore, logistic regression analysis confirmed the significant role of tooth loss on serum albumin and protein and energy intake in this population even after adjusting for confounding variables.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Tooth loss independently predicts low energy and protein intake, as well as serum albumin levels, biomarkers of malnutrition in CKD.</AbstractText>
</Abstract>
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<AffiliationInfo><Affiliation>Division of Periodontology, School of Dental Medicine, University of Connecticut Health Center, Farmington, CT.</Affiliation>
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<MeshHeadingList><MeshHeading><DescriptorName UI="D000419" MajorTopicYN="N">Albuminuria</DescriptorName>
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<MeshHeading><DescriptorName UI="D015415" MajorTopicYN="N">Biomarkers</DescriptorName>
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<QualifierName UI="Q000652" MajorTopicYN="N">urine</QualifierName>
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<MeshHeading><DescriptorName UI="D003404" MajorTopicYN="N">Creatinine</DescriptorName>
<QualifierName UI="Q000097" MajorTopicYN="N">blood</QualifierName>
<QualifierName UI="Q000652" MajorTopicYN="N">urine</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D055316" MajorTopicYN="N">Cystatin C</DescriptorName>
<QualifierName UI="Q000652" MajorTopicYN="N">urine</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003824" MajorTopicYN="N">Denture, Complete</DescriptorName>
<QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName>
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<MeshHeading><DescriptorName UI="D003829" MajorTopicYN="N">Denture, Partial</DescriptorName>
<QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003920" MajorTopicYN="N">Diabetes Mellitus</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
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<MeshHeading><DescriptorName UI="D004032" MajorTopicYN="N">Diet</DescriptorName>
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<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
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<MeshHeading><DescriptorName UI="D009749" MajorTopicYN="N">Nutrition Surveys</DescriptorName>
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<MeshHeading><DescriptorName UI="D009752" MajorTopicYN="N">Nutritional Status</DescriptorName>
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<MeshHeading><DescriptorName UI="D011203" MajorTopicYN="N">Poverty</DescriptorName>
<QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011502" MajorTopicYN="N">Protein-Energy Malnutrition</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D051436" MajorTopicYN="N">Renal Insufficiency, Chronic</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName>
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<MeshHeading><DescriptorName UI="D012709" MajorTopicYN="N">Serum Albumin</DescriptorName>
<QualifierName UI="Q000032" MajorTopicYN="N">analysis</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012907" MajorTopicYN="N">Smoking</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D016388" MajorTopicYN="N">Tooth Loss</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D014481" MajorTopicYN="N" Type="Geographic">United States</DescriptorName>
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