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Periodontal disease and mortality in an aged population.

Identifieur interne : 002E93 ( PubMed/Corpus ); précédent : 002E92; suivant : 002E94

Periodontal disease and mortality in an aged population.

Auteurs : Shilpi Ajwani ; Kimmo J. Mattila ; Reijo S. Tilvis ; Anja Ainamo

Source :

Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry [ 0275-1879 ]

RBID : pubmed:14765890

English descriptors

KwdEn :
- Aged, Aged, 80 and over, Alcohol Drinking (epidemiology), Analysis of Variance, C-Reactive Protein (analysis), Cardiovascular Diseases (epidemiology), Chi-Square Distribution, Cohort Studies, Diabetes Mellitus (epidemiology), Female, Finland (epidemiology), Follow-Up Studies, Humans, Hypertension (epidemiology), Male, Mortality, Mouth, Edentulous (epidemiology), Periodontitis (epidemiology), Proportional Hazards Models, Risk Factors, Smoking (epidemiology), Statistics, Nonparametric.
MESH :
- chemical , analysis : C-Reactive Protein.
- geographic , epidemiology : Finland.
- epidemiology : Alcohol Drinking, Cardiovascular Diseases, Diabetes Mellitus, Hypertension, Mouth, Edentulous, Periodontitis, Smoking.
- Aged, Aged, 80 and over, Analysis of Variance, Chi-Square Distribution, Cohort Studies, Female, Follow-Up Studies, Humans, Male, Mortality, Proportional Hazards Models, Risk Factors, Statistics, Nonparametric.

Abstract

We investigated the relationship between periodontitis and mortality in home-dwelling individuals aged (75+ years), considering potential confounders including C-reactive protein levels. This study involved 364 individuals, originally part of the Helsinki Ageing Study cohort, who underwent medical and dental examinations in 1990 and were followed for five years. After five years, 52 of the 175 dentate subjects had died. Using univariate analysis, the association between baseline periodontitis and mortality was of borderline significance. After controlling for the common risk factors, periodontitis more than doubled the risk of cardiovascular disease-related mortality (HR 2.28, CI 1.03-5.05). The increase in total mortality was, however, not statistically significant (HR 1.43, CI 0.81-2.50). Subjects who were edentulous had higher mortality than those who were dentate without periodontitis, but the difference was not statistically significant. A baseline CRP level above 3 mg/l was associated with high mortality; but this effect was significant only among individuals with periodontitis. These results suggest that periodontitis influences the pathogenesis and outcome of cardiovascular disease, especially in individuals who also have evidence of a systemic inflammatory reaction.

PubMed: 14765890

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pubmed:14765890

Le document en format XML

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<affiliation><nlm:affiliation>Department of Oral Rehabilitation, School of Dentistry, University of Otago, New Zealand shilpi.ajwani@stonebow.otago.ac.nz</nlm:affiliation>
</affiliation>
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<author><name sortKey="Mattila, Kimmo J" sort="Mattila, Kimmo J" uniqKey="Mattila K" first="Kimmo J" last="Mattila">Kimmo J. Mattila</name>
</author>
<author><name sortKey="Tilvis, Reijo S" sort="Tilvis, Reijo S" uniqKey="Tilvis R" first="Reijo S" last="Tilvis">Reijo S. Tilvis</name>
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<author><name sortKey="Ainamo, Anja" sort="Ainamo, Anja" uniqKey="Ainamo A" first="Anja" last="Ainamo">Anja Ainamo</name>
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<term>Alcohol Drinking (epidemiology)</term>
<term>Analysis of Variance</term>
<term>C-Reactive Protein (analysis)</term>
<term>Cardiovascular Diseases (epidemiology)</term>
<term>Chi-Square Distribution</term>
<term>Cohort Studies</term>
<term>Diabetes Mellitus (epidemiology)</term>
<term>Female</term>
<term>Finland (epidemiology)</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Hypertension (epidemiology)</term>
<term>Male</term>
<term>Mortality</term>
<term>Mouth, Edentulous (epidemiology)</term>
<term>Periodontitis (epidemiology)</term>
<term>Proportional Hazards Models</term>
<term>Risk Factors</term>
<term>Smoking (epidemiology)</term>
<term>Statistics, Nonparametric</term>
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<keywords scheme="MESH" type="chemical" qualifier="analysis" xml:lang="en"><term>C-Reactive Protein</term>
</keywords>
<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Finland</term>
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<term>Cardiovascular Diseases</term>
<term>Diabetes Mellitus</term>
<term>Hypertension</term>
<term>Mouth, Edentulous</term>
<term>Periodontitis</term>
<term>Smoking</term>
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<keywords scheme="MESH" xml:lang="en"><term>Aged</term>
<term>Aged, 80 and over</term>
<term>Analysis of Variance</term>
<term>Chi-Square Distribution</term>
<term>Cohort Studies</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
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<front><div type="abstract" xml:lang="en">We investigated the relationship between periodontitis and mortality in home-dwelling individuals aged (75+ years), considering potential confounders including C-reactive protein levels. This study involved 364 individuals, originally part of the Helsinki Ageing Study cohort, who underwent medical and dental examinations in 1990 and were followed for five years. After five years, 52 of the 175 dentate subjects had died. Using univariate analysis, the association between baseline periodontitis and mortality was of borderline significance. After controlling for the common risk factors, periodontitis more than doubled the risk of cardiovascular disease-related mortality (HR 2.28, CI 1.03-5.05). The increase in total mortality was, however, not statistically significant (HR 1.43, CI 0.81-2.50). Subjects who were edentulous had higher mortality than those who were dentate without periodontitis, but the difference was not statistically significant. A baseline CRP level above 3 mg/l was associated with high mortality; but this effect was significant only among individuals with periodontitis. These results suggest that periodontitis influences the pathogenesis and outcome of cardiovascular disease, especially in individuals who also have evidence of a systemic inflammatory reaction.</div>
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<Abstract><AbstractText>We investigated the relationship between periodontitis and mortality in home-dwelling individuals aged (75+ years), considering potential confounders including C-reactive protein levels. This study involved 364 individuals, originally part of the Helsinki Ageing Study cohort, who underwent medical and dental examinations in 1990 and were followed for five years. After five years, 52 of the 175 dentate subjects had died. Using univariate analysis, the association between baseline periodontitis and mortality was of borderline significance. After controlling for the common risk factors, periodontitis more than doubled the risk of cardiovascular disease-related mortality (HR 2.28, CI 1.03-5.05). The increase in total mortality was, however, not statistically significant (HR 1.43, CI 0.81-2.50). Subjects who were edentulous had higher mortality than those who were dentate without periodontitis, but the difference was not statistically significant. A baseline CRP level above 3 mg/l was associated with high mortality; but this effect was significant only among individuals with periodontitis. These results suggest that periodontitis influences the pathogenesis and outcome of cardiovascular disease, especially in individuals who also have evidence of a systemic inflammatory reaction.</AbstractText>
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Periodontal disease and mortality in an aged population.

Periodontal disease and mortality in an aged population.

Source :

English descriptors

Abstract

Links to Exploration step

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