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Periodontal disease and risk of cerebrovascular disease: the first national health and nutrition examination survey and its follow-up study.

Identifieur interne : 003625 ( PubMed/Corpus ); précédent : 003624; suivant : 003626

Periodontal disease and risk of cerebrovascular disease: the first national health and nutrition examination survey and its follow-up study.

Auteurs : T. Wu ; M. Trevisan ; R J Genco ; J P Dorn ; K L Falkner ; C T Sempos

Source :

RBID : pubmed:11025784

English descriptors

Abstract

Periodontal disease has been found to be a potential risk factor for coronary heart disease. However, its association with cerebrovascular accidents (CVAs) is much less studied.

PubMed: 11025784

Links to Exploration step

pubmed:11025784

Le document en format XML

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<title xml:lang="en">Periodontal disease and risk of cerebrovascular disease: the first national health and nutrition examination survey and its follow-up study.</title>
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<name sortKey="Wu, T" sort="Wu, T" uniqKey="Wu T" first="T" last="Wu">T. Wu</name>
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<nlm:affiliation>Department of Social and Preventive Medicine, State University of New York at Buffalo, 3435 Main St, Buffalo, NY 14214. tiejianw@acsu.buffalo.edu</nlm:affiliation>
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<name sortKey="Trevisan, M" sort="Trevisan, M" uniqKey="Trevisan M" first="M" last="Trevisan">M. Trevisan</name>
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<name sortKey="Genco, R J" sort="Genco, R J" uniqKey="Genco R" first="R J" last="Genco">R J Genco</name>
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<name sortKey="Dorn, J P" sort="Dorn, J P" uniqKey="Dorn J" first="J P" last="Dorn">J P Dorn</name>
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<name sortKey="Falkner, K L" sort="Falkner, K L" uniqKey="Falkner K" first="K L" last="Falkner">K L Falkner</name>
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<name sortKey="Sempos, C T" sort="Sempos, C T" uniqKey="Sempos C" first="C T" last="Sempos">C T Sempos</name>
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<name sortKey="Dorn, J P" sort="Dorn, J P" uniqKey="Dorn J" first="J P" last="Dorn">J P Dorn</name>
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<title level="j">Archives of internal medicine</title>
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<term>Adult</term>
<term>Aged</term>
<term>Cause of Death</term>
<term>Cerebral Infarction (etiology)</term>
<term>Cerebral Infarction (mortality)</term>
<term>Cohort Studies</term>
<term>Female</term>
<term>Gingivitis (etiology)</term>
<term>Gingivitis (mortality)</term>
<term>Health Surveys</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Mouth, Edentulous (etiology)</term>
<term>Mouth, Edentulous (mortality)</term>
<term>Periodontitis (complications)</term>
<term>Periodontitis (mortality)</term>
<term>Risk Factors</term>
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<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Periodontitis</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Cerebral Infarction</term>
<term>Gingivitis</term>
<term>Mouth, Edentulous</term>
</keywords>
<keywords scheme="MESH" qualifier="mortality" xml:lang="en">
<term>Cerebral Infarction</term>
<term>Gingivitis</term>
<term>Mouth, Edentulous</term>
<term>Periodontitis</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Cause of Death</term>
<term>Cohort Studies</term>
<term>Female</term>
<term>Health Surveys</term>
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<div type="abstract" xml:lang="en">Periodontal disease has been found to be a potential risk factor for coronary heart disease. However, its association with cerebrovascular accidents (CVAs) is much less studied.</div>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Periodontal disease has been found to be a potential risk factor for coronary heart disease. However, its association with cerebrovascular accidents (CVAs) is much less studied.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">This study examines the association between periodontal disease and CVA. The study cohort comprises 9962 adults aged 25 to 74 years who participated in the First National Health and Nutrition Examination Survey and its follow-up study. Baseline periodontal status was categorized into (1) no periodontal disease, (2) gingivitis, (3) periodontitis, and (4) edentulousness. All CVAs (International Classification of Diseases, Ninth Revision [ICD-9], codes 430-438) were ascertained by hospital records for nonfatal events and death certificates for fatal events. The first CVA, nonfatal or fatal, was used to define incidence. Relative risks were estimated by hazard ratios from the Cox proportional hazard model with adjustment for several demographic variables and well-established cardiovascular risk factors. Weights were used to generate risk estimates.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Periodontitis is a significant risk factor for total CVA and, in particular, nonhemorrhagic stroke (ICD-9, 433-434 and 436-438). Compared with no periodontal disease, the relative risks (95% confidence intervals) for incident nonhemorrhagic stroke were 1.24 (0.74-2.08) for gingivitis, 2.11 (1.30-3.42) for periodontitis, and 1.41 (0.96-2.06) for edentulousness. For total CVA, the results were 1.02 (0.70-1.48) for gingivitis, 1.66 (1.15-2.39) for periodontitis, and 1.23 (0.91-1.66) for edentulousness. Increased relative risks for total CVA and nonhemorrhagic stroke associated with periodontitis were also seen in white men, white women, and African Americans. Similar results were found for fatal CVA.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Periodontal disease is an important risk factor for total CVA and, in particular, nonhemorrhagic stroke.</AbstractText>
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