Periodontitis and Sleep Disordered Breathing in the Hispanic Community Health Study/Study of Latinos.
Identifieur interne : 000179 ( Main/Exploration ); précédent : 000178; suivant : 000180Periodontitis and Sleep Disordered Breathing in the Hispanic Community Health Study/Study of Latinos.
Auteurs : Anne E. Sanders [États-Unis] ; Greg K. Essick [États-Unis] ; James D. Beck [États-Unis] ; Jianwen Cai [États-Unis] ; Shirley Beaver [États-Unis] ; Tracy L. Finlayson [États-Unis] ; Phyllis C. Zee [États-Unis] ; Jose S. Loredo [États-Unis] ; Alberto R. Ramos [États-Unis] ; Richard H. Singer [États-Unis] ; Monik C. Jimenez [États-Unis] ; Janice M. Barnhart [États-Unis] ; Susan Redline [États-Unis]Source :
- Sleep [ 1550-9109 ] ; 2015.
Descripteurs français
- KwdFr :
- Adolescent (MeSH), Adulte (MeSH), Adulte d'âge moyen (MeSH), Analyse de régression (MeSH), Caractéristiques de l'habitat (MeSH), Enquêtes de santé (MeSH), Facteurs de risque (MeSH), Femelle (MeSH), Hispano-américain (statistiques et données numériques), Humains (MeSH), Jeune adulte (MeSH), Modèles logistiques (MeSH), Mâle (MeSH), Odds ratio (MeSH), Parodontite (complications), Parodontite (diagnostic), Parodontite (métabolisme), Protéine C-réactive (analyse), Sommeil (MeSH), Sujet âgé (MeSH), Syndromes d'apnées du sommeil (complications), Syndromes d'apnées du sommeil (diagnostic), Syndromes d'apnées du sommeil (métabolisme), Syndromes d'apnées du sommeil (physiopathologie), États-Unis (MeSH), Études transversales (MeSH).
- MESH :
- analyse : Protéine C-réactive.
- diagnostic : Parodontite, Syndromes d'apnées du sommeil.
- métabolisme : Parodontite, Syndromes d'apnées du sommeil.
- physiopathologie : Syndromes d'apnées du sommeil.
- statistiques et données numériques : Hispano-américain.
- complications : Adolescent, Adulte, Adulte d'âge moyen, Analyse de régression, Caractéristiques de l'habitat, Enquêtes de santé, Facteurs de risque, Femelle, Humains, Jeune adulte, Modèles logistiques, Mâle, Odds ratio, Parodontite, Sommeil, Sujet âgé, Syndromes d'apnées du sommeil, États-Unis, Études transversales.
English descriptors
- KwdEn :
- Adolescent (MeSH), Adult (MeSH), Aged (MeSH), C-Reactive Protein (analysis), Cross-Sectional Studies (MeSH), Female (MeSH), Health Surveys (MeSH), Hispanic Americans (statistics & numerical data), Humans (MeSH), Logistic Models (MeSH), Male (MeSH), Middle Aged (MeSH), Odds Ratio (MeSH), Periodontitis (complications), Periodontitis (diagnosis), Periodontitis (metabolism), Regression Analysis (MeSH), Residence Characteristics (MeSH), Risk Factors (MeSH), Sleep (MeSH), Sleep Apnea Syndromes (complications), Sleep Apnea Syndromes (diagnosis), Sleep Apnea Syndromes (metabolism), Sleep Apnea Syndromes (physiopathology), United States (MeSH), Young Adult (MeSH).
- MESH :
- chemical , analysis : C-Reactive Protein.
- complications : Periodontitis, Sleep Apnea Syndromes.
- diagnosis : Periodontitis, Sleep Apnea Syndromes.
- metabolism : Periodontitis, Sleep Apnea Syndromes.
- physiopathology : Sleep Apnea Syndromes.
- statistics & numerical data : Hispanic Americans.
- Adolescent, Adult, Aged, Cross-Sectional Studies, Female, Health Surveys, Humans, Logistic Models, Male, Middle Aged, Odds Ratio, Regression Analysis, Residence Characteristics, Risk Factors, Sleep, United States, Young Adult.
Abstract
STUDY OBJECTIVES
To investigate the association between sleep disordered breathing (SDB) and severe chronic periodontitis.
DESIGN
Cross-sectional data analysis from the Hispanic Community Health Study/Study of Latinos.
SETTING
Community-based setting with probability sampling from four urban US communities.
PARTICIPANTS
12,469 adults aged 18-74 y.
INTERVENTIONS
None.
MEASUREMENTS AND RESULTS
Severe chronic periodontitis was defined using the Centers for Disease Control and Prevention/American Academy of Periodontology case classification based on full-mouth periodontal assessments performed by calibrated dentists. SDB was evaluated in standardized home sleep tests, and defined as the number of apnea plus hypopnea events associated with ≥ 3% desaturation, per hour of estimated sleep. SDB was quantified using categories of the apnea-hypopnea index (AHI): 0.0 events (nonapneic); 0.1-4.9 (subclinical); 5.0-14.9 (mild); and ≥ 15 (moderate/severe). Covariates were demographic characteristics and established periodontitis risk factors. C-reactive protein was a potential explanatory variable. Using survey estimation, multivariable binary logistic regression estimated odds ratios (OR) and 95% confidence limits (CL). Following adjustment for confounding, the SDB and periodontitis relationship remained statistically significant, but was attenuated in strength and no longer dose-response. Compared with the nonapneic referent, adjusted odds of severe periodontitis were 40% higher with subclinical SDB (OR = 1.4, 95% CL: 1.0, 1.9), 60% higher with mild SDB (OR = 1.6, 95% CL: 1.1, 2.2) and 50% higher with moderate/severe SDB (OR = 1.5, 95% CL: 1.0, 2.3) demonstrating an independent association between SDB and severe periodontitis.
CONCLUSIONS
This study identifies a novel association between mild sleep disordered breathing and periodontitis that was most pronounced in young adults.
DOI: 10.5665/sleep.4890
PubMed: 25669183
PubMed Central: PMC4507724
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Singer</name><affiliation wicri:level="2"><nlm:affiliation>Department of Neurology, University of Miami, Miller School of Medicine, Miami, FL.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Floride</region></placeName><wicri:cityArea>Department of Neurology, University of Miami, Miller School of Medicine, Miami</wicri:cityArea></affiliation></author><author><name sortKey="Jimenez, Monik C" sort="Jimenez, Monik C" uniqKey="Jimenez M" first="Monik C" last="Jimenez">Monik C. Jimenez</name><affiliation wicri:level="2"><nlm:affiliation>Department of Public Health Sciences, University of Miami, Miller School of Medicine, Miami, FL and Brigham and Women's Hospital Harvard Medical School, Boston, MA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Department of Public Health Sciences, University of Miami, Miller School of Medicine, Miami, FL and Brigham and Women's Hospital Harvard Medical School, Boston</wicri:cityArea></affiliation></author><author><name sortKey="Barnhart, Janice M" sort="Barnhart, Janice M" uniqKey="Barnhart J" first="Janice M" last="Barnhart">Janice M. 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Sanders</name><affiliation wicri:level="2"><nlm:affiliation>Department of Dental Ecology, University of North Carolina, Chapel Hill, NC.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Caroline du Nord</region></placeName><wicri:cityArea>Department of Dental Ecology, University of North Carolina, Chapel Hill</wicri:cityArea></affiliation></author><author><name sortKey="Essick, Greg K" sort="Essick, Greg K" uniqKey="Essick G" first="Greg K" last="Essick">Greg K. Essick</name><affiliation wicri:level="2"><nlm:affiliation>Department of Prosthodontics, Center for Pain Research and Innovation, University of North Carolina, Chapel Hill, NC.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Caroline du Nord</region></placeName><wicri:cityArea>Department of Prosthodontics, Center for Pain Research and Innovation, University of North Carolina, Chapel Hill</wicri:cityArea></affiliation></author><author><name sortKey="Beck, James D" sort="Beck, James D" uniqKey="Beck J" first="James D" last="Beck">James D. Beck</name><affiliation wicri:level="2"><nlm:affiliation>Department of Dental Ecology, University of North Carolina, Chapel Hill, NC.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Caroline du Nord</region></placeName><wicri:cityArea>Department of Dental Ecology, University of North Carolina, Chapel Hill</wicri:cityArea></affiliation></author><author><name sortKey="Cai, Jianwen" sort="Cai, Jianwen" uniqKey="Cai J" first="Jianwen" last="Cai">Jianwen Cai</name><affiliation wicri:level="2"><nlm:affiliation>Department of Biostatistics, University of North Carolina, Chapel Hill, NC.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Caroline du Nord</region></placeName><wicri:cityArea>Department of Biostatistics, University of North Carolina, Chapel Hill</wicri:cityArea></affiliation></author><author><name sortKey="Beaver, Shirley" sort="Beaver, Shirley" uniqKey="Beaver S" first="Shirley" last="Beaver">Shirley Beaver</name><affiliation wicri:level="2"><nlm:affiliation>Sanford-Brown College, Skokie, IL.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Illinois</region></placeName><wicri:cityArea>Sanford-Brown College, Skokie</wicri:cityArea></affiliation></author><author><name sortKey="Finlayson, Tracy L" sort="Finlayson, Tracy L" uniqKey="Finlayson T" first="Tracy L" last="Finlayson">Tracy L. Finlayson</name><affiliation wicri:level="2"><nlm:affiliation>Graduate School of Public Health, San Diego State University, San Diego, CA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>Graduate School of Public Health, San Diego State University, San Diego</wicri:cityArea></affiliation></author><author><name sortKey="Zee, Phyllis C" sort="Zee, Phyllis C" uniqKey="Zee P" first="Phyllis C" last="Zee">Phyllis C. Zee</name><affiliation wicri:level="2"><nlm:affiliation>Center for Sleep and Circadian Biology, Northwestern University, Chicago, IL.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Illinois</region></placeName><wicri:cityArea>Center for Sleep and Circadian Biology, Northwestern University, Chicago</wicri:cityArea></affiliation></author><author><name sortKey="Loredo, Jose S" sort="Loredo, Jose S" uniqKey="Loredo J" first="Jose S" last="Loredo">Jose S. Loredo</name><affiliation wicri:level="2"><nlm:affiliation>Sleep Medicine Center and VA Pulmonary Sleep Disorders laboratory, University of California San Diego School of Medicine, San Diego, CA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>Sleep Medicine Center and VA Pulmonary Sleep Disorders laboratory, University of California San Diego School of Medicine, San Diego</wicri:cityArea></affiliation></author><author><name sortKey="Ramos, Alberto R" sort="Ramos, Alberto R" uniqKey="Ramos A" first="Alberto R" last="Ramos">Alberto R. Ramos</name><affiliation wicri:level="2"><nlm:affiliation>Sleep Medicine Center and VA Pulmonary Sleep Disorders laboratory, University of California San Diego School of Medicine, San Diego, CA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>Sleep Medicine Center and VA Pulmonary Sleep Disorders laboratory, University of California San Diego School of Medicine, San Diego</wicri:cityArea></affiliation></author><author><name sortKey="Singer, Richard H" sort="Singer, Richard H" uniqKey="Singer R" first="Richard H" last="Singer">Richard H. Singer</name><affiliation wicri:level="2"><nlm:affiliation>Department of Neurology, University of Miami, Miller School of Medicine, Miami, FL.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Floride</region></placeName><wicri:cityArea>Department of Neurology, University of Miami, Miller School of Medicine, Miami</wicri:cityArea></affiliation></author><author><name sortKey="Jimenez, Monik C" sort="Jimenez, Monik C" uniqKey="Jimenez M" first="Monik C" last="Jimenez">Monik C. Jimenez</name><affiliation wicri:level="2"><nlm:affiliation>Department of Public Health Sciences, University of Miami, Miller School of Medicine, Miami, FL and Brigham and Women's Hospital Harvard Medical School, Boston, MA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Department of Public Health Sciences, University of Miami, Miller School of Medicine, Miami, FL and Brigham and Women's Hospital Harvard Medical School, Boston</wicri:cityArea></affiliation></author><author><name sortKey="Barnhart, Janice M" sort="Barnhart, Janice M" uniqKey="Barnhart J" first="Janice M" last="Barnhart">Janice M. Barnhart</name><affiliation wicri:level="2"><nlm:affiliation>Albert Einstein College of Medicine of Yeshiva University, Bronx, NY.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Albert Einstein College of Medicine of Yeshiva University, Bronx</wicri:cityArea></affiliation></author><author><name sortKey="Redline, Susan" sort="Redline, Susan" uniqKey="Redline S" first="Susan" last="Redline">Susan Redline</name><affiliation wicri:level="2"><nlm:affiliation>Brigham and Women's Hospital and Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Brigham and Women's Hospital and Beth Israel Deaconess Medical Center, Harvard Medical School, Boston</wicri:cityArea></affiliation></author></analytic><series><title level="j">Sleep</title><idno type="eISSN">1550-9109</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term><term>Adult (MeSH)</term><term>Aged (MeSH)</term><term>C-Reactive Protein (analysis)</term><term>Cross-Sectional Studies (MeSH)</term><term>Female (MeSH)</term><term>Health Surveys (MeSH)</term><term>Hispanic Americans (statistics & numerical data)</term><term>Humans (MeSH)</term><term>Logistic Models (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Odds Ratio (MeSH)</term><term>Periodontitis (complications)</term><term>Periodontitis (diagnosis)</term><term>Periodontitis (metabolism)</term><term>Regression Analysis (MeSH)</term><term>Residence Characteristics (MeSH)</term><term>Risk Factors (MeSH)</term><term>Sleep (MeSH)</term><term>Sleep Apnea Syndromes (complications)</term><term>Sleep Apnea Syndromes (diagnosis)</term><term>Sleep Apnea Syndromes (metabolism)</term><term>Sleep Apnea Syndromes (physiopathology)</term><term>United States (MeSH)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent (MeSH)</term><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Analyse de régression (MeSH)</term><term>Caractéristiques de l'habitat (MeSH)</term><term>Enquêtes de santé (MeSH)</term><term>Facteurs de risque (MeSH)</term><term>Femelle (MeSH)</term><term>Hispano-américain (statistiques et données numériques)</term><term>Humains (MeSH)</term><term>Jeune adulte (MeSH)</term><term>Modèles logistiques (MeSH)</term><term>Mâle (MeSH)</term><term>Odds ratio (MeSH)</term><term>Parodontite (complications)</term><term>Parodontite (diagnostic)</term><term>Parodontite (métabolisme)</term><term>Protéine C-réactive (analyse)</term><term>Sommeil (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Syndromes d'apnées du sommeil (complications)</term><term>Syndromes d'apnées du sommeil (diagnostic)</term><term>Syndromes d'apnées du sommeil (métabolisme)</term><term>Syndromes d'apnées du sommeil (physiopathologie)</term><term>États-Unis (MeSH)</term><term>Études transversales (MeSH)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="analysis" xml:lang="en"><term>C-Reactive Protein</term></keywords><keywords scheme="MESH" qualifier="analyse" xml:lang="fr"><term>Protéine C-réactive</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Periodontitis</term><term>Sleep Apnea Syndromes</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Periodontitis</term><term>Sleep Apnea Syndromes</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Parodontite</term><term>Syndromes d'apnées du sommeil</term></keywords><keywords scheme="MESH" qualifier="metabolism" xml:lang="en"><term>Periodontitis</term><term>Sleep Apnea Syndromes</term></keywords><keywords scheme="MESH" qualifier="métabolisme" xml:lang="fr"><term>Parodontite</term><term>Syndromes d'apnées du sommeil</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Syndromes d'apnées du sommeil</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Sleep Apnea Syndromes</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Hispanic Americans</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Hispano-américain</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Cross-Sectional Studies</term><term>Female</term><term>Health Surveys</term><term>Humans</term><term>Logistic Models</term><term>Male</term><term>Middle Aged</term><term>Odds Ratio</term><term>Regression Analysis</term><term>Residence Characteristics</term><term>Risk Factors</term><term>Sleep</term><term>United States</term><term>Young Adult</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Analyse de régression</term><term>Caractéristiques de l'habitat</term><term>Enquêtes de santé</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Modèles logistiques</term><term>Mâle</term><term>Odds ratio</term><term>Parodontite</term><term>Sommeil</term><term>Sujet âgé</term><term>Syndromes d'apnées du sommeil</term><term>États-Unis</term><term>Études transversales</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>STUDY OBJECTIVES</b></p><p>To investigate the association between sleep disordered breathing (SDB) and severe chronic periodontitis.</p></div><div type="abstract" xml:lang="en"><p><b>DESIGN</b></p><p>Cross-sectional data analysis from the Hispanic Community Health Study/Study of Latinos.</p></div><div type="abstract" xml:lang="en"><p><b>SETTING</b></p><p>Community-based setting with probability sampling from four urban US communities.</p></div><div type="abstract" xml:lang="en"><p><b>PARTICIPANTS</b></p><p>12,469 adults aged 18-74 y.</p></div><div type="abstract" xml:lang="en"><p><b>INTERVENTIONS</b></p><p>None.</p></div><div type="abstract" xml:lang="en"><p><b>MEASUREMENTS AND RESULTS</b></p><p>Severe chronic periodontitis was defined using the Centers for Disease Control and Prevention/American Academy of Periodontology case classification based on full-mouth periodontal assessments performed by calibrated dentists. SDB was evaluated in standardized home sleep tests, and defined as the number of apnea plus hypopnea events associated with ≥ 3% desaturation, per hour of estimated sleep. SDB was quantified using categories of the apnea-hypopnea index (AHI): 0.0 events (nonapneic); 0.1-4.9 (subclinical); 5.0-14.9 (mild); and ≥ 15 (moderate/severe). Covariates were demographic characteristics and established periodontitis risk factors. C-reactive protein was a potential explanatory variable. Using survey estimation, multivariable binary logistic regression estimated odds ratios (OR) and 95% confidence limits (CL). Following adjustment for confounding, the SDB and periodontitis relationship remained statistically significant, but was attenuated in strength and no longer dose-response. Compared with the nonapneic referent, adjusted odds of severe periodontitis were 40% higher with subclinical SDB (OR = 1.4, 95% CL: 1.0, 1.9), 60% higher with mild SDB (OR = 1.6, 95% CL: 1.1, 2.2) and 50% higher with moderate/severe SDB (OR = 1.5, 95% CL: 1.0, 2.3) demonstrating an independent association between SDB and severe periodontitis.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>This study identifies a novel association between mild sleep disordered breathing and periodontitis that was most pronounced in young adults.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">25669183</PMID><DateCompleted><Year>2016</Year><Month>05</Month><Day>20</Day></DateCompleted><DateRevised><Year>2018</Year><Month>12</Month><Day>02</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1550-9109</ISSN><JournalIssue CitedMedium="Internet"><Volume>38</Volume><Issue>8</Issue><PubDate><Year>2015</Year><Month>Aug</Month><Day>01</Day></PubDate></JournalIssue><Title>Sleep</Title><ISOAbbreviation>Sleep</ISOAbbreviation></Journal><ArticleTitle>Periodontitis and Sleep Disordered Breathing in the Hispanic Community Health Study/Study of Latinos.</ArticleTitle><Pagination><MedlinePgn>1195-203</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.5665/sleep.4890</ELocationID><Abstract><AbstractText Label="STUDY OBJECTIVES" NlmCategory="OBJECTIVE">To investigate the association between sleep disordered breathing (SDB) and severe chronic periodontitis.</AbstractText><AbstractText Label="DESIGN" NlmCategory="METHODS">Cross-sectional data analysis from the Hispanic Community Health Study/Study of Latinos.</AbstractText><AbstractText Label="SETTING" NlmCategory="METHODS">Community-based setting with probability sampling from four urban US communities.</AbstractText><AbstractText Label="PARTICIPANTS" NlmCategory="METHODS">12,469 adults aged 18-74 y.</AbstractText><AbstractText Label="INTERVENTIONS" NlmCategory="METHODS">None.</AbstractText><AbstractText Label="MEASUREMENTS AND RESULTS" NlmCategory="RESULTS">Severe chronic periodontitis was defined using the Centers for Disease Control and Prevention/American Academy of Periodontology case classification based on full-mouth periodontal assessments performed by calibrated dentists. SDB was evaluated in standardized home sleep tests, and defined as the number of apnea plus hypopnea events associated with ≥ 3% desaturation, per hour of estimated sleep. SDB was quantified using categories of the apnea-hypopnea index (AHI): 0.0 events (nonapneic); 0.1-4.9 (subclinical); 5.0-14.9 (mild); and ≥ 15 (moderate/severe). Covariates were demographic characteristics and established periodontitis risk factors. C-reactive protein was a potential explanatory variable. Using survey estimation, multivariable binary logistic regression estimated odds ratios (OR) and 95% confidence limits (CL). Following adjustment for confounding, the SDB and periodontitis relationship remained statistically significant, but was attenuated in strength and no longer dose-response. Compared with the nonapneic referent, adjusted odds of severe periodontitis were 40% higher with subclinical SDB (OR = 1.4, 95% CL: 1.0, 1.9), 60% higher with mild SDB (OR = 1.6, 95% CL: 1.1, 2.2) and 50% higher with moderate/severe SDB (OR = 1.5, 95% CL: 1.0, 2.3) demonstrating an independent association between SDB and severe periodontitis.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">This study identifies a novel association between mild sleep disordered breathing and periodontitis that was most pronounced in young adults.</AbstractText><CopyrightInformation>© 2015 Associated Professional Sleep Societies, LLC.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Sanders</LastName><ForeName>Anne E</ForeName><Initials>AE</Initials><AffiliationInfo><Affiliation>Department of Dental Ecology, University of North Carolina, Chapel Hill, NC.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Essick</LastName><ForeName>Greg K</ForeName><Initials>GK</Initials><AffiliationInfo><Affiliation>Department of Prosthodontics, Center for Pain Research and Innovation, University of North Carolina, Chapel Hill, NC.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Beck</LastName><ForeName>James D</ForeName><Initials>JD</Initials><AffiliationInfo><Affiliation>Department of Dental Ecology, University of North Carolina, Chapel Hill, NC.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cai</LastName><ForeName>Jianwen</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Biostatistics, University of North Carolina, Chapel Hill, NC.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Beaver</LastName><ForeName>Shirley</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Sanford-Brown College, Skokie, IL.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Finlayson</LastName><ForeName>Tracy L</ForeName><Initials>TL</Initials><AffiliationInfo><Affiliation>Graduate School of Public Health, San Diego State University, San Diego, CA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Zee</LastName><ForeName>Phyllis C</ForeName><Initials>PC</Initials><AffiliationInfo><Affiliation>Center for Sleep and Circadian Biology, Northwestern University, Chicago, IL.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Loredo</LastName><ForeName>Jose S</ForeName><Initials>JS</Initials><AffiliationInfo><Affiliation>Sleep Medicine Center and VA Pulmonary Sleep Disorders laboratory, University of California San Diego School of Medicine, San Diego, CA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ramos</LastName><ForeName>Alberto R</ForeName><Initials>AR</Initials><AffiliationInfo><Affiliation>Sleep Medicine Center and VA Pulmonary Sleep Disorders laboratory, University of California San Diego School of Medicine, San Diego, CA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Singer</LastName><ForeName>Richard H</ForeName><Initials>RH</Initials><AffiliationInfo><Affiliation>Department of Neurology, University of Miami, Miller School of Medicine, Miami, FL.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Jimenez</LastName><ForeName>Monik C</ForeName><Initials>MC</Initials><AffiliationInfo><Affiliation>Department of Public Health Sciences, University of Miami, Miller School of Medicine, Miami, FL and Brigham and Women's Hospital Harvard Medical School, Boston, MA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Barnhart</LastName><ForeName>Janice M</ForeName><Initials>JM</Initials><AffiliationInfo><Affiliation>Albert Einstein College of Medicine of Yeshiva University, Bronx, NY.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Redline</LastName><ForeName>Susan</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Brigham and Women's Hospital and Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>KL2 TR000461</GrantID><Acronym>TR</Acronym><Agency>NCATS NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>N01HC65236</GrantID><Acronym>HL</Acronym><Agency>NHLBI NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>N01HC65235</GrantID><Acronym>HL</Acronym><Agency>NHLBI NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>N01-HC65237</GrantID><Acronym>HC</Acronym><Agency>NHLBI NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>N01HC65234</GrantID><Acronym>HL</Acronym><Agency>NHLBI NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>N01HC65233</GrantID><Acronym>HL</Acronym><Agency>NHLBI NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>N01HC65237</GrantID><Acronym>HL</Acronym><Agency>NHLBI NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>N01-HC65233</GrantID><Acronym>HC</Acronym><Agency>NHLBI NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>N01-HC65234</GrantID><Acronym>HC</Acronym><Agency>NHLBI NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>N01-HC65236</GrantID><Acronym>HC</Acronym><Agency>NHLBI NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>N01-HC65235</GrantID><Acronym>HC</Acronym><Agency>NHLBI NIH HHS</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D052061">Research Support, N.I.H., Extramural</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2015</Year><Month>08</Month><Day>01</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Sleep</MedlineTA><NlmUniqueID>7809084</NlmUniqueID><ISSNLinking>0161-8105</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>9007-41-4</RegistryNumber><NameOfSubstance UI="D002097">C-Reactive Protein</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>Sleep. 2015 Aug;38(8):1153-4</RefSource><PMID Version="1">26194572</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002097" MajorTopicYN="N">C-Reactive Protein</DescriptorName><QualifierName UI="Q000032" MajorTopicYN="N">analysis</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006306" MajorTopicYN="Y">Health Surveys</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006630" MajorTopicYN="N">Hispanic Americans</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016015" MajorTopicYN="N">Logistic Models</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016017" MajorTopicYN="N">Odds Ratio</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010518" MajorTopicYN="N">Periodontitis</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000378" MajorTopicYN="N">metabolism</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012044" MajorTopicYN="N">Regression Analysis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012111" MajorTopicYN="N">Residence Characteristics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012890" MajorTopicYN="N">Sleep</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012891" MajorTopicYN="N">Sleep Apnea Syndromes</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000378" MajorTopicYN="N">metabolism</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014481" MajorTopicYN="N">United States</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Hispanic</Keyword><Keyword MajorTopicYN="N">apnea-hypopnea index</Keyword><Keyword MajorTopicYN="N">epidemiology</Keyword><Keyword MajorTopicYN="N">periodontal disease</Keyword><Keyword 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Jan;153(1):255-9</Citation><ArticleIdList><ArticleId IdType="pubmed">8542125</ArticleId></ArticleIdList></Reference></ReferenceList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Californie</li><li>Caroline du Nord</li><li>Floride</li><li>Illinois</li><li>Massachusetts</li><li>État de New York</li></region></list><tree><country name="États-Unis"><region name="Caroline du Nord"><name sortKey="Sanders, Anne E" sort="Sanders, Anne E" uniqKey="Sanders A" first="Anne E" last="Sanders">Anne E. Sanders</name></region><name sortKey="Barnhart, Janice M" sort="Barnhart, Janice M" uniqKey="Barnhart J" first="Janice M" last="Barnhart">Janice M. Barnhart</name><name sortKey="Beaver, Shirley" sort="Beaver, Shirley" uniqKey="Beaver S" first="Shirley" last="Beaver">Shirley Beaver</name><name sortKey="Beck, James D" sort="Beck, James D" uniqKey="Beck J" first="James D" last="Beck">James D. Beck</name><name sortKey="Cai, Jianwen" sort="Cai, Jianwen" uniqKey="Cai J" first="Jianwen" last="Cai">Jianwen Cai</name><name sortKey="Essick, Greg K" sort="Essick, Greg K" uniqKey="Essick G" first="Greg K" last="Essick">Greg K. Essick</name><name sortKey="Finlayson, Tracy L" sort="Finlayson, Tracy L" uniqKey="Finlayson T" first="Tracy L" last="Finlayson">Tracy L. Finlayson</name><name sortKey="Jimenez, Monik C" sort="Jimenez, Monik C" uniqKey="Jimenez M" first="Monik C" last="Jimenez">Monik C. Jimenez</name><name sortKey="Loredo, Jose S" sort="Loredo, Jose S" uniqKey="Loredo J" first="Jose S" last="Loredo">Jose S. Loredo</name><name sortKey="Ramos, Alberto R" sort="Ramos, Alberto R" uniqKey="Ramos A" first="Alberto R" last="Ramos">Alberto R. Ramos</name><name sortKey="Redline, Susan" sort="Redline, Susan" uniqKey="Redline S" first="Susan" last="Redline">Susan Redline</name><name sortKey="Singer, Richard H" sort="Singer, Richard H" uniqKey="Singer R" first="Richard H" last="Singer">Richard H. Singer</name><name sortKey="Zee, Phyllis C" sort="Zee, Phyllis C" uniqKey="Zee P" first="Phyllis C" last="Zee">Phyllis C. Zee</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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