Multiple risk factors of periodontal disease: a study of 9260 Japanese non-smokers
Background: Periodontal disease (PD) is a lifestyle‐related disease. Risk factors include cigarette smoking and diabetes mellitus (DM). Diabetes mellitus, obesity, hypertension and hyperlipidemia are the main determinants of the metabolic syndrome that may be derived from insulin resistance (IR). I...
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| Published in: | Geriatrics & gerontology international Vol. 4; no. 1; pp. 37 - 43 |
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Melbourne, Australia
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01-03-2004
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| Abstract | Background: Periodontal disease (PD) is a lifestyle‐related disease. Risk factors include cigarette smoking and diabetes mellitus (DM). Diabetes mellitus, obesity, hypertension and hyperlipidemia are the main determinants of the metabolic syndrome that may be derived from insulin resistance (IR). In the present study, we examine the relationships between PD and IR‐related factors.
Methods: This is a cross‐sectional study of 9260 non‐smoking urban Japanese. The subjects were comprised of three groups, aged 40, 50 and 60 years. Periodontal status was evaluated using the Community Periodontal Index of Treatment Needs (CPITN). Serum samples were analyzed with an automated spectrophotometer.
Results: Logistic regression analysis of the data showed that age (P = 0.0001), sex (male, P = 0.0045), body mass index (BMI, P = 0.017), mean blood pressure (mBP, P = 0.0297) and fasting plasma glucose (FPG, P = 0.0001) were the variables significantly associated with the prevalence of PD. There was a negative correlation between serum low dense lipoprotein cholesterol (LDL) and PD (P = 0.0001). In the age‐adjusted profiles, sex (male, P < 0.01), mBP (P < 0.01) and FPG (P < 0.001) had a significantly correlation with PD at age 60, while an inverse correlation between LDL and the prevalence of PD was seen only in the 40‐year‐old group (P < 0.001).
Conclusion This is the first study showing that mBP and LDL are factors that may determine the prevalence of PD. Lifestyle‐related factors could play an important role in the progression of PD. |
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| AbstractList | Background:
Periodontal disease (PD) is a lifestyle‐related disease. Risk factors include cigarette smoking and diabetes mellitus (DM). Diabetes mellitus, obesity, hypertension and hyperlipidemia are the main determinants of the metabolic syndrome that may be derived from insulin resistance (IR). In the present study, we examine the relationships between PD and IR‐related factors.
Methods:
This is a cross‐sectional study of 9260 non‐smoking urban Japanese. The subjects were comprised of three groups, aged 40, 50 and 60 years. Periodontal status was evaluated using the Community Periodontal Index of Treatment Needs (CPITN). Serum samples were analyzed with an automated spectrophotometer.
Results:
Logistic regression analysis of the data showed that age (
P
= 0.0001), sex (male,
P
= 0.0045), body mass index (BMI,
P
= 0.017), mean blood pressure (mBP,
P
= 0.0297) and fasting plasma glucose (FPG,
P
= 0.0001) were the variables significantly associated with the prevalence of PD. There was a negative correlation between serum low dense lipoprotein cholesterol (LDL) and PD (
P
= 0.0001). In the age‐adjusted profiles, sex (male,
P
< 0.01), mBP (
P
< 0.01) and FPG (
P
< 0.001) had a significantly correlation with PD at age 60, while an inverse correlation between LDL and the prevalence of PD was seen only in the 40‐year‐old group (
P
< 0.001).
Conclusion
This is the first study showing that mBP and LDL are factors that may determine the prevalence of PD. Lifestyle‐related factors could play an important role in the progression of PD. Periodontal disease (PD) is a lifestyle-related disease. Risk factors include cigarette smoking and diabetes mellitus (DM). Diabetes mellitus, obesity, hypertension and hyperlipidemia are the main determinants of the metabolic syndrome that may be derived from insulin resistance (IR). In the present study, we examine the relationships between PD and IR-related factors. This is a cross-sectional study of 9260 non-smoking urban Japanese. The subjects were comprised of three groups, aged 40, 50 and 60 years. Periodontal status was evaluated using the Community Periodontal Index of Treatment Needs (CPITN). Serum samples were analyzed with an automated spectrophotometer. Logistic regression analysis of the data showed that age (P = 0.0001), sex (male, P = 0.0045), body mass index (BMI, P = 0.017), mean blood pressure (mBP, P = 0.0297) and fasting plasma glucose (FPG, P = 0.0001) were the variables significantly associated with the prevalence of PD. There was a negative correlation between serum low dense lipoprotein cholesterol (LDL) and PD (P = 0.0001). In the age-adjusted profiles, sex (male, P < 0.01), mBP (P < 0.01) and FPG (P < 0.001) had a significantly correlation with PD at age 60, while an inverse correlation between LDL and the prevalence of PD was seen only in the 40-year-old group (P < 0.001). This is the first study showing that mBP and LDL are factors that may determine the prevalence of PD. Lifestyle-related factors could play an important role in the progression of PD. Background: Periodontal disease (PD) is a lifestyle‐related disease. Risk factors include cigarette smoking and diabetes mellitus (DM). Diabetes mellitus, obesity, hypertension and hyperlipidemia are the main determinants of the metabolic syndrome that may be derived from insulin resistance (IR). In the present study, we examine the relationships between PD and IR‐related factors. Methods: This is a cross‐sectional study of 9260 non‐smoking urban Japanese. The subjects were comprised of three groups, aged 40, 50 and 60 years. Periodontal status was evaluated using the Community Periodontal Index of Treatment Needs (CPITN). Serum samples were analyzed with an automated spectrophotometer. Results: Logistic regression analysis of the data showed that age (P = 0.0001), sex (male, P = 0.0045), body mass index (BMI, P = 0.017), mean blood pressure (mBP, P = 0.0297) and fasting plasma glucose (FPG, P = 0.0001) were the variables significantly associated with the prevalence of PD. There was a negative correlation between serum low dense lipoprotein cholesterol (LDL) and PD (P = 0.0001). In the age‐adjusted profiles, sex (male, P < 0.01), mBP (P < 0.01) and FPG (P < 0.001) had a significantly correlation with PD at age 60, while an inverse correlation between LDL and the prevalence of PD was seen only in the 40‐year‐old group (P < 0.001). Conclusion This is the first study showing that mBP and LDL are factors that may determine the prevalence of PD. Lifestyle‐related factors could play an important role in the progression of PD. |
| Author | Hasegawa, Takashi Watase, Hirotoshi |
| Author_xml | – sequence: 1 givenname: Takashi surname: Hasegawa fullname: Hasegawa, Takashi email: takahasegawa-circ@umin.ac.jp organization: Public Health Division, Takenozuka Public Health Center, Tokyo, Japan – sequence: 2 givenname: Hirotoshi surname: Watase fullname: Watase, Hirotoshi organization: Public Health Division, Takenozuka Public Health Center, Tokyo, Japan |
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| References_xml | – volume: 20 start-page: 26 year: 1997 end-page: 31 article-title: Lifestyle changes may reverse development of the insulin resistance syndrome. The Oslo Diet and Exercise Study: a randomized trial publication-title: Diabetes Care – volume: 70 start-page: 63 year: 1999 end-page: 67 article-title: Prevalence of gingival overgrouth induced by calcium channel blockers: a community‐based study publication-title: J Periodontol – volume: 29 start-page: 796 year: 2002 end-page: 802 article-title: Assessment of periodontal conditions and systemic disease in older subjects. I. Focus on osteoporosis publication-title: J Clin Periodontol – volume: 21 start-page: 55 year: 1998 end-page: 64 article-title: Periodontal disease in elderly patients publication-title: Eur J Med Res – volume: 5 start-page: 155 year: 2003 end-page: 164 article-title: The role of angiotensin II in regulating vascular structural and functional changes in hypertension publication-title: Curr Hypertens Rep – volume: 5 start-page: 346 year: 1994 end-page: 57 article-title: Diseases of periodontal tissues in the elderly. Description, epidemiology, etiology and drug therapy publication-title: Drugs Aging – volume: 58 start-page: 37 year: 1999 end-page: 40 article-title: Arteriolar and capillary remodeling in hypertension publication-title: Drugs – volume: 28 start-page: 1095 year: 1979 end-page: 1101 article-title: Glucose intolerance and aging: evidence for tissue insensitivity to insulin publication-title: Diabetes – volume: 44 start-page: 31 year: 1996 end-page: 36 article-title: Declining cholesterol and mortality in a sample of older nursing home residents publication-title: J Am Geriatr Soc – volume: 17 start-page: 151 year: 1999 end-page: 183 article-title: 1999 World Health Organization‐International Society of Hypertension Guidelines for the Management of Hypertension publication-title: J Hypertens – volume: 16 start-page: 329 year: 1993 end-page: 334 article-title: Periodontal disease. 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| Snippet | Background: Periodontal disease (PD) is a lifestyle‐related disease. Risk factors include cigarette smoking and diabetes mellitus (DM). Diabetes mellitus,... Background: Periodontal disease (PD) is a lifestyle‐related disease. Risk factors include cigarette smoking and diabetes mellitus (DM). Diabetes mellitus,... Periodontal disease (PD) is a lifestyle-related disease. Risk factors include cigarette smoking and diabetes mellitus (DM). Diabetes mellitus, obesity,... |
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| SubjectTerms | ageing diabetes mellitus hypertension multiple risk factors periodontal disease |
| Title | Multiple risk factors of periodontal disease: a study of 9260 Japanese non-smokers |
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