Association between the number of teeth and hypertension in a study based on 13,561 participants

Shin, Hye-Sun

doi:10.1002/jper.17-0413

Cited by 37 publications

(53 citation statements)

References 43 publications

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“…In addition, although tooth loss is a component of the path to complete edentulism, complete edentulism as a construct that may have characteristics and associated factors distinct from general tooth loss. In cross-sectional studies, edentulism has been found to be associated with increased SBP, 6,7 DBP, 7 and prevalent hypertension. 7,14 Edentulism has additionally been found to be associated with coronary heart disease, 11 stroke, 12 and allcause mortality 13 in other cohort studies, and recently with all-cause and CVD mortality risks within the WHI-OS using the same assessment of edentulism as here.…”

Section: Discussionmentioning

confidence: 98%

“…In cross-sectional studies, edentulism has been found to be associated with increased SBP, 6,7 DBP, 7 and prevalent hypertension. 7,14 Edentulism has additionally been found to be associated with coronary heart disease, 11 stroke, 12 and allcause mortality 13 in other cohort studies, and recently with all-cause and CVD mortality risks within the WHI-OS using the same assessment of edentulism as here. 23 Numerous studies have reported significant positive associations between periodontal disease based on selfreport or clinically measured periodontal disease status and hypertension using either cross-sectional or case-control designs.…”

Section: Discussionmentioning

confidence: 98%

“…found to be associated with coronary heart disease, 11 stroke, 12 and all-cause mortality. 13 In cross-sectional epidemiologic studies, edentulism was associated with elevated systolic blood pressure (SBP), 6,7 diastolic blood pressure (DBP), 7 and prevalent hypertension. 7,14 Risk of hypertension associated with edentulism could be related to life-course health factors that either lead to or were associated with edentulism, including past history of periodontal disease.…”

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confidence: 99%

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Association of Periodontal Disease and Edentulism With Hypertension Risk in Postmenopausal Women

Gordon

LaMonte

Zhao

et al. 2018

American Journal of Hypertension

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Several cross-sectional epidemiologic studies have suggested that periodontal disease and/or tooth loss are positively associated with blood pressure levels and hypertension. 1-7 However, because of their design, these studies cannot account for the potential for reverse causality. Moreover, prospective studies evaluating risk of hypertension associated with baseline periodontal disease and missing teeth are few and have conflicting results. 8-10 Despite the high prevalence of hypertension and periodontal disease among postmenopausal women, few prospective studies on periodontal disease and hypertension have focused on this group. Complete edentulism, the loss of all teeth, is the terminal stage of periodontal disease and may represent another condition predisposing for hypertension. Edentulism has been

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 98%

mentioning

confidence: 99%

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Association of Periodontal Disease and Edentulism With Hypertension Risk in Postmenopausal Women

Gordon

LaMonte

Zhao

et al. 2018

American Journal of Hypertension

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“…The oral examination was performed by dentists and other medical professionals. Details of the survey design methods and methodological explanations are summarized in several reports …”

Section: Methodsmentioning

confidence: 99%

Association between periodontal status and non‐alcoholic fatty liver disease in a Korean adult population: A nationwide cross‐sectional study

Shin

2019

Journal of Periodontology

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Background:The objective of this study was to investigate the association between periodontal status and non-alcoholic fatty liver disease (NAFLD) indicators in a representative Korean population. Methods:A cross-sectional study was conducted on 4061 participants >19 years of age using the 2010 Korea National Health and Nutrition Examination Survey data. Periodontal status was assessed by trained dentists using the community periodontal index. To identify the presence of NAFLD, biochemical data were defined using two validated indicators: the fatty liver index (FLI) and the hepatic steatosis index (HSI). The associations of the presence of periodontal pockets with FLI and HSI were evaluated by multivariable logistic regression analysis after adjusting for age, income, education level, smoking status, alcohol consumption, physical activity, diabetes mellitus, obesity, hypertension, and hypercholesterolemia. Results:The adjusted means in the FLI indicator increased in the presence of periodontal pockets, whereas there was no significant difference in the HSI (P = 0.005 for FLI; P = 0.142 for HSI). Periodontal pockets were consistently associated with the two NAFLD indicators in the sequential logistic models for women throughout the adjustment process. (OR = 1.77, 95% CI = 1.05 to 2.98 for FLI, OR = 1.64, 95% CI = 1.08 to 2.51 for HSI). Conclusions:Our findings showed that the presence of periodontal pockets may be independently associated with NAFLD indicators. Further study will be clarified by well-designed longitudinal studies. K E Y W O R D Sepidemiologic study, KNHANES, non-alcoholic fatty liver disease, periodontal pockets 524

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“…Previous cross-sectional studies suggest a significant association between hypertension and tooth loss in postmenopausal women. 27,28 Alcohol consumption among women was associated with a higher number of teeth present compared with abstainers in the Copenhagen Oral Health Senior Study. 29 However, no such association was found in the study of Ishikawa et al in Japan.…”

Section: Limitationsmentioning

confidence: 99%

Parity and Number of Teeth in Japanese Women: Results from the Japan Nurses' Health Study

Taguchi

Nagai

Ideno

et al. 2020

Women's Health Reports

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Background: Parity is thought to be associated with a decreased number of teeth present in women. However, educational level and social status, which are particularly significant risk factors for loss of teeth, have been heterogeneous in previous observations. This cross-sectional survey aimed to clarify the associations of parity with the risk of having <20 teeth in Japanese female nurses participating in the Japan Nurses' Health Study (JNHS). Methods: In the third follow-up questionnaire of the JNHS, 11,299 women aged 27-82 years participated in this study. The number of participants according to age range was 7,225 (63.9%) aged <50 years and 4,074 (36.1%) aged ‡50 years. Information on parity and risk factors for loss of teeth was collected through a baseline questionnaire and then a follow-up questionnaire. Multivariate logistic regression analysis was used to calculate the adjusted odds ratio (OR) and 95% confidence interval (CI) of having <20 teeth according to parity category. Results: Participants ‡50 years who had experienced three or more deliveries had a significantly higher risk of having <20 teeth than those who had not experienced delivery (OR = 1.59, 95% CI = 1.14-2.20), although this finding was not observed in participants <50 years. In addition to parity, age and current smoking may be independent risk factors for having <20 teeth in Japanese nurses. Conclusions: Higher-parity female nurses ‡50 years may be more likely to lose teeth than those who have not experienced delivery.

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Association between the number of teeth and hypertension in a study based on 13,561 participants

Abstract: Findings suggest that a decrease in the number of teeth may be independently associated with hypertension in the Korean population.

Cited by 37 publications

References 43 publications

Association of Periodontal Disease and Edentulism With Hypertension Risk in Postmenopausal Women

Association of Periodontal Disease and Edentulism With Hypertension Risk in Postmenopausal Women

Association between periodontal status and non‐alcoholic fatty liver disease in a Korean adult population: A nationwide cross‐sectional study

Parity and Number of Teeth in Japanese Women: Results from the Japan Nurses' Health Study

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