Relationship between periodontal disease and cardiovascular risk factors among young and middle-aged Brazilians. Cross-sectional study

Detalhes bibliográficos
Autor(a) principal: Goulart,Alessandra Carvalho
Data de Publicação: 2017
Outros Autores: Armani,Favius, Arap,Astrid Marie, Nejm,Thais, Andrade,Juliana Barros, Bufarah,Henry Bittar, Dezen,Danielli Haddad Syllos
Tipo de documento: Artigo
Idioma: eng
Título da fonte: São Paulo medical journal (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802017000300226
Resumo: ABSTRACT CONTEXT AND OBJECTIVE: It has been suggested in the literature that periodontal disease (PD) is associated with cardiovascular risk. The objective of this study was to appraise the relationship between periodontal disease (gingivitis and periodontitis) and traditional cardiovascular risk factors (obesity, hypertension, dyslipidemia, diabetes and metabolic syndrome) among young and middle-aged adults attended at a health promotion and check-up center in the city of São Paulo, Brazil. DESIGN AND SETTING: Cross-sectional study at the Health Promotion and Check-up Center of Hospital Sírio-Libanês, São Paulo, Brazil. METHODS: We consecutively evaluated 539 subjects without prior cardiovascular disease who were seen within a health promotion program that included cardiovascular and dental evaluation between February and November 2012. Odds ratios (OR) with respective 95% confidence intervals (95% CI) for the association between PD and cardiovascular risk factors were ascertained through multinomial logistic regression. RESULTS: In this sample of mean age 45 years (standard deviation, SD ± 8.8), which was 82% male, we found PD in 63.2% (gingivitis 50.6% and periodontitis 12.6%). Individuals with PD were older, more obese (without PD 15.2%; versus gingivitis 22.1% and periodontitis 32.4%) and more diabetic (without PD 5.1%; versus gingivitis 4.8% and periodontitis 13.2%), compared with those without PD. Among all cardiovascular risk factors evaluated, obesity was associated with periodontitis (multivariate OR, 2.36; 95% CI, 1.23-4.52). However, after additional adjustment for oral hygiene, this finding was no longer significant (multivariate OR, 1.63; 95% CI, 0.79-3.37). CONCLUSIONS: We did not find any significant associations between cardiovascular risk factors and periodontal disease in this sample.
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spelling Relationship between periodontal disease and cardiovascular risk factors among young and middle-aged Brazilians. Cross-sectional studyObesityPeriodontitisPeriodontal diseasesCross-sectional studiesRisk factorsABSTRACT CONTEXT AND OBJECTIVE: It has been suggested in the literature that periodontal disease (PD) is associated with cardiovascular risk. The objective of this study was to appraise the relationship between periodontal disease (gingivitis and periodontitis) and traditional cardiovascular risk factors (obesity, hypertension, dyslipidemia, diabetes and metabolic syndrome) among young and middle-aged adults attended at a health promotion and check-up center in the city of São Paulo, Brazil. DESIGN AND SETTING: Cross-sectional study at the Health Promotion and Check-up Center of Hospital Sírio-Libanês, São Paulo, Brazil. METHODS: We consecutively evaluated 539 subjects without prior cardiovascular disease who were seen within a health promotion program that included cardiovascular and dental evaluation between February and November 2012. Odds ratios (OR) with respective 95% confidence intervals (95% CI) for the association between PD and cardiovascular risk factors were ascertained through multinomial logistic regression. RESULTS: In this sample of mean age 45 years (standard deviation, SD ± 8.8), which was 82% male, we found PD in 63.2% (gingivitis 50.6% and periodontitis 12.6%). Individuals with PD were older, more obese (without PD 15.2%; versus gingivitis 22.1% and periodontitis 32.4%) and more diabetic (without PD 5.1%; versus gingivitis 4.8% and periodontitis 13.2%), compared with those without PD. Among all cardiovascular risk factors evaluated, obesity was associated with periodontitis (multivariate OR, 2.36; 95% CI, 1.23-4.52). However, after additional adjustment for oral hygiene, this finding was no longer significant (multivariate OR, 1.63; 95% CI, 0.79-3.37). CONCLUSIONS: We did not find any significant associations between cardiovascular risk factors and periodontal disease in this sample.Associação Paulista de Medicina - APM2017-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802017000300226Sao Paulo Medical Journal v.135 n.3 2017reponame:São Paulo medical journal (Online)instname:Associação Paulista de Medicinainstacron:APM10.1590/1516-3180.2016.0357300117info:eu-repo/semantics/openAccessGoulart,Alessandra CarvalhoArmani,FaviusArap,Astrid MarieNejm,ThaisAndrade,Juliana BarrosBufarah,Henry BittarDezen,Danielli Haddad Sylloseng2017-07-20T00:00:00Zoai:scielo:S1516-31802017000300226Revistahttp://www.scielo.br/spmjhttps://old.scielo.br/oai/scielo-oai.phprevistas@apm.org.br1806-94601516-3180opendoar:2017-07-20T00:00São Paulo medical journal (Online) - Associação Paulista de Medicinafalse
dc.title.none.fl_str_mv Relationship between periodontal disease and cardiovascular risk factors among young and middle-aged Brazilians. Cross-sectional study
title Relationship between periodontal disease and cardiovascular risk factors among young and middle-aged Brazilians. Cross-sectional study
spellingShingle Relationship between periodontal disease and cardiovascular risk factors among young and middle-aged Brazilians. Cross-sectional study
Goulart,Alessandra Carvalho
Obesity
Periodontitis
Periodontal diseases
Cross-sectional studies
Risk factors
title_short Relationship between periodontal disease and cardiovascular risk factors among young and middle-aged Brazilians. Cross-sectional study
title_full Relationship between periodontal disease and cardiovascular risk factors among young and middle-aged Brazilians. Cross-sectional study
title_fullStr Relationship between periodontal disease and cardiovascular risk factors among young and middle-aged Brazilians. Cross-sectional study
title_full_unstemmed Relationship between periodontal disease and cardiovascular risk factors among young and middle-aged Brazilians. Cross-sectional study
title_sort Relationship between periodontal disease and cardiovascular risk factors among young and middle-aged Brazilians. Cross-sectional study
author Goulart,Alessandra Carvalho
author_facet Goulart,Alessandra Carvalho
Armani,Favius
Arap,Astrid Marie
Nejm,Thais
Andrade,Juliana Barros
Bufarah,Henry Bittar
Dezen,Danielli Haddad Syllos
author_role author
author2 Armani,Favius
Arap,Astrid Marie
Nejm,Thais
Andrade,Juliana Barros
Bufarah,Henry Bittar
Dezen,Danielli Haddad Syllos
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Goulart,Alessandra Carvalho
Armani,Favius
Arap,Astrid Marie
Nejm,Thais
Andrade,Juliana Barros
Bufarah,Henry Bittar
Dezen,Danielli Haddad Syllos
dc.subject.por.fl_str_mv Obesity
Periodontitis
Periodontal diseases
Cross-sectional studies
Risk factors
topic Obesity
Periodontitis
Periodontal diseases
Cross-sectional studies
Risk factors
description ABSTRACT CONTEXT AND OBJECTIVE: It has been suggested in the literature that periodontal disease (PD) is associated with cardiovascular risk. The objective of this study was to appraise the relationship between periodontal disease (gingivitis and periodontitis) and traditional cardiovascular risk factors (obesity, hypertension, dyslipidemia, diabetes and metabolic syndrome) among young and middle-aged adults attended at a health promotion and check-up center in the city of São Paulo, Brazil. DESIGN AND SETTING: Cross-sectional study at the Health Promotion and Check-up Center of Hospital Sírio-Libanês, São Paulo, Brazil. METHODS: We consecutively evaluated 539 subjects without prior cardiovascular disease who were seen within a health promotion program that included cardiovascular and dental evaluation between February and November 2012. Odds ratios (OR) with respective 95% confidence intervals (95% CI) for the association between PD and cardiovascular risk factors were ascertained through multinomial logistic regression. RESULTS: In this sample of mean age 45 years (standard deviation, SD ± 8.8), which was 82% male, we found PD in 63.2% (gingivitis 50.6% and periodontitis 12.6%). Individuals with PD were older, more obese (without PD 15.2%; versus gingivitis 22.1% and periodontitis 32.4%) and more diabetic (without PD 5.1%; versus gingivitis 4.8% and periodontitis 13.2%), compared with those without PD. Among all cardiovascular risk factors evaluated, obesity was associated with periodontitis (multivariate OR, 2.36; 95% CI, 1.23-4.52). However, after additional adjustment for oral hygiene, this finding was no longer significant (multivariate OR, 1.63; 95% CI, 0.79-3.37). CONCLUSIONS: We did not find any significant associations between cardiovascular risk factors and periodontal disease in this sample.
publishDate 2017
dc.date.none.fl_str_mv 2017-06-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802017000300226
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802017000300226
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/1516-3180.2016.0357300117
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Associação Paulista de Medicina - APM
publisher.none.fl_str_mv Associação Paulista de Medicina - APM
dc.source.none.fl_str_mv Sao Paulo Medical Journal v.135 n.3 2017
reponame:São Paulo medical journal (Online)
instname:Associação Paulista de Medicina
instacron:APM
instname_str Associação Paulista de Medicina
instacron_str APM
institution APM
reponame_str São Paulo medical journal (Online)
collection São Paulo medical journal (Online)
repository.name.fl_str_mv São Paulo medical journal (Online) - Associação Paulista de Medicina
repository.mail.fl_str_mv revistas@apm.org.br
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