Periodontitis and airflow limitation in older Swedish individuals.
ageing
airflow limitation
chronic obstructive pulmonary disease
periodontitis
Journal
Journal of clinical periodontology
ISSN: 1600-051X
Titre abrégé: J Clin Periodontol
Pays: United States
ID NLM: 0425123
Informations de publication
Date de publication:
06 2020
06 2020
Historique:
received:
10
12
2019
revised:
05
03
2020
accepted:
24
03
2020
pubmed:
5
4
2020
medline:
29
1
2021
entrez:
5
4
2020
Statut:
ppublish
Résumé
To investigate whether there was an association between periodontitis and airflow limitation in older Swedish individuals. Study individuals were randomly selected from the Swedish civil registration database representing the ageing population in Karlskrona, Sweden. Clinical and radiographic examinations were performed, alongside which participants completed questionnaires gathering information on their medical history, social circumstances, demographic background and tobacco use. A physical examination assessed anthropometric measures. Standard spirometry was performed to identify subjects with airflow limitation. Periodontitis was defined based on radiographic periodontal bone loss. Analysis included multiple logistic regression with adjustment for various confounders. A total of 826 Caucasian dentate subjects were included in the analysis. The median age of participants was 73.2 (IQR 66-81) years, and 443 (54.6%) subjects were female. Eighty-six (10.4%) individuals presented with airflow limitation. The proportion of participants presenting with periodontitis in the airflow limitation group was 65.1% compared to 41.5% with normal respiratory function (p < .001). Multiple logistic regression analysis showed that periodontitis was independently associated with airflow limitation with an odds ratio of 2.31 (95% CI 1.27-4.22) p < .01. In this group of older dentate individuals, periodontitis was significantly associated with airflow limitation independent of other known risk factors.
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
715-725Informations de copyright
© 2020 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Références
Azarpazhooh, A., & Leake, J. L. (2006). Systematic review of the association between respiratory diseases and oral health. Journal of Periodontology, 77, 1465-1482. https://doi.org/10.1902/jop.2006.060010
Bansal, M., Khatri, M., & Taneja, V. (2013). Potential role of periodontal infection in respiratory diseases - A review. Journal of Medicine and Life, 6, 244-248.
Barros, S. P., Suruki, R., Loewy, Z. G., Beck, J. D., & Offenbacher, S. (2013). A cohort study of the impact of tooth loss and periodontal disease on respiratory events among COPD subjects: Modulatory role of systemic biomarkers of inflammation. PLoS ONE, 8, e68592. https://doi.org/10.1371/journal.pone.0068592
Behrendt, C. E. (2005). Mild and moderate-to-severe COPD in nonsmokers - Distinct demographic profiles. Chest, 128, 1239-1244. https://doi.org/10.1378/chest.128.3.1239
Bellou, V., Belbasis, L., Konstantinidis, A. K., & Evangelou, E. (2019). Elucidating the risk factors for chronic obstructive pulmonary disease: An umbrella review of meta-analyses. International Journal of Tuberculosis and Lung Disease, 23, 58-66. https://doi.org/10.5588/ijtld.18.0228
Bergstrom, J., Cederlund, K., Dahlen, B., Lantz, A. S., Skedinger, M., Palmberg, L., … Larsson, K. (2013). Dental health in smokers with and without COPD. PLoS ONE, 8, e59492. https://doi.org/10.1371/journal.pone.0059492
Cardoso, E. M., Reis, C., & Manzanares-Cespedes, M. C. (2018). Chronic periodontitis, inflammatory cytokines, and interrelationship with other chronic diseases. Postgraduate Medicine, 130, 98-104. https://doi.org/10.1080/00325481.2018.1396876
Carlos, J. P., Brunelle, J. A., & Wolfe, M. D. (1987). Attachment loss vs. pocket depth as indicators of periodontal disease: A methodologic note. Journal of Periodontal Research, 22, 524-525.
Chung, J. H., Hwang, H. J., Kim, S. H., & Kim, T. H. (2016). Associations between periodontitis and chronic obstructive pulmonary disease: The 2010 to 2012 Korean National Health and Nutrition Examination Survey. Journal of Periodontology, 87, 864-871. https://doi.org/10.1902/jop.2016.150682
Delgado-Angulo, E. K., Bernabe, E., & Marcenes, W. (2016). Ethnic inequalities in periodontal disease among British adults. Journal of Clinical Periodontology, 43, 926-933. https://doi.org/10.1111/jcpe.12605
Garcia, R. I., Nunn, M. E., & Vokonas, P. S. (2001). Epidemiologic associations between periodontal disease and chronic obstructive pulmonary disease. Annals of Periodontology, 6, 71-77. https://doi.org/10.1902/annals.2001.6.1.71
Hayes, C., Sparrow, D., Cohen, M., Vokonas, P. S., & Garcia, R. I. (1998). The association between alveolar bone loss and pulmonary function: The VA Dental Longitudinal Study. Annals of Periodontology, 3, 257-261. https://doi.org/10.1902/annals.1998.3.1.257
Hobbins, S., Chapple, I. L. C., Sapey, E., & Stockley, R. A. (2017). Is periodontitis a comorbidity of COPD or can associations be explained by shared risk factors/behaviors? International Journal of Chronic Obstructive Pulmonary Disease, 12, 1339-1349. https://doi.org/10.2147/COPD.S127802
Hogg, J. C. (2004). Pathophysiology of airflow limitation in chronic obstructive pulmonary disease. The Lancet, 364, 709-721. https://doi.org/10.1016/s0140-6736(04)16900-6
Holtfreter, B., Albandar, J. M., Dietrich, T., Dye, B. A., Eaton, K. A., Eke, P. I., … Kocher, T. (2015). Standards for reporting chronic periodontitis prevalence and severity in epidemiologic studies: Proposed standards from the Joint EU/USA Periodontal Epidemiology Working Group. Journal of Clinical Periodontology, 42, 407-412. https://doi.org/10.1111/jcpe.12392
Holtfreter, B., Richter, S., Kocher, T., Dorr, M., Volzke, H., Ittermann, T., … Glaser, S. (2013). Periodontitis is related to lung volumes and airflow limitation: A cross-sectional study. European Respiratory Journal, 42, 1524-1535. https://doi.org/10.1183/09031936.00109112
Hooper, R., Burney, P., Vollmer, W. M., McBurnie, M. A., Gislason, T., Tan, W. C., … Buist, A. S. (2012). Risk factors for COPD spirometrically defined from the lower limit of normal in the BOLD project. European Respiratory Journal, 39, 1343-1353. https://doi.org/10.1183/09031936.00002711
Hyman, J. J., & Reid, B. C. (2004). Cigarette smoking, periodontal disease: And chronic obstructive pulmonary disease. Journal of Periodontology, 75, 9-15. https://doi.org/10.1902/jop.2004.75.1.9
Kucukcoskun, M., Baser, U., Oztekin, G., Kiyan, E., & Yalcin, F. (2013). Initial periodontal treatment for prevention of chronic obstructive pulmonary disease exacerbations. Journal of Periodontology, 84, 863-870. https://doi.org/10.1902/jop.2012.120399
Lang, N. P., & Hill, R. W. (1977). Radiographs in periodontics. Journal of Clinical Periodontology, 4, 16-28.
Leroy, R., Eaton, K. A., & Savage, A. (2010). Methodological issues in epidemiological studies of periodontitis-how can it be improved? BMC Oral Health, 10, 8. https://doi.org/10.1186/1472-6831-10-8
Leuckfeld, I., Obregon-Whittle, M. V., Lund, M. B., Geiran, O., Bjørtuft, Ø., & Olsen, I. (2008). Severe chronic obstructive pulmonary disease: Association with marginal bone loss in periodontitis. Respiratory Medicine, 102, 488-494. https://doi.org/10.1016/j.rmed.2007.12.001
Lopez-Campos, J. L., Tan, W., & Soriano, J. B. (2016). Global burden of COPD. Respirology, 21, 14-23. https://doi.org/10.1111/resp.12660
Mannino, D. M., & Buist, A. S. (2007). Global burden of COPD: Risk factors, prevalence, and future trends. The Lancet, 370, 765-773. https://doi.org/10.1016/s0140-6736(07)61380-4
Medbo, A., & Melbye, H. (2007). Lung function testing in the elderly-can we still use FEV1/FVC<70% as a criterion of COPD? Respiratory Medicine, 101, 1097-1105. https://doi.org/10.1016/j.rmed.2006.11.019
Offenbacher, S., Beck, J. D., Barros, S. P., Suruki, R. Y., & Loewy, Z. G. (2012). Obstructive airway disease and edentulism in the atherosclerosis risk in communities (ARIC) study. British Medical Journal Open, 2, e001615. https://doi.org/10.1136/bmjopen-2012-001615
Page, R. C., & Eke, P. I. (2007). Case definitions for use in population-based surveillance of periodontitis. Journal of Periodontology, 78(Suppl 7S), 1387-1399. https://doi.org/10.1902/jop.2007.060264
Papapanou, P. N., Sanz, M., Buduneli, N., Dietrich, T., Feres, M., Fine, D. H., … Tonetti, M. S. (2018). Periodontitis: Consensus report of workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. Journal of Clinical Periodontology, 45(Suppl 20), S162-s170. https://doi.org/10.1111/jcpe.12946
Pauwels, R. A., Buist, A. S., Calverley, P. M., Jenkins, C. R., & Hurd, S. S. (2001). Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease. NHLBI/WHO Global Initiative for Chronic Obstructive Lung Disease (GOLD) Workshop summary. American Journal of Respiratory and Critical Care Medicine, 163, 1256-1276. https://doi.org/10.1164/ajrccm.163.5.2101039
Pellegrino, R., Viegi, G., Brusasco, V., Crapo, R. O., Burgos, F., Casaburi, R., … Wanger, J. (2005). Interpretative strategies for lung function tests. European Respiratory Journal, 26, 948-968. https://doi.org/10.1183/09031936.05.00035205
Perez Barrionuevo, A. M., Gomez Real, F., Igland, J., Johannessen, A., Omenaas, E., Franklin, K. A., … Bertelsen, R. J. (2018). Periodontal health status and lung function in two Norwegian cohorts. PLoS ONE, 13, e0191410. https://doi.org/10.1371/journal.pone.0191410
Persson, R. E., Hollender, L. G., & Persson, G. R. (1998). Assessment of alveolar bone levels from intraoral radiographs in subjects between ages 15 and 94 years seeking dental care. Journal of Clinical Periodontology, 25, 647-654. https://doi.org/10.1111/j.1600-051X.1998.tb02501.x
Quanjer, P. H., Stanojevic, S., Cole, T. J., Baur, X., Hall, G. L., Culver, B. H., … Stocks, J. (2012). Multi-ethnic reference values for spirometry for the 3-95-yr age range: The global lung function 2012 equations. European Respiratory Journal, 40, 1324-1343. https://doi.org/10.1183/09031936.00080312
Rabe, K. F., Hurd, S., Anzueto, A., Barnes, P. J., Buist, S. A., Calverley, P., … Zielinski, J. (2007). Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: GOLD executive summary. American Journal of Respiratory and Critical Care Medicine, 176, 532-555. https://doi.org/10.1164/rccm.200703-456SO
Rabe, K. F., & Watz, H. (2017). Chronic obstructive pulmonary disease. The Lancet, 389, 1931-1940. https://doi.org/10.1016/S0140-6736(17)31222-9
Renvert, S., Wallin-Bengtsson, V., Berglund, J., & Persson, R. G. (2015). Periodontitis in older Swedish individuals fails to predict mortality. Clinical Oral Investigations, 19, 193-200. https://doi.org/10.1007/s00784-014-1214-5
Sapey, E., Bayley, D., Ahmad, A., Newbold, P., Snell, N., & Stockley, R. A. (2008). Inter-relationships between inflammatory markers in patients with stable COPD with bronchitis: Intra-patient and inter-patient variability. Thorax, 63, 493-499. https://doi.org/10.1136/thx.2007.086751
Savage, A., Eaton, K. A., Moles, D. R., & Needleman, I. (2009). A systematic review of definitions of periodontitis and methods that have been used to identify this disease. Journal of Clinical Periodontology, 36, 458-467. https://doi.org/10.1111/j.1600-051X.2009.01408.x
Scannapieco, F. A. (1999). Role of oral bacteria in respiratory infection. Journal of Periodontology, 70, 793-802. https://doi.org/10.1902/jop.1999.70.7.793
Scannapieco, F. A., Bush, R. B., & Paju, S. (2003). Associations between periodontal disease and risk for nosocomial bacterial pneumonia and chronic obstructive pulmonary disease. A systematic review. Annals of Periodontology, 8, 54-69. https://doi.org/10.1902/annals.2003.8.1.54
Scannapieco, F. A., & Ho, A. W. (2001). Potential associations between chronic respiratory disease and periodontal disease: Analysis of National Health and Nutrition Examination Survey III. Journal of Periodontology, 72, 50-56. https://doi.org/10.1902/jop.2001.72.1.50
Shen, T.-C., Chang, P.-Y., Lin, C.-L., Chen, C.-H., Tu, C.-Y., Hsia, T.-C., … Kao, C.-H. (2016). Periodontal treatment reduces risk of adverse respiratory events in patients with chronic obstructive pulmonary disease: A propensity-matched cohort study. Medicine, 95, e3735. https://doi.org/10.1097/MD.0000000000003735
Takeuchi, K., Matsumoto, K., Furuta, M., Fukuyama, S., Takeshita, T., Ogata, H., … Yamashita, Y. (2018). Periodontal status and lung function decline in the community: The Hisayama study. Scientific Reports, 8, 13354. https://doi.org/10.1038/s41598-018-31610-3
Takeuchi, K., Matsumoto, K., Furuta, M., Fukuyama, S., Takeshita, T., Ogata, H., … Yamashita, Y. (2019). Periodontitis Is associated with chronic obstructive pulmonary disease. Journal of Dental Research, 98, 534-540. https://doi.org/10.1177/0022034519833630
Thoden van Velzen, S. K., Abraham-Inpijn, L., & Moorer, W. R. (1984). Plaque and systemic disease: A reappraisal of the focal infection concept. Journal of Clinical Periodontology, 11, 209-220. https://doi.org/10.1111/j.1600-051x.1984.tb02211.x
Tonetti, M. S., Greenwell, H., & Kornman, K. S. (2018). Staging and grading of periodontitis: Framework and proposal of a new classification and case definition. Journal of Clinical Periodontology, 45, S149-S161. https://doi.org/10.1111/jcpe.12945
Usher, A. K., & Stockley, R. A. (2013). The link between chronic periodontitis and COPD: A common role for the neutrophil? Bmc Medicine, 11, 241. https://doi.org/10.1186/1741-7015-11-241
Winning, L., Patterson, C. C., Cullen, K. M., Kee, F., & Linden, G. J. (2019). Chronic periodontitis and reduced respiratory function. Journal of Clinical Periodontology, 46, 266-275. https://doi.org/10.1111/jcpe.13076
(1995). Standardization of spirometry, 1994 update. American Thoracic Society. American Journal of Respiratory and Critical Care Medicine, 152, 1107-1136. https://doi.org/10.1164/ajrccm.152.3.7663792
(2016a). Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990-2015: A systematic analysis for the Global Burden of Disease Study 2015. The Lancet, 388, 1545-1602. https://doi.org/10.1016/s0140-6736(16)31678-6
(2016b) Global, regional, and national life expectancy, all-cause mortality, and cause-specific mortality for 249 causes of death, 1980-2015: a systematic analysis for the Global Burden of Disease Study 2015. The Lancet, 388, 1459-1544. https://doi.org/10.1016/s0140-6736(16)31012-1
Zeng, X. T., Tu, M. L., Liu, D. Y., Zheng, D., Zhang, J., & Leng, W. (2012). Periodontal disease and risk of chronic obstructive pulmonary disease: A meta-analysis of observational studies. PLoS ONE, 7, e46508. https://doi.org/10.1371/journal.pone.0046508
Zhou, X., Han, J., Liu, Z., Song, Y., Wang, Z., & Sun, Z. (2014). Effects of periodontal treatment on lung function and exacerbation frequency in patients with chronic obstructive pulmonary disease and chronic periodontitis: A 2-year pilot randomized controlled trial. Journal of Clinical Periodontology, 41, 564-572. https://doi.org/10.1111/jcpe.12247
Zhou, X., Han, J., Song, Y., Zhang, J., & Wang, Z. (2012). Serum levels of 25-hydroxyvitamin D, oral health and chronic obstructive pulmonary disease. Journal of Clinical Periodontology, 39, 350-356. https://doi.org/10.1111/j.1600-051X.2012.01852.x