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The role of periodontal disease as a...

Wu, Tiejian.

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The role of periodontal disease as a risk factor for cardiovascular disease: Prospective and cross-sectional analyses of data from national health and nutrition examination surveys.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	The role of periodontal disease as a risk factor for cardiovascular disease: Prospective and cross-sectional analyses of data from national health and nutrition examination surveys./
作者:	Wu, Tiejian.
面頁冊數:	296 p.
附註:	Source: Dissertation Abstracts International, Volume: 60-05, Section: B, page: 2092.
Contained By:	Dissertation Abstracts International60-05B.
標題:	Health Sciences, Public Health. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=9931531
ISBN:	0599313587

The role of periodontal disease as a risk factor for cardiovascular disease: Prospective and cross-sectional analyses of data from national health and nutrition examination surveys.
Wu, Tiejian.

The role of periodontal disease as a risk factor for cardiovascular disease: Prospective and cross-sectional analyses of data from national health and nutrition examination surveys. - 296 p.

Source: Dissertation Abstracts International, Volume: 60-05, Section: B, page: 2092.

Thesis (Ph.D.)--State University of New York at Buffalo, 1999.

The study purpose was to investigate the association between periodontal status and cardiovascular disease (CVD) by prospective and cross-sectional analyses of national data.

ISBN: 0599313587Subjects--Topical Terms:

1017659
Health Sciences, Public Health.

The role of periodontal disease as a risk factor for cardiovascular disease: Prospective and cross-sectional analyses of data from national health and nutrition examination surveys.
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245 1 4 $a The role of periodontal disease as a risk factor for cardiovascular disease: Prospective and cross-sectional analyses of data from national health and nutrition examination surveys.
300 $a 296 p.
500 $a Source: Dissertation Abstracts International, Volume: 60-05, Section: B, page: 2092.
500 $a Adviser: Maurizio Trevisan.
502 $a Thesis (Ph.D.)--State University of New York at Buffalo, 1999.
520 $a The study purpose was to investigate the association between periodontal status and cardiovascular disease (CVD) by prospective and cross-sectional analyses of national data.
520 $a The prospective analysis used data from the First National Health and Nutrition Examination Survey (NHANES I) and Epidemiological Follow-up Study. 9,962 people free from myocardial infarction, stroke, heart failure and cancer at baseline were followed for an average of 21 years. Baseline periodontal status was categorized into (1) no periodontal disease, (2) gingivitis, (3) periodontitis, and (4) edentulousness. Non-fatal events were ascertained by hospital records and fatal events by death certificates. Life table analyses and Cox regressions were performed.
520 $a The cross-sectional analysis used data from NHANES III. Periodontal assessments included gingival bleeding, calculus, pocket depth, and attachment loss. Dependent variables were total and HDL cholesterol, C-reactive protein, and fibrinogen. The study sample sizes were 10,146 for cholesterol and C-reactive protein, and 4,461 for fibrinogen. Analysis of covariance and multiple linear regression were performed.
520 $a The prospective analysis found that periodontitis was associated with increased risks for incident CVD, coronary heart disease (CHD), and stroke. The association was consistent for men and women, and for Non-blacks and Blacks, while the association with CHD in women and in Blacks did not reach significance. On average, compared to those with no periodontal disease, people with periodontitis appeared to have a 25% increase in incident CVD risk, a 20% increase in incident CHD risk, and a 66% increase in incident stroke risk. The relation between periodontal disease and the fatal events was similar to that found for the incident events. Overall, periodontal disease might account in the population for 6% of CVD incidence, 13% of stroke incidence, 5% of CVD mortality, and 21% of stroke mortality.
520 $a The cross-sectional analysis found a significant relation between periodontal status and increased C-reactive protein and fibrinogen. The association with total cholesterol was weaker. The relationships with these CVD risk factors were generally consistent for Whites, Non-Hispanic Blacks, and Mexican Americans. These relationships with CVD risk factors may explain, at least in part, the association between periodontal disease and increased CVD risks observed in the prospective analysis.
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650 4 $a Health Sciences, Dentistry. $3 1019378
650 4 $a Health Sciences, Medicine and Surgery. $3 1017756
650 4 $a Health Sciences, Nutrition. $3 1017801
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710 2 0 $a State University of New York at Buffalo. $3 1017814
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