Edvin Ström , Tobias Rudholm Feldreich , Johan Ärnlöv , Carl Johan Östgren , Fredrik H Nystrom , Magnus O Wijkman
{"title":"2型糖尿病患者对牙齿不满意与心血管疾病风险增加有关","authors":"Edvin Ström , Tobias Rudholm Feldreich , Johan Ärnlöv , Carl Johan Östgren , Fredrik H Nystrom , Magnus O Wijkman","doi":"10.1016/j.deman.2022.100090","DOIUrl":null,"url":null,"abstract":"<div><h3>Background and aim</h3><p>Poor dental health status has been linked to increased risk of cardiovascular events in type 2 diabetes (T2D). Less is known about self-perceived dental health and cardiovascular risk. Our aim with this study was to investigate this association.</p></div><div><h3>Methods</h3><p>Recruitment of T2D patients took place between 2005 and 2008 in Swedish primary care. Teeth satisfaction was assessed by questionnaire at baseline. The major adverse cardiovascular events (MACE) in this study were hospitalization due to myocardial infarction, stroke or cardiovascular death. Cox regression models were used.</p></div><div><h3>Results</h3><p>Out of 761 participants 601 had complete data. Ninety-two MACEs occurred (median follow-up time: 11.6 years). Those satisfied with their teeth (<em>n</em> = 458) had 61 events (1.2 events per 100 person-years), while those dissatisfied with teeth (<em>n</em> = 143) had 31 events (2.2 events per 100 person-years). Dissatisfaction with teeth was associated with an increased risk of MACE independent of age, sex and levels of CRP (HR 1.85, 95% CI 1.20 – 2.86).</p></div><div><h3>Conclusions</h3><p>In patients with T2D, dissatisfaction with teeth was associated with increased risk of MACE and may be considered as a marker of risk.</p></div>","PeriodicalId":72796,"journal":{"name":"Diabetes epidemiology and management","volume":null,"pages":null},"PeriodicalIF":1.0000,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666970622000403/pdfft?md5=29e9378172ddd24679d945389d1bc2ae&pid=1-s2.0-S2666970622000403-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Dissatisfaction with teeth in type 2 diabetes is associated with increased risk of cardiovascular disease\",\"authors\":\"Edvin Ström , Tobias Rudholm Feldreich , Johan Ärnlöv , Carl Johan Östgren , Fredrik H Nystrom , Magnus O Wijkman\",\"doi\":\"10.1016/j.deman.2022.100090\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background and aim</h3><p>Poor dental health status has been linked to increased risk of cardiovascular events in type 2 diabetes (T2D). Less is known about self-perceived dental health and cardiovascular risk. Our aim with this study was to investigate this association.</p></div><div><h3>Methods</h3><p>Recruitment of T2D patients took place between 2005 and 2008 in Swedish primary care. Teeth satisfaction was assessed by questionnaire at baseline. The major adverse cardiovascular events (MACE) in this study were hospitalization due to myocardial infarction, stroke or cardiovascular death. Cox regression models were used.</p></div><div><h3>Results</h3><p>Out of 761 participants 601 had complete data. Ninety-two MACEs occurred (median follow-up time: 11.6 years). Those satisfied with their teeth (<em>n</em> = 458) had 61 events (1.2 events per 100 person-years), while those dissatisfied with teeth (<em>n</em> = 143) had 31 events (2.2 events per 100 person-years). Dissatisfaction with teeth was associated with an increased risk of MACE independent of age, sex and levels of CRP (HR 1.85, 95% CI 1.20 – 2.86).</p></div><div><h3>Conclusions</h3><p>In patients with T2D, dissatisfaction with teeth was associated with increased risk of MACE and may be considered as a marker of risk.</p></div>\",\"PeriodicalId\":72796,\"journal\":{\"name\":\"Diabetes epidemiology and management\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.0000,\"publicationDate\":\"2022-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S2666970622000403/pdfft?md5=29e9378172ddd24679d945389d1bc2ae&pid=1-s2.0-S2666970622000403-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Diabetes epidemiology and management\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2666970622000403\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"ENDOCRINOLOGY & METABOLISM\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Diabetes epidemiology and management","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2666970622000403","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"ENDOCRINOLOGY & METABOLISM","Score":null,"Total":0}
Dissatisfaction with teeth in type 2 diabetes is associated with increased risk of cardiovascular disease
Background and aim
Poor dental health status has been linked to increased risk of cardiovascular events in type 2 diabetes (T2D). Less is known about self-perceived dental health and cardiovascular risk. Our aim with this study was to investigate this association.
Methods
Recruitment of T2D patients took place between 2005 and 2008 in Swedish primary care. Teeth satisfaction was assessed by questionnaire at baseline. The major adverse cardiovascular events (MACE) in this study were hospitalization due to myocardial infarction, stroke or cardiovascular death. Cox regression models were used.
Results
Out of 761 participants 601 had complete data. Ninety-two MACEs occurred (median follow-up time: 11.6 years). Those satisfied with their teeth (n = 458) had 61 events (1.2 events per 100 person-years), while those dissatisfied with teeth (n = 143) had 31 events (2.2 events per 100 person-years). Dissatisfaction with teeth was associated with an increased risk of MACE independent of age, sex and levels of CRP (HR 1.85, 95% CI 1.20 – 2.86).
Conclusions
In patients with T2D, dissatisfaction with teeth was associated with increased risk of MACE and may be considered as a marker of risk.
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