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Updated: Jun 5, 2025

Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
在VA百万退伍军人计划中的口腔健康,炎症和心脏代谢因素
Y H Yu1,2, K M Pridgen3,4, T J Nelson3,5
1VA Bedford Healthcare System, Bedford, MA, USA.
心脏代谢疾病与退伍军人自我报告的口腔健康不佳 (OH) 和牙损失有关. 即使考虑到炎症,这些关联仍然存在,突出显示OH是心脏代谢健康的关键指标.
科学领域:
- 心血管医学 心血管医学
- 口腔健康 口腔健康
- 公共卫生 公共卫生
背景情况:
- 心脏代谢并发症和口腔健康 (OH) 的关联在大型生物库中没有得到充分研究.
- 这些联系可能由免疫反应和炎症介导,独立于牙科护理的准入.
研究的目的:
- 评估心脏代谢并发症与自我报告的OH,牙周炎和牙损失之间的关联.
- 在大型退伍军人队伍中调整免疫和炎症共变量.
主要方法:
- 利用了154,167名美国退伍军人事务部百万退伍军人计划 (MVP) 参与者的数据 (2011-2021年).
- 采用多变量逻辑回归,调整人口,社会经济,心血管和炎症因素 (例如细胞计数,C反应蛋白).
- 分析了自我报告的OH,ICD编码的牙周炎和牙损失.
主要成果:
- 在牙脱落和充血性心力衰竭 (OR 1.74) 和周围血管疾病 (OR 1.82) 之间发现了显著的关联.
- 充血性心力衰竭显示,自我报告OH下降的几率越来越高 (P<0.001为趋势).
- 在敏感性分析对炎症标志物进行调整后,关联仍然显著.
结论:
- 自我报告的低OH和牙损失与退伍军人的心脏代谢状况有显著联系.
- 这些关联在调整人口统计,生活方式和炎症混因素后仍然存在.
- 在大型生物库研究中,口腔健康状况是整体心脏代谢健康的关键指标.
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