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 patien...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-10-01
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| Series: | Diabetes Epidemiology and Management |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666970622000403 |
| _version_ | 1811249588275773440 |
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| author | Edvin Ström Tobias Rudholm Feldreich Johan Ärnlöv Carl Johan Östgren Fredrik H Nystrom Magnus O Wijkman |
| author_facet | Edvin Ström Tobias Rudholm Feldreich Johan Ärnlöv Carl Johan Östgren Fredrik H Nystrom Magnus O Wijkman |
| author_sort | Edvin Ström |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-12T15:49:10Z |
| format | Article |
| id | doaj.art-edcd7e3a6090437f967e62887829fcb1 |
| institution | Directory Open Access Journal |
| issn | 2666-9706 |
| language | English |
| last_indexed | 2024-04-12T15:49:10Z |
| publishDate | 2022-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Diabetes Epidemiology and Management |
| spelling | doaj.art-edcd7e3a6090437f967e62887829fcb12022-12-22T03:26:34ZengElsevierDiabetes Epidemiology and Management2666-97062022-10-018100090Dissatisfaction with teeth in type 2 diabetes is associated with increased risk of cardiovascular diseaseEdvin Ström0Tobias Rudholm Feldreich1Johan Ärnlöv2Carl Johan Östgren3Fredrik H Nystrom4Magnus O Wijkman5Department of Health, Medicine and Caring Sciences, Linköping University; Corresponding author at: Linköpings Universitet, Institutionen för hälsa, medicin och vård, 581 83 Linköping.Department of Sport, Fitness, and Medicine, School of Health and Social Sciences, Dalarna University, Sweden; Center for Clinical Research Dalarna, Uppsala University, Region Dalarna, Falun, SwedenDepartment of Health and Social Studies, Dalarna University, Falun, Sweden; Center for Clinical Research Dalarna, Uppsala University, Region Dalarna, Falun, Sweden; Department of Neurobiology, Care Sciences and Society (NVS), Family Medicine and Primary Care Unit, Karolinska Institutet, Huddinge, SwedenDepartment of Health, Medicine and Caring Sciences, Linköping UniversityDepartment of Health, Medicine and Caring Sciences, Linköping UniversityDepartment of Internal Medicine and Department of Health, Medicine and Caring Sciences, Linköping University, Norrköping, SwedenBackground 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.http://www.sciencedirect.com/science/article/pii/S2666970622000403Epidemiologytype 2 diabetesself-reported dental health |
| spellingShingle | Edvin Ström Tobias Rudholm Feldreich Johan Ärnlöv Carl Johan Östgren Fredrik H Nystrom Magnus O Wijkman Dissatisfaction with teeth in type 2 diabetes is associated with increased risk of cardiovascular disease Diabetes Epidemiology and Management Epidemiology type 2 diabetes self-reported dental health |
| title | Dissatisfaction with teeth in type 2 diabetes is associated with increased risk of cardiovascular disease |
| title_full | Dissatisfaction with teeth in type 2 diabetes is associated with increased risk of cardiovascular disease |
| title_fullStr | Dissatisfaction with teeth in type 2 diabetes is associated with increased risk of cardiovascular disease |
| title_full_unstemmed | Dissatisfaction with teeth in type 2 diabetes is associated with increased risk of cardiovascular disease |
| title_short | Dissatisfaction with teeth in type 2 diabetes is associated with increased risk of cardiovascular disease |
| title_sort | dissatisfaction with teeth in type 2 diabetes is associated with increased risk of cardiovascular disease |
| topic | Epidemiology type 2 diabetes self-reported dental health |
| url | http://www.sciencedirect.com/science/article/pii/S2666970622000403 |
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