Tooth loss and cardiovascular disease mortality risk--results from the Scottish Health Survey.

<h4>Background</h4>Tooth loss is associated with increased cardiovascular disease (CVD) mortality risk. This association may however be due to residual confounding. We aimed to assess whether tooth loss is associated with specific CVD mortality endpoints in a national population sample a...

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Autores principales:	Richard G Watt, Georgios Tsakos, Cesar de Oliveira, Mark Hamer
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2012
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/c11b708b4cb14314a26112570e2b416d
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spelling	oai:doaj.org-article:c11b708b4cb14314a26112570e2b416d2021-11-18T07:27:35ZTooth loss and cardiovascular disease mortality risk--results from the Scottish Health Survey.1932-620310.1371/journal.pone.0030797https://doaj.org/article/c11b708b4cb14314a26112570e2b416d2012-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/22363491/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Tooth loss is associated with increased cardiovascular disease (CVD) mortality risk. This association may however be due to residual confounding. We aimed to assess whether tooth loss is associated with specific CVD mortality endpoints in a national population sample adjusting for potential confounders.<h4>Methods and results</h4>We used a prospective cohort design and data from the Scottish Health Survey. We combined data from surveys in 1995, 1998, 2003 and linked this to mortality records. Dental status was classified through self-reports as natural teeth only, natural teeth and dentures, and no natural teeth (edentate). Cox proportional hazards models were used to estimate risk of CVD mortality by dental status adjusting for potential confounders. The sample consisted of 12871 participants. They were followed for 8.0 (SD: 3.3) years. During 103173 person-years, there were 1480 cases of all-cause mortality, 498 of CVD, and 515 of cancer. After adjusting for demographic, socio-economic, behavioural and health status, edentate subjects had significantly higher risk of all-cause (HR, 1.30; 95% CI, 1.12,1.50) and CVD mortality (HR, 1.49; 95% CI, 1.16,1.92) compared to subjects with natural teeth only. Dental status was not significantly associated with cancer mortality in fully adjusted analysis. Further analysis for CVD mortality showed that in the fully adjusted model, edentate subjects had 2.97 (95% CI, 1.46, 6.05) times higher risk for stroke-related mortality.<h4>Conclusions</h4>In a national population sample of Scottish adults, being edentate was an independent predictor of total CVD mortality, although this was mainly driven by fatal stroke events.Richard G WattGeorgios TsakosCesar de OliveiraMark HamerPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 7, Iss 2, p e30797 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Richard G Watt Georgios Tsakos Cesar de Oliveira Mark Hamer Tooth loss and cardiovascular disease mortality risk--results from the Scottish Health Survey.
description	<h4>Background</h4>Tooth loss is associated with increased cardiovascular disease (CVD) mortality risk. This association may however be due to residual confounding. We aimed to assess whether tooth loss is associated with specific CVD mortality endpoints in a national population sample adjusting for potential confounders.<h4>Methods and results</h4>We used a prospective cohort design and data from the Scottish Health Survey. We combined data from surveys in 1995, 1998, 2003 and linked this to mortality records. Dental status was classified through self-reports as natural teeth only, natural teeth and dentures, and no natural teeth (edentate). Cox proportional hazards models were used to estimate risk of CVD mortality by dental status adjusting for potential confounders. The sample consisted of 12871 participants. They were followed for 8.0 (SD: 3.3) years. During 103173 person-years, there were 1480 cases of all-cause mortality, 498 of CVD, and 515 of cancer. After adjusting for demographic, socio-economic, behavioural and health status, edentate subjects had significantly higher risk of all-cause (HR, 1.30; 95% CI, 1.12,1.50) and CVD mortality (HR, 1.49; 95% CI, 1.16,1.92) compared to subjects with natural teeth only. Dental status was not significantly associated with cancer mortality in fully adjusted analysis. Further analysis for CVD mortality showed that in the fully adjusted model, edentate subjects had 2.97 (95% CI, 1.46, 6.05) times higher risk for stroke-related mortality.<h4>Conclusions</h4>In a national population sample of Scottish adults, being edentate was an independent predictor of total CVD mortality, although this was mainly driven by fatal stroke events.
format	article
author	Richard G Watt Georgios Tsakos Cesar de Oliveira Mark Hamer
author_facet	Richard G Watt Georgios Tsakos Cesar de Oliveira Mark Hamer
author_sort	Richard G Watt
title	Tooth loss and cardiovascular disease mortality risk--results from the Scottish Health Survey.
title_short	Tooth loss and cardiovascular disease mortality risk--results from the Scottish Health Survey.
title_full	Tooth loss and cardiovascular disease mortality risk--results from the Scottish Health Survey.
title_fullStr	Tooth loss and cardiovascular disease mortality risk--results from the Scottish Health Survey.
title_full_unstemmed	Tooth loss and cardiovascular disease mortality risk--results from the Scottish Health Survey.
title_sort	tooth loss and cardiovascular disease mortality risk--results from the scottish health survey.
publisher	Public Library of Science (PLoS)
publishDate	2012
url	https://doaj.org/article/c11b708b4cb14314a26112570e2b416d
work_keys_str_mv	AT richardgwatt toothlossandcardiovasculardiseasemortalityriskresultsfromthescottishhealthsurvey AT georgiostsakos toothlossandcardiovasculardiseasemortalityriskresultsfromthescottishhealthsurvey AT cesardeoliveira toothlossandcardiovasculardiseasemortalityriskresultsfromthescottishhealthsurvey AT markhamer toothlossandcardiovasculardiseasemortalityriskresultsfromthescottishhealthsurvey
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Tooth loss and cardiovascular disease mortality risk--results from the Scottish Health Survey.

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