A1 Vertaisarvioitu alkuperäisartikkeli tieteellisessä lehdessä
Childhood Oral Infections Associate with Adulthood Metabolic Syndrome: A Longitudinal Cohort Study
Tekijät: P.J. Pussinen, S. Paju, J. Viikari, A. Salminen, L. Taittonen, T. Laitinen, D. Burgner, M. Kähönen, T. Lehtimäki, N. Hutri-Kähönen, O. Raitakari, M. Juonala
Kustantaja: SAGE PUBLICATIONS INC
Julkaisuvuosi: 2020
Journal: Journal of Dental Research
Tietokannassa oleva lehden nimi: JOURNAL OF DENTAL RESEARCH
Lehden akronyymi: J DENT RES
Artikkelin numero: UNSP 0022034520929271
Vuosikerta: 99
Numero: 10
Aloitussivu: 1165
Lopetussivu: 1173
Sivujen määrä: 9
ISSN: 0022-0345
eISSN: 1544-0591
DOI: https://doi.org/10.1177/0022034520929271
Rinnakkaistallenteen osoite: https://research.utu.fi/converis/portal/detail/Publication/48658949
Chronic oral infection/inflammation is cross-sectionally associated with metabolic syndrome (MetS) in adults, but there are few longitudinal studies and studies on childhood oral infections and adult MetS risk. We investigated whether childhood clinical parameters indicative of oral infection/inflammation were associated with adulthood MetS and its components. A total of 755 children aged 6, 9, and 12 y underwent a clinical oral examination in 1980 as part of the Cardiovascular Risk in Young Finns Study. Oral health measures included bleeding on probing (BOP), periodontal probing pocket depth, caries, fillings, and visible plaque. Metabolic parameters were determined at baseline and during follow-up. MetS was diagnosed (n = 588, 77.9%) in the adulthood at 21 y (in 2001), 27 y (in 2007), and 31 y (in 2011) after the oral assessment, when the participants were 27 to 43 y old. Regression analyses were adjusted for childhood age, sex, body mass index, and family income, as well as adulthood smoking and education level. In adulthood, MetS was diagnosed in 11.9% (2001), 18.7% (2007), and 20.7% (2011) of participants at the 3 follow-ups. Childhood caries and fillings were associated with increased risk of adult MetS (risk ratio [95% CI], 1.25 [0.90 to 2.45] and 1.27 [1.02 to 1.99]) and with increased systolic blood pressure (1.78 [1.01 to 4.26] and 2.48 [1.11 to 4.12]) and waist circumference (2.25 [1.02 to 4.99] and 1.56 [1.01 to 3.25]), whereas BOP and visible plaque were associated with plasma glucose (1.97 [1.08 to 3.60] and 1.88 [1.00 to 3.53]). Severity of BOP (P = 0.015) and caries (P = 0.005) and teeth with plaque (P = 0.027) were associated with number of MetS components. No such trends were seen with probing pocket depth. Childhood oral infection/inflammation was associated with adverse metabolic parameters and MetS in adulthood.
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