Relationship between self-reported periodontal status and skeletal bone mineral density in Japanese postmenopausal women
Relationship between self-reported periodontal status and skeletal bone mineral density in Japanese postmenopausal women
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DOI：
10.1097/00042192-200512020-00007
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发表时间：
2005-01-01
影响因子：
2.7
通讯作者：
Bollen, AM
中科院分区：
文献类型：
--
作者：
Taguchi, A;Suei, Y;Bollen, AM
目的：一些研究者已经将绝经后妇女牙周疾病进展和低骨密度联系起来。然而，很少有人知道是否自我报告的牙周状况是反映骨骼骨密度。我们调查了自我报告的牙周状况不佳是否与绝经后妇女的低骨密度有关。设计：在253名日本绝经后妇女中，评价了自我报告的牙周状况、剩余牙齿数和腰椎及股骨颈骨密度之间的关系（平均值+/- SD，56.6 +/- 7.7）从1997年至2003年期间到我们诊所进行骨矿物质评估的患者中招募。自我报告的牙周症状包括牙龈肿胀、牙龈出血、脓性分泌物和骨矿物质评估时的牙齿松动。校正年龄、身高、体重、绝经后年限、雌激素使用持续时间的协方差分析，定期口腔护理显示，无牙周症状的受试者腰椎BMD显著高于有牙周症状的受试者（平均值+/- SEM，0.962 +/- 0.014 vs 0.921 +/- 0.013; P = 0.038）;然而，两组之间的剩余牙齿数量和股骨颈骨密度无显著差异。牙周症状的受试者的低脊柱骨密度的优势是2.01（95%CI = 1.15至3.50）。结论：我们的研究结果表明，自我报告的牙周状况不佳可能与低骨密度的绝经后妇女的腰椎。
Objective: Several investigators have linked periodontal disease progression and low skeletal bone mineral density in postmenopausal women. However, little is known about whether self-reported periodontal status is the reflection of skeletal bone mineral density. We investigated whether self-reported poor periodontal status is associated with low skeletal bone mineral density in postmenopausal women.Design: Relationships among self-reported periodontal status, number of teeth remaining, and bone mineral density of the lumbar spine and the femoral neck were evaluated in 253 Japanese postmenopausal women (mean +/- SD, 56.6 +/- 7.7) recruited from the patients who visited our clinic for bone mineral assessment between 1997 and 2003. Self-reported periodontal symptoms included gingival swelling, gingival bleeding, purulent discharge, and tooth mobility at the time of bone mineral assessment.Results: Analysis of covariance adjusted for age, height, weight, years since menopause, duration of estrogen use, and regular oral care revealed that subjects without periodontal symptoms had significantly higher BMD of the lumbar spine than did those with periodontal symptoms (mean +/- SEM, 0.962 +/- 0.014 vs 0.921 +/- 0.013; P = 0.038); however, there were no significant differences in the number of remaining teeth and bone mineral density of the femoral neck between them. The odds of low spine bone mineral density in subjects with periodontal symptoms was 2.01 (95% CI = 1.15 to 3.50).Conclusion: Our results suggest that self-reported poor periodontal status may be associated with low bone mineral density of the lumbar spine in postmenopausal women.