Periodontal disease status in gullah african americans with type 2 diabetes living in South Carolina.

Periodontal disease status in gullah african americans with type 2 diabetes living in South Carolina.
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DOI:
10.1902/jop.2009.080486
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发表时间:
2009-07
影响因子:
4.3
通讯作者:
Slate EH
Slate EH
中科院分区:
医学2区
文献类型:
--
作者:
Fernandes JK;Wiegand RE;Salinas CF;Grossi SG;Sanders JJ;Lopes-Virella MF;Slate EH

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非裔美国人的糖尿病负担不成比例。古拉非裔美国人是美国基因最同质的非洲裔人群,估计欧洲白人混血比例仅为 3.5%。这项研究评估了患有糖尿病的 Gullah 非裔美国人样本中以前未知的牙周病患病率,并调查了糖尿病控制与牙周病存在之间的关联。 Gullah 患有 2 型糖尿病的非洲裔美国人 (n=235) 也被纳入其中。糖尿病控制情况通过HbA1C进行评估,分为三类:控制良好,<7%;控制良好,<7%;适度控制,7–8.5%;且控制不佳,>8.5%。参与者被归类为健康,没有临床依恋丧失(CAL)或探诊出血(BOP);早期牙周炎,≥2颗牙齿的CAL≥1毫米;中度牙周炎,有 3 个部位 CAL ≥4 mm,至少 2 个部位探诊深度(PD)≥3 mm;严重牙周炎,≥2颗牙齿的CAL≥6毫米,≥1个部位的PD≥5毫米。将观察到的牙周炎患病率与 NHANES 研究报告的患病率进行了比较。所有受试者都有牙周病的证据:70.6% 患有中度牙周炎,28.5% 患有重度牙周炎。糖尿病控制与牙周病无关。在没有糖尿病的非裔美国人中,牙周病的比例显着高于全国报告的 10.6% 的患病率。根据 NHANES III 和 NHANES 1999-2000 中的描述,患有 2 型糖尿病的 Gullah 非裔美国人样本的牙周病患病率高于非裔美国人,无论是否患有糖尿病。
African Americans have a disproportionate burden of diabetes. Gullah African Americans are the most genetically homogeneous population of African descent in the US, with an estimated European Caucasian admixture of only 3.5%. This study assessed the previously unknown prevalence of periodontal disease among a sample of Gullah African Americans with diabetes and investigated the association between diabetes control and presence of periodontal disease. Gullah African Americans with Type 2 diabetes (n=235) were included. Diabetes control was assessed by HbA1C, and divided into three categories: well controlled, <7%; moderately controlled, 7–8.5%; and poorly controlled, >8.5%. Participants were categorized as healthy, having no clinical attachment loss (CAL) or bleeding on probing (BOP); early periodontitis, having CAL ≥1 mm in ≥2 teeth; moderate periodontitis, having 3 sites with CAL ≥4 mm and at least 2 sites with probing depth (PD) ≥3 mm; and severe periodontitis, having CAL ≥6 mm in ≥2 teeth and PD ≥5 mm in ≥1 site. Observed prevalences of periodontitis were compared to rates reported for the NHANES studies. All subjects had evidence of periodontal disease: 70.6% had moderate periodontitis and 28.5% had severe disease. Diabetes control was not associated with periodontal disease. The periodontal disease proportions were significantly higher than the reported national prevalence of 10.6% among African Americans without diabetes. Our sample of Gullah African Americans with type 2 diabetes exhibits higher prevalence of periodontal disease than African Americans, both with and without diabetes, described in NHANES III and NHANES 1999–2000.
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