Association between betel quid chewing and carotid intima-media thickness in rural Bangladesh

McClintock, Tyler R.; Parvez, Faruque; Wu, Fen; Wang, Weijia; Islam, Tariqul; Ahmed, Alauddin; Shaheen, Ishrat; Sarwar, Golam; Demmer, Ryan T.; Desvarieux, Moïse; Ahsan, Habibul; Chen, Yu

doi:10.1093/ije/dyu009

Cited by 14 publications

(19 citation statements)

References 43 publications

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“…In total, IMT was measured for 1206 individuals, and 294 participants did not complete IMT measurements due to deaths, move, serious illness, or time constraints (McClintock et al. ). A comprehensive oral examination was performed on the same day between April 2010 and September 2011 for the first 951 of the 1206 participants, consisting of 585 from the original cohort and 366 from the expansion cohort.…”

Section: Methodsmentioning

confidence: 99%

“…We also estimated the intensity of betel quid chewing (quid‐years) as the product of times used per day and years of use (McClintock et al. , Wu et al. ).…”

Section: Methodsmentioning

confidence: 99%

“…Between April 2010 and January 2012, we randomly selected 800 participants from the 11,224 original cohort members as well as 700 participants from the 5136 participants over 30 years of age in the expansion cohort, as part of a previous study on urinary arsenic and carotid IMT . In total, IMT was measured for 1206 individuals, and 294 participants did not complete IMT measurements due to deaths, move, serious illness, or time constraints (McClintock et al 2014). A comprehensive oral examination was performed on the same day between April 2010 and September 2011 for the first 951 of the 1206 participants, consisting of 585 from the original cohort and 366 from the expansion cohort.…”

Section: Study Populationmentioning

confidence: 99%

“…Information on betel quid chewing included past and current use, the number of times per day betel was used and years of betel use. We also estimated the intensity of betel quid chewing (quid-years) as the product of times used per day and years of use (McClintock et al 2014, Wu et al 2015. All covariate data were derived from the time of IMT measurement, except sex and educational attainment (years), which were ascertained at baseline only since they do not change over time.…”

Section: Questionnaire Datamentioning

confidence: 99%

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Periodontal diseases and carotid intima‐media thickness in Bangladesh

Chen

Demmer

et al. 2016

J Clinic Periodontology

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Aim To evaluate the relationship between periodontal diseases and subclinical atherosclerosis in a younger and lean South Asian population. Methods We conducted a cross-sectional study in 917 subjects (mean age 46 years and mean body mass index 21.1 kg/m2) from the Health Effects of Arsenic Longitudinal Study in Bangladesh. Multivariate linear regression models were used to assess the associations between multiple clinical measures of periodontal diseases and carotid intima-media thickness (IMT). Results Mean attachment loss (AL) and percentage of sites with AL ≥ 4 mm (% AL ≥ 4) were associated with increased IMT. The IMT was 20.0-μm (95% CI: 2.2, 37.8) and 26.5-μm (95% CI: 8.9, 44.1) higher in those in the top quartile of mean AL (> 3.72 mm) and % AL ≥ 4 (> 58.4%), respectively, compared to those in the bottom quartile. In a subset of 366 subjects, mean AL was positively associated with plasma levels of matrix metalloproteinase-9 (P < 0.05) and soluble intercellular adhesion molecule-1 (P < 0.01). Conclusions Attachment loss was associated with subclinical atherosclerosis in this young and lean Bangladeshi population. Future prospective studies are needed to confirm this association.

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Section: Methodsmentioning

confidence: 99%

“…We also estimated the intensity of betel quid chewing (quid‐years) as the product of times used per day and years of use (McClintock et al. , Wu et al. ).…”

Section: Methodsmentioning

confidence: 99%

Section: Study Populationmentioning

confidence: 99%

Section: Questionnaire Datamentioning

confidence: 99%

See 2 more Smart Citations

Periodontal diseases and carotid intima‐media thickness in Bangladesh

Chen

Demmer

et al. 2016

J Clinic Periodontology

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show abstract

“…3,5 Within the United States, betel nut chewing has been a concern mostly limited to the Hawaiian Islands; however, in recent years, commercially produced products have become available online and in many Asian markets, increasing accessibility within the Continental United States and globally. [12][13][14][15] Arecoline is the primary active ingredient responsible for the systemic adverse health effects caused by betel nut. 3 The history of betel nut chewing and oral cancer has been long established.…”

Section: ■ Backgroundmentioning

confidence: 99%