The relationship between tooth loss, body mass index, and hypertension in postmenopausal female

Al-Ahmad, Basma Ezzat Mustafa; Kashmoola, Muhannad Ali; Mustafa, Nazih Shaaban; Hassan, Haszelini; Arzmi, Mohd Hafiz

doi:10.4103/ejd.ejd_322_17

Cited by 6 publications

(10 citation statements)

References 12 publications

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“…of missing teeth Category: ≤ 3/4–14/ ≥ 15 Hypertension Category: hypertension/normotensive 1, 2, 3, 4 Individuals with ≥ 15 missing teeth have significantly higher risk of stage III hyper tension than those with ≤ 3 (aOR 1.03; 95% CI 1.03–1.64) Dar-Odeh et al 42 10,576 female patients from university clinic (dental) aged 18 years and older (Saudi Arabia) No. of missing teeth Category:No missing teeth/Having missing teeth Hypertension Category: hypertension/normotensive 1, 3, 4 In a linear regression model, missing teeth was marginally significantly associated with hypertension (p = 0.088) Al-Ahmad et al 43 60 postmenopausal women (Malaysia) No. of missing teeth Hypertension Category: hypertension/normotensive Postmenopausal women with hypertension showed more significant tooth loss compared to those with normal tension (p < 0.05) Delgado-Perez et al 44 60 patients in a health center (Mexico) No.…”

Section: Resultsmentioning

confidence: 99%

“…In terms of the number of teeth, 14 studies evaluated the number of missing teeth 38 , 39 , 41 – 45 , 47 , 50 , 51 , 55 , 57 , 58 , 59 while 10 studies evaluated the number of remaining teeth 40 , 46 , 48 , 49 , 52 – 54 , 56 , 61 , 60 . In the analyses, only four studies used measured values 43 – 45 , 47 while the other 20 categorized measured values. Categorizations were vastly different.…”

Section: Resultsmentioning

confidence: 99%

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The relationship between tooth loss and hypertension: a systematic review and meta-analysis

Tada

Tano

Miura

2022

Sci Rep

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As tooth loss is the high end of periodontal problems and edentulous individuals are at higher risk of nutritional problems like obesity, understanding the association between tooth loss and hypertension is important for improving cardiovascular health. We searched for publications from the last two decades using three electronic databases (PubMed, Web of Science and Scopus) and conducted a systematic review and meta-analysis on the association between tooth loss and hypertension according to PRISMA-P guidelines. Quality assessments were performed using the Newcastle–Ottawa Scale and the GRADE approach. Twenty-four studies (20 cross-sectional, and 4 cohort) met the inclusion criteria for this review. Most cross-sectional studies showed that subjects with more tooth loss exhibited a greater proportion of hypertension and higher systolic blood pressure than those with less tooth loss. Meta-analyses revealed a statistically significant association between tooth loss and hypertension. The pooled odds ratios of hypertension for having tooth loss with no tooth loss and for edentulous with dentate were 2.22 (95% CI 2.00–2.45) and 4.94 (95% CI 4.04–6.05), respectively. In cohort studies, subjects with more tooth loss had a greater incidence of hypertension than those with less tooth loss during the follow-up period. The present systematic review and meta-analysis suggests that tooth loss is associated with an increased risk of hypertension and higher systolic blood pressure.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

The relationship between tooth loss and hypertension: a systematic review and meta-analysis

Tada

Tano

Miura

2022

Sci Rep

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“…Finally, the results observed forces us to reflect and ask ourselves new questions and challenges, as whether periodontal disease is a marker or mediator or some patients may have a genetic or metabolic susceptibility 22 that might also play a part, as well as whether it affects only the SBP by some unknown mechanism or the periodontal treatment really has an initial effect on the BP but not maintained over time.…”

Section: Discussionmentioning

confidence: 96%

Does Periodontal Treatment Help in Arterial Hypertension Control? A Systematic Review of Literature

2020

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Arterial hypertension and periodontal diseases are two of the pathologies with more prevalence worldwide. In the last few years, several scientific evidences have demonstrated the relationship between both diseases. Besides the etiopathogenic and causal relationship, some recent publications have pointed out that the therapeutic approach of periodontitis could have positive effects on the control of arterial hypertension.The aim of this systematic review is to determine whether there is a decrease in or better control of blood pressure after performing nonsurgical periodontal treatment in patients with periodontitis.A thorough search in PubMed, Scopus, and ISI Web of Science databases with the keywords “‘periodontal disease’ OR ‘periodontitis’ OR ‘periodontal’ AND ‘blood pressure’ OR ‘hypertension’ OR ‘arterial hypertension’” was conducted. The quality of the reported information was assessed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement for systematic reviews.Eight articles were considered for this systematic review. Five of the studies showed statistically significant reduction in systolic blood pressure (SBP) values.Despite the limitations of the review, nonsurgical treatment of periodontal disease seems to reduce SBP values. Further research with larger and longer-term clinical trials are needed to demonstrate this potential positive effect.

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“…29 Yet, other studies (including only women) have found an association between severe tooth loss and arterial hypertension. 6,7,30 Therefore, the literature to date does not support a clear conclusion about gender-related differences in the association between severe tooth loss and arterial hypertension.…”

Section: Discussionmentioning

confidence: 99%

“…1-4 It is plausible that arterial hypertension is in the path of the association between tooth loss and atherosclerosis, since several studies have found significant associations between severe tooth loss and high blood pressure (BP), a condition that predisposes to the development of atherosclerosis. 5-8 Some of these studies were confined to specific groups (eg, postmenopausal women) or limited to small sample sizes, and may not be representative of the general population. Moreover, few studies have taken into account the effect of confounders on this association or the independent association between severe tooth loss and the different components of BP, that is, pulsatile [systolic BP (SBP) and pulse pressure (PP)], and steady [diastolic BP (DBP)] components.…”

Section: Introductionmentioning

confidence: 99%

Association Between Pulsatile Components of Blood Pressure and Severe Tooth Loss in Rural Ecuador: The Three Villages Study

Brutto

Mera

Recalde

et al. 2020

J Prim Care Community Health

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Background: Arterial hypertension has been associated with severe tooth loss, but differential associations with individual components of blood pressure (BP) have scarcely been investigated. We assessed the independent associations between pulsatile/steady components of BP and severe tooth loss in community-dwelling adults residing in 3 rural Ecuadorian villages. Methods: Individuals aged ≥40 years living in Atahualpa, El Tambo, and Prosperidad were identified during door-to-door surveys. Data collection focused on the number of remaining teeth and measurements of pulsatile/steady components of BP. Multivariate models were fitted to assess independent associations between pulsatile/steady BP components and severe tooth loss, after adjusting for relevant covariates. Results: A total of 1543 individuals were included. Oral exams identified 426 (28%) individuals with severe tooth loss. BP levels ≥140/90 mm Hg were determined in 481 (31%) individuals. The mean pulse pressure (PP) level was 55.3 ± 19 mm Hg. For systolic BP (SBP), the mean level was 133.1 ± 23.5 mm Hg, and for diastolic BP (DBP) it was 77.8 ± 11.5 mm Hg. Univariate models showed significant associations between severe tooth loss and SBP and PP, but not with DBP. However, the significance was taken away in fully adjusted generalized linear models. Age remained as an independent significant covariate in models using SBP and PP. Causal mediation analyses disclosed that percentages of the effect of severe tooth loss mediated by age were 99.5% for SBP and 98.9% for PP. Conclusion: This study shows that age captures most of the effect of the association between pulsatile components of BP and severe tooth loss.

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The relationship between tooth loss, body mass index, and hypertension in postmenopausal female

Cited by 6 publications

References 12 publications

The relationship between tooth loss and hypertension: a systematic review and meta-analysis

The relationship between tooth loss and hypertension: a systematic review and meta-analysis

Does Periodontal Treatment Help in Arterial Hypertension Control? A Systematic Review of Literature

Association Between Pulsatile Components of Blood Pressure and Severe Tooth Loss in Rural Ecuador: The Three Villages Study

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