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The association between periodontal disease and age-related macular degeneration in the Korea National health and nutrition examination survey: A cross-sectional observational study.

Abstract Periodontal disease (PD) is associated with various systemic diseases. We investigated the association between PD and age-related macular degeneration (AMD).For this population-based, cross-sectional study, we enrolled 13,072 adults at least 40 years of age with gradable retinal fundus photographs and community periodontal index (CPI) data from the Korean National Health and Nutrition Examination Survey (KNHANES) (2008-2010 and 2012). Participants were divided into a middle age group (age ≤62 years) and old age group (age >62 years). PD was divided into 2 categories of mild and severe. Logistic regression analysis was used to evaluate the association between PD and AMD (early and late).The prevalence of PD and AMD in the study population was 37.4% ± 0.8% and 5.6% ± 0.2%, respectively. Overall, there was no significant difference in the proportion of participants with PD between those with and without AMD. Only participants with AMD in the middle age group had more any PD than those without AMD (P = 0.031). Multivariate logistic regression model after adjusting for all confounding factors showed that PD was not significantly associated with AMD (odds ratio [OR] 1.03, 95% confidence interval [CI] 0.86-1.22). However, according to degree of PD, participants with severe PD in the middle age group were 1.61 times more likely to have AMD (OR 1.61, 95% CI 1.02-2.54).Our data, collected from an Asian population, showed that only severe PD is independently associated with AMD in individuals aged 62 years or younger.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 28383406
OWN - NLM
STAT- MEDLINE
DA  - 20170406
DCOM- 20170428
LR  - 20170428
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 14
DP  - 2017 Apr
TI  - The association between periodontal disease and age-related macular degeneration 
      in the Korea National health and nutrition examination survey: A cross-sectional 
      observational study.
PG  - e6418
LID - 10.1097/MD.0000000000006418 [doi]
AB  - Periodontal disease (PD) is associated with various systemic diseases. We
      investigated the association between PD and age-related macular degeneration
      (AMD).For this population-based, cross-sectional study, we enrolled 13,072 adults
      at least 40 years of age with gradable retinal fundus photographs and community
      periodontal index (CPI) data from the Korean National Health and Nutrition
      Examination Survey (KNHANES) (2008-2010 and 2012). Participants were divided into
      a middle age group (age </=62 years) and old age group (age >62 years). PD was
      divided into 2 categories of mild and severe. Logistic regression analysis was
      used to evaluate the association between PD and AMD (early and late).The
      prevalence of PD and AMD in the study population was 37.4% +/- 0.8% and 5.6% +/- 
      0.2%, respectively. Overall, there was no significant difference in the
      proportion of participants with PD between those with and without AMD. Only
      participants with AMD in the middle age group had more any PD than those without 
      AMD (P = 0.031). Multivariate logistic regression model after adjusting for all
      confounding factors showed that PD was not significantly associated with AMD
      (odds ratio [OR] 1.03, 95% confidence interval [CI] 0.86-1.22). However,
      according to degree of PD, participants with severe PD in the middle age group
      were 1.61 times more likely to have AMD (OR 1.61, 95% CI 1.02-2.54).Our data,
      collected from an Asian population, showed that only severe PD is independently
      associated with AMD in individuals aged 62 years or younger.
FAU - Shin, Yong Un
AU  - Shin YU
AD  - aDepartment of Ophthalmology, Hanyang University College of Medicine, Seoul,
      Korea bBiostatistical Consulting and Research Lab, Hanyang University, Seoul,
      Korea.
FAU - Lim, Han Woong
AU  - Lim HW
FAU - Hong, Eun Hee
AU  - Hong EH
FAU - Kang, Min Ho
AU  - Kang MH
FAU - Seong, Mincheol
AU  - Seong M
FAU - Nam, Eunwoo
AU  - Nam E
FAU - Cho, Heeyoon
AU  - Cho H
LA  - eng
PT  - Journal Article
PT  - Observational Study
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Aged
MH  - Cross-Sectional Studies
MH  - Female
MH  - Humans
MH  - Macular Degeneration/epidemiology/*etiology
MH  - Male
MH  - Middle Aged
MH  - Nutrition Surveys
MH  - Periodontal Diseases/*complications/epidemiology
MH  - Republic of Korea/epidemiology
EDAT- 2017/04/07 06:00
MHDA- 2017/04/07 06:00
CRDT- 2017/04/07 06:00
AID - 10.1097/MD.0000000000006418 [doi]
AID - 00005792-201704070-00013 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Apr;96(14):e6418. doi: 10.1097/MD.0000000000006418.

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