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Age threshold for moderate and severe periodontitis among Korean adults without diabetes mellitus, hypertension, metabolic syndrome, and/or obesity.

Abstract The purpose of this study is to determine an appropriate age threshold at which to recommend the evaluation of moderate and severe periodontitis among Korean adults.This study involved a cross-sectional analysis using data from the Korean National Health and Nutrition Examination Survey from 2012 to 2014. Incidence rates of periodontitis with the 95% confidence interval (CI) were evaluated. The predictive accuracy of age for periodontitis was determined by calculating the area under curve (AUC) on the basis of the receiver operating characteristic (ROC) curve.The cutoff value of age was 43 years in men having periodontitis with an AUC of 0.70 with 95% CI of 0.69 to 0.72. The AUC was 0.72 (95% CI: 0.70-0.73), and the cutoff value of age (49 years) was identified for the moderate periodontitis in women. The cutoff values for age with AUCs and 95% CI for individuals with periodontitis were 46 years (0.72 [0.71-0.73]), 43 years (0.73 [0.72, 0.74]), 45 years (0.71 [0.70,0.72]), 43 years (0.73 [0.72, 0.74]), and 45 years (0.74 [0.72, 0.75]) for no obesity, no abdominal obesity, no diabetes mellitus, no hypertension, and no metabolic syndrome groups, respectively.This study proposed the guideline for the appropriate age threshold at which to recommend the evaluation of moderate and severe periodontitis for the general population and additionally added the guideline for the individuals without systemic disease including diabetes mellitus, hypertension, metabolic syndrome, and obesity. This study suggests that the participants with certain age may be recommended for the regular periodontal evaluation.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 28816984
OWN - NLM
STAT- MEDLINE
DA  - 20170817
DCOM- 20170911
LR  - 20170911
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 33
DP  - 2017 Aug
TI  - Age threshold for moderate and severe periodontitis among Korean adults without
      diabetes mellitus, hypertension, metabolic syndrome, and/or obesity.
PG  - e7835
LID - 10.1097/MD.0000000000007835 [doi]
AB  - The purpose of this study is to determine an appropriate age threshold at which
      to recommend the evaluation of moderate and severe periodontitis among Korean
      adults.This study involved a cross-sectional analysis using data from the Korean 
      National Health and Nutrition Examination Survey from 2012 to 2014. Incidence
      rates of periodontitis with the 95% confidence interval (CI) were evaluated. The 
      predictive accuracy of age for periodontitis was determined by calculating the
      area under curve (AUC) on the basis of the receiver operating characteristic
      (ROC) curve.The cutoff value of age was 43 years in men having periodontitis with
      an AUC of 0.70 with 95% CI of 0.69 to 0.72. The AUC was 0.72 (95% CI: 0.70-0.73),
      and the cutoff value of age (49 years) was identified for the moderate
      periodontitis in women. The cutoff values for age with AUCs and 95% CI for
      individuals with periodontitis were 46 years (0.72 [0.71-0.73]), 43 years (0.73
      [0.72, 0.74]), 45 years (0.71 [0.70,0.72]), 43 years (0.73 [0.72, 0.74]), and 45 
      years (0.74 [0.72, 0.75]) for no obesity, no abdominal obesity, no diabetes
      mellitus, no hypertension, and no metabolic syndrome groups, respectively.This
      study proposed the guideline for the appropriate age threshold at which to
      recommend the evaluation of moderate and severe periodontitis for the general
      population and additionally added the guideline for the individuals without
      systemic disease including diabetes mellitus, hypertension, metabolic syndrome,
      and obesity. This study suggests that the participants with certain age may be
      recommended for the regular periodontal evaluation.
FAU - Han, Kyungdo
AU  - Han K
AD  - aDepartment of Biostatistics bDepartment of Periodontics, College of Medicine,
      The Catholic University of Korea, Seoul, Republic of Korea.
FAU - Park, Jun-Beom
AU  - Park JB
LA  - eng
PT  - Journal Article
PT  - Observational Study
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Adult
MH  - Alcohol Drinking/epidemiology
MH  - Area Under Curve
MH  - Cross-Sectional Studies
MH  - Diabetes Mellitus/*epidemiology
MH  - Female
MH  - Health Behavior
MH  - Humans
MH  - Hypertension/*epidemiology
MH  - Life Style
MH  - Male
MH  - Metabolic Syndrome X/*epidemiology
MH  - Obesity/*epidemiology
MH  - Oral Health
MH  - Periodontitis/*diagnosis
MH  - ROC Curve
MH  - Republic of Korea/epidemiology
MH  - Severity of Illness Index
MH  - Smoking/epidemiology
MH  - Socioeconomic Factors
PMC - PMC5571721
EDAT- 2017/08/18 06:00
MHDA- 2017/09/12 06:00
CRDT- 2017/08/18 06:00
AID - 10.1097/MD.0000000000007835 [doi]
AID - 00005792-201708180-00051 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Aug;96(33):e7835. doi: 10.1097/MD.0000000000007835.