Oral disease in relation to future risk of dementia and cognitive decline: Prospective cohort study based on the Action in Diabetes and Vascular Disease: Preterax and Diamicron Modified-Release Controlled Evaluation (ADVANCE) trial

Examine the association of oral disease with future dementia/cognitive decline in a cohort of people with type 2 diabetes. A total of 11,140 men and women aged 55–88 years at study induction with type 2 diabetes participated in a baseline medical examination when they reported the number of natural...

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Veröffentlicht in:	European psychiatry Jg. 28; H. 1; S. 49 - 52
Hauptverfasser:	Batty, G.-D., Li, Q., Huxley, R., Zoungas, S., Taylor, B.-A., Neal, B., de Galan, B., Woodward, M., Harrap, S.-B., Colagiuri, S., Patel, A., Chalmers, J.
Format:	Journal Article
Sprache:	Englisch
Veröffentlicht:	Paris Elsevier SAS 01.01.2013 Elsevier
Schlagworte:	Age Factors Aged Aged, 80 and over Biological and medical sciences Cognition Cognition Disorders - etiology Cognitive decline Cohort study Dementia Dementia - etiology Diabetes. Impaired glucose tolerance Endocrine pancreas. Apud cells (diseases) Endocrinopathies Etiopathogenesis. Screening. Investigations. Target tissue resistance Female Humans Internal Medicine Male Medical sciences Middle Aged Neuropsychological Tests Oral disease Periodontal Diseases - complications Prospective Studies Psychiatry Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Quality of Life Risk Sex Factors Socioeconomic Factors Cognitive decline Oral disease Cohort study Dementia Endocrinopathy Evaluation Cognitive disorder Diabetes mellitus Cardiovascular disease Intellectual deterioration Vascular disease Follow up study Risk factor Degenerative disease Oral cavity disease Release
ISSN:	0924-9338, 1778-3585, 1778-3585
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Abstract	Examine the association of oral disease with future dementia/cognitive decline in a cohort of people with type 2 diabetes. A total of 11,140 men and women aged 55–88 years at study induction with type 2 diabetes participated in a baseline medical examination when they reported the number of natural teeth and days of bleeding gums. Dementia and cognitive decline were ascertained periodically during a 5-year follow-up. Relative to the group with the greatest number of teeth (more than or equal to 22), having no teeth was associated with the highest risk of both dementia (hazard ratio; 95% confidence interval: 1.48; 1.24, 1.78) and cognitive decline (1.39; 1.21, 1.59). Number of days of bleeding gums was unrelated to these outcomes. Tooth loss was associated with an increased risk of both dementia and cognitive decline.
AbstractList	Examine the association of oral disease with future dementia/cognitive decline in a cohort of people with type 2 diabetes. A total of 11,140 men and women aged 55-88 years at study induction with type 2 diabetes participated in a baseline medical examination when they reported the number of natural teeth and days of bleeding gums. Dementia and cognitive decline were ascertained periodically during a 5-year follow-up. Relative to the group with the greatest number of teeth (more than or equal to 22), having no teeth was associated with the highest risk of both dementia (hazard ratio; 95% confidence interval: 1.48; 1.24, 1.78) and cognitive decline (1.39; 1.21, 1.59). Number of days of bleeding gums was unrelated to these outcomes. Tooth loss was associated with an increased risk of both dementia and cognitive decline. Examine the association of oral disease with future dementia/cognitive decline in a cohort of people with type 2 diabetes.OBJECTIVEExamine the association of oral disease with future dementia/cognitive decline in a cohort of people with type 2 diabetes.A total of 11,140 men and women aged 55-88 years at study induction with type 2 diabetes participated in a baseline medical examination when they reported the number of natural teeth and days of bleeding gums. Dementia and cognitive decline were ascertained periodically during a 5-year follow-up.METHODSA total of 11,140 men and women aged 55-88 years at study induction with type 2 diabetes participated in a baseline medical examination when they reported the number of natural teeth and days of bleeding gums. Dementia and cognitive decline were ascertained periodically during a 5-year follow-up.Relative to the group with the greatest number of teeth (more than or equal to 22), having no teeth was associated with the highest risk of both dementia (hazard ratio; 95% confidence interval: 1.48; 1.24, 1.78) and cognitive decline (1.39; 1.21, 1.59). Number of days of bleeding gums was unrelated to these outcomes.RESULTSRelative to the group with the greatest number of teeth (more than or equal to 22), having no teeth was associated with the highest risk of both dementia (hazard ratio; 95% confidence interval: 1.48; 1.24, 1.78) and cognitive decline (1.39; 1.21, 1.59). Number of days of bleeding gums was unrelated to these outcomes.Tooth loss was associated with an increased risk of both dementia and cognitive decline.CONCLUSIONSTooth loss was associated with an increased risk of both dementia and cognitive decline. Abstract Objective Examine the association of oral disease with future dementia/cognitive decline in a cohort of people with type 2 diabetes. Methods A total of 11,140 men and women aged 55–88 years at study induction with type 2 diabetes participated in a baseline medical examination when they reported the number of natural teeth and days of bleeding gums. Dementia and cognitive decline were ascertained periodically during a 5-year follow-up. Results Relative to the group with the greatest number of teeth (more than or equal to 22), having no teeth was associated with the highest risk of both dementia (hazard ratio; 95% confidence interval: 1.48; 1.24, 1.78) and cognitive decline (1.39; 1.21, 1.59). Number of days of bleeding gums was unrelated to these outcomes. Conclusions Tooth loss was associated with an increased risk of both dementia and cognitive decline.
Author	Chalmers, J. Li, Q. de Galan, B. Batty, G.-D. Huxley, R. Harrap, S.-B. Colagiuri, S. Woodward, M. Patel, A. Zoungas, S. Taylor, B.-A. Neal, B.
Author_xml	– sequence: 1 givenname: G.-D. surname: Batty fullname: Batty, G.-D. email: david.batty@ucl.ac.uk organization: Department of Epidemiology and Public Health, University College of London, Torrington Place, London, UK – sequence: 2 givenname: Q. surname: Li fullname: Li, Q. organization: The George Institute for International Health, University of Sydney, Sydney, Australia – sequence: 3 givenname: R. surname: Huxley fullname: Huxley, R. organization: The George Institute for International Health, University of Sydney, Sydney, Australia – sequence: 4 givenname: S. surname: Zoungas fullname: Zoungas, S. organization: The George Institute for International Health, University of Sydney, Sydney, Australia – sequence: 5 givenname: B.-A. surname: Taylor fullname: Taylor, B.-A. organization: Department of Oral Biology, University of Oslo, Oslo, Norway – sequence: 6 givenname: B. surname: Neal fullname: Neal, B. organization: The George Institute for International Health, University of Sydney, Sydney, Australia – sequence: 7 givenname: B. surname: de Galan fullname: de Galan, B. organization: The George Institute for International Health, University of Sydney, Sydney, Australia – sequence: 8 givenname: M. surname: Woodward fullname: Woodward, M. organization: The George Institute for International Health, University of Sydney, Sydney, Australia – sequence: 9 givenname: S.-B. surname: Harrap fullname: Harrap, S.-B. organization: Department of Physiology, University of Melbourne, Melbourne, Australia – sequence: 10 givenname: S. surname: Colagiuri fullname: Colagiuri, S. organization: Institute of Obesity, Nutrition and Exercise, University of Sydney, Sydney, Australia – sequence: 11 givenname: A. surname: Patel fullname: Patel, A. organization: The George Institute for International Health, University of Sydney, Sydney, Australia – sequence: 12 givenname: J. surname: Chalmers fullname: Chalmers, J. organization: The George Institute for International Health, University of Sydney, Sydney, Australia
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Keywords	Cognitive decline Oral disease Cohort study Dementia Endocrinopathy Evaluation Cognitive disorder Diabetes mellitus Cardiovascular disease Intellectual deterioration Vascular disease Follow up study Risk factor Degenerative disease Oral cavity disease Release
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Snippet	Examine the association of oral disease with future dementia/cognitive decline in a cohort of people with type 2 diabetes. A total of 11,140 men and women aged... Abstract Objective Examine the association of oral disease with future dementia/cognitive decline in a cohort of people with type 2 diabetes. Methods A total... Examine the association of oral disease with future dementia/cognitive decline in a cohort of people with type 2 diabetes.OBJECTIVEExamine the association of...
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SubjectTerms	Age Factors Aged Aged, 80 and over Biological and medical sciences Cognition Cognition Disorders - etiology Cognitive decline Cohort study Dementia Dementia - etiology Diabetes. Impaired glucose tolerance Endocrine pancreas. Apud cells (diseases) Endocrinopathies Etiopathogenesis. Screening. Investigations. Target tissue resistance Female Humans Internal Medicine Male Medical sciences Middle Aged Neuropsychological Tests Oral disease Periodontal Diseases - complications Prospective Studies Psychiatry Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Quality of Life Risk Sex Factors Socioeconomic Factors
Title	Oral disease in relation to future risk of dementia and cognitive decline: Prospective cohort study based on the Action in Diabetes and Vascular Disease: Preterax and Diamicron Modified-Release Controlled Evaluation (ADVANCE) trial
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