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Oral health and all-cause, cardiovascular disease, and respiratory mortality in older people in the UK and USA

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Oral health and all-cause, cardiovascular disease, and respiratory mortality in older people in the UK and USA. / Kotronia, Eftychia; Brown, Heather; Papacosta, A. Olia et al.

In: Scientific Reports, Vol. 11, No. 1, 16452, 31.12.2021.

Research output: Contribution to Journal/MagazineJournal articlepeer-review

Harvard

Kotronia, E, Brown, H, Papacosta, AO, Lennon, LT, Weyant, RJ, Whincup, PH, Wannamethee, SG & Ramsay, SE 2021, 'Oral health and all-cause, cardiovascular disease, and respiratory mortality in older people in the UK and USA', Scientific Reports, vol. 11, no. 1, 16452. https://doi.org/10.1038/s41598-021-95865-z

APA

Kotronia, E., Brown, H., Papacosta, A. O., Lennon, L. T., Weyant, R. J., Whincup, P. H., Wannamethee, S. G., & Ramsay, S. E. (2021). Oral health and all-cause, cardiovascular disease, and respiratory mortality in older people in the UK and USA. Scientific Reports, 11(1), [16452]. https://doi.org/10.1038/s41598-021-95865-z

Vancouver

Kotronia E, Brown H, Papacosta AO, Lennon LT, Weyant RJ, Whincup PH et al. Oral health and all-cause, cardiovascular disease, and respiratory mortality in older people in the UK and USA. Scientific Reports. 2021 Dec 31;11(1):16452. Epub 2021 Aug 12. doi: 10.1038/s41598-021-95865-z

Author

Kotronia, Eftychia ; Brown, Heather ; Papacosta, A. Olia et al. / Oral health and all-cause, cardiovascular disease, and respiratory mortality in older people in the UK and USA. In: Scientific Reports. 2021 ; Vol. 11, No. 1.

Bibtex

@article{2fb2acd83d204c698dfdd851cfcaaaf1,
title = "Oral health and all-cause, cardiovascular disease, and respiratory mortality in older people in the UK and USA",
abstract = "Preventing deterioration of oral health in older age can be crucial for survival. We aimed to examine associations of oral health problems with all-cause, cardiovascular disease (CVD), and respiratory mortality in older people. We used cohort data from the British Regional Health Study (BRHS) (N = 2147, 71–92 years), and the Health, Aging and Body Composition (HABC) Study (USA) (N = 3075, 71–80 years). Follow-up was 9 years (BRHS) and 15 years (HABC Study). Oral health comprised tooth loss, periodontal disease, dry mouth, and self-rated oral health. Cox regression was performed for all-cause mortality, competing risks for CVD mortality, and accelerated failure time models for respiratory mortality. In the BRHS, tooth loss was associated with all-cause mortality (hazard ratio (HR) = 1.59, 95% CI 1.09, 2.31). In the HABC Study, tooth loss, dry mouth, and having ≥ 3 oral problems were associated with all-cause mortality; periodontal disease was associated with increased CVD mortality (subdistribution hazard ratio (SHR) = 1.49, 95% CI 1.01, 2.20); tooth loss, and accumulation of oral problems were associated with high respiratory mortality (tooth loss, time ratio (TR) = 0.73, 95% CI 0.54, 0.98). Findings suggest that poor oral health is associated with mortality. Results highlight the importance of improving oral health to lengthen survival in older age.",
author = "Eftychia Kotronia and Heather Brown and Papacosta, {A. Olia} and Lennon, {Lucy T.} and Weyant, {Robert J.} and Whincup, {Peter H.} and Wannamethee, {S. Goya} and Ramsay, {Sheena E.}",
year = "2021",
month = dec,
day = "31",
doi = "10.1038/s41598-021-95865-z",
language = "English",
volume = "11",
journal = "Sci. Rep.",
issn = "2045-2322",
publisher = "Nature Research",
number = "1",

}

RIS

TY - JOUR

T1 - Oral health and all-cause, cardiovascular disease, and respiratory mortality in older people in the UK and USA

AU - Kotronia, Eftychia

AU - Brown, Heather

AU - Papacosta, A. Olia

AU - Lennon, Lucy T.

AU - Weyant, Robert J.

AU - Whincup, Peter H.

AU - Wannamethee, S. Goya

AU - Ramsay, Sheena E.

PY - 2021/12/31

Y1 - 2021/12/31

N2 - Preventing deterioration of oral health in older age can be crucial for survival. We aimed to examine associations of oral health problems with all-cause, cardiovascular disease (CVD), and respiratory mortality in older people. We used cohort data from the British Regional Health Study (BRHS) (N = 2147, 71–92 years), and the Health, Aging and Body Composition (HABC) Study (USA) (N = 3075, 71–80 years). Follow-up was 9 years (BRHS) and 15 years (HABC Study). Oral health comprised tooth loss, periodontal disease, dry mouth, and self-rated oral health. Cox regression was performed for all-cause mortality, competing risks for CVD mortality, and accelerated failure time models for respiratory mortality. In the BRHS, tooth loss was associated with all-cause mortality (hazard ratio (HR) = 1.59, 95% CI 1.09, 2.31). In the HABC Study, tooth loss, dry mouth, and having ≥ 3 oral problems were associated with all-cause mortality; periodontal disease was associated with increased CVD mortality (subdistribution hazard ratio (SHR) = 1.49, 95% CI 1.01, 2.20); tooth loss, and accumulation of oral problems were associated with high respiratory mortality (tooth loss, time ratio (TR) = 0.73, 95% CI 0.54, 0.98). Findings suggest that poor oral health is associated with mortality. Results highlight the importance of improving oral health to lengthen survival in older age.

AB - Preventing deterioration of oral health in older age can be crucial for survival. We aimed to examine associations of oral health problems with all-cause, cardiovascular disease (CVD), and respiratory mortality in older people. We used cohort data from the British Regional Health Study (BRHS) (N = 2147, 71–92 years), and the Health, Aging and Body Composition (HABC) Study (USA) (N = 3075, 71–80 years). Follow-up was 9 years (BRHS) and 15 years (HABC Study). Oral health comprised tooth loss, periodontal disease, dry mouth, and self-rated oral health. Cox regression was performed for all-cause mortality, competing risks for CVD mortality, and accelerated failure time models for respiratory mortality. In the BRHS, tooth loss was associated with all-cause mortality (hazard ratio (HR) = 1.59, 95% CI 1.09, 2.31). In the HABC Study, tooth loss, dry mouth, and having ≥ 3 oral problems were associated with all-cause mortality; periodontal disease was associated with increased CVD mortality (subdistribution hazard ratio (SHR) = 1.49, 95% CI 1.01, 2.20); tooth loss, and accumulation of oral problems were associated with high respiratory mortality (tooth loss, time ratio (TR) = 0.73, 95% CI 0.54, 0.98). Findings suggest that poor oral health is associated with mortality. Results highlight the importance of improving oral health to lengthen survival in older age.

U2 - 10.1038/s41598-021-95865-z

DO - 10.1038/s41598-021-95865-z

M3 - Journal article

C2 - 34385519

AN - SCOPUS:85112566977

VL - 11

JO - Sci. Rep.

JF - Sci. Rep.

SN - 2045-2322

IS - 1

M1 - 16452

ER -