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Periodontal disease in people with a history of psychosis: Results from the UK biobank population-based study.
Kang, Jing; Palmier-Claus, Jasper; Wu, Jianhua; Shiers, David; Larvin, Harriet; Doran, Tim; Aggarwal, Vishal R.
Afiliación
  • Kang J; School of Dentistry, University of Leeds, Leeds, UK.
  • Palmier-Claus J; Spectrum Centre for Mental Health Research, Division of Health Research, Lancaster University, Lancaster, UK.
  • Wu J; Lancashire & South Cumbria NHS Foundation Trust, Preston, UK.
  • Shiers D; School of Dentistry, University of Leeds, Leeds, UK.
  • Larvin H; Division of Psychology & Mental Health, University of Manchester, Manchester, UK.
  • Doran T; Psychosis Research Unit, Greater Manchester Mental Health NHS Trust, Manchester, UK.
  • Aggarwal VR; School of Medicine, Keele University, Keele, UK.
Community Dent Oral Epidemiol ; 51(5): 985-996, 2023 10.
Article en En | MEDLINE | ID: mdl-36258297
ABSTRACT

OBJECTIVES:

To test the hypotheses that (1) Prevalence of periodontal disease would be higher in people with a history of psychosis when compared to the general population and (2) Demographic, life-style related factors and co-morbid medical conditions would predict periodontal disease in people experiencing psychosis.

METHODS:

The authors performed cross-sectional analysis of baseline data from the UK Biobank study (2007-2010), identifying cases with psychosis using clinical diagnosis, antipsychotic medication, and self-report. Demographic (age, gender, ethnicity, socioeconomic status), lifestyle-related(BMI, blood pressure, smoking and alcohol intake, physical activity) and physical co-morbidities (cancer, cardiovascular, respiratory, inflammatory disease and metabolic conditions) were included as potential risk factors for periodontal disease among people with a history of psychosis using logistic regression analyses. The analysis sample included 502,505 participants.

RESULTS:

Risk of periodontal disease was higher in people with psychosis, regardless of how cases were identified. Patients with a clinical diagnosis had the highest proportion of periodontal disease compared to the general population (21.3% vs. 14.8%, prevalence ratio 1.40, 95% CI 1.26-1.56). Older and female cases were more likely to experience periodontal disease. Lifestyle factors (smoking) and comorbidities (cardiovascular, cancer or respiratory disease) were associated with periodontal disease among people with a history of psychosis.

CONCLUSIONS:

The findings suggest that periodontal disease is more common in people with a history of psychosis, compared to the general population. Prevention and early diagnosis of periodontal disease should be a priority for oral health promotion programmes, which should also address modifiable risk factors like smoking which also contribute to co-morbid systemic disease.
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Texto completo: 1 Base de datos: MEDLINE Asunto principal: Enfermedades Periodontales / Trastornos Psicóticos / Enfermedades Cardiovasculares Tipo de estudio: Prognostic_studies / Risk_factors_studies / Screening_studies Límite: Female / Humans País/Región como asunto: Europa Idioma: En Revista: Community Dent Oral Epidemiol Año: 2023 Tipo del documento: Article País de afiliación: Reino Unido

Texto completo: 1 Base de datos: MEDLINE Asunto principal: Enfermedades Periodontales / Trastornos Psicóticos / Enfermedades Cardiovasculares Tipo de estudio: Prognostic_studies / Risk_factors_studies / Screening_studies Límite: Female / Humans País/Región como asunto: Europa Idioma: En Revista: Community Dent Oral Epidemiol Año: 2023 Tipo del documento: Article País de afiliación: Reino Unido