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The Association of Gum Bleeding with Respiratory Health in a Population Based Study from Northern Europe

Real, Francisco Gomez (författare)
Univ Bergen, Dept Clin Sci, Bergen, Norway.;Haukeland Hosp, Dept Gynecol & Obstet, N-5021 Bergen, Norway.,Department of Clinical Science, University of Bergen, Bergen, Norway; Department of Gynecology and Obstetrics, Haukeland University Hospital, Bergen, Norway
Barrionuevo, Laura Perez (författare)
Univ Bergen, Dept Clin Sci, Bergen, Norway.,Department of Clinical Science, University of Bergen, Bergen, Norway
Franklin, Karl, 1954- (författare)
Umeå universitet,Kirurgi,Umea Univ, Dept Surg & Perioperat Sci, Umea, Sweden.
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Lindberg, Eva (författare)
Uppsala universitet,Lung- allergi- och sömnforskning,Department of Medical Sciences, Respiratory, Allergy and Sleep Research, Uppsala University, Uppsala, Sweden
Bertelsen, Randi Jacobsen (författare)
Univ Bergen, Dept Clin Sci, Bergen, Norway.;,Department of Clinical Science, University of Bergen, Bergen, Norway; Department of Occupational Medicine, Haukeland University Hospital, Bergen, Norway
Benediktsdottir, Bryndis (författare)
Univ Iceland, Fac Med, Reykjavik, Iceland.,University of Iceland, Faculty of Medicine, Reykjavik, Iceland
Forsberg, Bertil, 1956- (författare)
Umeå universitet,Yrkes- och miljömedicin,Arcum,Umea Univ, Dept Publ Hlth & Clin Med, Umea, Sweden.
Gislason, Thorarinn (författare)
Univ Iceland, Fac Med, Reykjavik, Iceland.,University of Iceland, Faculty of Medicine, Reykjavik, Iceland
Jogi, Rain (författare)
Uppsala universitet,Lung- allergi- och sömnforskning,Tartu Univ Clin, Lung Clin, Tartu, Estonia.,Lung Clinic, Tartu University Clinics, Tartu, Estonia
Johannessen, Ane (författare)
Univ Bergen, Dept Clin Sci, Bergen, Norway.;Haukeland Hosp, Clin Res Ctr, N-5021 Bergen, Norway.,Department of Clinical Science, University of Bergen, Bergen, Norway; Centre for Clinical Research, Haukeland University Hospital, Bergen, Norway
Omenaas, Ernst (författare)
Haukeland Hosp, Clin Res Ctr, N-5021 Bergen, Norway.,Centre for Clinical Research, Haukeland University Hospital, Bergen, Norway
Saure, Eirunn (författare)
Univ Bergen, Dept Clin Sci, Bergen, Norway.,Department of Clinical Science, University of Bergen, Bergen, Norway
Schlunssen, Vivi (författare)
Aarhus Univ, Dept Publ Hlth, Sect Environm Occupat & Hlth, Aarhus, Denmark.,Department of Public Health, Section for Environment, Occupation and Health, Aarhus University, Aarhus, Denmark
Skorge, Trude Duelien (författare)
Univ Bergen, Dept Clin Sci, Bergen, Norway.,Department of Clinical Science, University of Bergen, Bergen, Norway
Toren, Kjell (författare)
Sahlgrens Univ Hosp, Dept Occupat & Environm Med, Gothenburg, Sweden.,Department of Occupational and Environmental Medicine, Sahlgrenska University Hospital, Gothenburg, Sweden
Perez Saavedra, Antonio (författare)
Clin Dent Perez Saveedra, Malaga, Spain.,Clinica Dental Pérez Saveedra, Málaga, Spain
Svanes, Oistein (författare)
Univ Bergen, Dept Clin Sci, Bergen, Norway.;Haukeland Hosp, Dept Occupat Med, N-5021 Bergen, Norway.,Department of Clinical Science, University of Bergen, Bergen, Norway; Department of Occupational Medicine, Haukeland University Hospital, Bergen, Norway
Astrom, Anne Nordrehaug (författare)
Univ Bergen, Dept Clin Dent, Bergen, Norway.,Department of Clinical Dentistry, University of Bergen, Bergen Norway
Janson*, Christer (författare)
Uppsala universitet,Lung- allergi- och sömnforskning,Department of Clinical Science, University of Bergen, Bergen, Norway; Department of Occupational Medicine, Haukeland University Hospital, Bergen, Norway
Svanes*, Cecilie (författare)
Univ Bergen, Dept Clin Sci, Bergen, Norway.;Haukeland Hosp, Dept Occupat Med, N-5021 Bergen, Norway.,Department of Clinical Science, University of Bergen, Bergen, Norway; Department of Occupational Medicine, Haukeland University Hospital, Bergen, Norway
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Univ Bergen, Dept Clin Sci, Bergen, Norway;Haukeland Hosp, Dept Gynecol & Obstet, N-5021 Bergen, Norway. Department of Clinical Science, University of Bergen, Bergen, Norway; Department of Gynecology and Obstetrics, Haukeland University Hospital, Bergen, Norway (creator_code:org_t)
2016-01-25
2016
Engelska.
Ingår i: PLOS ONE. - : Public Library of Science (PLoS). - 1932-6203. ; 11:1
Relaterad länk:
https://doi.org/10.1...
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https://uu.diva-port... (primary) (Raw object)
https://journals.plo...
https://umu.diva-por... (primary) (Raw object)
https://urn.kb.se/re...
https://doi.org/10.1...
https://urn.kb.se/re...
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  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
Stäng  
  • Background There is little knowledge about how oral and respiratory health is interrelated even though the mucosa of the oral cavity and airways constitutes a continuum and the exposures to these are partly similar. Aims To investigate whether gum bleeding is related to asthma, respiratory symptoms and self-reported COPD. Methods A postal questionnaire including questions about respiratory and oral health was sent to general population samples in seven Northern European centres. In 13,409 responders, gum bleeding when brushing teeth was reported always/often by 4% and sometimes by 20%. Logistic regressions accounted for age, smoking, educational level, centre and gender. Effects of BMI, cardio-metabolic diseases, early life factors, gastro-oesophageal reflux, dental hygiene, nasal congestion, and asthma medication were addressed. Results Gum bleeding always/often was significantly associated with >= 3 asthma symptoms (OR 2.58, 95% CI 2.10-3.18), asthma (1.62 [1.23-2.14]) and self-reported COPD (2.02 [1.283.18]). There was a dose-response relationship between respiratory outcomes and gum bleeding frequency (>= 3 symptoms: gum bleeding sometimes 1.42 [1.25-1.60], often/always 2.58 [2.10-3.18]), and there was no heterogeneity between centres (p(heterogeneity) = 0.49). None of the investigated risk factors explained the associations. The observed associations were significantly stronger among current smokers (p(interaction) = 0.004). Conclusions A consistent link between gum bleeding and obstructive airways disease was observed, not explained by common risk factors or metabolic factors. We speculate that oral pathogens might have unfavourable impact on the airways, and that the direct continuity of the mucosa of the oral cavity and the airways reflects a pathway that might provide novel opportunities for interventions.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Lungmedicin och allergi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Respiratory Medicine and Allergy (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Arbetsmedicin och miljömedicin (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Occupational Health and Environmental Health (hsv//eng)

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