Division of Conservative Dentistry and Periodontology, School of Dentistry, Medical University of Vienna, Vienna, Austria.
Institute of Environmental Health, Medical University of Vienna.
J Periodontol. 2018 Jan;89(1):19-27. doi: 10.1902/jop.2017.170333.
The majority of patients with periodontitis present with comorbidities, however only little is known on prevalence of these comorbidities in comparison with the general population. This study aims to analyze the prevalence and impact of comorbidities in patients with periodontitis in Austria.
Prevalence of comorbidities was evaluated in 1,199 patients with periodontitis (median age: 49, range: 14 to 83 years). These data were compared with a randomly selected age- and sex-matched cohort of the Austrian population by an unconditional logistic regression model.
Comorbidities were found in 821 of 1,199 (68.5%) patients. Allergies had the highest prevalence (29.2%), followed by hypertension (19.4%), musculoskeletal (11.2%), and endocrine disorders (9.7%). Chronic pulmonary disorders (no influenza/pneumonia) were associated with a higher approximal plaque index (72% versus 63%, P = 0.02). No association between characteristics of periodontitis and comorbidities was observed. Prevalence of allergies (29.2% versus 22.9%) and pulmonary disorders (8.5% versus 4.3%) was significantly higher in periodontitis patients compared with the Austrian population (P < 0.001), whereas asthma (1.5% versus 5.6%), cardiovascular disorders (1.8% versus 10.5%), depression (7.1% versus 10.4%), headache (1.3% versus 20%), hyperlipidemia (6.4% versus 14.8%), hypertension (14.2% versus 24.5%), musculoskeletal disorders (11.2% versus 41.7%), and osteoporosis (2.8% versus 5.1%) were found less frequently (P < 0.001). No differences were observed for cancer, diabetes mellitus, gastrointestinal disorders, or psychiatric disorders (P = 0.95, P = 0.76, P = 0.68, P = 0.23, respectively).
In Austria, the majority of patients with periodontitis present with comorbidities, and the adjusted prevalence differs significantly from the general population.
大多数牙周炎患者都伴有合并症，但与普通人群相比，这些合并症的患病率知之甚少。本研究旨在分析奥地利牙周炎患者合并症的患病率及其影响。
评估了 1199 名牙周炎患者（中位年龄：49 岁，范围：14-83 岁）的合并症患病率。通过无条件逻辑回归模型，将这些数据与奥地利人口中随机选择的年龄和性别匹配的队列进行比较。
在 1199 名患者中，有 821 名（68.5%）患者存在合并症。过敏的患病率最高（29.2%），其次是高血压（19.4%）、肌肉骨骼（11.2%）和内分泌紊乱（9.7%）。慢性肺部疾病（无流感/肺炎）与较高的近中菌斑指数相关（72%比 63%，P=0.02）。牙周炎的特征与合并症之间没有观察到关联。与奥地利人群相比，牙周炎患者过敏（29.2%比 22.9%）和肺部疾病（8.5%比 4.3%）的患病率显著更高（P<0.001），而哮喘（1.5%比 5.6%）、心血管疾病（1.8%比 10.5%）、抑郁（7.1%比 10.4%）、头痛（1.3%比 20%）、高血脂（6.4%比 14.8%）、高血压（14.2%比 24.5%）、肌肉骨骼疾病（11.2%比 41.7%）和骨质疏松症（2.8%比 5.1%）的患病率较低（P<0.001）。癌症、糖尿病、胃肠道疾病或精神疾病的差异无统计学意义（P=0.95，P=0.76，P=0.68，P=0.23）。
在奥地利，大多数牙周炎患者都伴有合并症，且调整后的患病率与普通人群有显著差异。
