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帕金森病患者血液及标准生化指标水平与牙周炎的关系:来自2011 - 2012年美国国家健康和营养检查调查(NHANES)的数据

Relationship between Blood and Standard Biochemistry Levels with Periodontitis in Parkinson's Disease Patients: Data from the NHANES 2011-2012.

作者信息

Botelho João, Lyra Patrícia, Proença Luís, Godinho Catarina, Mendes José João, Machado Vanessa

机构信息

Clinical Research Unit (CRU), Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Instituto Universitário Egas Moniz, 2829-511 Almada, Portugal.

Periodontology Department, Clinical Research Unit (CRU), CiiEM, Egas Moniz, CRL, 2829-511 Almada, Portugal.

出版信息

J Pers Med. 2020 Jul 25;10(3):69. doi: 10.3390/jpm10030069.

Abstract

People with Parkinson's Disease (PD) are associated with the presence of periodontitis. We aimed to compare blood and standard biochemical surrogates of PD patients diagnosed with periodontitis with PD individuals without periodontitis. This retrospective cohort study used a sample from the National Health and Nutrition Examination Survey (NHANES) 2011-2012 that underwent periodontal diagnosis ( = 3669). PD participants were identified through specific PD reported medications. Periodontitis was defined according to the 2012 case definition, using periodontal examination data provided. Then, we compared blood levels and standard chemical laboratory profiles of PD patients according to the presence of periodontitis. Multivariable regression was used to explore this dataset and identify relevant variables towards the presence of periodontitis. According to the medication report, 37 participants were eligible, 29 were secure and 8 were unsecure PD medications regimens. Overall, PD cases with periodontitis presented increased levels of White Blood Cells (WBC) ( = 0.002), Basophils ( = 0.045) and Segmented neutrophils ( = 0.009), and also, lower levels of Total Bilirubin ( = 0.018). In the PD secure medication group, a significant difference was found for WBC ( = 0.002) and Segmented neutrophils ( = 0.002) for the periodontitis group. Further, WBC might be a discriminating factor towards periodontitis in the global sample. In the secure PD medication, we found gender, segmented neutrophils and Vitamin D2 to be potential discriminative variables towards periodontitis. Thus, periodontitis showed association with leukocyte levels alterations in PD patients, and therefore with potential systemic changes and predictive value. Furthermore, Vitamin D2 and gender showed to be associated with periodontitis in with secure medication for PD. Future studies should assess in more detail the potential systemic repercussion of the presence of periodontitis in PD patients.

摘要

帕金森病(PD)患者与牙周炎的存在有关。我们旨在比较被诊断患有牙周炎的PD患者与未患牙周炎的PD患者的血液和标准生化指标。这项回顾性队列研究使用了2011 - 2012年美国国家健康和营养检查调查(NHANES)中接受牙周诊断的样本(n = 3669)。通过特定的PD报告药物来识别PD参与者。根据2012年病例定义,利用提供的牙周检查数据来定义牙周炎。然后,我们根据牙周炎的存在情况比较了PD患者的血液水平和标准化学实验室指标。使用多变量回归来探索这个数据集,并确定与牙周炎存在相关的变量。根据药物报告,37名参与者符合条件,29名的PD药物治疗方案明确,8名不明确。总体而言,患有牙周炎的PD病例白细胞(WBC)水平升高(P = 0.002)、嗜碱性粒细胞水平升高(P = 0.045)和分叶中性粒细胞水平升高(P = 0.009),同时总胆红素水平降低(P = 0.018)。在PD药物治疗方案明确的组中,牙周炎组的WBC(P = 0.002)和分叶中性粒细胞(P = 0.002)存在显著差异。此外,在整个样本中,WBC可能是牙周炎的一个鉴别因素。在明确的PD药物治疗中,我们发现性别、分叶中性粒细胞和维生素D2是牙周炎的潜在鉴别变量。因此,牙周炎与PD患者白细胞水平改变有关,进而与潜在的全身变化和预测价值有关。此外,在明确的PD药物治疗中,维生素D2和性别与牙周炎有关。未来的研究应更详细地评估PD患者中牙周炎存在的潜在全身影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9a5/7565163/09f5f837e7a4/jpm-10-00069-g001.jpg

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