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阿尔茨海默病与牙周炎的关联——基于观察性研究证据的系统评价与荟萃分析

Association of Alzheimer's disease and periodontitis - a systematic review and meta-analysis of evidence from observational studies.

作者信息

Kaliamoorthy Sriram, Nagarajan Mahendirakumar, Sethuraman Vijayparthiban, Jayavel Kavitha, Lakshmanan Vijayalakshmi, Palla Santosh

机构信息

Department of Dentistry, Vinayaka Mission's Medical College and Hospital, Vinayaka Mission's Research Foundation, (Deemed to be University), Karaikal, Puducherry, India.

Department of Prosthodontics, and Crown & Bridge, Raja Muthiah Dental College and Hospital, Annamalai University, Chidambaram, Tamil Nadu, India.

出版信息

Med Pharm Rep. 2022 Apr;95(2):144-151. doi: 10.15386/mpr-2278. Epub 2022 Apr 28.

DOI:10.15386/mpr-2278
PMID:35721037
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9176309/
Abstract

The relationship between periodontitis (or periodontal disease) with Alzheimer's disease has been reported by various primary sources in the past decade, but not with a solid secondary research statement. A systematic review and meta-analysis was conducted in accordance with the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement and registered (Reference number: CRD42020185264) with PROSPERO (International prospective register for systematic reviews). A literature search was conducted on specific databases for suitable articles in English language. Out of 612 studies selected, 41 underwent full-text analysis; five studies were eligible for systematic review, and 3 for meta-analysis. Meta-analysis was performed with tests for sensitivity and statistical heterogeneity followed by calculation of summary effect measures in terms of odds ratio (OR) and 95% confidence interval (CI). The results of this review showed a significant association between periodontitis and Alzheimer's disease in the meta-analysis [OR 1.67 (1.21-2.32)].

摘要

在过去十年中,各种主要资料来源都报道了牙周炎(或牙周病)与阿尔茨海默病之间的关系,但尚无确凿的二次研究报告。本研究按照系统评价和Meta分析的首选报告项目(PRISMA)声明的指南进行了一项系统评价和Meta分析,并在国际前瞻性系统评价注册库PROSPERO上进行了注册(注册号:CRD42020185264)。在特定数据库中进行文献检索,以查找合适的英文文章。在筛选出的612项研究中,41项进行了全文分析;5项研究符合系统评价的条件,3项符合Meta分析的条件。进行Meta分析时,先进行敏感性检验和统计异质性检验,然后计算比值比(OR)和95%置信区间(CI)的汇总效应量。本评价结果显示,在Meta分析中,牙周炎与阿尔茨海默病之间存在显著关联[OR 1.67(1.21-2.32)]。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80ce/9176309/eb4e9091b46e/cm-95-144f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80ce/9176309/b44e00ce3885/cm-95-144f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80ce/9176309/22f1640c19ff/cm-95-144f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80ce/9176309/eb4e9091b46e/cm-95-144f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80ce/9176309/b44e00ce3885/cm-95-144f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80ce/9176309/22f1640c19ff/cm-95-144f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80ce/9176309/eb4e9091b46e/cm-95-144f3.jpg

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本文引用的文献

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J Alzheimers Dis. 2021;82(3):1259-1275. doi: 10.3233/JAD-210465.
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Can Contribute to Alzheimer's Disease Already at the Stage of Gingivitis?牙龈炎阶段就会导致阿尔茨海默病吗?
J Alzheimers Dis Rep. 2021 Apr 6;5(1):237-241. doi: 10.3233/ADR-210006.
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Possible effects of on the blood-brain barrier in Alzheimer's disease.[具体物质]对阿尔茨海默病血脑屏障的潜在影响。 (原文中“of”后面缺少具体内容)
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