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23 August 2021: Meta-Analysis

Periodontitis and Number of Teeth in the Risk of Coronary Heart Disease: An Updated Meta-Analysis

Shuting Gao 1BEF , Jinhui Tian 2A , Yiting Li 1CD , Tingjie Liu 1B , Ruiping Li 1C , Lan Yang 3FG* , Zhankui Xing 1AG*

DOI: 10.12659/MSM.930112

Med Sci Monit 2021; 27:e930112

Table 4 Hazard ratio (HR) or risk ratio (RR) of included studies sorted by adjustment factors in meta-analysis with subgroup as number of teeth.

ReferenceSubgroupTooth countHR/RRCIAdjustment
24-17Remain tooth1.080.88–1.33Age, smoking
16-111.120.76–1.64
10-061.41.04–1.87
24-171.040.85–1.28Age; BMI; exercise; smoking habits; alcohol consumption; family history of MI before 60 years of age; VEc
16-111.060.72–1.56
10-01.320.98–1.77
24-171.030.83–1.27Multivariate+dietd
16-111.040.71–1.54
10-01.290.96–1.73
24-17Remain tooth0.840.64–1.09Multivariate$
16-110.750.51–1.10
10-40.880.62–1.25
24-17 (man)a Remain tooth1.151.00–1.32Age, smoking
16-111.411.11–1.80
10-01.491.22–1.83
24-17 (woman)a 1.281.03–1.60
16-111.61.15–2.22
10-02.131.70–2.65
24-17 (man)a 1.10.95–1.26Age, smoking, alcohol consumption, BMI, physical activity, family history of MI, multivitamin supplement, VE, hypertension, diabetes, hormone use, hypercholesterolemia in both cohorts and professions for men only, menopausal status
16-111.351.06–1.72
10-01.361.11–1.67
24-17 (man)b 1.261.01–1.57
16-111.190.79–1.80
10-01.791.34–2.40
24-17 (woman)a 1.140.92–1.42
16-111.340.97–1.87
10-01.641.31–2.05
24-17 (woman)b 1.020.66–1.55
16-111.070.56–2.05
10-01.651.11–2.46
25-20Remain tooth1.941.17–3.21Age, gender, and smoking
19-153.452.04–5.84
14-103.31.82–5.99
7.334.11–13.07
2–4Tooth loss1.220.81–1.85Age, sex, smoking, geographic variable, systolic blood pressure, blood pressure treatment, cholesterol, HDL cholesterol, education, existing diabetes
5–81.621.08–2.43
9–311.991.37–2.89
321.651.09–2.50
a Coronary heart disease (CHD) incidence: symptomatic nonfatal myocardial infarction (MI), fatal CHD, or sudden death.
b CHD mortality.
c Age (continuous); body mass index (5 categories); exercise (5 categories); smoking habits (current smoker [number of cigarettes smoked: 1–14, 15–24, 25+], former smoker, or never smoked); alcohol consumption (7 categories); family history of myocardial infarction before 60 years of age; vitamin E (5 categories).
d Dietary variables include dietary fiber and carrots.
$ Indicates demographics and socioeconomic status, including age, sex, race, poverty index, and also cardiovascular risk factors (smoking, cigarettes, blood pressure, cholesterol, diabetes, height, physical activity).
HDL – high-density lipoprotein; VE – vitamin E.

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750