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Open AccessArticle

Association of Periodontitis with Atherosclerotic Cardiovascular Diseases: A Nationwide Population-based Retrospective Matched Cohort Study

1
Department of Preventive and Community Dentistry, School of Dentistry, Pusan National University, 49 Busandaehak-ro, Mulgeum-eup, Yangsan 50612, Korea
2
BK21 FOUR project, School of Dentistry, Pusan National University, Yangsan 50612, Korea
3
Department of Dental Hygiene, College of Health and Medical Sciences, Cheongju University, Cheongju 28503, Korea
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(19), 7261; https://doi.org/10.3390/ijerph17197261
Received: 7 September 2020 / Revised: 28 September 2020 / Accepted: 2 October 2020 / Published: 4 October 2020
(This article belongs to the Special Issue Big Data for Public Health Research and Practice)
We investigated the association between periodontitis and atherosclerotic cardiovascular disease (ACVD) development using the National Health Insurance Service—National Sample Cohort 2.0 (NHIS-NSC2) database, which contains data for approximately 1 million nationally representative random participants. We selected 52,425 participants aged 20+ years and diagnosed with periodontitis from January to December 2003 and used propensity score matching to select an equivalent number of participants who were never diagnosed with periodontitis in the period covered by the NHIS-NSC2 database (2002–2015). The propensity scores were based on sex, age group, type of national health insurance, household income, diabetes status, and hypertension status and were used for 1:1 matching of individuals with similar propensities. A total of 104,850 participants were selected for the study. A multivariable Cox proportional hazard regression model was used to investigate the risk of ACVD development due to periodontitis from 2003 to 2015 after adjusting for sex, age, type of national health insurance, household income, hypertension status, and diabetes status. Participants with periodontitis had a higher risk of ACVD (adjusted hazard ratio: 1.09, 95% confidence interval: 1.05–1.13) than those without periodontitis. Thus, periodontitis can increase the risk of ACVD, and prevention of periodontitis may help reduce the risk of cardiovascular disease. View Full-Text
Keywords: atherosclerosis; cardiovascular disease; cohort study; heart disease; national health insurance service; periodontitis; risk atherosclerosis; cardiovascular disease; cohort study; heart disease; national health insurance service; periodontitis; risk
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MDPI and ACS Style

Byon, M.-J.; Kim, S.-Y.; Kim, J.-S.; Kim, H.-N.; Kim, J.-B. Association of Periodontitis with Atherosclerotic Cardiovascular Diseases: A Nationwide Population-based Retrospective Matched Cohort Study. Int. J. Environ. Res. Public Health 2020, 17, 7261. https://doi.org/10.3390/ijerph17197261

AMA Style

Byon M-J, Kim S-Y, Kim J-S, Kim H-N, Kim J-B. Association of Periodontitis with Atherosclerotic Cardiovascular Diseases: A Nationwide Population-based Retrospective Matched Cohort Study. International Journal of Environmental Research and Public Health. 2020; 17(19):7261. https://doi.org/10.3390/ijerph17197261

Chicago/Turabian Style

Byon, Min-Ji; Kim, Se-Yeon; Kim, Ji-Soo; Kim, Han-Na; Kim, Jin-Bom. 2020. "Association of Periodontitis with Atherosclerotic Cardiovascular Diseases: A Nationwide Population-based Retrospective Matched Cohort Study" Int. J. Environ. Res. Public Health 17, no. 19: 7261. https://doi.org/10.3390/ijerph17197261

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