Association of oral health with risk of incident micro and macrovascular complications: A prospective cohort study of 24,862 people with diabetes
Authors' conclusion
Self-reported oral health measures may be a marker of elevated risk of complications in people with diabetes.
Study context
- Population
- Men and women aged ≥45 years with diabetes at baseline (2006–2009), 45 and Up Study, Australia; follow-up up until 2019
- Participants
- 24,862 men
- Exposure
- Self-reported oral health and incident diabetes complications
- Outcome
- Incident micro and macrovascular diabetes complications (hospitalisation data and claims for medical services)
- Follow-up
- Up until 2019
Methodological detailslinked administrative health records, multivariable Cox proportional hazards models
- Linked administrative health records
- Multivariable Cox proportional hazards models
Main finding
As reported in the abstract
Incident diabetes complications by number of teeth
Each group vs ≥20 teethAdjusted hazard ratio (95 % CI)
0 teethCVD
1.24(1.15–1.35)
0 teethlower limb complications
1.22(1.11–1.33)
0 teethkidney complications
1.19(1.11–1.29)
1-9 teetheye complications
1.14(1.07–1.22)
Observational data: associations, not effects.
Further findings
Oral health at baseline
- Participants with <20 teeth
- Almost 60 %
- Rated teeth and gums as fair or poor
- 38 %
Original publication
Association of oral health with risk of incident micro and macrovascular complications: A prospective cohort study of 24,862 people with diabetes. Diabetes Res Clin Pract. Published 9 August 2023. doi:10. 1016/ j. diabres. 2023. 110857
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