Abstract
BackgroundEdentulism, though declining in younger adults, remains prevalent in the U.S. older adult population. Poorer health outcomes, including cardiovascular outcomes have been associated with edentulism. Sleep disorders are also common in older adults and have been associated with cardiovascular disease. The purpose of this study is to determine if edentulism is associated with cardiovascular disease when sleep disorders are included in the analyses.MethodsData from the National Health and Nutrition Examination Survey, 2007-2008 were used in this study. Adjusted logistic regression analyses were performed with cardiovascular disease as the dependent variable and dental status (edentulism, dentate) as the key independent variable and sleep variables introduced as potential confounders.ResultsIn multivariable analyses, edentulism was independently associated with cardiovascular disease with an adjusted odds ratio of 2.15 (95% CI: 1.54, 3.00). The model included a sleep summary variable, race, sex, education, smoking status, and drinking status, physical activity, body mass index, conditions or disease count, family poverty index, and insurance status.ConclusionsEdentulism was associated with cardiovascular disease independent of sleep disordered breathing.
Highlights
The prevalence of edentulism continues to decline in the U.S and is expected to reach 2.6% by 2050 [1]
Adjusted logistic regression analyses were performed with cardiovascular disease as the dependent variable and dental status as the key independent variable and sleep variables introduced as potential confounders
In multivariable analyses, edentulism was independently associated with cardiovascular disease with an adjusted odds ratio of 2.15
Summary
The prevalence of edentulism continues to decline in the U.S and is expected to reach 2.6% by 2050 [1]. There were 16.2% of adults 65+ years who reported having had all of their teeth extracted to Behavioral Risk Factor Surveillance System researchers in 2012 [2] Some states, such as Hawaii and California, have the lowest percentages of older adults who are edentulous(7.0% and 8.7%, respectively), while other states, such as Louisiana and West Virginia, have the highest percentages of older adults with all of their teeth extracted (28.8% and 33.8%, respectively) [2]. These percentages, while alarming, are considerably less than they were in 1999 when 26.2% of adults 65+ years had all of their teeth extracted [2]. The purpose of this study is to determine if edentulism is associated with cardiovascular disease when sleep disorders are included in the analyses
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