Correlation between periodontitis and chronic kidney disease in Korean adults.
- Author:
Seung Seok HAN
1
;
Nara SHIN
;
Su Mi LEE
;
Hajeong LEE
;
Dong Ki KIM
;
Yon Su KIM
Author Information
1. Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea. yonsukim@snu.ac.kr
- Publication Type:Original Article
- Keywords:
Glomerular filtration rate;
Hematuria;
Periodontal diseases;
Periodontitis;
Proteinuria
- MeSH:
Adult*;
Diabetes Mellitus;
Glomerular Filtration Rate;
Hematuria;
Humans;
Hypertension;
Logistic Models;
Odds Ratio;
Periodontal Diseases;
Periodontitis*;
Proteinuria;
Renal Insufficiency, Chronic*
- From:Kidney Research and Clinical Practice
2013;32(4):164-170
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: Periodontitis and chronic kidney disease (CKD) are important health issues; however,the association between periodontitis and CKD markers, especially in Korean adults,remains elusive. METHODS: Data on 15,729 Korean adults were obtained from the Korean National Health and Nutritional Examination Surveys IV and V. The CKD markers included a decreased estimated glomerular filtration rate (eGFR;<60 mL/min/1.73m2), proteinuria, and hematuria. Odds ratios (ORs) and 95% confidence intervals were measured using stepwise multivariate logistic regression analyses for CKD markers based on the presence of periodontitis. RESULTS: Patients with periodontitis had greater unadjusted ORs for CKD markers compared to those without periodontitis, as follows: decreased eGFR,4.07(3.11-5.33); proteinuria, 2.12(1.48-3.05); and hematuria, 1.25 (1.13-1.39, all P<0.001). Periodontitis was a significant predictor of decreased eGFR independent of allcovariates [1.39 (1.03-1.89), P=0.034]. However, the effect of periodontitis on decreased eGFR seemed to be affected by hypertension and diabetes mellitus. Periodontitis was not an independent predictor of proteinuria; the significance disappeared after adjusting for hypertension and diabetes mellitus. Periodontitis was significantly correlated with hematuria, leading to similar ORs regardless of the adjustment for covariates[1.29 (1.15-1.46), P<0.001]. CONCLUSION: This study confirms the correlation between periodontitis and CKD markers, including decreased eGFR, proteinuria, and hematuria in Korean adults.
