title: Periodontitis and airway obstruction.
abstract: BACKGROUND
  The objective of this study was to examine the relationship between airway obstruction and periodontal disease.
  
  
  METHODS
  Participants were a subset of 860 community- dwelling, well functioning elderly (aged 70 to 79, blacks and whites, males and females) selected from 2,732 participants enrolled in the Health, Aging, and Body Composition Study (Health ABC). The periodontal evaluations occurred over years 2 and 3 of the study and included four indices of periodontal health: plaque index (PI), gingival index (GI), probing depth (PD), and loss of attachment (LOA). The pulmonary evaluation took place in year 1: conducted according to American Thoracic Society criteria, based on the forced expiratory volume/forced vital capacity (FEV1/FVC) ratio and then using the percent of predicted FEV1 to categorize severity.
  
  
  RESULTS
  GI (P = 0.023) and LOA (P = 0.009) were significantly better in participants with normal pulmonary function compared to those with airway obstruction after adjusting for age, race, gender, and field center. When stratified by smoking status and after adjusting for age, race, gender, center, and pack-years, there was a significant association between periodontal health and airway obstruction in former smokers. Within this group, those with normal pulmonary function had significantly better GI (P = 0.036) and LOA (P = 0.0003) scores than those with airway obstruction. All periodontal indices were elevated in smokers regardless of pulmonary status; however, the current smoker group was too small to detect a periodontitis effect.
  
  
  CONCLUSIONS
  While the present cross-sectional study cannot provide direct inference of cause and effect, it does reveal a significant association between periodontal disease and airway obstruction, particularly in former smokers.
authors.affiliation: Department of Periodontology, University of Tennessee, Memphis, TN 38163, USA. jkatancik@utmem.edu
authors.forename: James A
authors.initials: JA
authors.lastname: Katancik
authors.forename: Stephen
authors.initials: S
authors.lastname: Kritchevsky
authors.forename: Robert J
authors.initials: RJ
authors.lastname: Weyant
authors.forename: Patricia
authors.initials: P
authors.lastname: Corby
authors.forename: Walter
authors.initials: W
authors.lastname: Bretz
authors.forename: Robert O
authors.initials: RO
authors.lastname: Crapo
authors.forename: Robert
authors.initials: R
authors.lastname: Jensen
authors.forename: Grant
authors.initials: G
authors.lastname: Waterer
authors.forename: Susan M
authors.initials: SM
authors.lastname: Rubin
authors.forename: Anne B
authors.initials: AB
authors.lastname: Newman
mesh_terms: D000368:Aged; D000402:Airway Obstruction / Q000209:etiology*; D003430:Cross-Sectional Studies; D003774:Dental Plaque Index; D005260:Female; D005541:Forced Expiratory Volume; D006801:Humans; D008297:Male; D010512:Periodontal Index; D010518:Periodontitis / Q000150:complications*; D011446:Prospective Studies; D029424:Pulmonary Disease, Chronic Obstructive / Q000209:etiology*; D012907:Smoking / Q000009:adverse effects; D014797:Vital Capacity