Temporal association of elevated C-reactive protein and periodontal disease in men.
BACKGROUND
Most studies on the relationship between serum C-reactive protein (CRP) and periodontal disease have been cross-sectional. In this study, we investigated the temporal association between CRP and periodontal disease by following a large number of subjects for 1 year.


METHODS
We studied 11,162 men in Nagoya, Japan, who had an initial dental examination as part of a complete physical examination and then underwent the same examination 1 year later. For the 4,997 men without periodontal disease at baseline, logistic regression analysis was performed to examine the relationship between baseline CRP and periodontal disease 1 year later, adjusting for age, body mass index, glycosylated hemoglobin A1c level, and smoking status. Similarly, logistic regression analysis was performed to examine the relationship between periodontal disease at baseline and CRP 1 year later for the 10,376 men with normal baseline CRP, adjusting for the same confounding factors.


RESULTS
Among men without high CRP at baseline, periodontal disease at baseline correlated to CRP 1 year later. The odds ratio was 1.336 (95% confidence interval [CI]: 1.115 to 1.674). However, in the men without periodontal disease, no significant correlations were seen with baseline CRP or periodontal disease 1 year later. The odds ratio was 1.163 (95% CI: 0.894 to 1.513).


CONCLUSIONS
Periodontal disease increased the risk for high serum CRP levels in men after 1 year of follow-up.
Yoshii
Saori
S
Department of Preventive Dentistry and Dental Public Health, School of Dentistry, Aichi-Gakuin University, Nagoya, Japan.
Tsuboi
Shinji
S
Morita
Ichizo
I
Takami
Yuko
Y
Adachi
Keiko
K
Inukai
Junko
J
Inagaki
Koji
K
Mizuno
Kinichiro
K
Nakagaki
Haruo
H
D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D002097:C-Reactive Protein / Q000032:analysis*; D055113:Chronic Periodontitis / Q000097:blood*; D003920:Diabetes Mellitus / Q000097:blood; D006801:Humans; D007564:Japan; D016015:Logistic Models; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000097:blood; D012907:Smoking / Q000097:blood; D055815:Young Adult
D002097:C-Reactive Protein