Age and female gender associated with periodontal disease in Japanese patients with rheumatoid arthritis

Results from self-reported questionnaires from the IORRA cohort study

Takefumi Furuya, Eisuke Inoue, Eiichi Tanaka, Shigeru Maeda, Katsnori Ikari, Atsuo Taniguchi, Hisashi Yamanaka

Research output: Contribution to journalArticle

Abstract

Objectives: This study aimed to evaluate the prevalence of, and the factors associated with, periodontal disease in Japanese patients with rheumatoid arthritis (RA). Methods: Patients with RA enrolled in the Institute of Rheumatology Rheumatoid Arthritis (IORRA) cohort completed three self-administered questionnaires including questions about recent gingival bleeding during toothbrushing, a recent diagnosis of periodontitis by a dentist, and any history of periodontitis. Logistic regression analyses were used to evaluate associations with clinical variables for each questionnaire. Results: Among 5600 Japanese patients with RA, 31.0%, 18.3%, and 20.4% of patients self-reported recent gingival bleeding during toothbrushing, a recent diagnosis of periodontitis by a dentist, and a history of periodontitis, respectively. In multivariate models, younger age, fracture history, Japanese Health Assessment Questionnaire-Disability Index (JHAQ-DI), and prednisolone dosage were significantly (p <.05) associated with recent gingival bleeding during toothbrushing. Older age, female gender, and ever-smoker status were significantly correlated with a recent diagnosis of periodontitis. Conclusion: Many Japanese patients with RA experience gingival bleeding during toothbrushing and are diagnosed with periodontitis. Age, female gender, ever-smoker status, fracture history, JHAQ-DI, and prednisolone dosage appeared to be associated with periodontal disease in Japanese patients with RA.

Original languageEnglish
JournalModern Rheumatology
DOIs
Publication statusPublished - Jan 1 2019

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Periodontitis
Rheumatology
Periodontal Diseases
Toothbrushing
Rheumatoid Arthritis
Cohort Studies
Hemorrhage
Prednisolone
Dentists
Health
Surveys and Questionnaires
Logistic Models
Regression Analysis

Keywords

  • Gingival bleeding
  • Japanese
  • oral hygiene
  • periodontitis
  • rheumatoid arthritis

ASJC Scopus subject areas

  • Rheumatology

Cite this

Age and female gender associated with periodontal disease in Japanese patients with rheumatoid arthritis : Results from self-reported questionnaires from the IORRA cohort study. / Furuya, Takefumi; Inoue, Eisuke; Tanaka, Eiichi; Maeda, Shigeru; Ikari, Katsnori; Taniguchi, Atsuo; Yamanaka, Hisashi.

In: Modern Rheumatology, 01.01.2019.

Research output: Contribution to journalArticle

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abstract = "Objectives: This study aimed to evaluate the prevalence of, and the factors associated with, periodontal disease in Japanese patients with rheumatoid arthritis (RA). Methods: Patients with RA enrolled in the Institute of Rheumatology Rheumatoid Arthritis (IORRA) cohort completed three self-administered questionnaires including questions about recent gingival bleeding during toothbrushing, a recent diagnosis of periodontitis by a dentist, and any history of periodontitis. Logistic regression analyses were used to evaluate associations with clinical variables for each questionnaire. Results: Among 5600 Japanese patients with RA, 31.0{\%}, 18.3{\%}, and 20.4{\%} of patients self-reported recent gingival bleeding during toothbrushing, a recent diagnosis of periodontitis by a dentist, and a history of periodontitis, respectively. In multivariate models, younger age, fracture history, Japanese Health Assessment Questionnaire-Disability Index (JHAQ-DI), and prednisolone dosage were significantly (p <.05) associated with recent gingival bleeding during toothbrushing. Older age, female gender, and ever-smoker status were significantly correlated with a recent diagnosis of periodontitis. Conclusion: Many Japanese patients with RA experience gingival bleeding during toothbrushing and are diagnosed with periodontitis. Age, female gender, ever-smoker status, fracture history, JHAQ-DI, and prednisolone dosage appeared to be associated with periodontal disease in Japanese patients with RA.",
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AU - Maeda, Shigeru

AU - Ikari, Katsnori

AU - Taniguchi, Atsuo

AU - Yamanaka, Hisashi

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