Περιοδοντίτιδα και κίνδυνος Χρόνιας Αποφρακτικής Πνευμονοπάθειας
(χρόνια βρογχίτιδα, εμφύσημα)
Chronic obstructive pulmonary disease (COPD)
επίσης γνωστή και ως Chronic obstructive lung disease (COLD),
Chronic obstructive airway disease (COAD),
Chronic airflow limitation (CAL) and
Chronic obstructive respiratory disease (CORD)

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RESEARCH ARTICLE

Periodontal Disease and Risk of Chronic Obstructive Pulmonary Disease:
A Meta-Analysis of Observational Studies

Abstract 

Background

Many epidemiological studies have found a positive association between periodontal disease (PD) and risk of chronic obstructive pulmonary disease (COPD), but this association is varied and even contradictory among studies. We performed a meta-analysis to ascertain the relationship between PD and COPD.

Methods

PubMed and Embase database were searched up to January 10, 2012, for relevant observational studies on the association between PD and risk of COPD. Data from the studies selected were extracted and analyzed independently by two authors. The meta-analysis was performed using the Comprehensive Meta-Analysis software.

Results

Fourteen observational studies (one nested case-control, eight case-control, and five cross-sectional) involving 3,988 COPD patients were yielded. Based on random-effects meta-analysis, a significant association between PD and COPD was identified (odds ratio = 2.08, 95% confidence interval = 1.48–2.91; P<0.001), with sensitivity analysis showing that the result was robust. Subgroups analyses according to study design, ethnicity, assessment of PD/COPD, and adjusted/unadjusted odds ratios also revealed a significant association. Publication bias was detected.

Conclusions

Based on current evidence, PD is a significant and independent risk factor of COPD. However, whether a causal relationships exists remains unclear. Morever, we suggest performing randomized controlled trails to explore whether periodontal interventions are beneficial in regulating COPD pathogenesis and progression.

Copyright: © 2012 Zeng et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


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Periodontal Disease and Risk of Chronic Obstructive Pulmonary Disease- A Meta-Analysis of Observational Studies

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PLOS ONE: Periodontal Disease and Risk of Chronic Obstructive Pulmonary Disease: A Meta-Analysis of Observational Studies.

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ResearchBlogging.org
Zeng, X., Tu, M., Liu, D., Zheng, D., Zhang, J., & Leng, W. (2012).

Periodontal Disease and Risk of Chronic Obstructive Pulmonary Disease:
A Meta-Analysis of Observational Studies

PLoS ONE, 7 (10) DOI: 10.1371/journal.pone.0046508

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