1
|
DeWitte SN. Assessing the existence of the male-female health-survival paradox in the past: Dental caries in medieval London. AMERICAN JOURNAL OF BIOLOGICAL ANTHROPOLOGY 2024:e24990. [PMID: 38923302 DOI: 10.1002/ajpa.24990] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/16/2024] [Revised: 05/20/2024] [Accepted: 06/10/2024] [Indexed: 06/28/2024]
Abstract
OBJECTIVES This study seeks to identify signals of the male-female health-survival paradox in medieval London. MATERIALS AND METHODS This study uses skeletal data on age, sex, dental caries (n = 592) and antemortem tooth loss (n = 819) from adult individuals from medieval London cemeteries (c. 1200-1540 CE). The association between age and dental caries was assessed using binary logistic regression. The associations among age, time period (pre- vs. post-Black Death), oral biomarker (dental caries or antemortem tooth loss), and sex were tested using hierarchical log-linear analysis. RESULTS The analyses reveal significantly higher odds of dental caries with increasing adult ages, more older adults after the Black Death, different age distributions of dental caries between the sexes, and a greater decrease in the prevalence of dental caries for females after the Black Death. These results appear not to be an artifact of trends in AMTL. However, this study does not yield evidence suggesting that females experienced both a survival advantage and a decline in oral health at late adult ages after the Black Death relative to males. CONCLUSIONS These results do not provide evidence of the existence of a male-female health-survival paradox, but they do corroborate existing evidence of improvements in health in general in the aftermath of the Black Death. The decreased prevalence of dental caries after the Black Death may reflect dietary improvements or the effects of selective mortality during the epidemic.
Collapse
Affiliation(s)
- Sharon N DeWitte
- Institute of Behavioral Science, University of Colorado, Boulder, Colorado, USA
- Department of Anthropology, University of Colorado, Boulder, Colorado, USA
| |
Collapse
|
2
|
Yang M, Xu J, Chen X, Liu L, Kong D, Yang Y, Chen W, Li Z, Zhang X. Sex-based influential factors for dental caries in patients with schizophrenia. BMC Psychiatry 2023; 23:735. [PMID: 37817127 PMCID: PMC10566046 DOI: 10.1186/s12888-023-05256-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/15/2023] [Accepted: 10/04/2023] [Indexed: 10/12/2023] Open
Abstract
BACKGROUND Schizophrenia is a common mental disorder that seriously affects patients' daily lives and brings heavy psychological and economic burdens to their families and society. The oral problems of patients with schizophrenia are gradually gaining attention, among which dental caries are among the most common oral diseases. Sex differences may be related not only to the various clinical symptoms of schizophrenia but also to different oral hygiene statuses; therefore, the main purpose of this paper is to investigate sex differences related to influencing factors for dental caries in patients with schizophrenia. METHOD Inpatients with schizophrenia over 18 years old were included in this study, and multidimensional indicators such as demographics, symptom and cognitive impairment assessments, medications, and the caries index of decayed, missing, and filled teeth (DMFT) were collected. An analysis of sex-based influential factors for dental caries in schizophrenia patients was performed. RESULTS Four-hundred and ninety-six patients with schizophrenia were included, with a mean age of 46.73 ± 12.23 years, of which 142 were females and 354 were males. The mean DMFT was significantly higher in males (8.81 ± 8.50) than in females (5.63 ± 6.61, p < 0.001), and the odd ratio of caries in males to females was significantly higher as well (OR = 2.305, p < 0.001). The influential factors of caries in male patients were independently associated with age and smoking status, in which current smokers were at the highest risk for developing caries, and different smoking statuses had various influencing factors for caries. The influencing factors for caries in female patients were independently associated with age, antipsychotic dose, PANSS-positive symptoms, and MMSE levels. CONCLUSION Our findings suggest sex differences exist among influential factors for caries in patients with schizophrenia. These risk factors may even be associated with and affect the treatment and prognosis of psychiatric symptoms in patients. Therefore, oral hygiene management of patients with schizophrenia should be enhanced. These differential factors provide new visions and ideas for formulating individual interventions, treatments, and care priorities.
Collapse
Affiliation(s)
- Mi Yang
- Department of Psychiatry, The Fourth People’s Hospital of Chengdu, No.8 Huli-West 1st-Alley, Jinniu District, Chengdu, 610036 China
- MOE Key Lab for Neuroinformation, The Clinical Hospital of Chengdu Brain Science Institute, University of Electronic Science and Technology of China, Qingshuihe Campus: No.2006, Xiyuan Ave, West Hi-Tech Zone, Chengdu, 611731 China
- School of Life Science and Technology, University of Electronic Science and Technology of China, Qingshuihe Campus: No.2006, Xiyuan Ave, West Hi-Tech Zone, Chengdu, 611731 China
| | - Jingjing Xu
- Department of Psychiatry, Qingdao mental health center, No. 299, Nanjing Road, Qingdao, 266034 China
| | - Xiaoqin Chen
- Department of Psychiatry, Qingdao mental health center, No. 299, Nanjing Road, Qingdao, 266034 China
| | - Liju Liu
- School of Life Science and Technology, University of Electronic Science and Technology of China, Qingshuihe Campus: No.2006, Xiyuan Ave, West Hi-Tech Zone, Chengdu, 611731 China
| | - Di Kong
- Department of Psychiatry, The Fourth People’s Hospital of Chengdu, No.8 Huli-West 1st-Alley, Jinniu District, Chengdu, 610036 China
| | - Yan Yang
- Department of Psychiatry, The Fourth People’s Hospital of Chengdu, No.8 Huli-West 1st-Alley, Jinniu District, Chengdu, 610036 China
| | - Wei Chen
- Department of Psychiatry, The Fourth People’s Hospital of Chengdu, No.8 Huli-West 1st-Alley, Jinniu District, Chengdu, 610036 China
| | - Zezhi Li
- Department of Nutritional and Metabolic Psychiatry, The Affiliated Brain Hospital of Guangzhou Medical University, 36 Mingxin Road, Liwan District, Guangzhou, 510370 China
- Department of Psychiatry, Guangdong Engineering Technology Research Center for Translational Medicine of Mental Disorders, 36 Mingxin Road, Liwan District, Guangzhou, 510370 China
- Key Laboratory of Neurogenetics and Channelopathies of Guangdong Province, Ministry of Education of China, Guangzhou Medical University, 36 Mingxin Road, Liwan District, Guangzhou, 510370 China
| | - Xiangyang Zhang
- CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, 16 Lincui Road, Chaoyang District, Beijing, 100101 China
| |
Collapse
|
3
|
Chowdhury N, Turton B, Chher T, Hak S, Hondru G, Sokal-Gutierrez K. Relationship between Early Childhood Caries and Prolonged Coughing Episodes in a Cohort of Cambodian Children. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:12842. [PMID: 36232141 PMCID: PMC9566348 DOI: 10.3390/ijerph191912842] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/22/2022] [Revised: 09/26/2022] [Accepted: 09/27/2022] [Indexed: 06/16/2023]
Abstract
Studies have shown an association between Early Childhood Caries (ECC) and respiratory infections; however, most have been cross-sectional, and all have been in high-income countries. Inverse probability treatment weighting (IPTW) was applied to longitudinal data from the Cambodia Health and Nutrition Monitoring Study. An analytical sample of 1703 Cambodian children between 1- and 4-years old was used to examine the effect of caries incidence (ECC Activity) on the odds of a child subsequently experiencing an episode of prolonged coughing (>14 days) over the subsequent 18 m. ECC activity occurred among 523 children (30.7%) while prolonged coughing was observed among 235 children (13.8%). ECC activity increased the risk of prolonged coughing (RR 1.23; 95% CI 0.95, 1.58; Average treatment effect = 3%). Follow-up investigations are justified in order to examine whether ECC may be a modifiable risk factor for prevention of respiratory illness among young children.
Collapse
Affiliation(s)
- Noureen Chowdhury
- Faculty of Dentistry, University of Puthisastra, Phnom Penh 120211, Cambodia
| | - Bathsheba Turton
- Faculty of Dentistry, University of Puthisastra, Phnom Penh 120211, Cambodia
- Office of Global and Population Health, Henry M. Goldman School of Dental Medicine, Boston University, Bostson, MA 02118, USA
| | - Tepirou Chher
- Oral Health Bureau, Department of Preventive Medicine, Ministry of Health, Phnom Penh 12151, Cambodia
| | - Sithan Hak
- Oral Health Bureau, Department of Preventive Medicine, Ministry of Health, Phnom Penh 12151, Cambodia
| | | | | |
Collapse
|
4
|
Xue M, Wang Q, Zhang Y, Pang B, Yang M, Deng X, Zhang Z, Niu W. Factors Associated With Lower Respiratory Tract Infection Among Chinese Students Aged 6-14 Years. Front Pediatr 2022; 10:911591. [PMID: 35783299 PMCID: PMC9243225 DOI: 10.3389/fped.2022.911591] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/02/2022] [Accepted: 05/23/2022] [Indexed: 12/03/2022] Open
Abstract
AIMS We employed machine-learning methods to explore data from a large survey on students, with the goal of identifying and validating a thrifty panel of important factors associated with lower respiratory tract infection (LRTI). METHODS Cross-sectional cluster sampling was performed for a survey of students aged 6-14 years who attended primary or junior high school in Beijing within January, 2022. Data were collected via electronic questionnaires. Statistical analyses were completed using the PyCharm (Edition 2018.1 x64) and Python (Version 3.7.6). RESULTS Data from 11,308 students (5,527 girls and 5,781 boys) were analyzed, and 909 of them had LRTI with the prevalence of 8.01%. After a comprehensive evaluation, the Gaussian naive Bayes (gNB) algorithm outperformed the other machine-learning algorithms. The gNB algorithm had accuracy of 0.856, precision of 0.140, recall of 0.165, F1 score of 0.151, and area under the receiver operating characteristic curve (AUROC) of 0.652. Using the optimal gNB algorithm, top five important factors, including age, rhinitis, sitting time, dental caries, and food or drug allergy, had decent prediction performance. In addition, the top five factors had prediction performance comparable to all factors modeled. For example, under the sequential deep-learning model, the accuracy and loss were separately gauged at 92.26 and 25.62% when incorporating the top five factors, and 92.22 and 25.52% when incorporating all factors. CONCLUSIONS Our findings showed the top five important factors modeled by gNB algorithm can sufficiently represent all involved factors in predicting LRTI risk among Chinese students aged 6-14 years.
Collapse
Affiliation(s)
- Mei Xue
- Graduate School, Beijing University of Chinese Medicine, Beijing, China.,Department of Pediatrics, China-Japan Friendship Hospital, Beijing, China
| | - Qiong Wang
- Graduate School, Beijing University of Chinese Medicine, Beijing, China.,Department of Pediatrics, China-Japan Friendship Hospital, Beijing, China
| | - Yicheng Zhang
- Graduate School, Beijing University of Chinese Medicine, Beijing, China.,Department of Pediatrics, China-Japan Friendship Hospital, Beijing, China
| | - Bo Pang
- Graduate School, Beijing University of Chinese Medicine, Beijing, China.,Department of Pediatrics, China-Japan Friendship Hospital, Beijing, China
| | - Min Yang
- Graduate School, Beijing University of Chinese Medicine, Beijing, China.,Department of Pediatrics, China-Japan Friendship Hospital, Beijing, China
| | - Xiangling Deng
- Graduate School, Beijing University of Chinese Medicine, Beijing, China.,Department of Pediatrics, China-Japan Friendship Hospital, Beijing, China
| | - Zhixin Zhang
- Department of Pediatrics, China-Japan Friendship Hospital, Beijing, China.,International Medical Services, China-Japan Friendship Hospital, Beijing, China
| | - Wenquan Niu
- Institute of Clinical Medical Sciences, China-Japan Friendship Hospital, Beijing, China
| |
Collapse
|
5
|
Matsumoto N, Kadowaki T, Tsukahara H, Yorifuji T. Association between Dental Caries and Influenza Infection in Children: A Japanese Nationwide Population-Based Study. CHILDREN 2021; 8:children8090780. [PMID: 34572212 PMCID: PMC8471678 DOI: 10.3390/children8090780] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/10/2021] [Revised: 09/01/2021] [Accepted: 09/04/2021] [Indexed: 11/17/2022]
Abstract
Dental caries is the most common chronic childhood disease. Recent studies have suggested that dental caries harbor respiratory infections in adults. We investigated the association between dental caries and influenza in children. In this study, 42,812 children aged 2.5 years, 38,540 children aged 5.5 years, and 34,124 children aged 10 years were included in the analysis from the Longitudinal Survey of Newborns in the 21st Century in Japan, which targeted all children born during a certain period in 2001. We used information on dental caries treated at hospitals and clinics in the past year as exposure and influenza as outcome during the observation periods (1.5–2.5, 4.5–5.5, and 9–10 years of age). We performed a log-binomial regression analysis, adjusting for potential confounders, and stratified analysis according to previous dental caries status. The presence of dental caries increased the incidence of influenza in all three target ages compared with the absence of dental caries. The incidence of influenza increased with the presence of current dental caries, regardless of the presence of past dental caries. These associations were observed irrespective of household income. Early detection and treatment of dental caries may reduce the risk of influenza in children.
Collapse
Affiliation(s)
- Naomi Matsumoto
- Department of Epidemiology, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama 700-8558, Japan; (T.K.); (T.Y.)
- Correspondence: ; Tel.: +81-86-235-7173; Fax: +81-86-235-7178
| | - Tomoka Kadowaki
- Department of Epidemiology, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama 700-8558, Japan; (T.K.); (T.Y.)
| | - Hirokazu Tsukahara
- Department of Pediatrics, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama 700-8558, Japan;
| | - Takashi Yorifuji
- Department of Epidemiology, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama 700-8558, Japan; (T.K.); (T.Y.)
| |
Collapse
|
6
|
Gani F, Caminati M, Bellavia F, Baroso A, Faccioni P, Pancera P, Batani V, Senna G. Oral health in asthmatic patients: a review : Asthma and its therapy may impact on oral health. Clin Mol Allergy 2020; 18:22. [PMID: 33292326 PMCID: PMC7648282 DOI: 10.1186/s12948-020-00137-2] [Citation(s) in RCA: 27] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2020] [Accepted: 10/24/2020] [Indexed: 12/17/2022] Open
Abstract
Different drugs used to treat asthma, such as beta 2 agonists and inhaled steroids, may promote a higher risk of caries, dental erosion, periodontal disease and oral candidiasis. This article reviews the evidences of mechanisms involved in oral diseases in patients affected by asthma. The main mechanism involved is the reduction of salivary flow. Other mechanisms include: acid pH in oral cavity induced by inhaled drugs (particularly dry powder inhaled), lifestyle (bad oral hygiene and higher consumption of sweet and acidic drinks), gastroesophageal reflux, and the impairment of local immunity. In conclusion asthma is involved in the genesis of oral pathologies both directly and indirectly due to the effect of the drugs used to treat them. Other cofactors such as poor oral hygiene increase the risk of developing oral diseases in these patients. Preventive oral measures, therefore, should be part of a global care for patients suffering from asthma.
Collapse
Affiliation(s)
- Federica Gani
- Allergy Service AOU San Luigi Gonzaga Orbassano, Turin, Italy
| | - Marco Caminati
- Department of Medicine, University of Verona, Piazzale Scuro, Verona, Italy
| | - Fabio Bellavia
- Allergy Service AOU San Luigi Gonzaga Orbassano, Turin, Italy
| | - Andrea Baroso
- Allergy Service AOU San Luigi Gonzaga Orbassano, Turin, Italy
| | - Paolo Faccioni
- Section of Oral and Maxillofacial Surgery, Department of Surgical Sciences, Dentistry, Gynecology and Pediatrics, University of Verona, Verona, Italy
| | - Paolo Pancera
- Section of Oral and Maxillofacial Surgery, Department of Surgical Sciences, Dentistry, Gynecology and Pediatrics, University of Verona, Verona, Italy
| | - Veronica Batani
- Department of Medicine, University of Verona, Piazzale Scuro, Verona, Italy.
| | - Gianenrico Senna
- Department of Medicine, University of Verona, Piazzale Scuro, Verona, Italy.,Allergy Unit and Asthma Center, Verona University Hospital, Piazzale Scuro, Verona, Italy
| |
Collapse
|
7
|
Hu XP, Zhou HJ, Li ZQ, Song TZ, Zhu YY. Lack of associations between lactoferrin ( LTF) and mannose-binding lectin 2 ( MBL2) gene polymorphism and dental caries susceptibility. J Int Med Res 2020; 48:300060520943428. [PMID: 32721184 PMCID: PMC7388124 DOI: 10.1177/0300060520943428] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
Abstract
Objective With the development of human genomics, the genetic factors associated with
dental caries have receiving increasing attention. This study was performed
to evaluate the relationship between lactoferrin (LTF) and
mannose-binding lectin 2 (MBL2) gene single nucleotide
polymorphisms (SNPs) and dental caries susceptibility in Chinese
children. Methods This prospective case–control study included 360 unrelated children (aged
12–15 years) who received oral health examinations and questionnaire
surveys. The children were divided into two groups by counting the numbers
of decayed, missing, and filled teeth (DMFT/dmft): case group (n = 162,
DMFT/dmft ≥ 1) and control group (n = 198, DMFT/dmft = 0); non-invasive
saliva samples were collected to extract genomic DNA. Six SNPs
(rs2073495C/G, rs1042073C/T, rs10865941C/T, and
rs1126477A/G in LTF;
rs7096206C/G and rs7095891G/A in
MBL2) were tested by mass spectrometry. Results The study included 360 individuals with (85 boys and 77 girls) and without a
history of caries (96 boys and 102 girls). There were no statistically
significant differences in alleles and genotypes among the six SNPs between
the two groups. Conclusion There is no evidence that polymorphisms of LTF and
MBL2 genes are associated with dental caries
susceptibility in populations from northwest China; further confirmation is
needed with larger sample sizes.
Collapse
Affiliation(s)
- Xiao-Pan Hu
- Key Laboratory of Oral Diseases of Gansu Province, Lanzhou, China
| | - Hai-jing Zhou
- Key Laboratory of Oral Diseases of Gansu Province, Lanzhou, China
| | - Zhi-Qiang Li
- Key Laboratory of Stomatology of the State Ethnic Affairs Commission, Northwest Minzu University, Lanzhou, China
| | - Tian-Zhu Song
- Key Laboratory of Oral Diseases of Gansu Province, Lanzhou, China
| | - Yan-Yan Zhu
- Key Laboratory of Oral Diseases of Gansu Province, Lanzhou, China
| |
Collapse
|