Evidence map›Paper›PMID 31429749›Full record

ArticleBMC oral health2019

Association between poor oral health and diabetes among Indian adult population: potential for integration with NCDs.

Ishita Rawal, Shreeparna Ghosh, Safraj Shahul Hameed, Roopa Shivashankar, Vamadevan S Ajay, Shivani Anil Patel, Michael Goodman, Mohammed K Ali, K M Venkat Narayan, Nikhil Tandon and 1 more

Abstract read
In one paragraph

Article in BMC oral health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Ishita RawalCentre for Chronic Disease Control, C-1/52, 2nd Floor, Safdarjung Development Area, New Delhi, 110016, India. ishita@ccdcindia.org.ORCID 0000-0002-9924-7622
Shreeparna GhoshImmunization Technical Support Unit (ITSU-MoHFW), B-28 Qutub Institutional Area (first floor), New Delhi, India.
Safraj Shahul HameedCentre for Chronic Disease Control, C-1/52, 2nd Floor, Safdarjung Development Area, New Delhi, 110016, India.
Roopa ShivashankarCentre for Chronic Disease Control, C-1/52, 2nd Floor, Safdarjung Development Area, New Delhi, 110016, India.
Vamadevan S AjayCentre for Chronic Disease Control, C-1/52, 2nd Floor, Safdarjung Development Area, New Delhi, 110016, India.
Shivani Anil PatelHubert Department of Global Health, Emory University, 1518 Clifton Rd NE, Atlanta, GA, USA.
Michael GoodmanEmory University Rollins School of Public Health, 1518 Clifton Road, NE CNR 3021, Atlanta, GA, USA.
Mohammed K AliHubert Department of Global Health, Emory University, 1518 Clifton Rd NE, Atlanta, GA, USA.
K M Venkat NarayanHubert Department of Global Health, Emory University, 1518 Clifton Rd NE, Atlanta, GA, USA.
Nikhil TandonDepartment of Endocrinology and Metabolism, All India Institute of Medical Sciences, Ansari Nagar (East), New Delhi, 110029, India.
Dorairaj PrabhakaranCentre for Chronic Disease Control, C-1/52, 2nd Floor, Safdarjung Development Area, New Delhi, 110016, India.

Funding

Interdisciplinary research training: NCD epidemiology and prevention in IndiaD43HD065249 · NICHD · CENTRE FOR CHRONIC DISEASE CONTROL · PI NARAYAN, KABAYAM M VENKAT, TANDON, NIKHIL · 2009 to 2013
$1.2M
Health systems & implementation sciences institute for NCDs in SoAsia & LatinAmD43TW009135 · FIC · EMORY UNIVERSITY · PI LOZANO, RAFAEL, NARAYAN, KABAYAM M VENKAT · 2012 to 2016
$1.1M
Planning a Regional Center of Research Excellence in Non-communicable Diseases in IndiaP20CA210298 · NCI · EMORY UNIVERSITY · PI GOODMAN, MICHAEL · 2016 to 2017
$532k
FIC NIH HHS D43 TW009135NCI NIH HHS P20 CA210298NHLBI NIH HHS HHSN268200900026CNICHD NIH HHS D43 HD065249Wellcome Trust Capacity Strengthening Strategic Award Extension phase WT084754/Z/08/A
6 · The paper itself

Abstract

backgroundStudies in high-income countries have reported associations between oral health and diabetes. There is however a lack of evidence on this association from low and middle-income countries, especially India. The current study aimed to assess the prevalence of common oral diseases and their association with diabetes.

methodsThis cross-sectional study was nested within the second Cardiometabolic Risk Reduction in South Asia Surveillance Study. A subset of study participants residing in Delhi were administered the World Health Organization's Oral Health Assessment Questionnaire and underwent oral examination for caries experience and periodontal health assessment using standard indices. Diabetes status was ascertained by fasting blood glucose, glycosylated hemoglobin values or self-reported medication use. Information was captured on co-variates of interest. The association between oral health and diabetes was investigated using Multivariable Zero-Inflated Poisson (ZIP) regression analysis.

resultsOut of 2045 participants, 47% were women and the mean age of study participants was 42.17 (12.8) years. The age-standardised prevalence (95% confidence interval) estimates were 78.9% (75.6-81.7) for dental caries, 35.9% (32.3-39.6) for periodontitis. Nearly 85% participants suffered from at least one oral disease. Compared to diabetes-free counterparts, participants with diabetes had more severe caries experience [Mean Count Ratio (MCR) = 1.07 (1.03-1.12)] and attachment loss [MCR = 1.10 (1.04-1.17)]. Also, the adjusted prevalence of periodontitis was significantly higher among participants with diabetes [42.3%(40.0-45.0)] compared to those without diabetes [31.3%(30.3-32.2)].

conclusionWe found that eight out of ten participants in urban Delhi suffered from some form of oral disease and participants with diabetes had worse oral health. This highlights the need for public health strategies to integrate oral health within the existing Non-Communicable Disease control programs.

Indexed as

Dental CariesDiabetes ComplicationsDiabetes MellitusOral HealthAdultCross-Sectional StudiesFemaleHumansIndiaMalePrevalenceDental cariesDiabetesLow- and middle-income countriesNon-communicable diseasesPeriodontitis

Identifiers

PMID31429749
PMCPMC6701092

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.