ArticleEuropean journal of clinical investigation2021
Associations of toothbrushing behaviour with risks of vascular and nonvascular diseases in Chinese adults.
Article in European journal of clinical investigation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Impact of Oral Hygiene Practices in Reducing Cardiometabolic Risk, Incidence, and Mortality: A Systematic Review.International journal of environmental research and public health · 2024Pooled it
- Association of tooth brushing behavior with risks of major chronic health outcomes: a scoping review.BMC oral health · 2025Article
- The influence of habitual tooth brushing frequency on individuals diagnosed with coronary artery disease.Scientific reports · 2025Article
- Periodontal status of the patients presenting with pulmonary disease in a tertiary health care facility in eastern Nepal.BMC oral health · 2025Article
- Exploration of oral microbiota alteration and AI-driven non-invasive hyperspectral imaging for CAD prediction.BMC cardiovascular disorders · 2025Article
- Edentulism or Poor Oral Hygiene: Which Is the Stronger Predictor for All-Cause Mortality?Journal of clinical medicine · 2025Article
- Poor oral health is associated with social vulnerability in critically ill trauma patients.Trauma surgery & acute care open · 2025Article
- Association between toothbrushing behavior and cardiometabolic multimorbidity among middle aged and older adults in North China: a cross-section study.BMC oral health · 2024Article
- Association of oral health with all-cause and cause-specific mortality in older Chinese adults: A 14-year follow-up of the Guangzhou Biobank Cohort study.Journal of global health · 2024Article
- Association between oral health behavior and chronic diseases among middle-aged and older adults in Beijing, China.BMC oral health · 2023Article
- A Scoping Review of the Relation Between Toothbrushing and Diabetes Knowledge, Glycemic Control, and Oral Health Outcomes in People With Type 2 Diabetes.Diabetes spectrum : a publication of the American Diabetes Association · 2023Article
- [The Relationship Between Oral Microbiota and Chronic Obstructive Pulmonary Disease].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2023Review
- Poor oral health and risks of total and site-specific cancers in China: A prospective cohort study of 0.5 million adults.EClinicalMedicine · 2022Article
Corrections and comments
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Authors and funding
16 authors.
Funding
Abstract
Accumulating evidence has shown that poor oral hygiene is associated with increased risk of cardiometabolic diseases in Western populations. However, its relevance about the relationships in Chinese adults remains unclear. The China Kadoorie Biobank enrolled 512 715 adults aged 30-79 years in China during 2004-2008. Cox regression was used to estimate adjusted hazard ratios (HRs) for each disease associated with measures of oral hygiene. Overall 9.3% of the participants reported rarely or never brushing teeth at baseline. Participants who rarely or never brushed teeth had adjusted HR of 1.12 (95% CI: 1.09, 1.15) for MVE, with similar HRs for stroke (1.08, 1.05-1.12), intracerebral haemorrhage (1.18, 1.11-1.26) and pulmonary heart disease (1.22, 1.13-1.32) compared with those who brushed teeth regularly. Those who did not brush teeth also had increased risk of cancer (1.09, 1.04-1.14), chronic obstructive pulmonary disease (COPD) (1.12, 1.05-1.20), liver cirrhosis (1.25, 1.09-1.44) and all-cause death (1.25, 1.21-1.28) but not type 2 diabetes (0.94, 0.86-1.03) and chronic kidney disease (0.98, 0.81-1.18). Among Chinese adults, we found that poor oral hygiene is associated with higher risks of major vascular disease, cancer, COPD, liver cirrhosis and all-cause deaths, but not type 2 diabetes and chronic kidney disease.
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