Evidence map›Paper›PMID 39994610›Full record

Observational studyBMC oral health2025

Exploring the link between self-rated poor oral health and cardiovascular risk: a cross-sectional study using SCORE2.

Peter Nymberg, Veronica Milos-Nymberg, Anton Grundberg, Nils Oscarson, Emelie Stenman, Kristina Sundquist

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in BMC oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04912739 (Targeted Health Dialogues in Primary Care), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

NCT04912739 recruitingnot on this map

Targeted Health Dialogues in Primary Care: Lifestyle Screening and Molecular Profiling for a Healthier Life

TypeobservationalSponsorRegion SkaneRan2020 to 2040Enrolled18,000ConditionsHealth Behaviors, Risk Factors, Cardiovascular Diseases, CancerArmsTargeted health dialogues
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
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

6 authors.

Peter NymbergCenter for Primary Health Care Research, Department of Clinical Sciences Malmö, Lund University, Malmö, Sweden. peter.nymberg@med.lu.se.
Veronica Milos-NymbergCenter for Primary Health Care Research, Department of Clinical Sciences Malmö, Lund University, Malmö, Sweden.
Anton GrundbergCenter for Primary Health Care Research, Department of Clinical Sciences Malmö, Lund University, Malmö, Sweden.
Nils OscarsonPublic Dental Service in Skåne, Lund, Sweden.
Emelie StenmanCenter for Primary Health Care Research, Department of Clinical Sciences Malmö, Lund University, Malmö, Sweden.
Kristina SundquistCenter for Primary Health Care Research, Department of Clinical Sciences Malmö, Lund University, Malmö, Sweden.

Funding

Swedish Research Council 2021-06456the Swedish Heart-Lung Foundation 20210553
6 · The paper itself

Abstract

backgroundPoor oral health is associated with several non-communicable diseases including cardiovascular disease. There are also well-known associations between lifestyle habits, cardiovascular disease, and oral health. In Europe, SCORE2 is a recommended instrument for assessing an individual's risk of a cardiovascular event within 10 years. However, no previous studies have examined the association between self-rated oral health and SCORE2. Using data from a cohort of 40- and 50-year-old individuals in Swedish primary healthcare, the present cross-sectional study investigated the association between self-reported poor oral health and cardiovascular risk assessed with targeted health dialogues and SCORE2.

methods40- and 50-year-old individuals registered at 180 primary healthcare centres in southern Sweden were invited to participate in targeted health dialogues. Self-reported oral health and lifestyle habits were collected using a web questionnaire. Anthropometric measurements, blood pressure, and blood tests were collected. Data were analysed using group comparisons and regression models.

resultsA total of 9499 individuals agreed to participate in the study and completed a targeted health dialogue between January 1, 2021, and January 10, 2024. The group who reported poor oral health had a higher proportion of high waist-hip ratio, insufficient physical activity, poor eating habits and tobacco use compared with individuals with good self-reported oral health. Significantly higher blood pressure was also noted, as well as elevated plasma glucose levels and low-density lipids. The regression analysis showed a significant association between poor self-rated oral health and cardiovascular risk by SCORE2 among both men and women. In the fully adjusted model, the association remained significant only for women.

conclusionsOur results indicate that individuals with poor self-rated oral health have higher cardiovascular risk and should be offered screening for unhealthy lifestyle habits to prevent cardiovascular events. We suggest that primary healthcare and dental care cooperate in identifying individuals at risk and intervene using evidence-based methods to prevent and address cardiovascular and oral diseases.

trial registrationClinicalTrials.gov registration number. NCT04912739. Registration date 2021-06-03, retrospectively registered. Ethical approval was secured from the Swedish Ethical Review Authority (registration number 2020-02689 with subsequent amendments).

Indexed as

Cardiovascular DiseasesHeart Disease Risk FactorsOral HealthAdultCross-Sectional StudiesFemaleHumansLife StyleMaleMiddle AgedRisk FactorsSelf ReportSwedenCardiovascular riskCross-sectionalLifestyle habitsPrimary health careSelf-rated oral health

Identifiers

PMID39994610
PMCPMC11853182

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Registered trials

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.