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The Evaluation of Oral Health in Patients with Chronic Kidney Disease – A Longitudinal Study

Received: 20 December 2022     Accepted: 6 January 2023     Published: 17 January 2023
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Abstract

Background: Chronic kidney disease affects more than 10% of people globally. The aim of the study was to assess oral health in patients with chronic kidney disease. The sample was composed of 233 patients, of which 147 (63%) were males and 86 (37%) were females. Participants' age varied from 31 to 70 years old. We divided the participants into four age groups: 31-40, 41-50, 51-60, and 61-70 years old. Data were analyzed by using (IBM, New York, USA, SPSS Statistics for Windows), Version 23.0. The significance level (α) was set at 0.05, with a confidence interval (CI) of 95%. The prevailing age range was from 51 to 60 years old, with 31.8% of the participants. A considerable number of patients with chronic kidney disease had low incomes, respectively 42.4% of them. 80.7% of the patients were current smokers and 73.4% of them consumed alcohol. A large proportion of respondents 83.7% of them were diabetic patients. 63.1% of the participants reported that they had hypertension. According to our findings, 55.8% of the participants brush their teeth only once a day. The study found a strong correlation between chronic kidney disease and diabetes mellitus (CI 95; 1.17-1.33, P-value ˂.0001), hypertension (P ˂.0001), alcohol consumption (P=.001), and smoking (P =.000). Gingivitis was the most common oral disease which affected 73.4% of the participants, followed by 56.7% of them who had dental caries.

Published in International Journal of Biomedical Engineering and Clinical Science (Volume 9, Issue 1)
DOI 10.11648/j.ijbecs.20230901.11
Page(s) 1-5
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2023. Published by Science Publishing Group

Keywords

Alcohol Consumption, Chronic Kidney Disease, Dental Caries, Diabetes Mellitus, Gingivitis, Hypertension

References
[1] Luyckx, V., Tonelli, M., & Stanifer, J. (2018). La carga global de la insuficiencia renal y los objetivos de desarrollo sostenible. Boletín de la Organización Mundial de la Salud, 96 (6), 369-440.
[2] Lv, J. C., & Zhang, L. X. (2019). Prevalence and disease burden of chronic kidney disease. Renal Fibrosis: Mechanisms and Therapies, 3-15. doi: 10.1007/978-981-13-8871-2_1.
[3] Pecoits-Filho, R., Abensur, H., Betônico, C. C., Machado, A. D., Parente, E. B., Queiroz, M., & Vencio, S. (2016). Interactions between kidney disease and diabetes: dangerous liaisons. Diabetology & metabolic syndrome, 8 (1), 1-21. doi: 10.1186/s13098-016-0159-z.
[4] Chen, L., Wang, J., Huang, X., Wang, F., Liang, W., He, Y., & Xiong, Z. (2020). Association between diabetes mellitus and health-related quality of life among patients with chronic kidney disease: results from the Chinese Cohort Study of Chronic Kidney Disease (C-STRIDE). Health and quality of life outcomes, 18 (1), 1-8. doi: 10.1186/s12955-020-01519-5.
[5] Hanratty, R., Chonchol, M., Havranek, E. P., Powers, J. D., Dickinson, L. M., Ho, P. M., & Steiner, J. F. (2011). Relationship between blood pressure and incident chronic kidney disease in hypertensive patients. Clinical journal of the American Society of Nephrology, 6 (11), 2605-2611. doi: 10.2215/CJN.02240311.
[6] Cantero-Navarro, E., Rayego-Mateos, S., Orejudo, M., Tejedor-Santamaria, L., Tejera-Muñoz, A., Sanz, A. B., & Ruiz-Ortega, M. (2021). Role of macrophages and related cytokines in kidney disease. Frontiers in medicine, 8, 1037. doi: 10.1038/s41581-019-0248-y.
[7] Tonelli M, Riella M. (2014). Chronic kidney disease and the aging population. Brazilian Journal of Nephrology, 36: 1-5.
[8] Palygin, O., Guan, Z., Intapad, S., & Sullivan, J. C. (2021). Hypertension and Chronic Kidney Injury or Failure. Frontiers in Physiology, 12, 662737. doi: 10.3389/fphys.2021.662737.
[9] Yim, H. E., & Yoo, K. H. (2021). Obesity and chronic kidney disease: prevalence, mechanism, and management. Clinical and Experimental Pediatrics, 64 (10), 511. doi: 10.3345/cep.2021.00108.
[10] Memarian, E., Nilsson, P. M., Zia, I., Christensson, A., & Engström, G. (2021). The risk of chronic kidney disease in relation to anthropometric measures of obesity: A Swedish cohort study. BMC nephrology, 22 (1), 1-10. doi: 10.1186/s12882-021-02531-7.
[11] Xia, J., Wang, L., Ma, Z., Zhong, L., Wang, Y., Gao, Y., & Su, X. (2017). Cigarette smoking and chronic kidney disease in the general population: a systematic review and meta-analysis of prospective cohort studies. Nephrology Dialysis Transplantation, 32 (3), 475-487. doi: 10.1093/ndt/gfw452.
[12] Fan, Z., Yun, J., Yu, S., Yang, Q., & Song, L. (2019). Alcohol consumption can be a “double-edged sword” for chronic kidney disease patients. Medical science monitor: international medical journal of experimental and clinical research, 25, 7059. doi: 10.12659/MSM.916121.
[13] Menezes, C. R., Pereira, A. L., Ribeiro, C. C., Chaves, C. O., Guerra, R. N., Thomaz, É. B.,... & Alves, C. M. (2019). Is there association between chronic kidney disease and dental caries? A case-controlled study. Medicina oral, patologia oral y cirugia bucal, 24 (2), e211. doi: 10.4317/medoral.22737.
[14] Liu K, Liu Q, Chen W, Liang M, Luo W, Wu X, et al. Prevalence and risk factors of CKD in Chinese patients with periodontal disease. PLoS One. 2013; 8 (8): e70767. doi: 10.1371/journal.pone.0070767.
[15] Gupta, M., & Gupta, M. (2015). Oral conditions in renal disorders and treatment considerations–A review for pediatric dentist. The Saudi dental journal, 27 (3), 113-119. doi: 10.1016/j.sdentj.2014.11.014.
[16] Chang, Y., Lee, J. S., Woo, H. G., Ryu, D. R., Kim, J. W., & Song, T. J. (2021). Improved oral hygiene care and chronic kidney disease occurrence: A nationwide population-based retrospective cohort study. Medicine, 100 (47). doi: 10.1097/MD.0000000000027845.
[17] Gutierrez, O. M. (2015). Contextual poverty, nutrition, and chronic kidney disease. Advances in chronic kidney disease, 22 (1), 31-38. doi: 10.1053/j.ackd.2014.05.005.
[18] World Medical Association. World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. (2013). Jama, 310 (20): 2191-4. doi: 10.1001/jama.2013.281053.
[19] Islam, T. M., Fox, C. S., Mann, D., & Muntner, P. (2009). Age-related associations of hypertension and diabetes mellitus with chronic kidney disease. BMC nephrology, 10 (1), 1-6. doi: 10.1186/1471-2369-10-17.
[20] Yamada, T., Wakabayashi, M., Bhalla, A., Chopra, N., Miyashita, H., Mikami, T., & Tamura, K. (2021). Cardiovascular and renal outcomes with SGLT-2 inhibitors versus GLP-1 receptor agonists in patients with type 2 diabetes mellitus and chronic kidney disease: a systematic review and network meta-analysis. Cardiovascular diabetology, 20 (1), 1-13. doi: 10.1186/s12933-020-01197-z.
[21] Lakkis JI, Weir MR. (2018). Obesity and kidney disease. Progress in cardiovascular diseases, 61 (2): 157-67. doi: 10.1016/j.pcad.2018.07.005.
[22] Chagnac, A., Zingerman, B., Rozen-Zvi, B., & Herman-Edelstein, M. (2019). Consequences of glomerular hyperfiltration: the role of physical forces in the pathogenesis of chronic kidney disease in diabetes and obesity. Nephron, 143 (1), 38-42. doi: 10.1159/000499486.
[23] Chen, T. K., Knicely, D. H., & Grams, M. E. (2019). Chronic kidney disease diagnosis and management: a review. Jama, 322 (13), 1294-1304. doi: 10.1001/jama.2019.14745.
[24] Grams, M. E., Rebholz, C. M., Chen, Y., Rawlings, A. M., Estrella, M. M., Selvin, E., & Coresh, J. (2016). Race, APOL1 risk, and eGFR decline in the general population. Journal of the American Society of Nephrology, 27 (9), 2842-2850. doi: 10.1681/ASN.2015070763.
[25] Coresh, J., Eknoyan, G., & Levey, A. S. (2002). Estimating the prevalence of low glomerular filtration rate requires attention to the creatinine assay calibration. Journal of the American Society of Nephrology, 13 (11), 2811-2816. doi: 10.1097/01.asn.0000037420. 89149.c9.
[26] Leonberg-Yoo, A. K., & Rudnick, M. R. (2017). Tobacco use: a chronic kidney disease accelerant. American Journal of Nephrology, 46 (4), 257-260. doi: 10.1159/000481209.
[27] Hu, E. A., Lazo, M., Rosenberg, S. D., Grams, M. E., Steffen, L. M., Coresh, J., & Rebholz, C. M. (2020). Alcohol consumption and incident kidney disease: results from the atherosclerosis risk in community’s study. Journal of Renal Nutrition, 30 (1), 22-30. doi: 10.1053/j.jrn.2019.01.011.
[28] Umesawa M, Sairenchi T, Haruyama Y, Nagao M, Yamagishi K, Irie F, et al. (2018). Validity of a risk prediction equation for CKD after 10 years of follow-up in a Japanese population: the Ibaraki prefectural health study. American journal of kidney diseases, 71 (6): 842-50. doi: 10.1053/j.ajkd.2017.09.013.
[29] Kanda, E., Muneyuki, T., Suwa, K., & Nakajima, K. (2015). Alcohol and exercise affect declining kidney function in healthy males regardless of obesity: A prospective cohort study. PLoS One, 10 (8), e0134937. doi: 10.1371/journal.pone.0134937.
[30] Menon, V., Katz, R., Mukamal, K., Kestenbaum, B., de Boer, I. H., Siscovick, D. S., & Shlipak, M. G. (2010). Alcohol consumption and kidney function decline in the elderly: alcohol and kidney disease. Nephrology Dialysis Transplantation, 25 (10), 3301-3307. doi: 10.1093/ndt/gfq188.
[31] Andaloro C, Sessa C, Bua N, Mantia IL. (2018). Chronic kidney disease in children: Assessment of oral health status. Dental and medical problems, 55 (1): 23-8. doi: 10.17219/dmp/81747.
[32] Kesmez, Ö., Frøjk, M. J., Eidemak, I., Jensen, S. B., & Kragelund, C. (2020). Oral symptoms and pathologies in Danish patients with chronic kidney disease-a pilot study. Apmis, 128 (5), 401-405. doi: 10.1111/apm.13042.
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    Mimoza Canga, Irene Malagnino, Edit Xhajanka, Rozela Xhemnica, Vergjini Mulo, et al. (2023). The Evaluation of Oral Health in Patients with Chronic Kidney Disease – A Longitudinal Study. International Journal of Biomedical Engineering and Clinical Science, 9(1), 1-5. https://doi.org/10.11648/j.ijbecs.20230901.11

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    ACS Style

    Mimoza Canga; Irene Malagnino; Edit Xhajanka; Rozela Xhemnica; Vergjini Mulo, et al. The Evaluation of Oral Health in Patients with Chronic Kidney Disease – A Longitudinal Study. Int. J. Biomed. Eng. Clin. Sci. 2023, 9(1), 1-5. doi: 10.11648/j.ijbecs.20230901.11

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    AMA Style

    Mimoza Canga, Irene Malagnino, Edit Xhajanka, Rozela Xhemnica, Vergjini Mulo, et al. The Evaluation of Oral Health in Patients with Chronic Kidney Disease – A Longitudinal Study. Int J Biomed Eng Clin Sci. 2023;9(1):1-5. doi: 10.11648/j.ijbecs.20230901.11

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  • @article{10.11648/j.ijbecs.20230901.11,
      author = {Mimoza Canga and Irene Malagnino and Edit Xhajanka and Rozela Xhemnica and Vergjini Mulo and Vito Antonio Malagnino},
      title = {The Evaluation of Oral Health in Patients with Chronic Kidney Disease – A Longitudinal Study},
      journal = {International Journal of Biomedical Engineering and Clinical Science},
      volume = {9},
      number = {1},
      pages = {1-5},
      doi = {10.11648/j.ijbecs.20230901.11},
      url = {https://doi.org/10.11648/j.ijbecs.20230901.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijbecs.20230901.11},
      abstract = {Background: Chronic kidney disease affects more than 10% of people globally. The aim of the study was to assess oral health in patients with chronic kidney disease. The sample was composed of 233 patients, of which 147 (63%) were males and 86 (37%) were females. Participants' age varied from 31 to 70 years old. We divided the participants into four age groups: 31-40, 41-50, 51-60, and 61-70 years old. Data were analyzed by using (IBM, New York, USA, SPSS Statistics for Windows), Version 23.0. The significance level (α) was set at 0.05, with a confidence interval (CI) of 95%. The prevailing age range was from 51 to 60 years old, with 31.8% of the participants. A considerable number of patients with chronic kidney disease had low incomes, respectively 42.4% of them. 80.7% of the patients were current smokers and 73.4% of them consumed alcohol. A large proportion of respondents 83.7% of them were diabetic patients. 63.1% of the participants reported that they had hypertension. According to our findings, 55.8% of the participants brush their teeth only once a day. The study found a strong correlation between chronic kidney disease and diabetes mellitus (CI 95; 1.17-1.33, P-value ˂.0001), hypertension (P ˂.0001), alcohol consumption (P=.001), and smoking (P =.000). Gingivitis was the most common oral disease which affected 73.4% of the participants, followed by 56.7% of them who had dental caries.},
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - The Evaluation of Oral Health in Patients with Chronic Kidney Disease – A Longitudinal Study
    AU  - Mimoza Canga
    AU  - Irene Malagnino
    AU  - Edit Xhajanka
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    JF  - International Journal of Biomedical Engineering and Clinical Science
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    PB  - Science Publishing Group
    SN  - 2472-1301
    UR  - https://doi.org/10.11648/j.ijbecs.20230901.11
    AB  - Background: Chronic kidney disease affects more than 10% of people globally. The aim of the study was to assess oral health in patients with chronic kidney disease. The sample was composed of 233 patients, of which 147 (63%) were males and 86 (37%) were females. Participants' age varied from 31 to 70 years old. We divided the participants into four age groups: 31-40, 41-50, 51-60, and 61-70 years old. Data were analyzed by using (IBM, New York, USA, SPSS Statistics for Windows), Version 23.0. The significance level (α) was set at 0.05, with a confidence interval (CI) of 95%. The prevailing age range was from 51 to 60 years old, with 31.8% of the participants. A considerable number of patients with chronic kidney disease had low incomes, respectively 42.4% of them. 80.7% of the patients were current smokers and 73.4% of them consumed alcohol. A large proportion of respondents 83.7% of them were diabetic patients. 63.1% of the participants reported that they had hypertension. According to our findings, 55.8% of the participants brush their teeth only once a day. The study found a strong correlation between chronic kidney disease and diabetes mellitus (CI 95; 1.17-1.33, P-value ˂.0001), hypertension (P ˂.0001), alcohol consumption (P=.001), and smoking (P =.000). Gingivitis was the most common oral disease which affected 73.4% of the participants, followed by 56.7% of them who had dental caries.
    VL  - 9
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Author Information
  • Department of Nursing, Faculty of Health, University of Vlora, Vlora, Albania

  • Dentistry and Orthodontics Department, University Sapienza, Rome, Italy

  • Department of Dental Prosthesis, University of Medicine Tirana, Tirana, Albania

  • Department of Dental Prosthesis, University of Medicine Tirana, Tirana, Albania

  • Department of Dental Prosthesis, University of Medicine Tirana, Tirana, Albania

  • Department of Innovative Technologies in Medicine and Dentistry, University of Chieti, Chieti, Italy

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