Periodontal bacteria and hypertension: the oral infections and vascular disease epidemiology study (INVEST)
Open accessAbstract
OBJECTIVE: Chronic infections, including periodontal infections, may predispose to cardiovascular disease. We investigated the relationship between periodontal microbiota and hypertension. METHODS AND RESULTS: Six hundred and fifty-three dentate men and women with no history of stroke or myocardial infarction were enrolled in INVEST. We collected 4533 subgingival plaque samples (average of seven samples per participant). These were quantitatively assessed for 11 periodontal bacteria using DNA-DNA checkerboard hybridization. Cardiovascular risk factor measurements were obtained. Blood pressure and hypertension (SBP > or =140 mmHg, DBP > or =90 mmHg or taking antihypertensive medication, or self-reported history) were each regressed on the level of bacteria: considered causative of periodontal disease (etiologic bacterial burden); associated with periodontal disease (putative bacterial burden); and associated with periodontal health (health-associated bacterial burden). All analyses were adjusted for age, race/ethnicity, sex, education, BMI, smoking, diabetes, low-density lipoprotein and high-density lipoprotein cholesterol. Etiologic bacterial burden was positively associated with both blood pressure and prevalent hypertension. Comparing the highest and lowest tertiles of etiologic bacterial burden, SBP was 9 mmHg higher, DBP was 5 mmHg higher (P for linear trend was less than 0.001 in each case), and the odds ratio for prevalent hypertension was 3.05 (95% confidence interval 1.60-5.82) after multivariable adjustment. CONCLUSION: Our data provide evidence of a direct relationship between the levels of subgingival periodontal bacteria and both SBP and DBP as well as hypertension prevalence.
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The finding of higher hypertension prevalence in periodontitis was not confirmed in four studies.
“These findings were not confirmed in four studies.[51][52][53][54]”
From Periodontitis is associated with hypertension: a systematic review and meta-analysis (2020) · cites this paper as [51]
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- Authors
- Desvarieux, M., Demmer, R. T., Jacobs, D. R., Jr, Rundek, T., Boden-Albala, B., Sacco, R. L., & Papapanou, P. N.
- Affiliations
- Columbia University (US)
- University of Minnesota (US)
- University of Miami (US)
- Columbia University Irving Medical Center (US)
- Venue
- Journal of Hypertension
- Published
- 2010-07
- Volume
- 28
- Issue
- 7
- Pages
- 1413-1421
- ISSN
- 0263-6352 (ISSN-L)
- PMC
- PMC3403746
- OpenAlex
- W1966562186
- Cited by
- 206
- References
- 41
- Citations by year
- 2026: 5 · 2025: 10 · 2024: 10 · 2023: 14 · 2022: 13 · 2021: 15 · 2020: 17 · 2019: 18 · 2018: 12 · 2017: 15 · 2016: 11 · 2015: 15 · 2014: 15 · 2013: 12 · 2012: 11
- FWCI
- 13.39
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Hypertension (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Neurological Disorders and Stroke (NS-29993, R56NS029993, R37NS029993, R01NS047655, R01NS029993)
- National Institute of Dental and Craniofacial Research (R01DE013094, K99DE018739, R00DE018739, R01 DE-13094)
- National Center for Research Resources (UL1RR024156)
- Topics
- Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
- Health Sciences › Medicine › Epidemiology › Infective Endocarditis Diagnosis and Management
- Health Sciences › Dentistry › General Dentistry › Dental Research and COVID-19
- Keywords
- periodontal pathogens, hypertension, subgingival plaque, periodontal disease, cardiovascular risk, blood pressure, chronic infection, cardiovascular disease, oral microbiota
- MeSH terms
- Aged, Antihypertensive Agents, Blood Pressure, Cardiovascular Diseases, Dental Plaque, Diabetes Mellitus, Female, Humans, Hypertension, Male, Periodontal Diseases, Prospective Studies, Risk, Cohort Studies, Prevalence
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