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<p>To investigate whether preterm birth (PTB) and extreme birth weights are associated with the prevalence of periodontal disease and tooth loss later in life, we conducted a cross-sectional analysis of 6152 adults (62.3 ± 5.6 years) from the Atherosclerosis Risk in Communities (ARIC) study, who underwent a periodontal examination at Visit 4 (1996–1998). Preterm birth (PTB) (&lt; 37 weeks) and birth weight categories (low birth weight (LBW) &lt; 2.5 kg and high birth weight (HBW) &gt; 4.0 kg) were self‑reported. Periodontal status was assessed via clinical examination and classified using the Periodontal Profile Class (PPC). Multivariable logistic regression models estimated odds ratios (ORs) and 95% confidence intervals (CIs) for prevalent periodontal disease (PD) and tooth loss, adjusting for sociodemographic, behavioral, and cardiovascular risk factors. LBW and PTB were associated with increased odds of PD (OR = 1.57, 95% CI 1.15–2.16 and OR = 1.52, 95% CI 1.02–2.27, respectively), but not with tooth loss. Conversely, HBW was not associated with PD but was linked to greater odds of tooth loss (OR = 1.49, 95% CI 1.06–2.07). Adverse birth outcomes are associated with periodontal health in later life, supporting life-course approaches to risk assessment and prevention in both oral and systemic health.</p>

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Preterm birth and birth weight extremes are associated with periodontal disease and tooth loss in the ARIC study

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年6月20日

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  • Maria Doughan,
  • Eung-Kwon Pae,
  • Lisa Yanek,
  • Omar Chehab,
  • Bassel Doughan,
  • Kevin Moss,
  • James D. Beck,
  • Ronald M. Harper,
  • Erin D. Michos

摘要

To investigate whether preterm birth (PTB) and extreme birth weights are associated with the prevalence of periodontal disease and tooth loss later in life, we conducted a cross-sectional analysis of 6152 adults (62.3 ± 5.6 years) from the Atherosclerosis Risk in Communities (ARIC) study, who underwent a periodontal examination at Visit 4 (1996–1998). Preterm birth (PTB) (< 37 weeks) and birth weight categories (low birth weight (LBW) < 2.5 kg and high birth weight (HBW) > 4.0 kg) were self‑reported. Periodontal status was assessed via clinical examination and classified using the Periodontal Profile Class (PPC). Multivariable logistic regression models estimated odds ratios (ORs) and 95% confidence intervals (CIs) for prevalent periodontal disease (PD) and tooth loss, adjusting for sociodemographic, behavioral, and cardiovascular risk factors. LBW and PTB were associated with increased odds of PD (OR = 1.57, 95% CI 1.15–2.16 and OR = 1.52, 95% CI 1.02–2.27, respectively), but not with tooth loss. Conversely, HBW was not associated with PD but was linked to greater odds of tooth loss (OR = 1.49, 95% CI 1.06–2.07). Adverse birth outcomes are associated with periodontal health in later life, supporting life-course approaches to risk assessment and prevention in both oral and systemic health.