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Article: Longitudinal Association between Periodontitis and the Risk of Hypertension.

Aremu, John B / Pérez, Cynthia M / Joshipura, Kaumudi J

2023 Volume 2023, Page(s) 2644623

Abstract: Objectives: Hypertension poses a major public health challenge due to its association with increased risk of heart disease, chronic kidney disease, and death. The objective of this study is to evaluate the longitudinal association between periodontitis ... ...

Abstract	Objectives: Hypertension poses a major public health challenge due to its association with increased risk of heart disease, chronic kidney disease, and death. The objective of this study is to evaluate the longitudinal association between periodontitis and the risk of hypertension. Methods: Using a cohort study design, 540 participants free of diagnosed hypertension/prehypertension in the San Juan Overweight Adults Longitudinal Study and with complete 3-year follow-up data were included. Periodontitis was classified according to the 2012 Centers for Disease Control and Prevention/American Academy of Periodontology definition. Participants were considered to have developed hypertension if they reported physician-diagnosed hypertension over the follow-up period or had average systolic blood pressure (SBP) ≥140 mm Hg or diastolic blood pressure (DBP) ≥90 mm Hg at follow-up. Participants free of diagnosed hypertension or prehypertension and with normal BP at baseline (SBP < 120 mm Hg and DBP < 80 mm Hg) were considered to develop prehypertension if they had SBP between 120 and 139 mm Hg or DBP between 80 and 89 mm Hg at follow-up. An additional (secondary) outcome was defined as the development of prehypertension/hypertension over the follow-up period among participants who had normal BP at baseline. We used Poisson regression, adjusting for age, sex, smoking status, physical activity, alcohol intake, diabetes, waist circumference, and family history of hypertension. Results: One hundred and six (19.6%) participants developed hypertension, and 58 of the 221 with normal BP (26%) developed prehypertension/hypertension. There was no consistent association between periodontitis and the risk of developing hypertension. However, people with severe periodontitis had an increased incidence of prehypertension/hypertension (multivariate incidence rate ratios: 1.47; 95% confidence interval: 1.01, 2.17) than people without periodontitis after adjusting for confounders. Conclusion: There was no association between periodontitis and hypertension in this cohort study. However, severe periodontitis was associated with an increased risk of prehypertension/hypertension.
Language	English
Publishing date	2023-06-17
Publishing country	Egypt
Document type	Journal Article
ZDB-ID	2546524-7
ISSN	1687-8736 ; 1687-8728
ISSN (online)	1687-8736
ISSN	1687-8728
DOI	10.1155/2023/2644623
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Healthcare and Social Organizations' Disaster Preparedness, Response, and Recovery Experience: Lessons Learned From Hurricanes Irma and Maria.

Noboa-Ramos, Carlamarie / Almodóvar-Díaz, Yadira / Fernández-Repollet, Emma / Joshipura, Kaumudi

Disaster medicine and public health preparedness

2023 Volume 17, Page(s) e306

Abstract: Background: Healthcare and social organizations (HSOs) are first respondents after natural disasters. Hence, their preparedness and resilience are critical components for addressing future disasters. However, little is known about HSOs' experiences ... ...

Abstract	Background: Healthcare and social organizations (HSOs) are first respondents after natural disasters. Hence, their preparedness and resilience are critical components for addressing future disasters. However, little is known about HSOs' experiences prior to, during, and after hurricanes. Objective: To describe preparedness, response, and recovery experiences from hurricanes Irma/ Maria among HSOs in Puerto Rico and the US Virgin Islands. Methods: Using a convenience sample, semi-structured interviews were conducted with 52 key-informants. Content analysis for common and recurring themes and patterns was performed by HSO type. Results: Most HSOs (80.8%) had a preparedness plan and 55.8% responded providing emergency supplies. HSOs' human resources (61.2%) was the main recovery facilitator/ enabler, while 36.5% identified the lack of economic resources and the lack of an integrated emergency plan as the top barriers. The main lesson learned include understanding the need to make improvements to their emergency preparedness plans (56.3%), and to establish an integrated/ centralized plan between relevant parties. Conclusion: Lessons learned after hurricanes allowed HSOs to identify gaps and opportunities to become more resilient. Infrastructure capacity, human resources, communication systems, and economic support, as well as training, partnerships, and new policies should be defined, revised, and/ or integrated into the HSOs' preparedness plans to mitigate the impact of future disasters.
MeSH term(s)	Humans ; Cyclonic Storms ; Disaster Planning ; Disasters ; Natural Disasters ; Delivery of Health Care
Language	English
Publishing date	2023-02-15
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	2375268-3
ISSN	1938-744X ; 1935-7893
ISSN (online)	1938-744X
ISSN	1935-7893
DOI	10.1017/dmp.2022.272
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Article ; Online: Hurricanes Irma and Maria and Diabetes incidence in Puerto Rico.

Martínez-Lozano, Marijulie / Noboa, Carlamarie / Alvarado-González, Gerardo / Joshipura, Kaumudi J

BMC public health

2023 Volume 23, Issue 1, Page(s) 1019

Abstract: Objective: To evaluate the impact of Hurricanes Irma/Maria on diabetes incidence in Puerto Rico. Mortality increased substantially after the hurricanes, but morbidity was not assessed.: Methods: We recruited 364 participants from the San Juan ... ...

Abstract	Objective: To evaluate the impact of Hurricanes Irma/Maria on diabetes incidence in Puerto Rico. Mortality increased substantially after the hurricanes, but morbidity was not assessed. Methods: We recruited 364 participants from the San Juan Overweight Adults Longitudinal Study (SOALS) aged 40-65 years who completed a three-year follow-up and were free of diabetes. We conducted additional questionnaires 1.7-2.5 years after hurricanes. Glycosylated hemoglobin (HbA1c), fasting glucose and insulin were assessed at all three visits. We compared diabetes incidence between pre-hurricane visits and between visits spanning the hurricanes using Generalized Estimating Equation (GEE) adjusting for within person repeated measures, age, and body mass index (BMI). Results: Diabetes incidence was significantly higher spanning the hurricanes than pre-hurricane (multivariate GEE model: IRR = 2.1; 95% CI: 1.4-3.1). There was a significantly higher increase spanning the hurricanes compared to pre-hurricanes for Homeostatic Model Assessment of Insulin Resistance (HOMA-IR) (median: 0.3 uIU/mL vs. 0.2 uIU/mL). HbA1c levels increased by 0.4% spanning the hurricanes. Conclusion: Increases in diabetes incidence, HOMA-IR and HbA1c were higher spanning the hurricanes compared to the pre-hurricanes period. The increase in diabetes incidence remains significant after adjusting for age and BMI.
MeSH term(s)	Adult ; Humans ; Puerto Rico/epidemiology ; Cyclonic Storms ; Incidence ; Glycated Hemoglobin ; Longitudinal Studies ; Diabetes Mellitus/epidemiology
Chemical Substances	Glycated Hemoglobin
Language	English
Publishing date	2023-05-30
Publishing country	England
Document type	Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	2041338-5
ISSN	1471-2458 ; 1471-2458
ISSN (online)	1471-2458
ISSN	1471-2458
DOI	10.1186/s12889-023-15542-w
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Article ; Online: Hurricanes Irma and Maria and Diabetes incidence in Puerto Rico

Marijulie Martínez-Lozano / Carlamarie Noboa / Gerardo Alvarado-González / Kaumudi J. Joshipura

BMC Public Health, Vol 23, Iss 1, Pp 1-

2023 Volume 7

Abstract: Abstract Objective To evaluate the impact of Hurricanes Irma/Maria on diabetes incidence in Puerto Rico. Mortality increased substantially after the hurricanes, but morbidity was not assessed. Methods We recruited 364 participants from the San Juan ... ...

Abstract	Abstract Objective To evaluate the impact of Hurricanes Irma/Maria on diabetes incidence in Puerto Rico. Mortality increased substantially after the hurricanes, but morbidity was not assessed. Methods We recruited 364 participants from the San Juan Overweight Adults Longitudinal Study (SOALS) aged 40–65 years who completed a three-year follow-up and were free of diabetes. We conducted additional questionnaires 1.7–2.5 years after hurricanes. Glycosylated hemoglobin (HbA1c), fasting glucose and insulin were assessed at all three visits. We compared diabetes incidence between pre-hurricane visits and between visits spanning the hurricanes using Generalized Estimating Equation (GEE) adjusting for within person repeated measures, age, and body mass index (BMI). Results Diabetes incidence was significantly higher spanning the hurricanes than pre-hurricane (multivariate GEE model: IRR = 2.1; 95% CI: 1.4–3.1). There was a significantly higher increase spanning the hurricanes compared to pre-hurricanes for Homeostatic Model Assessment of Insulin Resistance (HOMA-IR) (median: 0.3 uIU/mL vs. 0.2 uIU/mL). HbA1c levels increased by 0.4% spanning the hurricanes. Conclusion Increases in diabetes incidence, HOMA-IR and HbA1c were higher spanning the hurricanes compared to the pre-hurricanes period. The increase in diabetes incidence remains significant after adjusting for age and BMI.
Keywords	Type 2 diabetes ; Hurricane ; Health care ; Natural disasters ; Puerto Rico ; Public aspects of medicine ; RA1-1270
Subject code	571
Language	English
Publishing date	2023-05-01T00:00:00Z
Publisher	BMC
Document type	Article ; Online
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Article: Systemic Inflammation, Endothelial Function, and Risk of Periodontitis in Overweight/Obese Adults.

Andriankaja, Oelisoa M / Pérez, Cynthia M / Modi, Ashwin / Suaréz, Erick L / Gower, Barbara A / Rodríguez, Elaine / Joshipura, Kaumudi

Biomedicines

2023 Volume 11, Issue 6

Abstract: The network interaction between systemic inflammatory mediators, endothelial cell adhesion function, and adiponectin as mediators of the association between metabolic diseases and periodontitis has not been evaluated. The objective of this study is to ... ...

Abstract	The network interaction between systemic inflammatory mediators, endothelial cell adhesion function, and adiponectin as mediators of the association between metabolic diseases and periodontitis has not been evaluated. The objective of this study is to assess whether the interaction of baseline serum levels of TNF-α, hs-CRP, ICAM-1, VCAM-1, and adiponectin leads to periodontitis. Five hundred and ninety-seven overweight/obese (overweight: BMI 25 to <30 kg/m
Language	English
Publishing date	2023-05-23
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2720867-9
ISSN	2227-9059
ISSN	2227-9059
DOI	10.3390/biomedicines11061507
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Article ; Online: Impact of Impaired Glucose Metabolism on Periodontitis Progression over Three Years.

Andriankaja, Oelisoa M / Joshipura, Kaumudi / Muñoz, Francisco / Dye, Bruce A / Hu, Frank B / Pérez, Cynthia M

Dentistry journal

2022 Volume 10, Issue 1

Abstract: We evaluated the relationship between glucose abnormalities and periodontitis in overweight/obese individuals. Eight hundred and seventy (870) diabetes-free participants aged 40-65 years completed the three-year follow-up in the San Juan Overweight ... ...

Abstract	We evaluated the relationship between glucose abnormalities and periodontitis in overweight/obese individuals. Eight hundred and seventy (870) diabetes-free participants aged 40-65 years completed the three-year follow-up in the San Juan Overweight Adults Longitudinal Study. The ADA thresholds for fasting and 2-h post-load glucose and HbA1c were used to define prediabetes. The NHANES methods were used to assess periodontitis. Multivariable linear regression was used to evaluate the relationship between baseline glucose metabolism measures and periodontitis at follow-up, adjusting for potential confounders. There was no association between impaired glucose measures and mean pocket depth (PD), mean clinical attachment loss (CAL), or mean percent of sites ≥5 mm PD. Impaired glucose tolerance (IGT) was associated with a lower mean percent of sites ≥5 mm CAL (β = -1.6,
Language	English
Publishing date	2022-01-07
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2681351-8
ISSN	2304-6767 ; 2304-6767
ISSN (online)	2304-6767
ISSN	2304-6767
DOI	10.3390/dj10010010
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Article ; Online: Glycemic control is not related to postextraction healing in patients with diabetes.

Joshipura, Kaumudi

The journal of evidence-based dental practice

2011 Volume 11, Issue 4, Page(s) 187–188

Abstract: ... Reviewer: Kaumudi Joshipura, BDS, MS, ScD.: Purpose/question: To determine whether glycemic control ...

Abstract	Article title and bibliographic information: The relationship of glycemic control to the outcomes of dental extractions. Aronovich S, Skope L, Kelly J, Kyriakides T. J Oral Maxillofac Surg 2010;68:2955-61. Reviewer: Kaumudi Joshipura, BDS, MS, ScD. Purpose/question: To determine whether glycemic control among patients with diabetes influences healing after tooth extraction. Source of funding: Information not available. Type of study/design: Cohort study. Level of evidence: Level 2: Limited-quality, patient-oriented evidence. Strength of recommendation grade: Not applicable.
Language	English
Publishing date	2011-12
Publishing country	United States
Document type	Comment ; Journal Article
ZDB-ID	2056058-8
ISSN	1532-3390 ; 1532-3382
ISSN (online)	1532-3390
ISSN	1532-3382
DOI	10.1016/j.jebdp.2011.09.012
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Article ; Online: Impact of Hurricanes Irma and Maria on Asthma, Hypertension, and Depression in a Sample of the Puerto Rico Population.

Martínez-Lozano, Marijulie / Fraticelli, Frank / Irizarry, Jessica / Almodóvar-Rivera, Israel / Nunn, Martha / Joshipura, Kaumudi J

Disaster medicine and public health preparedness

2023 Volume 17, Page(s) e508

Abstract: Objective: To evaluate the impact of Hurricanes Irma and Maria on 3 major chronic diseases in Puerto Rico.: Methods: San Juan Overweight Adults Longitudinal study participants were re-evaluated after Hurricanes Irma and Maria (May 2019-July 2020) for ...

Abstract	Objective: To evaluate the impact of Hurricanes Irma and Maria on 3 major chronic diseases in Puerto Rico. Methods: San Juan Overweight Adults Longitudinal study participants were re-evaluated after Hurricanes Irma and Maria (May 2019-July 2020) for the Preparedness to Reduce Exposures and Diseases Post-hurricanes and Augment Resilience study. This study compared the prevalence and incidence of asthma, depression, and hypertension within the same 364 individuals over time. Results: Asthma and depression prevalence and incidence did not change significantly after the hurricanes. The prevalence of hypertension increased significantly after the hurricanes (OR = 2.2, 95% CI: 1.2, 3.9). The incidence of hypertension after the hurricanes (IR = 9.0, 95% CI: 6.5, 12.4) increased significantly compared to before the hurricanes (IR = 6.1, 95% CI: 4.5, 8.0) (age-adjusted incidence rate ratio [aIRR] = 1.4, 95% CI: 4.5, 8.0) for similar time periods. Conclusion: Hurricanes Irma and Maria were associated with a significant increase in the prevalence and incidence of hypertension in this study population. Contrary to expectations, no significant increases were observed in depression and asthma prevalence after the hurricanes. Results from this study can inform better strategies to prevent and manage hypertension in the population affected by a hurricane.
MeSH term(s)	Adult ; Humans ; Puerto Rico/epidemiology ; Cyclonic Storms ; Depression/epidemiology ; Depression/etiology ; Longitudinal Studies ; Hypertension/epidemiology
Language	English
Publishing date	2023-10-13
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	2375268-3
ISSN	1938-744X ; 1935-7893
ISSN (online)	1938-744X
ISSN	1935-7893
DOI	10.1017/dmp.2023.170
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Article ; Online: Multidisciplinary approach combining food metabolomics and epidemiology identifies meglutol as an important bioactive metabolite in tempe, an Indonesian fermented food.

Iman, Marvin N / Haslam, Danielle E / Liang, Liming / Guo, Kai / Joshipura, Kaumudi / Pérez, Cynthia M / Clish, Clary / Tucker, Katherine L / Manson, JoAnn E / Bhupathiraju, Shilpa N / Fukusaki, Eiichiro / Lasky-Su, Jessica / Putri, Sastia P

Food chemistry

2024 Volume 446, Page(s) 138744

Abstract: This study introduces a multidisciplinary approach to investigate bioactive food metabolites often overlooked due to their low concentrations. We integrated an in-house food metabolite library (n = 494), a human metabolite library (n = 891) from ... ...

Abstract	This study introduces a multidisciplinary approach to investigate bioactive food metabolites often overlooked due to their low concentrations. We integrated an in-house food metabolite library (n = 494), a human metabolite library (n = 891) from epidemiological studies, and metabolite pharmacological databases to screen for food metabolites with potential bioactivity. We identified six potential metabolites, including meglutol (3-hydroxy-3-methylglutarate), an understudied low-density lipoprotein (LDL)-lowering compound. We further focused on meglutol as a case study to showcase the range of characterizations achievable with this approach. Green pea tempe was identified to contain the highest meglutol concentration (21.8 ± 4.6 mg/100 g). Furthermore, we identified a significant cross-sectional association between plasma meglutol (per 1-standard deviation) and lower LDL cholesterol in two Hispanic adult cohorts (n = 1,628) (β [standard error]: -5.5 (1.6) mg/dl, P = 0.0005). These findings highlight how multidisciplinary metabolomics can serve as a systematic tool for discovering and enhancing bioactive metabolites in food, such as meglutol, with potential applications in personalized dietary approaches for disease prevention.
MeSH term(s)	Humans ; Meglutol/metabolism ; Meglutol/pharmacology ; Cross-Sectional Studies ; Indonesia ; Metabolomics ; Soy Foods
Chemical Substances	Meglutol (CLA99KCD53)
Language	English
Publishing date	2024-02-16
Publishing country	England
Document type	Journal Article
ZDB-ID	243123-3
ISSN	1873-7072 ; 0308-8146
ISSN (online)	1873-7072
ISSN	0308-8146
DOI	10.1016/j.foodchem.2024.138744
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Article ; Online: Association of Gut Microbiota-Related Metabolites and Type 2 Diabetes in Two Puerto Rican Cohorts.

Sawicki, Caleigh M / Pacheco, Lorena S / Rivas-Tumanyan, Sona / Cao, Zheyi / Haslam, Danielle E / Liang, Liming / Tucker, Katherine L / Joshipura, Kaumudi / Bhupathiraju, Shilpa N

Nutrients

2024 Volume 16, Issue 7

Abstract: 1) Aims: Gut microbiota metabolites may play integral roles in human metabolism and disease progression. However, evidence for associations between metabolites and cardiometabolic risk factors is sparse, especially in high-risk Hispanic populations. We ... ...

Abstract	(1) Aims: Gut microbiota metabolites may play integral roles in human metabolism and disease progression. However, evidence for associations between metabolites and cardiometabolic risk factors is sparse, especially in high-risk Hispanic populations. We aimed to evaluate the cross-sectional and longitudinal relationships between gut microbiota related metabolites and measures of glycemia, dyslipidemia, adiposity, and incident type 2 diabetes in two Hispanic observational cohorts. (2) Methods: We included data from 670 participants of the Boston Puerto Rican Health Study (BPRHS) and 999 participants of the San Juan Overweight Adult Longitudinal Study (SOALS). Questionnaires and clinical examinations were conducted over 3 years of follow-up for SOALS and 6 years of follow-up for BPRHS. Plasma metabolites, including L-carnitine, betaine, choline, and trimethylamine
MeSH term(s)	Adult ; Humans ; Diabetes Mellitus, Type 2/epidemiology ; Betaine ; Gastrointestinal Microbiome ; Cross-Sectional Studies ; Glycated Hemoglobin ; Longitudinal Studies ; Carnitine ; Choline ; Glucose ; Hispanic or Latino ; Methylamines
Chemical Substances	Betaine (3SCV180C9W) ; trimethyloxamine (FLD0K1SJ1A) ; Glycated Hemoglobin ; Carnitine (S7UI8SM58A) ; Choline (N91BDP6H0X) ; Glucose (IY9XDZ35W2) ; Methylamines
Language	English
Publishing date	2024-03-27
Publishing country	Switzerland
Document type	Meta-Analysis ; Journal Article
ZDB-ID	2518386-2
ISSN	2072-6643 ; 2072-6643
ISSN (online)	2072-6643
ISSN	2072-6643
DOI	10.3390/nu16070959
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