@article {6597,
	title = {Effect of Alcohol Consumption on Clinical Attachment Loss Progression in an Urban Population From South Brazil: A 5-Year Longitudinal Study},
	journal = {J Periodontol},
	volume = {88},
	number = {12},
	year = {2017},
	note = {<p>Wagner, Marcius CHaas, Alex NOppermann, Rui VRosing, Cassiano KAlbandar, Jasim MSusin, CristianoengResearch Support, Non-U.S. Gov{\textquoteright}tJ Periodontol. 2017 Dec;88(12):1271-1280. doi: 10.1902/jop.2017.170231. Epub 2017 Jul 28.</p>
},
	month = {Dec},
	pages = {1271-1280},
	edition = {2017/07/29},
	abstract = {<p>BACKGROUND: The aim of this study is to investigate the impact of alcohol consumption on clinical attachment loss (AL) progression over a period of 5 years. METHODS: A multistage probability sampling strategy was used to draw a representative sample of the metropolitan area of Porto Alegre, Brazil. Five hundred thirty-two individuals (209 males and 293 females) aged 18 to 65 years at baseline with no medical history of diabetes and at least six teeth were included in this analysis. Full-mouth periodontal examinations with six sites per tooth were conducted at baseline and after 5 years. Alcohol consumption was assessed at baseline by asking participants about the usual number of drinks consumed in a week. Four categories of alcohol consumption were defined: 1) non-drinker; 2) 1 glass/week and 1 glass/day. Individuals showing at least two teeth with proximal (clinical AL) progression \&gt;/=3 mm over 5 years were classified as having disease progression. Multiple Poisson regression models adjusted for age, sex, smoking, socioeconomic status, and body mass index were used to estimate relative risks (RRs) and 95\% confidence intervals (CIs). RESULTS: Overall, individuals who consumed \&gt;1 glass/day had 30\% higher risk for clinical AL progression (RR = 1.30; 95\% CI: 1.07 to 1.58) than non-drinkers. Among males, risk of clinical AL progression for individuals drinking \&gt;1 glass/day was 34\% higher than non-drinkers (RR = 1.34; 95\% CI: 1.09 to 1.64). Never-smoker males drinking 1 glass/day had significantly higher risk (RR = 1.50; 95\% CI: 1.08 to 1.99). Among females, no association between alcohol consumption and clinical AL progression was observed. CONCLUSIONS: Alcohol consumption increased the risk of clinical AL progression, and this effect was more pronounced in males. Low dosages (</p>
},
	keywords = {*Alcohol drinking, *epidemiology, *longitudinal studies, *Periodontitis, *risk factors, Adolescent, Adult, Age Factors, Aged, Alcohol Drinking/*adverse effects/epidemiology, Body Mass Index, Brazil/epidemiology, Disease Progression, Female, Humans, Longitudinal Studies, Male, Middle Aged, Periodontal Attachment Loss/*epidemiology/etiology, Poisson Distribution, Risk, Risk Factors, Sex Factors, Smoking/adverse effects, Socioeconomic Factors, Urban Population/statistics \& numerical data, Young Adult},
	isbn = {1943-3670 (Electronic)0022-3492 (Linking)},
	url = {https://www.ncbi.nlm.nih.gov/pubmed/28753103},
	author = {Wagner, M. C. and Haas, A. N. and Oppermann, R. V. and Rosing, C. K. and Albandar, J. M. and Susin, C.}
}
