Table 5. Association between nadir CD4+ T cell count and the longitudinal rate of change in clinical periodontal measures adjusting for baseline level of periodontal pathogens.
Mean difference in rate of change in PPD per 12 months
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Mean difference in rate of change in REC per 12 months
|
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Model | Exposure* | Mean estimate (95%CI) | p-value | Mean estimate (95%CI) | p-value |
1 | Nadir CD4 | -0.04 (-1.39,1.32) | 0.959 | 1.84 (0.23,3.45) | 0.026 |
2 | Nadir CD4 | 0.00 (-1.45,1.46) | 0.996 | 1.89 (0.20,3.58) | 0.029 |
3 | Nadir CD4 | 0.01 (-1.47,1.50) | 0.984a | 1.83 (0.54,3.11) | 0.006 |
3 | Pg | -0.58 (-1.68,0.51) | 0.292a | -1.51 (-2.61,-0.42) | 0.008 |
4 | Nadir CD4 | -0.10 (-1.50,1.30) | 0.885 | 1.89 (0.01,3.77) | 0.049b |
4 | 23s rDNA | -1.55 (-6.12,3.02) | 0.500 | -0.20 (-6.93,6.54) | 0.954b |
5 | Nadir CD4 | 0.26 (-1.28,1.81) | 0.733 | 1.97 (0.27,3.68) | 0.024 |
5 | Td | -0.92 (-2.24,0.39) | 0.164 | -0.27 (-1.55,1.01) | 0.670 |
6 | Nadir CD4 | 0.23 (-1.33,1.79) | 0.766 | 1.89 (0.27,3.51) | 0.023 |
6 | Tf | -0.80 (-2.72,1.12) | 0.409 | 0.06 (-1.18,1.30) | 0.921 |
Mean difference in rate of change in CAL per 12 months | Mean difference in rate of change in BOP per 12 months | ||||
Model | Exposure* | Mean estimate (95%CI) | p-value | Mean estimate (95%CI) | p-value |
1 | Nadir CD4 | 1.08 (-0.11,2.27) | 0.075 | 0.12 (-1.92,2.16) | 0.910 |
2 | Nadir CD4 | 1.04 (-0.27,2.36) | 0.117 | 0.06 (-1.96,2.08) | 0.953 |
3 | Nadir CD4 | 1.00 (-0.24,2.24) | 0.113 | 0.08 (-2.12,2.29) | 0.939a |
3 | Pg | -0.83 (-2.22,0.56) | 0.237 | -1.67 (-3.17,-0.16) | 0.030a |
4 | Nadir CD4 | 1.13 (-0.13,2.39) | 0.078 | -0.13 (-2.00,1.73) | 0.888 |
4 | 23s rDNA | 1.16 (-3.24,5.55) | 0.600 | -1.60 (-8.68,5.47) | 0.652 |
5 | Nadir CD4 | 1.03 (-0.41,2.46) | 0.158 | 0.55 (-1.60,2.70) | 0.610 |
5 | Td | 0.08 (-1.22,1.39) | 0.899 | -1.66 (-3.29,-0.02) | 0.048 |
6 | Nadir CD4 | 0.90 (-0.44,2.24) | 0.182 | 0.70 (-1.39,2.79) | 0.506c |
6 | Tf | 0.52 (-0.69,1.73) | 0.394 | -1.95 (-4.01,0.12) | 0.064c |
Model 1: Unadjusted.
Models 2, 3, 4, 5 and 6: Adjusted for age and total pack-per-day years of cigarette smoking at baseline.
Nadir CD4, nadir CD4+ T cell count; PPD, periodontal probing depth, REC, gingival recession; CAL, clinical attachment level; BOP, bleeding on probing; Pg, Porphyromonas gingivalis; 23s rDNA, total 23s ribosomal DNA; Td, Treponema denticola; Tf, Tanneralla forsythia.
Interaction between baseline nadir CD4+ and log10 (Pg), p=0.027 for PPD and p=0.001 for BOP.
Interaction between baseline nadir CD4+ and log10(23s rDNA), p=0.031.
Interaction between baseline nadir CD4+ and log10 (Tf), p=0.006.
Exposure*: Nadir CD4+ T cell count is per 100 cells/µl increase; pathogens (Pg, 23s rDNA, Td and Tf) are per 1-log10 increase at baseline.