{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:36:46Z","timestamp":1786977406022,"version":"build-2736575974"},"reference-count":37,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T00:00:00Z","timestamp":1783555200000},"content-version":"vor","delay-in-days":8,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82560191"],"award-info":[{"award-number":["82560191"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Cardiology"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Systemic diseases increasingly complicate oral treatment, particularly in hypertensive patients requiring comprehensive care. Using nationally representative cross\u2010sectional data, this study investigated the association between hypertension and oral health in Chinese adults aged\u2009\u2265\u200945 years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data were drawn from the 2013 and 2015 CHARLS, including 4770 participants aged\u2009\u2265\u200945 years. Linear and logistic regression examined blood pressure\u2013oral disease associations, with systolic\/diastolic pressure first as continuous, then categorical variables. Curve fitting and restricted cubic splines further validated the cross\u2011sectional associations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 4770 participants were included in this study, including 1568 patients with hypertension. The characteristics of the hypertensive population are married elderly men who enjoy smoking and drinking, suffer from other chronic diseases, and low to moderate level of self\u2010reported health. Logistic regression revealed positive associations of systolic and diastolic blood pressure with dental visits, and a stable positive correlation between hypertension and dental visits persisted across multiple adjustment models, further validated by curve fitting and restricted cubic spline analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Hypertension is significantly and positively associated with oral health issues in a nationally representative sample of middle\u2010aged and older Chinese adults. Healthcare providers should prioritize integrated blood pressure and oral health management in this population to mitigate the mutual exacerbation of chronic diseases.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/clc.70406","type":"journal-article","created":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T14:15:49Z","timestamp":1783606549000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The Association of Hypertension Based on Systolic and Diastolic Blood Pressure (SBP and DBP) With Dental Visits in the Population Aged 45 and Older: Cross\u2010Section Study Results From the China Health and Retirement Longitudinal Study (CHARLS)"],"prefix":"10.1002","volume":"49","author":[{"given":"Man","family":"Ao","sequence":"first","affiliation":[{"name":"Guizhou University Medical College Guiyang Guizhou province China"},{"name":"Guiyang Hospital of Stomatology Guiyang Guizhou province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3052-795X","authenticated-orcid":false,"given":"Wei","family":"Li","sequence":"additional","affiliation":[{"name":"Guiyang Hospital of Stomatology Guiyang Guizhou province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shiyi","family":"Luo","sequence":"additional","affiliation":[{"name":"Guiyang Hospital of Stomatology Guiyang Guizhou province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2542-9340","authenticated-orcid":false,"given":"Jukun","family":"Song","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery the Affiliated Stomatological Hospital of Guizhou Medical University Guiyang Guizhou province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xuanyan","family":"Gu","sequence":"additional","affiliation":[{"name":"Guizhou University Medical College Guiyang Guizhou province China"},{"name":"Guiyang Hospital of Stomatology Guiyang Guizhou province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiangling","family":"Sun","sequence":"additional","affiliation":[{"name":"Guizhou University Medical College Guiyang Guizhou province China"},{"name":"Guiyang Hospital of Stomatology Guiyang Guizhou province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6167-4389","authenticated-orcid":false,"given":"Zhu","family":"Chen","sequence":"additional","affiliation":[{"name":"Guizhou University Medical College Guiyang Guizhou province China"},{"name":"Guiyang Hospital of Stomatology Guiyang Guizhou province China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,9]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2018.304444"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2022.1021104"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-024-82443-2"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(19)30318-3"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1089\/ars.2020.8110"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.108.797936"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.117.032380"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2022-068724"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12674"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.13396"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-2667(22)00203-1"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.12182\/20211160106"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1128\/spectrum.01956-22"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41440-022-01140-7"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/omi.12490"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-024-18068-x"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dys203"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/jch.13393"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)00648-0"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.289.19.2560"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-021-02165-4"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11325-020-02214-x"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.2147\/IJGM.S309783"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.22088\/cjim.13.3.582"},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.30476\/DENTJODS.2019.80992.0"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.1097\/HJH.0000000000003022"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0311645"},{"key":"e_1_2_13_29_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-024-05236-z"},{"key":"e_1_2_13_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40292-021-00466-6"},{"key":"e_1_2_13_31_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-023-03680-x"},{"key":"e_1_2_13_32_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajh\/hpv025"},{"key":"e_1_2_13_33_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu14061279"},{"key":"e_1_2_13_34_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41569-023-00964-1"},{"key":"e_1_2_13_35_1","doi-asserted-by":"publisher","DOI":"10.3390\/antiox11101958"},{"key":"e_1_2_13_36_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijms21207538"},{"key":"e_1_2_13_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.niox.2020.11.002"},{"key":"e_1_2_13_38_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehz646"}],"container-title":["Clinical Cardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/clc.70406","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/clc.70406","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/clc.70406","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T17:09:27Z","timestamp":1785172167000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/clc.70406"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":37,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1002\/clc.70406"],"URL":"https:\/\/doi.org\/10.1002\/clc.70406","archive":["Portico"],"relation":{},"ISSN":["0160-9289","1932-8737"],"issn-type":[{"value":"0160-9289","type":"print"},{"value":"1932-8737","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"2025-11-30","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-30","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-09","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70406"}}