{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T04:08:55Z","timestamp":1790741335575,"version":"4.1.0"},"reference-count":41,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,6,9]],"date-time":"2025-06-09T00:00:00Z","timestamp":1749427200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,6,9]],"date-time":"2025-06-09T00:00:00Z","timestamp":1749427200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100006196","name":"Oulun Yliopisto","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100006196","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100008530","name":"European Regional Development Fund","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100008530","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100018949","name":"Oulun Yliopistollinen Sairaala","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100018949","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Oral Rehabilitation"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Studies have shown that elevated stress levels associate with TMD\u2010related pain, which suggests that alterations in autonomic tone may contribute to this pain condition.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The aim of the study was to evaluate the sex\u2010specific associations between autonomic nervous system (ANS) activity and TMD pain\u2010related diagnoses in a population\u2010based study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The study was part of the Northern Finland Birth Cohort 1966. Of the cohort members, 1964 (62.3% of those invited to oral health examination) were clinically examined as part of the 46\u2010year follow\u2010up. ANS activity was assessed by means of heart rate variability (HRV) and baroreflex sensitivity (BRS). A total of 5 TMD diagnoses were based on the modified protocol of DC\/TMD (Diagnostic Criteria for TMD). Of those, pain\u2010related diagnoses, i.e., myalgia and arthralgia, were used. In logistic regression analyses stratified by sex assigned at birth, potential confounders, i.e., education, body mass index, and number of body pain sites, were considered.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Those with\n                      <jats:styled-content style=\"fixed-case\">TMD<\/jats:styled-content>\n                      myalgia (\n                      <jats:italic>n<\/jats:italic>\n                      =\u200997) or arthralgia diagnoses (\n                      <jats:italic>n<\/jats:italic>\n                      =\u2009102) had lower values of\n                      <jats:styled-content style=\"fixed-case\">BRS<\/jats:styled-content>\n                      while standing when adjusted for covariates among females (for myalgia\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      0.847, 95% Cl 0.744\u20130.964,\n                      <jats:italic>p<\/jats:italic>\n                      =\u20090.012) and for arthralgia (\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      0.871, 95% Cl 0.775\u20130.970,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.021).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The results suggest that lowered baroreflex sensitivity, indicating increased sympathetic tone, associates with TMD pain, at least to some extent, in females. These findings refer to the association of stress response with TMD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/joor.14051","type":"journal-article","created":{"date-parts":[[2025,6,10]],"date-time":"2025-06-10T01:14:56Z","timestamp":1749518096000},"page":"1894-1905","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Association Between Cardiovascular Autonomic Function and Temporomandibular Disorders"],"prefix":"10.1111","volume":"52","author":[{"given":"Niklas","family":"Kakko","sequence":"first","affiliation":[{"name":"Research Unit of Population Health, Faculty of Medicine University of Oulu  Oulu Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Auli","family":"Suominen","sequence":"additional","affiliation":[{"name":"Department of Community Dentistry University of Turku  Turku Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atte","family":"Somero","sequence":"additional","affiliation":[{"name":"Department of Community Dentistry University of Turku  Turku Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mikko","family":"Tulppo","sequence":"additional","affiliation":[{"name":"Research Unit of Biomedicine and Internal Medicine University of Oulu  Oulu Finland"},{"name":"Medical Research Center Oulu Oulu University Hospital and University of Oulu  Oulu Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satu","family":"Lahti","sequence":"additional","affiliation":[{"name":"Department of Community Dentistry University of Turku  Turku Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vesa","family":"Pohjola","sequence":"additional","affiliation":[{"name":"Research Unit of Population Health, Faculty of Medicine University of Oulu  Oulu Finland"},{"name":"Department of Community Dentistry University of Turku  Turku Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mika","family":"Ogawa","sequence":"additional","affiliation":[{"name":"Department of Community Dentistry University of Turku  Turku Finland"},{"name":"Systemic Approaches to Improve Cardiometabolic and Brain Health During Lifespan (SYS\u2010LIFE) Co\u2010Funded by University of Turku and the European Union  Turku Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2456-5036","authenticated-orcid":false,"given":"Kirsi","family":"Sipil\u00e4","sequence":"additional","affiliation":[{"name":"Research Unit of Population Health, Faculty of Medicine University of Oulu  Oulu Finland"},{"name":"Medical Research Center Oulu Oulu University Hospital and University of Oulu  Oulu Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,6,9]]},"reference":[{"key":"e_1_2_10_2_1","volume-title":"Management of Temporomandibular Disorders and Occlusion, 8th Edition","author":"Okeson J. 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