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Blood pressure and left ventricular mass in subjects with type 2 diabetes and gingivitis or chronic periodontitis
Author(s) -
Franek Edward,
Napora Magdalena,
Blach Anna,
Budlewski Tadeusz,
Gozdowski Dariusz,
Jedynasty Krystyna,
Krajewski Jarosław,
Gorska Renata
Publication year - 2010
Publication title -
journal of clinical periodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.456
H-Index - 151
eISSN - 1600-051X
pISSN - 0303-6979
DOI - 10.1111/j.1600-051x.2010.01613.x
Subject(s) - periodontitis , medicine , gingivitis , diabetes mellitus , chronic periodontitis , type 2 diabetes , body mass index , blood pressure , gastroenterology , type 2 diabetes mellitus , dentistry , endocrinology
Franek E, Napora M, Blach A, Budlewski T, Gozdowski D, Jedynasty K, Krajewski J, Gorska R. Blood pressure and left ventricular mass in subjects with type 2 diabetes and gingivitis or chronic periodontitis. J Clin Periodontol 2010; 37: 875–880. doi: 10.1111/j.1600‐051X.2010.01613.x . Abstract Introduction: This study aimed to answer the question of whether chronic periodontitis in subjects with type 2 diabetes mellitus is associated with increased left ventricular mass (LVM) and systemic and central blood pressure (CBP). Material and Methods: One hundred and fifty‐five subjects with type 2 diabetes (67 F, 88 M, mean age 61.1±6.9 years, BMI 32.7±5.7 kg/m 2 ) were divided according to their periodontal status into biofilm–gingival interface – healthy (BGI‐H, 14 subjects), BGI‐gingivitis (BGI‐G, 119 subjects) and BGI‐periodontitis (BGI‐P, 22 subjects) groups. In all subjects, LVM, systemic and CBP were measured. The LVM index (LVMI) was calculated. Results: (1) BGI‐P and BGI‐G subjects, respectively, had higher (mean; 95% CI) LVM (238.6 g; 206.6–267.4 and 222.8 g; 207.0–238.2) versus BGI‐H subjects (170.3 g; 125.5–217.8).
(2) BGI‐P and BGI‐G subjects, respectively, had higher (mean; 95% CI) LVM1 (95.2 g/m 2 ; 82.9–107.4) and 87.8 g/m 2 ; 81.5–94.1) versus BGI‐H subjects (63.7 g/m 2 ; 45.2‐62.3).
(3) BGI‐P subjects had higher central and systemic systolic and diastolic blood pressure than subjects from BGI‐G and BGI‐H groups. Conclusion: In subjects with type 2 diabetes, periodontitis and gingivitis are associated with increased LVM and periodontitis is associated with increased central and systemic blood pressure.