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Association Between Periodontal Disease and Metabolic Syndrome
Author(s) -
Morita Toyoko,
Ogawa Yoko,
Takada Koji,
Nishinoue Norihide,
Sasaki Yoshiyuki,
Motohashi Masafumi,
Maeno Masao
Publication year - 2009
Publication title -
journal of public health dentistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.64
H-Index - 63
eISSN - 1752-7325
pISSN - 0022-4006
DOI - 10.1111/j.1752-7325.2009.00130.x
Subject(s) - medicine , metabolic syndrome , odds ratio , obesity , body mass index , confidence interval , logistic regression , blood pressure , periodontitis , gastroenterology , endocrinology
Objectives: Metabolic syndrome is a complex medical disorder characterized by visceral fat‐type obesity involving hypertension, and abnormal glucose and lipid metabolism. The objective of this study was to investigate the relationship between periodontal disease and components of metabolic syndrome (obesity, lipid abnormality, hypertension, and hyperglycemia) in industrial workers of a single company in Tokyo, Japan. Methods: The study subjects consisted of 2,478 adult employees (2,028 men and 450 women; mean age: 43.3 years). The association between the presence of periodontal pockets and components of metabolic syndrome was investigated cross‐sectionally using multiple logistic regression analysis, odds ratios (ORs), and 95 percent confidence intervals (CIs). Results: Body mass index, blood pressure, triglycerides, fasting blood glucose, and hemoglobin A1c (HbA1c) were significantly elevated ( P < 0.05) in patients with periodontal pockets of 4 mm or more. We found that the OR of the presence of periodontal pockets adjusted for age, gender, and smoking habit was 1.8 (96 percent CI = 1.4‐2.3) when the subjects with two positive components and without positive component were compared. And it was 2.4 (96 percent CI = 1.7‐2.7) when the subjects with three or four positive components and without positive component were compared. Conclusions: Our findings suggest an association between periodontal disease and metabolic syndrome in Japanese workers between the ages of 20 and 60 years.