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Metabolic syndrome and periodontitis in Gullah African Americans with type 2 diabetes mellitus
Author(s) -
Sora Nicoleta D.,
Marlow Nicole M.,
Bandyopadhyay Dipankar,
Leite Renata S.,
Slate Elizabeth H.,
Fernandes Jyotika K.
Publication year - 2013
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/jcpe.12104
Subject(s) - metabolic syndrome , medicine , periodontitis , glycemic , waist , diabetes mellitus , population , type 2 diabetes mellitus , gastroenterology , endocrinology , body mass index , environmental health
Aim To assess associations of metabolic syndrome, and its individual components, with extent of severe periodontitis among patients with type 2 diabetes mellitus (T2 DM ). Materials & Methods We performed a secondary data analysis ( N = 283) using a cross‐sectional study population of Gullah African Americans with T2 DM . Extent of severe periodontitis was assessed as total diseased tooth‐sites/person [evaluated as separate outcomes: 6+mm clinical attachment level ( CAL ), 5+mm periodontal probing depth ( PPD )] using negative binomial regression techniques. Primary independent variables assessed in separate models included metabolic syndrome (yes/no), each metabolic syndrome component (low HDL , hypertension, high triglycerides, large waist circumference) and glycemic control (poor/good). Results Multivariable CAL ‐model results showed a significant association for metabolic syndrome status with extent of severe periodontitis ( RR = 2.77, p = 0.03). The separate multivariable CAL ‐model including each metabolic syndrome component showed marginally increased rates among those with large waist circumference ( RR = 2.33, p = 0.09) and those with HbA1c ≥ 7% ( RR = 1.73, p = 0.06). Multivariable PPD ‐models showed marginally increased rates among those with metabolic syndrome ( RR = 2.18, p = 0.06). Conclusion Metabolic syndrome is associated with the extent of severe periodontitis in this Gullah population with T2 DM .