Premium
Where periodontitis meets metabolic syndrome—The role of common health‐related risk factors
Author(s) -
AbdallaAslan Ragda,
Findler Mordechai,
Levin Liran,
Zini Avraham,
Shay Boaz,
Twig Gilad,
Almoznino Galit
Publication year - 2019
Publication title -
journal of oral rehabilitation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.991
H-Index - 93
eISSN - 1365-2842
pISSN - 0305-182X
DOI - 10.1111/joor.12798
Subject(s) - medicine , periodontitis , metabolic syndrome , diabetes mellitus , blood pressure , abdominal obesity , waist , stroke (engine) , obesity , population , logistic regression , environmental health , endocrinology , mechanical engineering , engineering
Abstract Objectives To analyse and compare associations between metabolic syndrome (MetS) and its components in periodontitis compared to control patients. Methods This 7‐year cross‐sectional study retrospectively analysed medical records of 504 individuals aged 18‐90 who attended the student dental clinic between 2008 and 2014. Demographics, smoking habits, blood pressure, waist circumference, as well as presence of: periodontitis, MetS, diabetes, hypertension, hyperlipidaemia, stroke, heart disease, cancer and psychiatric disorders were recorded. Results The study population composed of 231 (45.8%) males and 273 (54.2%) females, with an average age of 55.79 ± 16.91 years. A patient profile associated with periodontitis was identified and included male sex, older age, smoking, higher smoking pack‐years, abdominal obesity, higher systolic and diastolic blood pressures, the presence of MetS or its components, hypertension, hyperlipidaemia, diabetes or diseases associated with its consequences such as ischaemic heart disease and stroke. Following multivariate logistic regression analysis, age and smoking retained a significant association with periodontitis, whereas the systemic disorders did not. Conclusions The association between periodontitis and MetS may be explained by shared common profile and risk factors. An appropriate risk factors management approach should be adopted by both dental and general health clinicians and health authorities, to control common high‐risk behaviours.