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The association between periodontal disease and metabolic syndrome among outpatients with diabetes in Jordan

BACKGROUND: To date, conflicting results have been reported about the association between metabolic syndrome (MetS) and periodonttitis. METHODS: Two hundred and eighty patients with type 2 diabetes were recruited from outpatients visiting diabetes clinics in Islamic Hospital, Amman-Jordan. The oral...

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Autores principales: Alhabashneh, Rola, Khader, Yousef, herra, Zaid, Assad, Farah
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4537782/
https://www.ncbi.nlm.nih.gov/pubmed/26280008
http://dx.doi.org/10.1186/s40200-015-0192-8
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author Alhabashneh, Rola
Khader, Yousef
herra, Zaid
Assad, Farah
author_facet Alhabashneh, Rola
Khader, Yousef
herra, Zaid
Assad, Farah
author_sort Alhabashneh, Rola
collection PubMed
description BACKGROUND: To date, conflicting results have been reported about the association between metabolic syndrome (MetS) and periodonttitis. METHODS: Two hundred and eighty patients with type 2 diabetes were recruited from outpatients visiting diabetes clinics in Islamic Hospital, Amman-Jordan. The oral hygiene and the periodontal status of all teeth, excluding third molars, were assessed using the plaque index of Silness and Löe, the gingival index of Löe and Silness, probing pocket depth (PPD), and clinical attachment level (CAL). Data were analyzed using the general linear model multivariate procedure with average PPD, average CAL, percent of teeth with CAL ≥3 mm, and percent of teeth with PPD ≥3 mm as outcome variables and diabetes, MetS and its individual components as predictors. RESULTS: Overall, 83.2 % of patients with diabetes had MetS. In the multivariate analysis, patients with MetS had a significantly more severe periodontitis, as measured by average PPD and average CAL (P < 0.005). The extent of periodontitis, as measured by the percent of teeth with CAL ≥3 mm and the percent of teeth with PPD ≥3 mm, was also significantly greater among patients with MetS (P < 0.005). As the number of metabolic components additional to diabetes increased, the odds of having periodontitis increased, and the odds were greatest when all the components additional to diabetes were present (OR = 10.77, 95 % CI: 2.23 -51.95). CONCLUSION: Patients with MetS displayed more severe and extensive periodontitis. Having other MetS components additional to diabetes increased the odds of having periodontitis.
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spelling pubmed-45377822015-08-17 The association between periodontal disease and metabolic syndrome among outpatients with diabetes in Jordan Alhabashneh, Rola Khader, Yousef herra, Zaid Assad, Farah J Diabetes Metab Disord Research Article BACKGROUND: To date, conflicting results have been reported about the association between metabolic syndrome (MetS) and periodonttitis. METHODS: Two hundred and eighty patients with type 2 diabetes were recruited from outpatients visiting diabetes clinics in Islamic Hospital, Amman-Jordan. The oral hygiene and the periodontal status of all teeth, excluding third molars, were assessed using the plaque index of Silness and Löe, the gingival index of Löe and Silness, probing pocket depth (PPD), and clinical attachment level (CAL). Data were analyzed using the general linear model multivariate procedure with average PPD, average CAL, percent of teeth with CAL ≥3 mm, and percent of teeth with PPD ≥3 mm as outcome variables and diabetes, MetS and its individual components as predictors. RESULTS: Overall, 83.2 % of patients with diabetes had MetS. In the multivariate analysis, patients with MetS had a significantly more severe periodontitis, as measured by average PPD and average CAL (P < 0.005). The extent of periodontitis, as measured by the percent of teeth with CAL ≥3 mm and the percent of teeth with PPD ≥3 mm, was also significantly greater among patients with MetS (P < 0.005). As the number of metabolic components additional to diabetes increased, the odds of having periodontitis increased, and the odds were greatest when all the components additional to diabetes were present (OR = 10.77, 95 % CI: 2.23 -51.95). CONCLUSION: Patients with MetS displayed more severe and extensive periodontitis. Having other MetS components additional to diabetes increased the odds of having periodontitis. BioMed Central 2015-08-16 /pmc/articles/PMC4537782/ /pubmed/26280008 http://dx.doi.org/10.1186/s40200-015-0192-8 Text en © Alhabashneh et al. 2015 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Alhabashneh, Rola
Khader, Yousef
herra, Zaid
Assad, Farah
The association between periodontal disease and metabolic syndrome among outpatients with diabetes in Jordan
title The association between periodontal disease and metabolic syndrome among outpatients with diabetes in Jordan
title_full The association between periodontal disease and metabolic syndrome among outpatients with diabetes in Jordan
title_fullStr The association between periodontal disease and metabolic syndrome among outpatients with diabetes in Jordan
title_full_unstemmed The association between periodontal disease and metabolic syndrome among outpatients with diabetes in Jordan
title_short The association between periodontal disease and metabolic syndrome among outpatients with diabetes in Jordan
title_sort association between periodontal disease and metabolic syndrome among outpatients with diabetes in jordan
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4537782/
https://www.ncbi.nlm.nih.gov/pubmed/26280008
http://dx.doi.org/10.1186/s40200-015-0192-8
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