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Association of Adiposity with Periodontitis and Metabolic Syndrome: From the Third National Health and Nutrition Examination Survey of United States

This study explored the epidemiological role of central adiposity and body mass index (BMI) in terms of clinical attachment loss (CAL)/pocket depth (PD) and metabolic syndrome components. This study included data from the National Health and Nutrition Examination Survey III of America on 12,254 adul...

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Autores principales: Jung, YunSook, Kim, Ji-Hye, Shin, Ah-Ra, Song, Keun-Bae, Amano, Atsuo, Choi, Youn-Hee
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9916149/
https://www.ncbi.nlm.nih.gov/pubmed/36767897
http://dx.doi.org/10.3390/ijerph20032533
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author Jung, YunSook
Kim, Ji-Hye
Shin, Ah-Ra
Song, Keun-Bae
Amano, Atsuo
Choi, Youn-Hee
author_facet Jung, YunSook
Kim, Ji-Hye
Shin, Ah-Ra
Song, Keun-Bae
Amano, Atsuo
Choi, Youn-Hee
author_sort Jung, YunSook
collection PubMed
description This study explored the epidemiological role of central adiposity and body mass index (BMI) in terms of clinical attachment loss (CAL)/pocket depth (PD) and metabolic syndrome components. This study included data from the National Health and Nutrition Examination Survey III of America on 12,254 adults aged 20 years of age or older with a blood sample, anthropometric measurements, and a periodontal examination. Clinical periodontitis measurements, including CAL and PD, were classified into quintiles or quartiles and compared. CAL was positively associated with central adiposity, hypertension, and hyperglycemia; the relationship between CAL and diabetes was stronger when central adiposity was absent (odds ratio [OR] and 95% confidence interval: 6.33, 2.14–18.72 vs. 3.14, 1.78–5.56). The relationship between CAL and impaired fasting glucose (IFG) differed slightly with BMI. The IFG ORs for normal, overweight, and obese patients were 1.63 (1.08–2.45), 1.76 (1.05–2.97), and 1.43 (0.88–2.30), respectively. CAL was positively correlated with all metabolic syndrome components except hypertriglyceridemia. Associations between CAL, diabetes, and IFG significantly varied with BMI. Periodontitis in individuals without central obesity or with normal bodyweight may independently indicate diabetes and IFG. Therefore, preventive measures against periodontitis without obesity are necessary to improve general and oral health.
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spelling pubmed-99161492023-02-11 Association of Adiposity with Periodontitis and Metabolic Syndrome: From the Third National Health and Nutrition Examination Survey of United States Jung, YunSook Kim, Ji-Hye Shin, Ah-Ra Song, Keun-Bae Amano, Atsuo Choi, Youn-Hee Int J Environ Res Public Health Article This study explored the epidemiological role of central adiposity and body mass index (BMI) in terms of clinical attachment loss (CAL)/pocket depth (PD) and metabolic syndrome components. This study included data from the National Health and Nutrition Examination Survey III of America on 12,254 adults aged 20 years of age or older with a blood sample, anthropometric measurements, and a periodontal examination. Clinical periodontitis measurements, including CAL and PD, were classified into quintiles or quartiles and compared. CAL was positively associated with central adiposity, hypertension, and hyperglycemia; the relationship between CAL and diabetes was stronger when central adiposity was absent (odds ratio [OR] and 95% confidence interval: 6.33, 2.14–18.72 vs. 3.14, 1.78–5.56). The relationship between CAL and impaired fasting glucose (IFG) differed slightly with BMI. The IFG ORs for normal, overweight, and obese patients were 1.63 (1.08–2.45), 1.76 (1.05–2.97), and 1.43 (0.88–2.30), respectively. CAL was positively correlated with all metabolic syndrome components except hypertriglyceridemia. Associations between CAL, diabetes, and IFG significantly varied with BMI. Periodontitis in individuals without central obesity or with normal bodyweight may independently indicate diabetes and IFG. Therefore, preventive measures against periodontitis without obesity are necessary to improve general and oral health. MDPI 2023-01-31 /pmc/articles/PMC9916149/ /pubmed/36767897 http://dx.doi.org/10.3390/ijerph20032533 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Jung, YunSook
Kim, Ji-Hye
Shin, Ah-Ra
Song, Keun-Bae
Amano, Atsuo
Choi, Youn-Hee
Association of Adiposity with Periodontitis and Metabolic Syndrome: From the Third National Health and Nutrition Examination Survey of United States
title Association of Adiposity with Periodontitis and Metabolic Syndrome: From the Third National Health and Nutrition Examination Survey of United States
title_full Association of Adiposity with Periodontitis and Metabolic Syndrome: From the Third National Health and Nutrition Examination Survey of United States
title_fullStr Association of Adiposity with Periodontitis and Metabolic Syndrome: From the Third National Health and Nutrition Examination Survey of United States
title_full_unstemmed Association of Adiposity with Periodontitis and Metabolic Syndrome: From the Third National Health and Nutrition Examination Survey of United States
title_short Association of Adiposity with Periodontitis and Metabolic Syndrome: From the Third National Health and Nutrition Examination Survey of United States
title_sort association of adiposity with periodontitis and metabolic syndrome: from the third national health and nutrition examination survey of united states
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9916149/
https://www.ncbi.nlm.nih.gov/pubmed/36767897
http://dx.doi.org/10.3390/ijerph20032533
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