Waist circumference and waist-to-height ratio are associated with periodontal pocketing-results of the Health 2000 Survey

被引:19
作者
Kangas, Sanna [1 ]
Timonen, Petra [2 ]
Knuuttila, Matti [3 ,4 ]
Jula, Antti [5 ]
Ylostalo, Pekka [3 ,4 ,6 ,7 ,8 ]
Syrjala, Anna-Maija Hannele [3 ,4 ,6 ]
机构
[1] Private Dent Off Viisaudenhammas, Rovaniemi, Finland
[2] Dental Training Clin, Social & Hlth Serv, Oulu, Finland
[3] Oulu Univ Hosp, Med Res Ctr Oulu, Oulu, Finland
[4] Univ Oulu, Oulu, Finland
[5] Natl Inst Hlth & Welf THL, Helsinki, Finland
[6] Unit Oral Hlth Sci Res, Periodontol & Geriatr Dent, POB 5281, FI-90014 Oulu, Finland
[7] Univ Eastern Finland, Inst Dent, Kuopio Campus, Kuopio, Finland
[8] Kuopio Univ Hosp, Oral & Maxillofacial Dept, Kuopio, Finland
关键词
Periodontal disease; Periodontal pocketing; Waist-to-height ratio; Waist circumference; Overweight; RISK-FACTORS; FAT ACCUMULATION; OLDER-ADULTS; OBESITY; DISEASE; METAANALYSIS; OVERWEIGHT; JAPANESE; WEIGHT; MEN;
D O I
10.1186/s12903-017-0336-y
中图分类号
R78 [口腔科学];
学科分类号
100302 [口腔临床医学];
摘要
Background: Body mass index (BMI) has been found to associate with different parameters of chronic periodontal disease in previous studies. It is reasonable to expect that central adiposity measures, such as waist circumference and waist-to-height ratio, which indirectly takes into account visceral fat, are more accurate measures of obesityrelated oral health risks than BMI. The aim of this study was to examine whether central obesity is associated with periodontal pocketing, an indication of infectious chronic periodontal disease. Methods: The study was based on a subpopulation from the national Health 2000 Survey in Finland. It included dentate, non-diabetic, never-smoking subjects aged 30-49 (n = 1287). The outcome variable was the number of teeth with deepened periodontal pockets (4 mm or more) and the number of teeth with deep periodontal pockets (6 mm or more). Central obesity was measured by means of waist circumference (WC) and waist-to-height ratio (WHtR). Poisson regression models were used to estimate prevalence rate ratios (PRR) and their 95% confidence intervals. Results: Our main finding was that both WC and WHtR were associated with the number of teeth with deeper (4 mm or more) periodontal pockets; the PRR for the fifth quintile in WC was 1.5, CI: 1.2-1.9 and in WHtR 1.4, CI: 1. 1-1.7, when compared to the lowest quintile. Corresponding figures for deep (6 mm or more) periodontal pockets were 2.3, CI: 0.9-6.1 for WC and 1.9, CI: 0.8-4.4 for WHtR. There were no essential differences in the strengths of the associations between WC and WHtR and the number of teeth with deepened periodontal pockets. Conclusion: Both central adipose measures-WC and WHtR-seem to be associated with periodontal pocketing in non-diabetic, never-smoking subjects aged 30-49 years old.
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页数:7
相关论文
共 22 条
[1]
Obesity and periodontal disease in young, middle-aged, and older adults [J].
Al-Zahrani, MS ;
Bissada, NF ;
Borawski, EA .
JOURNAL OF PERIODONTOLOGY, 2003, 74 (05) :610-615
[2]
[Anonymous], 2000, WHO TECHN REP SER
[3]
Waist-to-height ratio is a better screening tool than waist circumference and BMI for adult cardiometabolic risk factors: systematic review and meta-analysis [J].
Ashwell, M. ;
Gunn, P. ;
Gibson, S. .
OBESITY REVIEWS, 2012, 13 (03) :275-286
[4]
Association Between Chronic Periodontal Disease and Obesity: A Systematic Review and Meta-Analysis [J].
Chaffee, Benjamin W. ;
Weston, Scott J. .
JOURNAL OF PERIODONTOLOGY, 2010, 81 (12) :1708-1724
[5]
Overweight and obesity predict time to periodontal disease progression in men [J].
Gorman, Andrea ;
Kaye, Elizabeth Krall ;
Apovian, Caroline ;
Fung, Teresa T. ;
Nunn, Martha ;
Garcia, Raul I. .
JOURNAL OF CLINICAL PERIODONTOLOGY, 2012, 39 (02) :107-114
[6]
Visceral fat area-defined obesity and periodontitis among Koreans [J].
Han, Dong-Hun ;
Lim, Sin-Ye ;
Sun, Bo-Cheng ;
Paek, Do-Myung ;
Kim, Hyun-Duck .
JOURNAL OF CLINICAL PERIODONTOLOGY, 2010, 37 (02) :172-179
[7]
Heistaro S, 2008, Publications of the National Public Health Institute B26/2008
[8]
Association Between Periodontal Disease and Overweight and Obesity: A Systematic Review [J].
Keller, Amelie ;
Rohde, Jeanett F. ;
Raymond, Kyle ;
Heitmann, Berit L. .
JOURNAL OF PERIODONTOLOGY, 2015, 86 (06) :766-776
[9]
Periodontitis and Obesity: A Study of the Fourth Korean National Health and Nutrition Examination Survey [J].
Kim, Eun-Jin ;
Jin, Bo-Hyoung ;
Bae, Kwang-Hak .
JOURNAL OF PERIODONTOLOGY, 2011, 82 (04) :533-542
[10]
Contribution of visceral fat accumulation to the risk factors for atherosclerosis in non-obese Japanese [J].
Miyawaki, T ;
Abe, M ;
Yahata, K ;
Kajiyama, N ;
Katsuma, H ;
Saito, N .
INTERNAL MEDICINE, 2004, 43 (12) :1138-1144