Is there association between stress and periodontitis?

被引:48
作者
Coelho, Julita Maria F. [1 ]
Miranda, Samilly S. [1 ]
da Cruz, Simone S. [1 ,2 ]
Trindade, Soraya C. [1 ]
Passos-Soares, Johelle de S. [1 ,3 ]
Cerqueira, Eneida de M. M. [1 ]
Costa, Maria da Conceicao N. [4 ]
Figueiredo, Ana Claudia M. G. [2 ]
Hintz, Alexandre Marcelo [1 ]
Barreto, Mauricio L. [4 ]
Seymour, Gregory J. [5 ]
Scannapieco, Frank [6 ]
Gomes-Filho, Isaac Suzart [1 ]
机构
[1] Feira De Santana State Univ, Dept Hlth, Ave Getulio Vargas 379, BR-44025010 Feira De Santana, BA, Brazil
[2] Univ Fed Reconcavo Bahia, Dept Epidemiol, Cachoeira, BA, Brazil
[3] Univ Fed Bahia, Dept Prevent Dent, Salvador, BA, Brazil
[4] Univ Fed Bahia, Collect Hlth Inst, Dept Epidemiol, Salvador, BA, Brazil
[5] Univ Queensland, Dept Periodontol, Sch Dent, Brisbane, Qld, Australia
[6] SUNY Buffalo, Dept Oral Biol, Buffalo, NY USA
关键词
Epidemiology; Psychological stress; Mental health; Periodontitis; Chronic periodontitis; Oral health; PERCEIVED STRESS; CORTISOL; DISEASE; POPULATION; SALIVARY; HEALTH; SERUM; DEHYDROEPIANDROSTERONE; TRANSLATION; DEPRESSION;
D O I
10.1007/s00784-019-03083-9
中图分类号
R78 [口腔科学];
学科分类号
100302 [口腔临床医学];
摘要
Objective This study estimated the association between stress and periodontitis. Materials and methods A cross-sectional study was conducted with a sample of 621 individuals. Information about individuals was obtained through a questionnaire. Stress was evaluated using the Perceived Stress Scale. The diagnosis of periodontitis was based on a complete periodontal examination including clinical attachment level, probing depth, and bleeding on probing. Prevalence ratios (PR), crude and adjusted, and their respective 95% confidence intervals (95%CI) were estimated by Poisson regression analysis. Results In the final sample, 48.47% (301) of the individuals were classified as having stress, of which, 23.92% (72) had the diagnosis of periodontitis. Association measurements between stress and probing depth >= 4 mm (PRadjusted = 1.28, 95%CI [1.04 to 1.58]), stress and clinical attachment level >= 5 mm (PRadjusted = 1.15, 95%CI [1.01 to 1.31]), and stress and periodontitis (PRadjusted = 1.36, 95%CI [1.01 to 1.83]) showed that the frequency of these outcomes among those exposed to stress was 15-36% higher than those without the condition of stress, after adjustment for age, sex, schooling level, current smoking habit, pulmonary disease, and body mass index. Conclusions The findings showed positive association between exposure to stress and the presence of periodontitis, reaffirming the need to prevent and control stress.
引用
收藏
页码:2285 / 2294
页数:10
相关论文
共 54 条
[1]
The association of hypertension with periodontitis is highlighted in female adults: results from the Fourth Korea National Health and Nutrition Examination Survey [J].
Ahn, Yoo-Been ;
Shin, Myung-Seop ;
Byun, Jong-Seok ;
Kim, Hyun-Duck .
JOURNAL OF CLINICAL PERIODONTOLOGY, 2015, 42 (11) :998-1005
[2]
Ainamo J, 1976, Tandlaegebladet, V80, P149
[3]
American Psychological Association Stress in America, 2013, MISS HLTH CAR CONN
[4]
Association of Porphyromonas gingivalis with high levels of stress-induced hormone cortisol in chronic periodontitis patients [J].
Ardila, Carlos M. ;
Guzman, Isabel C. .
JOURNAL OF INVESTIGATIVE AND CLINICAL DENTISTRY, 2016, 7 (04) :361-367
[5]
The effects of stress on periodontal treatment: a longitudinal investigation using clinical and biological markers [J].
Bakri, Issam ;
Douglas, Charles W. Ian ;
Rawlinson, Andrew .
JOURNAL OF CLINICAL PERIODONTOLOGY, 2013, 40 (10) :955-961
[6]
Calais Sandra Leal, 2003, Psicol. Reflex. Crit., V16, P257
[7]
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
[8]
Chang K., 2007, Journal of Managerial Psychology, V22, P549, DOI DOI 10.1108/02683940710778431
[9]
Accuracy of Partial-Mouth Examination Protocols for Extent and Severity Estimates of Periodontitis: A Study in a Chinese Population With Chronic Periodontitis [J].
Chu, Yi ;
Ouyang, Xiangying .
JOURNAL OF PERIODONTOLOGY, 2015, 86 (03) :406-417
[10]
A GLOBAL MEASURE OF PERCEIVED STRESS [J].
COHEN, S ;
KAMARCK, T ;
MERMELSTEIN, R .
JOURNAL OF HEALTH AND SOCIAL BEHAVIOR, 1983, 24 (04) :385-396