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

被引：13

作者：

Alhabashneh R. ^{[1
,2
]}

Khader Y. ^{[2
]}

herra Z. ^{[1
]}

Assad F. ^{[1
]}

机构：

[1] College of Dentistry, Jordan University of Science and Technology, Preventive Department-Periodontics, PO Box: 3030, Irbid

[2] Jordan University of Science and Technology, Department of Community Medicine, PO Box: 3030, Irbid

来源：

Journal of Diabetes & Metabolic Disorders | / 14卷 / 1期

关键词：

Diabetes; Metabolic syndrome; Periodontitis;

D O I：

10.1186/s40200-015-0192-8

中图分类号：

学科分类号：

摘要：

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. © 2015 Alhabashneh et al.

引用

共 33 条

[1]

Eckel R.H., Grundy S.M., Zimmet P.Z., The metabolic syndrome, Lancet, 365, 9468, pp. 1415-1428, (2005)

[2]

Onat A., Metabolic syndrome: nature, therapeutic solutions and options, Expert Opin Pharmacother, 12, 12, pp. 1887-1900, (2011)

[3]

Beltran Sanchez H., Harhay M.O., Harhay M.M., McElligott S., Prevalence and trends of metabolic syndrome in the adult U.S. population, 1999-2010, J Am Coll Cardiol, 62, 8, pp. 697-703, (2013)

[4]

Riediger N.D., Clara I., Prevalence of metabolic syndrome in the Canadian adult population, CMAJ, 183, 15, pp. E1127-E1134, (2011)

[5]

Abdul-Rahim H.F., Husseini A., Bjertness E., Giacaman R., Gordon N.H., Jervell J., The metabolic syndrome in the West Bank population: An urban-rural comparison, Diabetes Care, 24, 2, pp. 275-279, (2001)

[6]

Al-Lawati J.A., Mohammed A.J., Al-Hinai H.Q., Jousilahti P., Prevalence of the metabolic syndrome among Omani adults, Diabetes Care, 26, 6, pp. 1781-1785, (2003)

[7]

Jaber L.A., Brown M.B., Hammad A., Zhu Q., Herman W.H., The prevalence of the metabolic syndrome among Arab Americans, Diabetes Care, 27, 1, pp. 234-238, (2004)

[8]

Onat A., Ceyhan K., Basar O., Erer B., Toprak S., Sansoy V., Metabolic syndrome: major impact on coronary risk in a population with low cholesterol levels -- a prospective and cross-sectional evaluation, Atherosclerosis, 165, pp. 285-289, (2002)

[9]

Zabetian A., Hadaegh F., Azizi F., Prevalence of metabolic syndrome in Iranian adult population, concordance between the IDF with the ATPIII and the WHO definitions, Diabetes Res Clin Pract, 77, pp. 251-257, (2007)

[10]

Khader Y., Bateiha A., El-Khateeb M., Al-Shaikh A., Ajlouni K., High prevalence of the metabolic syndrome among Northern Jordanians, J Diabetes Complicat, 21, 4, pp. 214-219, (2007)

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