Document Details
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Document Type |
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Article In Journal |
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Document Title |
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Obesity and periodontal disease in young, middle-aged, and older adults. Obesity and periodontal disease in young, middle-aged, and older adults. |
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Document Language |
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English |
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Abstract |
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BACKGROUND: The growing prevalence of increased body weight and obesity in the
United States has raised significant public health concerns. Obesity has been
implicated as a risk factor for several chronic health conditions, as well as
being associated with increased mortality. Recently, an association between
obesity and periodontal disease was found in a Japanese population. The purpose
of the present study is to examine the relation between body weight and
periodontal disease in a representative United States sample. METHODS:
Participants in the third National Health and Nutrition Examination Survey
(NHANES III) who were > or =18 years and had undergone a periodontal examination
were selected for the analysis (n = 13,665). Body mass index (BMI) and waist
circumference (WC) were used as measures of overall and abdominal fat content,
respectively. Univariable and multivariable logistic regression models were used
to estimate the association between increased body weight and periodontal
disease. BMI and WC were assessed independently in a multivariable logistic model
containing the following variables: gender, race, education, poverty index,
smoking, diabetes, and time elapsed since last dental visit. Significant
interactions with age were found and analyses were then stratified by age:
younger (18 to 34 years old), middle-aged (35 to 59 years old), and older (60 to
90 years old) adults. RESULTS: A significant association between the measures of
body fat and periodontal disease was found among the younger adults, but not
middle or older adults. The adjusted odds ratios (OR) for having periodontal
disease were 0.21 (0.080 to 0.565), 1.00 (0.705 to 1.407), and 1.76 (1.187 to
2.612) for subjects with BMI < 18.5 kg/m2, 25-29.9 kg/m2, and > or = 30 kg/m2,
respectively. Young subjects with high WC had an adjusted OR of 2.27 (1.480 to
3.487) for having periodontal disease. CONCLUSIONS: In a younger population,
overall and abdominal obesity are associated with increased prevalence of
periodontal disease, while underweight (BMI < 18.5) is associated with decreased
prevalence. Obesity could be a potential risk factor for periodontal disease
especially among younger individuals. Promotion of healthy nutrition and adequate
physical activity may be additional factors to prevent or halt the rate of
progression of periodontal disease. |
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ISSN |
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0 |
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Journal Name |
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J Periodontol |
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Volume |
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5 |
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Issue Number |
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74 |
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Publishing Year |
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2003 AH
2003 AD |
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Article Type |
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Article |
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Added Date |
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Sunday, February 21, 2010 |
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Researchers
| محمد الزهراني | Al-Zahrani, Mohammed | Investigator | Doctorate | |
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