Association of Periodontal Condition With Impaired Glucose Tolerance: Results of a 15-Year Follow-Up Study

IF 1.7 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Clinical and Experimental Dental Research Pub Date : 2024-10-13 DOI:10.1002/cre2.70023
Ville Myllymäki, Pekka Ylöstalo, Anna Liisa Suominen, Matti Knuuttila, Ulla Rajala, Sirkka Keinänen-Kiukaanniemi, Sirpa Anttila, Tuomas Saxlin
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Abstract

Objectives

The aim of this study was to investigate whether periodontal condition is associated with the development of impaired glucose tolerance (IGT).

Material and Methods

This study was based on a subpopulation of a cohort of persons born in 1935 and living in Oulu, Finland, on October 1, 1990. The participants were normoglycemic (no previously diagnosed diabetes mellitus and a 2-h oral glucose tolerance test [OGTT] blood glucose < 7.8 mmol/L) in the baseline examinations (1990–1992) and had fasting blood glucose < 7.0 mmol/L in the follow-up examinations (2007–2008) (n = 225). The outcome was IGT on follow-up, measured by a blood glucose level of ≥ 7.8 mmol/L after OGTT. The exposure was the periodontal condition at baseline categorized into four groups: 0, 1–6, ≥ 7 sites with deepened (≥ 4 mm) periodontal pockets, and edentulousness.

Results

A total of 23% of the participants developed IGT. The adjusted incidence rate ratios with 95% confidence intervals (CI) for dentate participants with 1–6 sites and ≥ 7 sites with deepened periodontal pockets, and edentate participants (reference category dentate participants without deepened periodontal pockets) were 1.5 (95% CI, 0.6–4.0), 1.8 (95% CI, 0.7–4.4), and 1.6 (95% CI, 0.6–4.0), respectively.

Conclusions

Poor periodontal condition may predispose individuals to IGT; however, further studies on this matter are warranted.

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牙周状况与葡萄糖耐量受损的关系:15 年随访研究结果
目的 本研究旨在探讨牙周状况是否与糖耐量受损(IGT)的发生有关。 材料与方法 本研究的对象是 1935 年出生、1990 年 10 月 1 日居住在芬兰奥卢的人群中的一个亚群。参与者在基线检查(1990-1992 年)中血糖正常(既往未确诊糖尿病,2 小时口服葡萄糖耐量试验 [OGTT] 血糖为 7.8 mmol/L),在随访检查(2007-2008 年)中空腹血糖为 7.0 mmol/L(n = 225)。随访结果为 IGT,测量指标为 OGTT 后血糖水平≥ 7.8 mmol/L。暴露是基线时的牙周状况,分为四组:0、1-6、≥ 7 个部位牙周袋加深(≥ 4 毫米)和无牙缝。 结果 共有 23% 的参与者患上了 IGT。牙周袋加深 1-6 个部位和≥ 7 个部位的无牙者和无牙齿者(参照类别为无牙周袋加深的无牙者)的调整后发病率比(95% 置信区间)分别为 1.5(95% CI,0.6-4.0)、1.8(95% CI,0.7-4.4)和 1.6(95% CI,0.6-4.0)。 结论 牙周状况不佳可能会导致胰岛素抵抗,但还需要进一步研究。
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来源期刊
Clinical and Experimental Dental Research
Clinical and Experimental Dental Research DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
3.30
自引率
5.60%
发文量
165
审稿时长
26 weeks
期刊介绍: Clinical and Experimental Dental Research aims to provide open access peer-reviewed publications of high scientific quality representing original clinical, diagnostic or experimental work within all disciplines and fields of oral medicine and dentistry. The scope of Clinical and Experimental Dental Research comprises original research material on the anatomy, physiology and pathology of oro-facial, oro-pharyngeal and maxillofacial tissues, and functions and dysfunctions within the stomatognathic system, and the epidemiology, aetiology, prevention, diagnosis, prognosis and therapy of diseases and conditions that have an effect on the homeostasis of the mouth, jaws, and closely associated structures, as well as the healing and regeneration and the clinical aspects of replacement of hard and soft tissues with biomaterials, and the rehabilitation of stomatognathic functions. Studies that bring new knowledge on how to advance health on the individual or public health levels, including interactions between oral and general health and ill-health are welcome.
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