肥胖人群中慢性牙周炎的患病率：一项初步研究。
Prevalence of chronic periodontitis in an obese population: a preliminary study.
作者信息
Khan Shahrukh, Saub Roslan, Vaithilingam Rathna Devi, Safii Syarida Hasnur, Vethakkan Shireene Rathna, Baharuddin Nor Adinar
机构信息
Department of Restorative Dentistry, Faculty of Dentistry, University of Malaya, Lembah Pantai, 50603, Kuala Lumpur, Malaysia.
Department of Community Oral Health & Clinical Prevention, Faculty of Dentistry, University of Malaya, Lembah Pantai, 50603, Kuala Lumpur, Malaysia.
出版信息
BMC Oral Health. 2015 Sep 29;15:114. doi: 10.1186/s12903-015-0098-3.
BACKGROUND
Chronic periodontitis (CP) is a global public health issue. Studies have suggested CP could be linked to obesity due to their similar pathophysiological pathway. The aim of this study is to determine the prevalence of CP and to assess the predictors for CP among the obese Malaysian population.
METHODS
This is a cross-sectional study on obese participants. Obesity is defined as an individual who has Body Mass Index (BMI) ≥ 27.5 kg/m(2). A convenience sampling method was used. A total of 165 paricipants were recruited. This study involved answering questionnaires, obtaining biometric and clinical measurements of Visible plaque index (VPI), Gingival bleeding index (GBI), Probing pocket depth (PPD) and Clinical attachment loss (CAL). Data analysis was carried out using SPSS statistical software (SPSS Inc., version 20, US).
RESULTS
A total of 165 participants; 67 (40.6%) males and 98 (59.4%) females participated in the study. Mean age of the participants was 43.9 (± 8.9). The prevalence of CP among the obese population was found to be 73.9%. Out of this, 43 and 55% were categorised as moderate and severe CP respectively. Around 64% of participants had sites with CAL ≥ 4 mm and participants with sites with PPD ≥ 4 mm were reported to be 25%. Around 83% of the participants had sites with GBI ≥ 30 and 92% of participants had sites with VPI ≥ 20%. GBI and VPI were found to have significantly higher odds for CP.
CONCLUSION
Prevalence of CP was high among obese Malaysians. GBI and VPI were potential predictors for CP in this obese population.
背景
慢性牙周炎（CP）是一个全球性的公共卫生问题。研究表明，由于其相似的病理生理途径，CP可能与肥胖有关。本研究的目的是确定CP的患病率，并评估马来西亚肥胖人群中CP的预测因素。
方法
这是一项针对肥胖参与者的横断面研究。肥胖定义为体重指数（BMI）≥27.5 kg/m²的个体。采用便利抽样方法。共招募了165名参与者。本研究包括回答问卷、获取生物特征数据以及对可见菌斑指数（VPI）、牙龈出血指数（GBI）、探诊深度（PPD）和临床附着丧失（CAL）进行临床测量。使用SPSS统计软件（SPSS公司，版本20，美国）进行数据分析。
结果
共有165名参与者；67名（40.6%）男性和98名（59.4%）女性参与了研究。参与者的平均年龄为43.9（±8.9）岁。肥胖人群中CP的患病率为73.9%。其中，分别有43%和55%被归类为中度和重度CP。约64%的参与者有CAL≥4 mm的部位，报告有PPD≥4 mm部位的参与者为25%。约83%的参与者有GBI≥3（此处原文可能有误）0的部位，92%的参与者有VPI≥20%的部位。发现GBI和VPI患CP的几率显著更高。
结论
肥胖的马来西亚人CP患病率很高。GBI和VPI是该肥胖人群中CP的潜在预测因素。
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