Sharma Ena, Sharma Deepak, Lakhani Amit, Mahajan Ankit, Kaur Rasveen
Maharishi Markandeshwar College of Dental Sciences and Research, Mullana, Ambala Haryana, India.
HP Government Dental College, Himachal Pradesh, India.
Bioinformation. 2021 Jul 31;17(7):691-698. doi: 10.6026/97320630017691. eCollection 2021.
It is of interest to evaluate the association of obesity and blood glucose level with periodontitis. Patients (150 with age range 26-68 years) were included based on WHO obesity criteria, undiagnosed for periodontitis, with Body Mass Index (BMI) ≥ 30 and systemically healthy. These patients underwent periodontal examination followed by blood analysis for lipid profile and blood sugar level. The periodontal status was determined using parameters such as Plaque index (PI), gingival index (GI), Probing depth (PPD) and Clinical attachment loss (CAL). 103 (68.7%) patients had >190 of triglyceride values. Data shows that periodontitis has no statistical significance with total cholesterol, HDL, LDL and moderate significance with VLDL, triglycerides. Glycemic control of the patients is assessed using postprandial blood sugar (PPBS) and Fasting Blood Sugar (FBS). Data shows that 129(86.6%) had FBS (mg/dl) <100 and 21 (14.0%) had FBS (mg/dl) >100. So the number of patients with FBS (mg/dl) < 100 were more i.e., 129 (86.6%). The PPBS values were in 136 (90.7%) had PPBS (mg/dl) <140 and only 14(9.3%) had PPBS (mg/dl) >140 group of patients were said have glucose intolerance. Thus, there is no change in lipid profile with established periodontitis in obese individuals. However, altered glycemic control is observed.
评估肥胖和血糖水平与牙周炎之间的关联很有意义。根据世界卫生组织的肥胖标准纳入了年龄在26 - 68岁之间、未被诊断患有牙周炎、体重指数(BMI)≥30且全身健康的患者(共150例)。这些患者接受了牙周检查,随后进行了血脂和血糖水平的血液分析。使用菌斑指数(PI)、牙龈指数(GI)、探诊深度(PPD)和临床附着丧失(CAL)等参数来确定牙周状况。103名(68.7%)患者的甘油三酯值>190。数据显示,牙周炎与总胆固醇、高密度脂蛋白(HDL)、低密度脂蛋白(LDL)无统计学意义,与极低密度脂蛋白(VLDL)、甘油三酯有中度意义。通过餐后血糖(PPBS)和空腹血糖(FBS)评估患者的血糖控制情况。数据显示,129名(86.6%)患者的空腹血糖(mg/dl)<100,21名(14.0%)患者的空腹血糖(mg/dl)>100。所以空腹血糖(mg/dl)<100的患者数量更多,即129名(86.6%)。餐后血糖值方面,136名(90.7%)患者的餐后血糖(mg/dl)<140,只有14名(9.3%)患者的餐后血糖(mg/dl)>140,这组患者被认为有糖耐量异常。因此,肥胖个体中已确诊的牙周炎患者血脂谱无变化。然而,观察到血糖控制有所改变。