Vücut Kitle İndeksi ve Periodontitis Arasındaki Bağlantı: Kapsamlı Anket Çalışması Sonucuna Göre Sağlıksız Beslenme Alışkanlıkları ve Kötü Ağız Hijyeni

Year 2025, Volume: 11 Issue: 1, 124 - 130

Sibel Başçıl , Yusuf Bozkuş , Arzu Şahan Kipalev , Neslihan Başçıl Tütüncü

Abstract

ÖZ
Amaç: Vücut kitle indeksi ile periodontal hastalıklar arasındaki ilişkiyi, beslenme alışkanlıkları ve kişinin kendi ağız bakım uygulamalarını irdeleyen detaylı anket sorgulaması ile ortaya koymayı amaçladık.
Gereç ve Yöntemler: Çalışmamıza Başkent Üniversitesi Periodontoloji Bölümüne başvuran 357 hasta dahil edilmiştir. Çalışmaya dahil olmak isteyen hastalar periodontal muayene öncesi son altı ay içerisinde yeme alışkanlıkları ve ağız bakım uygulamalarına yönelik soruları cevaplamışlardır.
Bulgular: Periodontitis grubu hastaların gingivitis grubu hastalara göre daha yüksek vücut kitle indeksine (VKI) sahip olduğu görüldü (sırası ile 26,9 ± 4.3 kg/m² ve 24,7 ± 3.8 kg/m², p=0.000). Periodontitis grubundaki hastalarda çay içme alışkanlığı gingivitis grubuna göre daha yüksek oranda idi (sırası ile % 46,7 ve % 30,3, p=0.001 ). Gingivitis grubu hastaların periodontitis grubuna göre daha fazla oranda kahve içtikleri bulgulanmıştır (sırası ile %17,7 ve %3,8, p=0.000 ). Periodontitis grubunda diyabetik hasta oranı gingivitisli gruba göre daha fazla idi (sırası ile % 10,9 ve % 2,9). Obez hastalarda periodontitis oranının % 71,4 olduğu bulgulanmıştır. Periodontitis sıklığı vücut kitle indeksi ile anlamlı oranda ilişkilidir (Pearson korelasyonu 0.2229, p=0.000).
Sonuç: VKI değeri yüksek olan bireylerin, periodontitis hastası olma, daha fazla çay tüketme ve diyabet hastası olma olasılığı daha yüksek idi.

Keywords

Periodontitis, Vücut kitle indeksi, Obezite, Çay tüketimi

Supporting Institution

Başkent Üniversitesi

Project Number

D-KA20/25

The Link Between Body Mass Index and Periodontitis: Unhealthy Eating Habits and Poor Oral Hygiene According to a Compelling Survey Study

Abstract

ABSTRACT

Objective: To investigate the relationship between body mass index and periodontal diseases by conducting a comprehensive survey to assess daily eating habits and self-care of oral hygiene.
Material and Methods: We recruited 357 patients from the outpatient clinic of the Periodontology Department at Baskent University Hospital. All the patients completed a comprehensive survey after their periodontological examination. The questionnaire asked about their daily eating habits and oral hygiene self-care during the last six months.
Results: Patients with periodontitis had higher body-mass-index (BMI) than those with gingivitis (26.9 ± 4.3 kg/m² vs 24.7 ± 3.8 kg/m², respectively, p=0.000). The periodontitis group had higher tea consumers than those with gingivitis (46,7% vs. 30,3%, respectively, p=0.001). The group with gingivitis had higher coffee consumers than those with periodontitis (17.7% vs 3.8 %, respectively, p=0.000). There were more diabetic patients in the periodontitis group (10.9% vs. 2.9%, respectively, p=0.003). The percentage of cases with periodontitis was 71.4% in obese patients. The frequency of periodontitis was significantly correlated with the BMI (Pearson correlation 0.2229, p=0.000).
Conclusion: Individuals with a higher BMI were more likely to have periodontitis, consume more tea, and have diabetes.

Keywords

Periodontitis, Body mass index, Obesity, Tea consumption

Project Number

D-KA20/25

References

• 1. Highfield J. Diagnosis and classification of periodontal disease. Australian Dental Journal 2009; 54 ( Suppl):11-26.
• 2. Newman MG, Takei HH, Klokkevold PR, Carranza FA. Newman and Carranza’s Clinical Periodontology. In:Elsevier (ed) Classification of diseases and conditions affecting the periodontium, 13th edn. Philadelphia 2019; 326-99.
• 3. Oppermann RV, Weidlich P, Musskopf ML. Periodontal disease and systemic complications. Braz Oral Res 2012; 26 (Suppl 1): 39-47.
• 4. Hedge S, Chatterjee E, Rajesh KS, Arun Kumar MS. Obesity and its association with chronic periodontitis: A cross-sectional study. Journal of Education and Health Promotion 2019; 8:222-7.
• 5. Deshpande NC, Amrutiya MR. Obesity and oral health-Is there a link? An observational study. J Indian Soc Periodontol 2017; 21:229-33.
• 6. Arboleda S, Vargas M, Losada S, Pinto A. Review of obesity and periodontitis:an epidemiological view. Br Dent J 2019; 227: 235-9.
• 7. Levine R. Obesity and oral disease -a challenge for dentistry. Br Dent J 2012; 213:453-6.
• 8. Damanaki A, Memmert S, Nokhbehsaim M, Sanyal A, Gnad T, Pfeifer A, Deschner J. Impact of obesity and aging on crestal alveolar bone height in mice. Ann Anat 2018; 218:227-35.
• 9. Apovian CM. Obesity: definition, comorbidities, causes and burden. Am J Manag Care 2016; 22(7 suppl): 176-85.
• 10. Expert Panel. Executive summary of the clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults. Am J Clin Nutr 1998; 68: 899-917.
• 11. Jensen MD, Ryan DH, Apovian CM, Ard JD, Comuzzie AG, Donato KA, Hu FB, Hubbard VS, Jakicic JM, Kushner RF, Loria CM, Millen BE, Nonas CA, Pi-Sunyer FX, Stevens J, Stevens VJ, Wadden TA, Wolfe BM, Yanovski SZ, Jordan HS, Kendall KA, Lux LJ, Mentor-Marcel R, Morgan LC, Trisolini MG, Wnek J, Anderson JL, Halperin JL, Albert NM, Bozkurt B, Brindis RG, Curtis LH, DeMets D, Hochman JS, Kovacs RJ, Ohman EM, Pressler SJ, Sellke FW, Shen WK, Smith SC Jr, Tomaselli GF. 2013 AHA/ACC/TOS Guideline for the management of overweight and obesity in adults: A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and The Obesity Society. Circulation 2014; 129 (25 Suppl 2): S102-S138.
• 12. Liu X, Du X, Han G, Gao W. Association between tea consumption and risk of cognitive disorders: A dose-response meta-analysis of observational studies. Oncotarget 2017; 26(8):43306-21.
• 13. Grosso G, Micek A, Castellano S, Pajak A, Galvano F. Cofee, tea, caffeine and risk of depression: A systematic review and dose-response meta-analysis of observational studies. Molecular Nutrition Food Research 2016; 60(1): 223-34.
• 14. Silness J, Löe H. Periodontal disease in pregnancy. II. Correlation between oral hygiene and periodontal condition. Acta Odontol Scand 1964; 22:121-35.
• 15. Ainamo J, Bay I. Problems and proposals for recording gingivitis and plaque. Int Dent J 1975; 25:229-35.
• 16. American Academy of Periodontology–Position paper. Parameter on Chronic Periodontitis with Slight to Moderate Loss of Periodontal Support. J Periodontol 2000; Suppl 71: 853–5.
• 17. American Academy of Periodontology–Position paper. Parameter on Chronic Periodontitis with Advanced Loss of Periodontal Support. J Periodontol 2000; 71:856–8.
• 18. Mühlemann HR. Tooth Mobility. I.The measuring method. Initial and secondary tooth mobility. J Periodontol 1954; 25:22-9.
• 19. Srivastava MC, Srivastava R, Verma PK, Gautam A. Metabolic syndrome and periodontal disease: An overview for physicians. J Family Med Prim Care 2019; 8:3492-5.
• 20. Kershaw EE, Flier JS. Adipose tissue as an endocrine organ. J Clin Endocrinol Metab 2004; 89:2548-56.
• 21. Deschner J, Eick S, Damanaki A, Nokhbehsaim M. The role of adipokines in periodontal infection and healing. Mol Oral Microbiol 2014; 29:258-69.
• 22. Levine RS. Obesity, diabetes, and periodontitis - a triangular relationship? Bri Dent J 2013; 215: 35-9.
• 23. Guruprasad CN, Pradeep AR. Interleukin-34 Levels in Gingival Crevicular Fluid and Plasma in Healthy and Diseased Periodontal Tissue in Presence or Absence of Obesity: A clinicobiochemical study. Bull Tokyo Dent Coll 2018; 59:79-86.
• 24. Dursun E, Akalın FA, Genc T, Cinar N, Erel O, Yildiz BO. Oxidative Stress and Periodontal Disease in Obesity. Medicine (Baltimore) 2016; 95: e3136.
• 25. Huang Z, Kawamura K, Yoshimatsu H, Miyake T. Association between tea types and a number of teeth. A cross-sectional study of the Chinese Longitudinal Healthy Longevity survey. BMJ Public Health 2024; 24:400.
• 26. Rhee Y, Choi Y, Park J, Park HY, Kim K. Kim YK. Association between coffee consumption and periodontal diseases: a systematic review and meta-analysis. BMC Oral Health 2022; 22(1): 272.
• 27. Zhao M, Xie Y, Gao W, Li C, Ye Q, Li Y. Diabetes mellitus promotes susceptibility to periodontitis-novel insight into the molecular mechanisms. Front Endocrinol (Lausanne) 2023; 14:1192625.