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. 2013 Jun;40(6):599-606.
doi: 10.1111/jcpe.12104. Epub 2013 Apr 5.

Metabolic syndrome and periodontitis in Gullah African Americans with type 2 diabetes mellitus

Nicoleta D Sora  1 , Nicole M Marlow, Dipankar Bandyopadhyay, Renata S Leite, Elizabeth H Slate, Jyotika K Fernandes
Affiliations

Metabolic syndrome and periodontitis in Gullah African Americans with type 2 diabetes mellitus

Nicoleta D Sora et al. J Clin Periodontol. 2013 Jun.

Abstract

Aim: To assess associations of metabolic syndrome, and its individual components, with extent of severe periodontitis among patients with type 2 diabetes mellitus (T2DM).

Materials & methods: We performed a secondary data analysis (N = 283) using a cross-sectional study population of Gullah African Americans with T2DM. Extent of severe periodontitis was assessed as total diseased tooth-sites/person [evaluated as separate outcomes: 6+mm clinical attachment level (CAL), 5+mm periodontal probing depth (PPD)] using negative binomial regression techniques. Primary independent variables assessed in separate models included metabolic syndrome (yes/no), each metabolic syndrome component (low HDL, hypertension, high triglycerides, large waist circumference) and glycemic control (poor/good).

Results: Multivariable CAL-model results showed a significant association for metabolic syndrome status with extent of severe periodontitis (RR = 2.77, p = 0.03). The separate multivariable CAL-model including each metabolic syndrome component showed marginally increased rates among those with large waist circumference (RR = 2.33, p = 0.09) and those with HbA1c ≥ 7% (RR = 1.73, p = 0.06). Multivariable PPD-models showed marginally increased rates among those with metabolic syndrome (RR = 2.18, p = 0.06).

Conclusion: Metabolic syndrome is associated with the extent of severe periodontitis in this Gullah population with T2DM.

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Conflict of interest statement

Conflict of Interest: The authors declare that there are no conflicts of interest in this study.

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