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International Journal of Applied Dental Sciences 2019; 5(1): 215-218
ISSN Print: 2394-7489
ISSN Online: 2394-7497
IJADS 2019; 5(1): 215-218
© 2019 IJADS
www.oraljournal.com
Received: 01-11-2018
Accepted: 05-12-2018
Dr. Prabhati Gupta
Registrar, Department of
Periodontology, Indira Gandhi
Govt. Dental College, Jammu,
India
Dr. Romesh Singh
HOD, Department of
Periodontology, Indira Gandhi
Govt. Dental College, Jammu,
India
Correspondence
Dr. Prabhati Gupta
Registrar, Department of
Periodontology, Indira Gandhi
Govt. Dental College, Jammu,
India
Relationship between obesity and Periodontitis: A
Cross-sectional study
Dr. Prabhati Gupta and Dr. Romesh Singh
Abstract
Background: Obesity and periodontitis are considered as severe health problems worldwide. The aim of
this study was to investigate the relationship between obesity and periodontitis.
Materials and methods: One hundred and forty-one patients aged between 18-63 years, including 65
obese and 76 non-obese subjects were enrolled over a period of 6 months. The information on
sociodemographic characteristics and dental habits were collected by a questionnaire. Body mass index
and waist circumference were used as measures to assess obesity. Periodontal status of the subjects was
recorded.
Results: The prevalence of periodontitis in obese subjects (38.6%) was significantly higher than the non-
obese subjects (12.4%). The mean values of periodontal parameters were significantly higher in obese
subjects. Multiple logistic regression analysis revealed that age, routine of dental visit and obesity were
significantly related to periodontitis.
Conclusion: The prevalence of periodontitis is higher among obese subjects. Obesity could be a potential
risk factor for periodontitis in all age groups.
Keywords: Body mass index, obesity, periodontitis, risk factor
1. Introduction
Obesity, one of the most significant health risks of modern society, is considered as a severe
health problem worldwide. There is a concern for public health, as excess bodyweight is now
the sixth important risk factor contributing to disease worldwide and increased level of obesity
may result in a decline in life expectancy in the future
[1]
. Obesity is a complex and multi-
factorial disease resulting from excessive storage of fat, occurs due to the interaction of social,
behavioural, cultural, psychological, metabolic, and genetic factors among the population
[2]
Various health consequences associated with obesity are diabetes mellitus, hypertension, heart
disease like coronary artery disease, cerebrovascular disease such as hemorrhagic and ischemic
stroke, metabolic syndrome like insulin resistance, some cancers such as cancer of esophagus,
thyroid, kidney, uterus, colon and breast, and psychosocial problems
[3]
.
Obesity may be considered as a low-grade systemic inflammatory disease. Obese children and
adults have elevated serum levels of C-reactive proteins, interleukin-6, tumor necrosis factor-α
and leptin which are known as markers of inflammation and are closely associated with
chronic inflammatory diseases
[4]
. Therefore, these findings indicate rationalized bases for
association between obesity and periodontal disease, which is also an inflammatory disease
resulting from complex interaction between pathogenic microbes and host immune response
[5]
. Investigation from the United States, using the large NHANES III database, supported
association between body fat and periodontal disease
[1]
.
Although some studies
[6-8]
have shown an association between obesity and periodontal disease
in different populations, there have been only few studies documented in literature, in this part
of northern India. Hence, an attempt was made to explore the relationship between obesity and
periodontitis among the patients attending the outpatient department of Indira Gandhi Govt.
Dental College in Jammu. Additionally this study evaluated the sociodemographic
characteristics and dental habits in obese people and their influences on the presence of
periodontitis.