Overweight and obesity predict time to periodontal disease progression in men

Andrea Gorman, Elizabeth Krall Kaye, Caroline Apovian, Teresa T. Fung, Martha E. Nunn, Raul I. Garcia

Research output: Contribution to journalArticle

68 Citations (Scopus)

Abstract

Aims: To examine whether overweight and obesity indicators - body mass index (BMI), waist circumference (WC), and WC-to-height ratio - predict progression of periodontal disease in men. Material and Methods: Participants were 1038 medically healthy, non-Hispanic, white males in the VA Dental Longitudinal Study who were monitored with triennial oral and medical examinations between 1969 and 1996. Periodontal disease progression in an individual was defined as having two or more teeth advance to levels of alveolar bone loss ≥40%, probing pocket depth ≥5 mm, or clinical attachment loss ≥5 mm after baseline. Extended Cox regression analyses estimated hazards of experiencing periodontal disease progression events due to overweight/obesity status, controlling for age, smoking, education, diabetes, recent periodontal treatment, recent prophylaxis, and number of filled/decayed surfaces. Results: Body mass index and WC-to-height ratio were significantly associated with hazards of experiencing periodontal disease progression events regardless of periodontal disease indicator. Adjusted hazard ratios for periodontal disease progression were 41-72% higher in obese men (BMI ≥30 kg/m 2) relative to men with both normal weight and WC-to-height ratio (≤50%). Conclusion: Both overall obesity and central adiposity are associated with an increased hazards of periodontal disease progression events in men.

Original languageEnglish
Pages (from-to)107-114
Number of pages8
JournalJournal of Clinical Periodontology
Volume39
Issue number2
DOIs
StatePublished - Feb 2012

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Periodontal Diseases
Disease Progression
Obesity
Waist Circumference
Body Mass Index
Tooth
Alveolar Bone Loss
Oral Diagnosis
Abdominal Obesity
Adiposity
Longitudinal Studies
Smoking
Regression Analysis
Education
Weights and Measures

All Science Journal Classification (ASJC) codes

  • Periodontics

Cite this

Overweight and obesity predict time to periodontal disease progression in men. / Gorman, Andrea; Kaye, Elizabeth Krall; Apovian, Caroline; Fung, Teresa T.; Nunn, Martha E.; Garcia, Raul I.

In: Journal of Clinical Periodontology, Vol. 39, No. 2, 02.2012, p. 107-114.

Research output: Contribution to journalArticle

Gorman, Andrea ; Kaye, Elizabeth Krall ; Apovian, Caroline ; Fung, Teresa T. ; Nunn, Martha E. ; Garcia, Raul I. / Overweight and obesity predict time to periodontal disease progression in men. In: Journal of Clinical Periodontology. 2012 ; Vol. 39, No. 2. pp. 107-114.
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