The association between periodontal disease severity and metabolic syndrome in Vietnamese patients.
OBJECTIVE
To investigate the association between periodontal disease severity and metabolic syndrome (MetS) in a group of Vietnamese patients.


METHODS
A total of 412 participants (114 males, 298 females, average age 57.8 ± 5.7 years) including 206 patients with MetS and 206 participants without MetS were selected for this study. Information on sociodemographic characteristics, dental behaviours and smoking status was collected from a self-administrated questionnaire. Periodontal status including plaque index (PI), gingival index (GI) pocket depth (PD) and clinical attachment level (CAL) was recorded. Logistic regression analyses were used to evaluate the association between severity of periodontal disease and MetS with adjustments for related confounders.


RESULTS
The prevalence of moderate and severe periodontitis assessed by GI, PD and CAL was all significantly higher in the MetS group than in the control group and was significantly increased by a number of MetS components. Logistic regression, adjusted for confounders, showed that people with mean PI ≥2.51 or GI ≥1.01 or number of teeth with bleeding on probing of ≥20 teeth or PD ≥3.66 or CAL ≥3.66 showed a significant association with greater OR for MetS compared to counterparts (P < .05). The OR for MetS was 4.06 (95% CI 2.11-7.84) in severe periodontitis patients compared to non-periodontitis participants (P < .001).


CONCLUSION
Much severe and extensive periodontal disease was found in MetS participants and increased with number of MetS components. Participants with higher periodontal parameters had a higher risk of MetS.
['Pham|Tav|T|http://orcid.org/0000-0002-2679-6604']
D044466:Asians D003774:Dental Plaque Index D005260:Female D005888:Gingival Pocket D006801:Humans D016015:Logistic Models D008297:Male D024821:Metabolic Syndrome D008875:Middle Aged D010510:Periodontal Diseases D010512:Periodontal Index D015995:Prevalence D012306:Risk D012720:Severity of Illness Index D011795:Surveys and Questionnaires D014744:Vietnam
periodontal disease metabolic syndrome Vietnamese