Skip to main content
Top
Published in: BMC Oral Health 1/2015

Open Access 01-12-2015 | Research article

Prevalence of chronic periodontitis in an obese population: a preliminary study

Authors: Shahrukh Khan, Roslan Saub, Rathna Devi Vaithilingam, Syarida Hasnur Safii, Shireene Rathna Vethakkan, Nor Adinar Baharuddin

Published in: BMC Oral Health | Issue 1/2015

Login to get access

Abstract

Background

Chronic periodontitis (CP) is a global public health issue. Studies have suggested CP could be linked to obesity due to their similar pathophysiological pathway. The aim of this study is to determine the prevalence of CP and to assess the predictors for CP among the obese Malaysian population.

Methods

This is a cross-sectional study on obese participants. Obesity is defined as an individual who has Body Mass Index (BMI) ≥27.5 kg/m2. A convenience sampling method was used. A total of 165 paricipants were recruited. This study involved answering questionnaires, obtaining biometric and clinical measurements of Visible plaque index (VPI), Gingival bleeding index (GBI), Probing pocket depth (PPD) and Clinical attachment loss (CAL). Data analysis was carried out using SPSS statistical software (SPSS Inc., version 20, US).

Results

A total of 165 participants; 67 (40.6 %) males and 98 (59.4 %) females participated in the study. Mean age of the participants was 43.9 (±8.9). The prevalence of CP among the obese population was found to be 73.9 %. Out of this, 43 and 55 % were categorised as moderate and severe CP respectively. Around 64 % of participants had sites with CAL ≥4 mm and participants with sites with PPD ≥4 mm were reported to be 25 %. Around 83 % of the participants had sites with GBI ≥30 and 92 % of participants had sites with VPI ≥20 %. GBI and VPI were found to have significantly higher odds for CP.

Conclusion

Prevalence of CP was high among obese Malaysians. GBI and VPI were potential predictors for CP in this obese population.
Literature
1.
go back to reference WHO. The WHO global oral health data bank. Geneva: World Health Organization; 2007. WHO. The WHO global oral health data bank. Geneva: World Health Organization; 2007.
2.
go back to reference NOHSA. National oral health survey in adults 2010. Putrajaya: OHD MOH: Oral Health Division Minitsry of Health; 2013. NOHSA. National oral health survey in adults 2010. Putrajaya: OHD MOH: Oral Health Division Minitsry of Health; 2013.
3.
go back to reference Brennan DS, Spencer AJ, Roberts-Thomson KF. Quality of life and disability weights associated with periodontal disease. J Dent Res. 2007;86:713–7.CrossRefPubMed Brennan DS, Spencer AJ, Roberts-Thomson KF. Quality of life and disability weights associated with periodontal disease. J Dent Res. 2007;86:713–7.CrossRefPubMed
4.
go back to reference Barros SP, Offenbacher S. Modifiable risk factors in periodontal disease. Periodontol. 2014;64:95–110.CrossRef Barros SP, Offenbacher S. Modifiable risk factors in periodontal disease. Periodontol. 2014;64:95–110.CrossRef
5.
go back to reference James W. WHO recognition of the global obesity epidemic. Int J Obesity. 2008;32:S120–S6.CrossRef James W. WHO recognition of the global obesity epidemic. Int J Obesity. 2008;32:S120–S6.CrossRef
6.
go back to reference Nestel P, Lyu R, Low LP, Sheu W, Nitiyanant W, Saito I, et al. Metabolic syndrome: recent prevalence in East and Southeast Asian populations. Asia Pac J Clin Nutr. 2007;16:362.PubMed Nestel P, Lyu R, Low LP, Sheu W, Nitiyanant W, Saito I, et al. Metabolic syndrome: recent prevalence in East and Southeast Asian populations. Asia Pac J Clin Nutr. 2007;16:362.PubMed
7.
go back to reference Wan Mohamud WN, Musa KI, Md Khir AS, Ismail A-S, Ismail IS, Kadir KA, et al. Prevalence of overweight and obesity among adult Malaysians: an update. Asia Pac J Clin Nutr. 2011;20:35.PubMed Wan Mohamud WN, Musa KI, Md Khir AS, Ismail A-S, Ismail IS, Kadir KA, et al. Prevalence of overweight and obesity among adult Malaysians: an update. Asia Pac J Clin Nutr. 2011;20:35.PubMed
8.
go back to reference Walls HL, Backholer K, Proietto J, McNeil JJ. Obesity and Trends in Life Expectancy. J Obes. 2012;2012. Walls HL, Backholer K, Proietto J, McNeil JJ. Obesity and Trends in Life Expectancy. J Obes. 2012;2012.
9.
go back to reference Perlstein MI, Bissada NF. Influence of obesity and hypertension on the severity of periodontitis in rats. Oral Surg Oral Med O. 1977;43:707–19.CrossRef Perlstein MI, Bissada NF. Influence of obesity and hypertension on the severity of periodontitis in rats. Oral Surg Oral Med O. 1977;43:707–19.CrossRef
10.
go back to reference Al-Zahrani MS, Bissada NF, Borawski EA. Obesity and periodontal disease in young, middle-aged, and older adults. J Periodontol. 2003;74:610–5.CrossRefPubMed Al-Zahrani MS, Bissada NF, Borawski EA. Obesity and periodontal disease in young, middle-aged, and older adults. J Periodontol. 2003;74:610–5.CrossRefPubMed
11.
go back to reference Khader Y, Bawadi H, Haroun T, Alomari M, Tayyem R. The association between periodontal disease and obesity among young adults in Jordan. J Clin Periodontol. 2009;36:18–24.CrossRefPubMed Khader Y, Bawadi H, Haroun T, Alomari M, Tayyem R. The association between periodontal disease and obesity among young adults in Jordan. J Clin Periodontol. 2009;36:18–24.CrossRefPubMed
12.
go back to reference Morita I, Okamoto Y, Yoshii S, Nakagaki H, Mizuno K, Sheiham A, et al. Five-year incidence of periodontal disease is related to body mass index. J Dent Res. 2011;90:199–202.CrossRefPubMed Morita I, Okamoto Y, Yoshii S, Nakagaki H, Mizuno K, Sheiham A, et al. Five-year incidence of periodontal disease is related to body mass index. J Dent Res. 2011;90:199–202.CrossRefPubMed
13.
go back to reference Suvan J, D'Aiuto F, Moles DR, Petrie A, Donos N. Association between overweight/obesity and periodontitis in adults. A systematic review. Obes Rev. 2011;12:e381–404.CrossRefPubMed Suvan J, D'Aiuto F, Moles DR, Petrie A, Donos N. Association between overweight/obesity and periodontitis in adults. A systematic review. Obes Rev. 2011;12:e381–404.CrossRefPubMed
14.
go back to reference WHO. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet. 2004;363:157–63.CrossRef WHO. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet. 2004;363:157–63.CrossRef
15.
go back to reference Vaithilingam R, Safii S, Baharuddin N, Karen‐Ng L, Saub R, Ariffin F, et al. Establishing and managing a periodontal biobank for research: the sharing of experience. Oral Dis. 2015;21(1):e62–e9.CrossRefPubMed Vaithilingam R, Safii S, Baharuddin N, Karen‐Ng L, Saub R, Ariffin F, et al. Establishing and managing a periodontal biobank for research: the sharing of experience. Oral Dis. 2015;21(1):e62–e9.CrossRefPubMed
16.
go back to reference Ainamo J, Bay I. Problems and proposals for recording gingivitis and plaque. Int Dent J. 1975;25:229–35.PubMed Ainamo J, Bay I. Problems and proposals for recording gingivitis and plaque. Int Dent J. 1975;25:229–35.PubMed
17.
go back to reference Eke P, Dye B, Wei L, Thornton-Evans G, Genco R. Prevalence of periodontitis in adults in the United States: 2009 and 2010. J Dent Res. 2012;91:914–20.CrossRefPubMed Eke P, Dye B, Wei L, Thornton-Evans G, Genco R. Prevalence of periodontitis in adults in the United States: 2009 and 2010. J Dent Res. 2012;91:914–20.CrossRefPubMed
18.
go back to reference Genco RJ, Grossi SG, Ho A, Nishimura F, Murayama Y. A proposed model linking inflammation to obesity, diabetes, and periodontal infections. J Periodontol. 2005;76:2075–84.CrossRefPubMed Genco RJ, Grossi SG, Ho A, Nishimura F, Murayama Y. A proposed model linking inflammation to obesity, diabetes, and periodontal infections. J Periodontol. 2005;76:2075–84.CrossRefPubMed
19.
go back to reference Saito T, Yamaguchi N, Shimazaki Y, Hayashida H, Yonemoto K, Doi Y, et al. Serum levels of resistin and adiponectin in women with periodontitis: the Hisayama study. J Dent Res. 2008;87:319–22.CrossRefPubMed Saito T, Yamaguchi N, Shimazaki Y, Hayashida H, Yonemoto K, Doi Y, et al. Serum levels of resistin and adiponectin in women with periodontitis: the Hisayama study. J Dent Res. 2008;87:319–22.CrossRefPubMed
20.
go back to reference Albandar J, Brunelle J, Kingman A. Destructive periodontal disease in adults 30 years of age and older in the United States, 1988–1994. J Periodontol. 1999;70:13–29.CrossRefPubMed Albandar J, Brunelle J, Kingman A. Destructive periodontal disease in adults 30 years of age and older in the United States, 1988–1994. J Periodontol. 1999;70:13–29.CrossRefPubMed
21.
go back to reference Stewart DC, Ortega AN, Dausey D, Rosenheck R. Oral health and use of dental services among Hispanics. J Public Health Dent. 2002;62:84–91.CrossRefPubMed Stewart DC, Ortega AN, Dausey D, Rosenheck R. Oral health and use of dental services among Hispanics. J Public Health Dent. 2002;62:84–91.CrossRefPubMed
22.
go back to reference Khosravisamani M, Maliji G, Seyfi S, Azadmehr A, Abd Nikfarjam B, Madadi S, et al. Effect of the menstrual cycle on inflammatory cytokines in the periodontium. J Periodontal Res. 2014;49:770–6.CrossRefPubMed Khosravisamani M, Maliji G, Seyfi S, Azadmehr A, Abd Nikfarjam B, Madadi S, et al. Effect of the menstrual cycle on inflammatory cytokines in the periodontium. J Periodontal Res. 2014;49:770–6.CrossRefPubMed
23.
go back to reference Machtei EE, Mahler D, Sanduri H, Peled M. The effect of menstrual cycle on periodontal health. J Periodontol. 2004;75:408–12.CrossRefPubMed Machtei EE, Mahler D, Sanduri H, Peled M. The effect of menstrual cycle on periodontal health. J Periodontol. 2004;75:408–12.CrossRefPubMed
24.
go back to reference Bergstrom J. Smoking rate and periodontal disease prevalence: 40‐year trends in Sweden 1970–2010. J Clin Periodontol. 2014;41:952–7.CrossRefPubMed Bergstrom J. Smoking rate and periodontal disease prevalence: 40‐year trends in Sweden 1970–2010. J Clin Periodontol. 2014;41:952–7.CrossRefPubMed
25.
go back to reference Holtfreter B, Kocher T, Hoffmann T, Desvarieux M, Micheelis W. Prevalence of periodontal disease and treatment demands based on a German dental survey (DMS IV). J Clin Periodontol. 2010;37:211–9.CrossRefPubMed Holtfreter B, Kocher T, Hoffmann T, Desvarieux M, Micheelis W. Prevalence of periodontal disease and treatment demands based on a German dental survey (DMS IV). J Clin Periodontol. 2010;37:211–9.CrossRefPubMed
26.
go back to reference Bourgeois D, Bouchard P, Mattout C. Epidemiology of periodontal status in dentate adults in France, 2002–2003. J Periodontal Res. 2007;42:219–27.CrossRefPubMed Bourgeois D, Bouchard P, Mattout C. Epidemiology of periodontal status in dentate adults in France, 2002–2003. J Periodontal Res. 2007;42:219–27.CrossRefPubMed
27.
go back to reference Haffajee AD, Socransky SS, Goodson JM. Clinical parameters as predictors of destructive periodontal disease activity. J Clin Periodontol. 1983;10:257–65.CrossRefPubMed Haffajee AD, Socransky SS, Goodson JM. Clinical parameters as predictors of destructive periodontal disease activity. J Clin Periodontol. 1983;10:257–65.CrossRefPubMed
28.
go back to reference Bælum V, Pisuithanakan S, Teanpaisan R, Pithpornchaiyakul W, Pongpaisal S, Papapanou P, et al. Periodontal conditions among adults in Southern Thailand. J Periodontal Res. 2003;38:156–63.CrossRefPubMed Bælum V, Pisuithanakan S, Teanpaisan R, Pithpornchaiyakul W, Pongpaisal S, Papapanou P, et al. Periodontal conditions among adults in Southern Thailand. J Periodontal Res. 2003;38:156–63.CrossRefPubMed
29.
go back to reference Hong-Ying W, Petersen PE, Jin-You B, Bo-Xue Z. The second national survey of oral health status of children and adults in China. Int Dental J. 2002;52:283–90.CrossRef Hong-Ying W, Petersen PE, Jin-You B, Bo-Xue Z. The second national survey of oral health status of children and adults in China. Int Dental J. 2002;52:283–90.CrossRef
30.
go back to reference Michalowicz BS, Diehl SR, Gunsolley JC, Sparks BS, Brooks CN, Koertge TE, et al. Evidence of a substantial genetic basis for risk of adult periodontitis. J Periodontol. 2000;71:1699–707.CrossRefPubMed Michalowicz BS, Diehl SR, Gunsolley JC, Sparks BS, Brooks CN, Koertge TE, et al. Evidence of a substantial genetic basis for risk of adult periodontitis. J Periodontol. 2000;71:1699–707.CrossRefPubMed
31.
go back to reference Krustrup U, Petersen EP. Periodontal conditions in 35–44 and 65-74-year-old adults in Denmark. Acta Odontol. 2006;64:65–73.CrossRef Krustrup U, Petersen EP. Periodontal conditions in 35–44 and 65-74-year-old adults in Denmark. Acta Odontol. 2006;64:65–73.CrossRef
32.
go back to reference Lang NP, Joss A, Orsanic T, Gusberti FA, Siegrist BE. Bleeding on probing. A predictor for the progression of periodontal disease? J Clin Periodontol. 1986;13:590–6.CrossRefPubMed Lang NP, Joss A, Orsanic T, Gusberti FA, Siegrist BE. Bleeding on probing. A predictor for the progression of periodontal disease? J Clin Periodontol. 1986;13:590–6.CrossRefPubMed
33.
go back to reference Lang NP, Adler R, Joss A, Nyman S. Absence of bleeding on probing an indicator of periodontal stability. J Clin Periodontol. 1990;17:714–21.CrossRefPubMed Lang NP, Adler R, Joss A, Nyman S. Absence of bleeding on probing an indicator of periodontal stability. J Clin Periodontol. 1990;17:714–21.CrossRefPubMed
34.
35.
go back to reference Ragghianti MS, Greghi SLA, Lauris JRP, Sant'Ana ACP, Passanezi E. Influence of age, sex, plaque and smoking on periodontal conditions in a population from Bauru. Brazil J Appl Oral Sci. 2004;12:273–9.PubMed Ragghianti MS, Greghi SLA, Lauris JRP, Sant'Ana ACP, Passanezi E. Influence of age, sex, plaque and smoking on periodontal conditions in a population from Bauru. Brazil J Appl Oral Sci. 2004;12:273–9.PubMed
36.
go back to reference Macek MD, Tomar SL. Dental Care Visits among Dentate Adults with Diabetes and Periodontitis. J Public Health Dent. 2009;69:284–9.CrossRefPubMed Macek MD, Tomar SL. Dental Care Visits among Dentate Adults with Diabetes and Periodontitis. J Public Health Dent. 2009;69:284–9.CrossRefPubMed
37.
go back to reference Manski RJ, Macek MD, Moeller JF. Private dental coverage: who has it and how does it influence dental visits and expenditures? J Am Dent Assoc. 2002;133:1551–9.CrossRefPubMed Manski RJ, Macek MD, Moeller JF. Private dental coverage: who has it and how does it influence dental visits and expenditures? J Am Dent Assoc. 2002;133:1551–9.CrossRefPubMed
38.
go back to reference Zimmermann H, Zimmermann N, Hagenfeld D, Veile A, Kim TS, Becher H. Is frequency of tooth brushing a risk factor for periodontitis? A systematic review and meta‐analysis. Community Dent Oral. 2015;43:116–27.CrossRef Zimmermann H, Zimmermann N, Hagenfeld D, Veile A, Kim TS, Becher H. Is frequency of tooth brushing a risk factor for periodontitis? A systematic review and meta‐analysis. Community Dent Oral. 2015;43:116–27.CrossRef
39.
go back to reference Attin T, Hornecker E. Tooth brushing and oral health: how frequently and when should tooth brushing be performed? Oral Health Prev Dent. 2004;3:135–40. Attin T, Hornecker E. Tooth brushing and oral health: how frequently and when should tooth brushing be performed? Oral Health Prev Dent. 2004;3:135–40.
40.
go back to reference Claydon NC. Current concepts in toothbrushing and interdental cleaning. Periodontol. 2008;48:10–22.CrossRef Claydon NC. Current concepts in toothbrushing and interdental cleaning. Periodontol. 2008;48:10–22.CrossRef
41.
go back to reference Lindhe J, Westfelt E, Nyman S, Socransky S, Haffajee A. Long‐term effect of surgical/non‐surgical treatment of periodontal disease. J Clin Periodontol. 1984;11:448–58.CrossRefPubMed Lindhe J, Westfelt E, Nyman S, Socransky S, Haffajee A. Long‐term effect of surgical/non‐surgical treatment of periodontal disease. J Clin Periodontol. 1984;11:448–58.CrossRefPubMed
42.
go back to reference Susin C, Haas AN, Valle PM, Oppermann RV, Albandar JM. Prevalence and risk indicators for chronic periodontitis in adolescents and young adults in south Brazil. J Clin Periodontol. 2011;38:326–33.CrossRefPubMed Susin C, Haas AN, Valle PM, Oppermann RV, Albandar JM. Prevalence and risk indicators for chronic periodontitis in adolescents and young adults in south Brazil. J Clin Periodontol. 2011;38:326–33.CrossRefPubMed
Metadata
Title
Prevalence of chronic periodontitis in an obese population: a preliminary study
Authors
Shahrukh Khan
Roslan Saub
Rathna Devi Vaithilingam
Syarida Hasnur Safii
Shireene Rathna Vethakkan
Nor Adinar Baharuddin
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2015
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-015-0098-3

Other articles of this Issue 1/2015

BMC Oral Health 1/2015 Go to the issue