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BMC Oral Health
Published in: BMC Oral Health 1/2018

Open Access 01-12-2018 | Research article

Probing depth is an independent risk factor for HbA1c levels in diabetic patients under physical training: a cross-sectional pilot-study

Authors: Katharina Wernicke, Sven Zeissler, Frank C. Mooren, Torsten Frech, Stephanie Hellmann, Meike Stiesch, Jasmin Grischke, Silvia Linnenweber, Bernhard Schmidt, Jan Menne, Anette Melk, Pascal Bauer, Andree Hillebrecht, Jörg Eberhard

Published in: BMC Oral Health | Issue 1/2018

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Abstract

Background

This cross-sectional study investigates the potential association between active periodontal disease and high HbA1c levels in type-2-diabetes mellitus subjects under physical training.

Methods

Women and men with a diagnosis of non-insulin-dependent diabetes mellitus and ongoing physical and an ongoing exercise program were included. Periodontal conditions were assessed according to the CDC-AAP case definitions. Venous blood samples were collected for the quantitative analysis of HbA1c. Associations between the variables were examined with univariate and multivariate regression models.

Results

Forty-four subjects with a mean age of 63.4 ± 7.0 years were examined. Twenty-nine subjects had no periodontitis, 11 had a moderate and 4 had a severe form of periodontal disease. High fasting serum glucose (p < 0.0001), high BMI scores (p = 0.001), low diastolic blood pressure (p = 0.030) and high probing depth (p = 0.036) were significantly associated with high HbA1c levels.

Conclusions

Within the limitations of this study HbA1c levels are positively associated with high probing pocket depth in patients with non-insulin-dependent diabetes mellitus under physical exercise training. Control and management of active periodontal diseases in non-insulin-dependent patients with diabetes mellitus is reasonable in order to maximize therapeutic outcome of lifestyle interventions.
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Metadata
Title
Probing depth is an independent risk factor for HbA1c levels in diabetic patients under physical training: a cross-sectional pilot-study
Authors
Katharina Wernicke
Sven Zeissler
Frank C. Mooren
Torsten Frech
Stephanie Hellmann
Meike Stiesch
Jasmin Grischke
Silvia Linnenweber
Bernhard Schmidt
Jan Menne
Anette Melk
Pascal Bauer
Andree Hillebrecht
Jörg Eberhard
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2018
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-018-0491-9

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