ASSOCIATION BETWEEN PERIODONTAL DISEASE WITH ANTHROPOMETRIC INDICES AND METABOLIC PARAMETERS IN TYPE 2 DIABETES MELLITUS PATIENTS WITH CHRONIC PERIODONTITIS

Background and Aim: The aim of this study was to evaluate the association between periodontal disease with anthropometric indices and metabolic parameters in type 2 diabetes mellitus (T2DM) patients with chronic periodontitis (CP).Methods: In this case-control study, 100 T2DM patients with CP and 100 healthy people were selected using convenient sampling method. Demographic, anthropometric indices such as weight, body mass index (BMI), Waist and Hip circumference (WC, HC) and periodontal parameters including bleeding on probing (BoP), pocket depth (PD), clinical attachment level (CAL) and Plaque index , systolic and diastolic blood pressure (SBP, DBP), physical activity, serum levels of Fasting blood glucose (FBG), glycosylated hemoglobin levels (HbA1c), triglyceride) TG(, total cholesterol (CHOL), high-density (HDL), and low-density lipoprotein (LDL) cholesterol, VLDL (very low-density lipoprotein), BUN, creatinine, urinary albumin and GFR were measured. Results: The results of this study showed a inverse significant relationship between the physical activity with weight, BMI, WC, HC, FBS, HbA1c, Albuminuria, SBP, BoP, Plaque, PD, and CAL (p < 0.05). Also, there was a positive significant relationship between PD and CAL with weight, BMI, WC, HC, FBS, HbA1c, BUN, creatinine, Albuminuria, SBP and DBP (p < 0.01), and anthropometric indices with FBS, HbA1c, creatinine, Albuminuria, SBP and DBP (p < 0.05). In addition, HDL was significantly increased with decrease of WC, HC, CAL, and PD (p < 0.01).Conclusion: The findings of present study showed that via weight loss and increase of physical activity can be improved periodontal status and metabolic parameters in T2DM patients with CP.

Keywords:

Type 2 diabetes mellitus , Periodontal disease , Glycemic control , Physical activity , Obesity