Association between periodontitis and arterial hypertension: A systematic review and meta-analysis

Martín-Cabezas, Rodrigo; Seelam, Narendra; Petit, Catherine; Agossa, Kévimy; Gærtner, S.; Tenenbaum, Henri; Davideau, Jean‐Luc; Huck, Olivier

doi:10.1016/j.ahj.2016.07.018

Cited by 147 publications

(155 citation statements)

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“…The meta-analysis of 12 cross-sectional studies, including those adjusted for confounder risk measures, indicated a considerable 16% increase in risk of hypertension occurrence in the presence of periodontitis. 53 In contrast, in a 9-year cohort study of 5,895 subjects aged 65 years and over, no significant correlation was found between the dental parameter and hypertension. 54 In own assessment, no statistically significant relationship between periodontal condition and body weight was observed.…”

Section: Discussionmentioning

confidence: 88%

Oral health parameters in the regional study among young seniors in an urban area of Wrocław

Konopka¹,

Głowacka²,

Toczewska³

et al. 2017

Dent. Med. Probl.

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Section: Discussionmentioning

confidence: 88%

Oral health parameters in the regional study among young seniors in an urban area of Wrocław

Konopka¹,

Głowacka²,

Toczewska³

et al. 2017

Dent. Med. Probl.

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“…In a recent study, the risk of myocardial infarction was significantly increased in patients with periodontitis [4]. Accordingly, recent meta-analyses demonstrated significantly increased risk of developing cardiovascular disease (CVD) in patients with periodontitis [5,6]. …”

Section: Introductionmentioning

confidence: 99%

Immunoglobulin G antibodies againstPorphyromonas gingivalisorAggregatibacter actinomycetemcomitansin cardiovascular disease and periodontitis

Damgaard

Reinholdt

Enevold

et al. 2017

Journal of Oral Microbiology

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Objectives: The aim was to elucidate whether levels of circulating antibodies to Actinobacillus actinomycetemcomitans and Porphyromonas gingivalis correlate to loss of attachment, as a marker for periodontitis and cardiovascular disease (CVD). Design: Sera were collected from 576 participants of the Danish Health Examination Survey (DANHES). Immunoglobulin G antibodies against lipopolysaccharide (LPS) and protein antigens from the a, b and c serotypes of A. actinomycetemcomitans and P. gingivalis were quantified by titration in ELISA plates coated with a mixture of antigens prepared by disintegration of bacteria. Results: Levels of antibodies against P. gingivalis (OR = 1.48) and A. actinomycetemcomitans (1.31) associated with periodontitis, as determined by univariable logistic regression analysis. These antibody levels also associated with CVD (1.17 and 1.37), respectively, However, after adjusting for other risk factors, including age, smoking, gender, alcohol consumption, overweight, and level of education using multivariable logistic regression analysis, only increasing body mass index (BMI; 1.09), previous smoking (1.99), and increasing age (decades) (2.27) remained associated with CVD. Increased levels of antibodies against P. gingivalis (1.34) remained associated with periodontitis after adjusting for other risk factors. Conclusions: CVD and periodontitis were associated with levels of IgG antibodies to P. gingivalis or A. actinomycetemcomitans in univariable analyses, but only the association of P. gingivalis antibody levels with periodontitis reached statistical significance after adjustment for common confounders. Age, in particular, influenced this relationship.

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“…In this study, a higher prevalence of hypertension was observed in patients with obesity ( P = .020) (Table 1). Hypertension was the most important risk factor for cardiovascular disease, being more common than smoking, dyslipidemia, and diabetes 2,18,19 …”

Section: Discussionmentioning

confidence: 99%

“…Hypertension was the most important risk factor for cardiovascular disease, being more common than smoking, dyslipidemia, and diabetes. 2,18,19 Hypertension is related to vascular inflammation and endothelial disorder 19 caused by inflammatory mediators. Considering these mediators acting in this process, in addition to the inflammatory mediators secreted by the adipose tissue of patient with obesity, such as C-reactive protein, vasoconstriction becomes more intense and increases the blood pressure.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of systemic conditions, tooth loss, body image, and quality of life of women with obesity and women who underwent gastric bypass surgery

Foratori‐Junior

Máscoli

Jesuino

et al. 2020

Special Care in Dentistry

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Aim To evaluate the systemic conditions, tooth loss, oral health, body image perceptions, and quality of life of women with obesity and women who underwent bypass surgery. Methods and results Sixty women were classified into the gastric bypass (G1, n = 30) and obesity (G2, n = 30) groups, and their systemic condition, oral health perception, oral hygiene, tooth loss, body image perception (Stunkard scale), and quality of life (WHOQOL‐bref) were evaluated. The t‐test, Mann‐Whitney, chi‐square, and multiple linear regression were used for statistical analysis (P < .05). G2 presented higher prevalence of hypertension (P = .020) and G1 higher prevalence of anemia (P = .040). G2 demonstrated less favorable perceptions of oral health, primarily associated with chewing (P = .0007) and speech (P = .005), and a lower frequency of dental floss usage (P = .047); however, there were no intergroup differences regarding the prevalence of missing teeth (P = .180). G1 demonstrated greater satisfaction with regard to their body image (P < .0001), contrary to those in G2, who negatively perceived the same (P = .001), particularly considering the physical, psychological, and environmental parameters (P < .05). Conclusion High body mass index (BMI) indicated a higher prevalence of hypertension and a negative impact on oral health perception and quality of life. However, bariatric surgery was associated with a positive body image perception and quality‐of‐life parameters.

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Association between periodontitis and arterial hypertension: A systematic review and meta-analysis

Cited by 147 publications

References 50 publications

Oral health parameters in the regional study among young seniors in an urban area of Wrocław

Oral health parameters in the regional study among young seniors in an urban area of Wrocław

Immunoglobulin G antibodies againstPorphyromonas gingivalisorAggregatibacter actinomycetemcomitansin cardiovascular disease and periodontitis

Evaluation of systemic conditions, tooth loss, body image, and quality of life of women with obesity and women who underwent gastric bypass surgery

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