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International Journal of Endocrinology and Metabolism
Research Institute for Endocrine Sciences
e-ISSN 1726-9148
p-ISSN 1726-913X
Body Mass Index and Periodontal Health are Correlated in Postmenopausal Women With Low Bone Density
Authors
1Department of Periodontics, School of Dental Medicine, Western Reserve University, Cleveland, OH, USA
2Department of Internal Medicine and Center for Specialized Women’s Health, Cleveland Clinic, Cleveland, OH, USA
3Center for Specialized Women’s Health, Cleveland Clinic, Cleveland, OH, USA
*Corresponding Author: Leena Palomo, Department of Periodontics, School of Dental Medicine, Case, Western Reserve University, 2124 Cornell Rd, Cleveland, OH 44106, USA. Tel: +1-2163686300, Fax: +1-2163683266, E-mail: Email: [email protected]
Published online:Oct 31, 2011
Article type:Research Article
Received:Apr 05, 2011
Accepted:Aug 30, 2011
How to Cite:Palomo L, Clarinda Buenocamino M, Thacker H. Body Mass Index and Periodontal Health are Correlated in Postmenopausal Women With Low Bone Density. Int J Endocrinol Metab. 2011;9(4):. doi: https://doi.org/10.5812/Kowsar.1726913X.2617
Abstract
Background: Postmenopausal women are at risk for skeletal bone loss and periodontitis, which results in tooth loss. Pathogenesis of both processes involves osteoclast activation regulated by common cytokines. Where obesity has been shown to be associated with a higher prevalence of periodontitis, high body mass index, once considered to be protective against skeletal bone loss in postmenopausal women, is now being reconsidered as a potential risk for low bone density.
Objectives: The aim of this study was to investigate whether a correlation exists between BMI and periodontal parameters (plaque score, probing depth, and bleeding) in postmenopausal women with low bone density.
Patients and Methods: In a population of Caucasian postmenopausal women (n = 56) with low bone density, BMI was measured, and a periodontal exam to measure periodontal parameters was completed. Participants also completed a questionnaire on exercise habits.
Results: In simple linear regression, BMI was correlated with PD but with no other periodontal factors. On average, an increase of one point in BMI resulted in an increase of 0.06 mm in PD. PD was significantly correlated with BMI, even after adjusting for exercise. BMI was not a significant factor in BOP in the simple regression case, but it became significant when adjusted for exercise. Furthermore, there was an interaction between BMI and exercise, which indicates that heavier subjects who did not exercise had higher BOP scales than heavy subjects who did exercise. Indeed, it appears that BMI was not much of a factor at all for subjects who exercised.
Conclusions: The results of this investigation indicate a correlation between BMI and periodontitis in postmenopausal women and suggest that some interaction may exist between the metabolic state and alveolar bone level. These findings support the assertion that alveolar bone may function as an endocrine target organ.
Copyright © 2012, Kowsar M.P.Co. All rights reserved.
Copyright
© 2011, Author(s). This open-access article is available under the Creative Commons Attribution 4.0 (CC BY 4.0) International License (https://creativecommons.org/licenses/by/4.0/), which allows for unrestricted use, distribution, and reproduction in any medium, provided that the original work is properly cited.
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