Get access
Journal of Clinical Periodontology

Blood pressure and left ventricular mass in subjects with type 2 diabetes and gingivitis or chronic periodontitis

Authors


  • Conflict of interest and source of funding
    No conflict of interest declared. The study was funded by own sources of the Central Clinical Hospital MSWiA.

Address:
Edward Franek
Department of Internal Medicine
Endocrinology and Diabetology
Central Clinical Hospital MSWiA
Ul. Woloska 137
PL 02-507 Warszawa
Poland
E-mail: Edward.Franek@cskmswia.pl

Abstract

Franek E, Napora M, Blach A, Budlewski T, Gozdowski D, Jedynasty K, Krajewski J, Gorska R. Blood pressure and left ventricular mass in subjects with type 2 diabetes and gingivitis or chronic periodontitis. J Clin Periodontol 2010; 37: 875–880. doi: 10.1111/j.1600-051X.2010.01613.x.

Abstract

Introduction: This study aimed to answer the question of whether chronic periodontitis in subjects with type 2 diabetes mellitus is associated with increased left ventricular mass (LVM) and systemic and central blood pressure (CBP).

Material and Methods: One hundred and fifty-five subjects with type 2 diabetes (67 F, 88 M, mean age 61.1±6.9 years, BMI 32.7±5.7 kg/m2) were divided according to their periodontal status into biofilm–gingival interface – healthy (BGI-H, 14 subjects), BGI-gingivitis (BGI-G, 119 subjects) and BGI-periodontitis (BGI-P, 22 subjects) groups. In all subjects, LVM, systemic and CBP were measured. The LVM index (LVMI) was calculated.

Results: (1) BGI-P and BGI-G subjects, respectively, had higher (mean; 95% CI) LVM (238.6 g; 206.6–267.4 and 222.8 g; 207.0–238.2) versus BGI-H subjects (170.3 g; 125.5–217.8).
(2) BGI-P and BGI-G subjects, respectively, had higher (mean; 95% CI) LVM1 (95.2 g/m2; 82.9–107.4) and 87.8 g/m2; 81.5–94.1) versus BGI-H subjects (63.7 g/m2; 45.2-62.3).
(3) BGI-P subjects had higher central and systemic systolic and diastolic blood pressure than subjects from BGI-G and BGI-H groups.

Conclusion: In subjects with type 2 diabetes, periodontitis and gingivitis are associated with increased LVM and periodontitis is associated with increased central and systemic blood pressure.

Get access to the full text of this article

Ancillary