Predictors for Gingival Index in Middle-Aged Asian Indians with Type 2 Diabetes from South India: A Cross-Sectional Observational Study
Asian Indians develop type 2 diabetes mellitus (T2DM) much earlier as compared to White Caucasians, due to unique phenotypic and genetic architecture. Periodontitis in T2DM patients is often a neglected clinical feature. This study was conducted to derive predictor variables for gingival index in mi...
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| Language: | English |
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2018-01-01
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| Series: | The Scientific World Journal |
| Online Access: | http://dx.doi.org/10.1155/2018/9081572 |
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| author | S. Jai Karthik Shajith Anoop R. Suresh Kumar M. V. Usha Rani |
| author_facet | S. Jai Karthik Shajith Anoop R. Suresh Kumar M. V. Usha Rani |
| author_sort | S. Jai Karthik |
| collection | DOAJ |
| description | Asian Indians develop type 2 diabetes mellitus (T2DM) much earlier as compared to White Caucasians, due to unique phenotypic and genetic architecture. Periodontitis in T2DM patients is often a neglected clinical feature. This study was conducted to derive predictor variables for gingival index in middle-aged Asian Indians with T2DM in a semiurban population of Dravidian ethnicity from Tamil Nadu, India. T2DM patients (n=232, mean age: 50.6±10.4 years) with periodontitis (n=123, mean age: 54.3±2.4 years) and without periodontitis (n=109, mean age: 55.2±3.1 years) were recruited between 2014 and 2016 by purposive sampling method. Dental examinations for pocket depth (PD) and clinical attachment level (CAL) were performed and gingival index was calculated. Fasting venous blood samples were analysed for measures of glycaemia and cholesterol. Significant positive correlation (p<0.01) was observed for gingival index with glycosylated haemoglobin (HbA1c), pocket depth, presence of T2DM, and clinical attachment level. Stepwise multiple linear regression analysis derived increased pocket depth (p<0.01), elevated HbA1c (p<0.01), clinical attachment level (p<0.01), and presence of diabetes (p<0.01) as significant predictors (r2 value = 0.67) for increased gingival index in middle aged patients with T2DM. These variables significantly (p<0.01) predispose middle-aged T2DM patients to increased gingival index, thus warranting appropriate intervention. |
| format | Article |
| id | doaj-art-c518bcec18b649acbc1aeeb0bda47152 |
| institution | Kabale University |
| issn | 2356-6140 1537-744X |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Scientific World Journal |
| spelling | doaj-art-c518bcec18b649acbc1aeeb0bda471522025-02-03T06:06:20ZengWileyThe Scientific World Journal2356-61401537-744X2018-01-01201810.1155/2018/90815729081572Predictors for Gingival Index in Middle-Aged Asian Indians with Type 2 Diabetes from South India: A Cross-Sectional Observational StudyS. Jai Karthik0Shajith Anoop1R. Suresh Kumar2M. V. Usha Rani3Department of Environmental Sciences, Bharathiar University, Coimbatore, Tamil Nadu, IndiaDepartment of Environmental Sciences, Bharathiar University, Coimbatore, Tamil Nadu, IndiaSuresh Diabetes Centre, Vadavalli, Coimbatore, Tamil Nadu, IndiaDepartment of Environmental Sciences, Bharathiar University, Coimbatore, Tamil Nadu, IndiaAsian Indians develop type 2 diabetes mellitus (T2DM) much earlier as compared to White Caucasians, due to unique phenotypic and genetic architecture. Periodontitis in T2DM patients is often a neglected clinical feature. This study was conducted to derive predictor variables for gingival index in middle-aged Asian Indians with T2DM in a semiurban population of Dravidian ethnicity from Tamil Nadu, India. T2DM patients (n=232, mean age: 50.6±10.4 years) with periodontitis (n=123, mean age: 54.3±2.4 years) and without periodontitis (n=109, mean age: 55.2±3.1 years) were recruited between 2014 and 2016 by purposive sampling method. Dental examinations for pocket depth (PD) and clinical attachment level (CAL) were performed and gingival index was calculated. Fasting venous blood samples were analysed for measures of glycaemia and cholesterol. Significant positive correlation (p<0.01) was observed for gingival index with glycosylated haemoglobin (HbA1c), pocket depth, presence of T2DM, and clinical attachment level. Stepwise multiple linear regression analysis derived increased pocket depth (p<0.01), elevated HbA1c (p<0.01), clinical attachment level (p<0.01), and presence of diabetes (p<0.01) as significant predictors (r2 value = 0.67) for increased gingival index in middle aged patients with T2DM. These variables significantly (p<0.01) predispose middle-aged T2DM patients to increased gingival index, thus warranting appropriate intervention.http://dx.doi.org/10.1155/2018/9081572 |
| spellingShingle | S. Jai Karthik Shajith Anoop R. Suresh Kumar M. V. Usha Rani Predictors for Gingival Index in Middle-Aged Asian Indians with Type 2 Diabetes from South India: A Cross-Sectional Observational Study The Scientific World Journal |
| title | Predictors for Gingival Index in Middle-Aged Asian Indians with Type 2 Diabetes from South India: A Cross-Sectional Observational Study |
| title_full | Predictors for Gingival Index in Middle-Aged Asian Indians with Type 2 Diabetes from South India: A Cross-Sectional Observational Study |
| title_fullStr | Predictors for Gingival Index in Middle-Aged Asian Indians with Type 2 Diabetes from South India: A Cross-Sectional Observational Study |
| title_full_unstemmed | Predictors for Gingival Index in Middle-Aged Asian Indians with Type 2 Diabetes from South India: A Cross-Sectional Observational Study |
| title_short | Predictors for Gingival Index in Middle-Aged Asian Indians with Type 2 Diabetes from South India: A Cross-Sectional Observational Study |
| title_sort | predictors for gingival index in middle aged asian indians with type 2 diabetes from south india a cross sectional observational study |
| url | http://dx.doi.org/10.1155/2018/9081572 |
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