Association between periodontitis and cardiovascular risk in Spanish employed adults-The Workers' Oral Health study

Aims: Periodontitis and cardiovascular diseases (CVD) are highly prevalent non-communicable diseases, sharing an inflammatory pathogenesis and common risk factors. The objective of the present research is to assess the association between periodontitis and cardiovascular disease risk in a representative sample of the Spanish-employed population. Methods: Cross-sectional data were obtained between 2008 and 2011 in the Workers' Oral Health (WORALTH) epidemiological study. Periodontal examinations were based on the evaluation of clinical attachment loss (CAL) and community periodontal index (CPI). Participants also underwent a medical check-up and answered a comprehensive health questionnaire. With this information, participants were categorized into three levels of CVD risk using the systemic coronary risk estimation (SCORE) algorithm for low-risk European countries. Crude and adjusted odds ratios (ORs) were determined with multiple logistic regression models for the association between periodontal status and CVD risk. Results: Data from 4224 individuals were analyzed. The overall prevalence of high CVD risk (SCORE >= 5%) was 5.1%. The prevalence of SCORE >= 5% was 3.4%, 9.4%, and 15.2% for CAL 0-3 mm, 4-5 mm, and >= 6 mm, respectively (p < .001), and 6.2%, 6.5%, and 14.6% for CPI <= 2, 3, and 4, respectively (p < .001). Individuals with CPI = 4 presented an OR of 1.50 (95% confidence interval, CI [1.04; 2.17]) for high SCORE values, after adjusting for confounders (age, sex, and smoking habit). Conclusions: Periodontitis, defined by the presence of deep periodontal pockets (>= 6 mm), was significantly associated with high CVD risk (SCORE >= 5%) in a representative sample of the employed population in Spain.