Prevalence of undiagnosed diabetes and pre-diabetes in chronic periodontitis patients assessed by an HbA1c chairside screening protocol

被引:13
作者
Mataftsi, Maria [1 ]
Koukos, Georgios [2 ]
Sakellari, Dimitra [1 ]
机构
[1] Aristotle Univ Thessaloniki, Dent Sch, Dept Prevent Dent Periodontol & Implant Biol, Thessaloniki, Greece
[2] 251 Gen Air Force Hosp, Periodontal Dept, Athens, Greece
关键词
Diabetes screening; Chairside HbA1c; Identification of hyperglycaemia in dental settings; CONSENSUS REPORT; DENTAL OFFICE; RISK; IDENTIFICATION; MELLITUS; WORKSHOP; UPDATE; VISIT;
D O I
10.1007/s00784-019-02888-y
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Objectives The objective of the present study was to implement a chairside diabetes screening strategy for the identification of undiagnosed hyperglycaemia in periodontal patients. Materials and methods Measurement of HbA1c was performed in patients (n = 139) diagnosed with periodontal disease to determine possible unknown hyperglycaemia. Patients fulfilled the criteria for screening according to the questionnaire by the Centers for Disease Control and Prevention (CDC). The Cobas (R) b101 in vitro diagnostic system was used for the measurement of glycosylated haemoglobin (HbA1c) in capillary blood. Body mass index (BMI) and waist circumference were also measured to determine splanchnic obesity. Periodontal parameters were assessed with an automated probe and included probing depth, clinical attachment loss, bleeding on probing and presence/absence of plaque. Results Most patients had moderate periodontitis. Almost 25% of the subjects tested were found to have unknown hyperglycaemia while 80.5% of them had splanchnic obesity. A significant association was found between HbA1c and BMI (Mann-Whitney test; p = 0.0021) as well as between HbA1c and waist circumference (Spearman rho test; p = 0.0007). No differences were observed regarding periodontal parameters between subjects exhibiting HbA1c >= 5.7% and those with HbA1c < 5.7% (Mann-Whitney test; p > 0.05) although those with HbA1c >= 5.7% displayed higher proportions of sites with clinical attachment loss > 5 mm (z test with Bonferroni corrections; p < 0.05). Conclusions Periodontal patients, especially those with a bigger than normal BMI and waist circumference, are a target group worth screening for diabetes.
引用
收藏
页码:4365 / 4370
页数:6
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