Association between obesity and chronic periodontitis: A cross-sectional study

Authors

  • Widam Chewang
  • Shalini Gupta
  • Amrinder Singh Tuli
  • Vaishnavi Prasad
  • Prerna Joshi
  • Vasundhara Tiwari

Keywords:

Obesity, Chronic periodontitis, Body Mass Index, Periodontal health, Inflammation, Risk factors, Association

Abstract

Background: Periodontitis is a prevalent chronic inflammatory disease influenced by bacterial pathogens and modulated by the host’s immune response. Obesity, a global public health concern, is characterized by a chronic low-grade inflammatory state and has been implicated as a risk factor for several systemic diseases, including periodontitis. This study investigates the association between obesity and chronic periodontitis in an adult population.

Materials and Methods: A comparative cross-sectional study was conducted involving 459 patients aged 30–55 years. Participants were categorized into two groups based on Body Mass Index (BMI): Group A (BMI <24 kg/m²) and Group B (BMI ≥24 kg/m²). Periodontal health was assessed using Gingival Bleeding Index (GBI), Probing Pocket Depth (PPD), Clinical Attachment Level (CAL), and Community Periodontal Index for Treatment Needs (CPITN). Statistical analysis was performed using SPSS v21.0, with significance set at p<0.05.

Results: No significant difference was observed in GBI between the two BMI groups (p=0.934), indicating that gingival bleeding was not influenced by BMI. However, Group B (overweight/obese) demonstrated significantly higher mean values for PPD (p=0.021), CAL (p=0.014), and CPITN (p=0.001) compared to Group A, suggesting worse periodontal health and greater treatment needs among individuals with higher BMI. Correlation analysis revealed a weak but statistically significant association between age and CAL in Group B (r=0.140, p=0.044), while other periodontal parameters showed no significant correlation with age.

Conclusion: The findings indicate a significant association between obesity and increased severity of chronic periodontitis, as evidenced by higher probing pocket depth, clinical attachment loss, and treatment needs in obese individuals. These results underscore the importance of considering obesity as a modifiable risk factor in periodontal disease management and prevention strategies.

Downloads

Download data is not yet available.

References

Suvan JE, Petrie A, Nibali L, Darbar U, Rakmanee T, Donos N et al. Association between overweight/obesity and increased risk of periodontitis. J Clin Periodontol. 2015 Aug;42(8):733-739.

Palle AR, Reddy CS, Shankar BS, Gelli V, Sudhakar J, Reddy KK. Association between obesity and chronic periodontitis: a cross-sectional study. J Contemp Dent Prac. 2013 Aug 1;14(2):168-173.

Ana P, Dimitrije M, Ivan M, Mariola S. The association between periodontal disease and obesity among middle-aged adults periodontitis and obesity. J Metabolic Synd. 2016;5(3):208.

Al‐Zahrani MS, Bissada NF, Borawski EA. Obesity and periodontal disease in young, middle‐aged, and older adults. J Periodontol. 2003;74(5):610-615.

Genco RJ, Grossi SG, Ho A, Nishimura F, Murayama Y. A proposed model linking inflammation to obesity, diabetes, and periodontal infections. J Periodontol. 2005;76:2075-2084.

Reytor-González C, Parise-Vasco JM, González N, Simancas-Racines A, Zambrano-Villacres R, Zambrano AK, Simancas-Racines D. Obesity and periodontitis: a comprehensive review of their interconnected pathophysiology and clinical implications. Front Nutr. 2024 Aug;11:1440.

Nascimento GG, Leite FR, Correa MB, Horta BL, Peres MA, Demarco FF. Relationship between periodontal disease and obesity: the role of life-course events. Braz Dent J. 2014;25(2):87-89.

Graziani F, Gennai S, Solini A, Petrini M. A systematic review and meta‐analysis of epidemiologic observational evidence on the effect of periodontitis on diabetes An update of the EFP‐AAP review. J Clin Periodontol. 2018 Feb;45(2):167-87.

Keller A, Rohde JF, Raymond K, Heitmann BL. Association between periodontal disease and overweight and obesity: a systematic review. J Periodontol. 2015 Jun;86(6):766-76.

Jepsen S, Suvan J, Deschner J. The association of periodontal diseases with metabolic syndrome and obesity. Periodontol. 2000. 2020 Jun;83(1):125-53.

Lê S, Laurencin-Dalicieux S, Minty M, Assoulant-Anduze J, Vinel A, Yanat N et al. Obesity is associated with the severity of periodontal inflammation due to a specific signature of subgingival microbiota. Int J Mol Sci. 2023 Oct 12;24(20):15123.

Maulani C, Auerkari EI, Masulili SL, Kusdhany LS, Prahasanti C, Soedarsono N. Obesity correlated to a higher risk of acquiring periodontitis: A cross-sectional study. F1000Res. 2022 Jan 25;10:643.

Chisini LA, Noronha LG, Galdino-Santos L, dos Santos Costa F, Azevedo MS, Corrêa MB et al. Obesity is associated with a higher prevalence of gingival inflammation. Obes Med. 2024 Dec 1;52:100568.

Suvan J, Petrie A, Moles DR, Nibali L, Patel K, Darbar U, Donos N, Tonetti M, D’Aiuto F. Body mass index as a predictive factor of periodontal therapy outcomes. J Dent Res. 2014 Jan;93(1):49-54.

Harris J, Rajasekar A. Correlation Between Body Mass Index and Periodontitis: A Clinical and Biochemical Analysis. Cureus. 2024 Jun 12;16(6):21-24

Balistreri CR, Caruso C, Candore G. The role of adipose tissue and adipokines in obesity‐related inflammatory diseases. Mediat inflamm. 2010;2010(1):802078.

Kaye E, McDonough R, Singhal A, Garcia RI, Jurasic M. Effect of overweight and obesity on periodontal treatment intensity. JDR Clin Trans Res. 2023;(2):158-167.

Rathod V, Thorat V, Shetty A, Avhad R. Relationship between body mass index and periodontal health status: an observational study. Int J Prev Clin Dent Res. 2017;4(1):1-

Downloads

Published

2025-06-23

How to Cite

1.
Chewang W, Gupta S, Singh Tuli A, Prasad V, Joshi P, Tiwari V. Association between obesity and chronic periodontitis: A cross-sectional study. J Neonatal Surg [Internet]. 2025Jun.23 [cited 2025Jul.19];14(32S):1716-29. Available from: https://jneonatalsurg.com/index.php/jns/article/view/7638