Cross-sectional study on the association of periodontitis with arterial hypertension in the Hamburg City Health Study

Aim of this study was to investigate the association between periodontitis and arterial hypertension, both of which show correlations with classical cardiovascular risk factors and inflammatory activity. A cross-sectional analysis of data from a large population-based health survey (the Hamburg City...

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Published in:European journal of medical research 2022-09, Vol.27 (1), p.181-9, Article 181
Main Authors: Könnecke, Henrieke, Schnabel, Renate B, Walther, Carolin, Lamprecht, Ragna, Heydecke, Guido, Seedorf, Udo, Jagodzinski, Annika, Borof, Katrin, Zeller, Tanja, Beikler, Thomas, Smeets, Ralf, Gosau, Martin, Behrendt, Christian-Alexander, Wenzel, Ulrich, Börschel, Christin S, Karakas, Mahir, Blankenberg, Stefan, Aarabi, Ghazal
Format: Article
Language:English
Subjects:
Analysis
Antihypertensive Agents
Antihypertensive drugs
Antihypertensives
Blood pressure
C-Reactive Protein
Calibration
Cardiovascular diseases
Chronic illnesses
Consent
Cross-Sectional Studies
Dentists
Diabetes Mellitus
Epidemiology
Gum disease
Humans
Hypertension
Hypertension - complications
Hypertension - epidemiology
Hypotheses
Medical records
Medical screening
Periodontitis
Periodontitis - complications
Periodontitis - epidemiology
Risk factors
Surveys
Teeth
Urban health
Variables
Womens health
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Summary:Aim of this study was to investigate the association between periodontitis and arterial hypertension, both of which show correlations with classical cardiovascular risk factors and inflammatory activity. A cross-sectional analysis of data from a large population-based health survey (the Hamburg City Health Study, HCHS) including 5934 participants with complete periodontal examination and blood pressure data, of whom 5735 had medical records regarding anti-hypertensive medication, was performed. Probing depths, gingival recessions, bleeding on probing (BOP), dental plaque, and decayed-missing-filled teeth (DMFT) indices were recorded as measures of oral health. Clinical attachment loss (CAL) per tooth was calculated and periodontitis was staged into three groups (no/mild, moderate, severe). Arterial hypertension was diagnosed based on the participants' medication history and systolic and diastolic blood pressure values. Logistic regression models were constructed accounting for a set of potential confounders (age, sex, smoking, body mass index (BMI), diabetes, educational level, alcohol intake) and high sensitivity-C-reactive protein (hsCRP). The odds of arterial hypertension increased significantly along with periodontitis severity (OR for severe periodontitis: 2.19; 95% CI 1.85-2.59; p 
ISSN:2047-783X
0949-2321
2047-783X
DOI:10.1186/s40001-022-00811-y