Association between chronic oral inflammatory burden and physical fitness in males: a cross-sectional observational study

作者：Hoppe C B; Oliveira J A P; Grecca F S; Haas A N; Gomes M S

来源：International Endodontic Journal, 2017, 50(8): 740-749.

DOI：10.1111/iej.12686

• apical periodontitis
• oral-systemic diseases
• periodontal disease
• physical fitness
• risk factors

AimTo evaluate the association between chronic oral inflammatory burden (OIB) - as the combination of periodontal and endodontic disease load - and physical fitness.
MethodologyOne hundred and twelve nonsmoker male police officers who performed a standardized physical fitness test (PFT) were analysed. Participants underwent oral clinical and periapical radiographic examinations. Periodontal disease was assessed by probing depth (PD) and clinical attachment loss (AL). For radiographic analysis, both apical periodontitis (AP) and root canal treatment (RCT) variables were analysed. Endodontic Burden (EB) was calculated merging the total number of teeth with AP and/or RCT per individual. OIB was calculated combining EB and AL. The outcome of physical fitness was dichotomized according to whether the highest PFT score was achieved' or not-achieved'. Multivariable logistic regression models were adjusted for age, body mass index and frequency of daily exercise.
ResultsThere was no significant association between AP, RCT and EB with physical fitness whereas PD, AL and OIB were significantly associated with low physical fitness (P<0.05). Multivariate regression analysis revealed that individuals with OIB=EB3 and AL4mm had a 81% lower chance of reaching the highest PFT score (OR=0.19, 95%CI=0.04-0.87, P=0.03) compared to individuals with EB<3 and and no AL4mm. Individuals with unfavourable periodontal parameters but with low EB (OIB=EB<3 & AL4mm) showed no significant differences on the chance to reach the highest PFT score compared to participants with favourable periodontal status and low EB (OIB=EB<3 & no AL4mm).
ConclusionsThe OIB - higher levels of EB in periodontal patients - was independently associated with poor physical fitness in males.

• 出版日期2017-8