Correlation between periodontal status, whole salivary interleukin-1beta levels and oral yeasts carriage among individuals with varying ranges of body mass index
DOI:
https://doi.org/10.2340/aos.v84.43276Keywords:
Alveolar bone loss, body mass index, oral yeasts, whole saliva, periodontalAbstract
Objective: The aim was to assess the correlation between periodontal status, whole salivary interleukin-1 beta (IL-1β) levels and oral yeasts carriage (OYC) among individuals with varying ranges of body mass index (BMI).
Material and method: The weight, waist circumference (WC), and height of individuals were assessed. Participants were categorized into three groups: Group-1 – normal weight (18.5–24.9 Kg/m2); Group-2 – overweight (25–29.9 Kg/m2); and Group-3 – obese (≥ 30 Kg/m2). Plaque and gingival indices (PI and GI, respectively), probing depth (PD), clinical-attachment-loss (CAL), missing teeth (MT) and marginal-bone-loss (MBL) were assessed. Whole salivary IL-1β levels and OYC were assessed. Group-comparisons were done. P < 0.05 was considered statistically significant.
Findings: Twenty-two, 22 and 22 individuals with comparable mean ages were included in groups 1, 2 and 3, respectively. The mean WC and BMI were higher in Group 3 than Groups 1 (P < 0.05) and 2 (P < 0.05). The mean PI, CAL, PD, GI, MT and MBL were higher in Group-3 than groups 1 (P < 0.05) and 2 (P < 0.05). There was no difference in mean PI, CAL, PD, GI, MT and MBL in groups 1 and 2. The salivary flow rate was higher in groups 1 (P < 0.05) and 2 (P < 0.05) than Group-3. The OYC and IL-1β were higher in Group-3 than groups 1 (P < 0.05) and 2 (P < 0.05). There was a correlation between PD and OYC in Group-3 (P < 0.05).
Conclusion: Periodontal inflammation is worse, and whole salivary IL-1β levels are elevated in obese than overweight individuals and subjects with normal BMI. There seems to be no association between BMI and OYC.
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Kinane DF, Stathopoulou PG, Papapanou PN. Periodontal diseases. Nat Rev Dis Primers. 2017;3:17038. https://doi.org/doi.org/10.1038/nrdp.2017.38 DOI: https://doi.org/10.1038/nrdp.2017.38
Cekici A, Kantarci A, Hasturk H, Van Dyke TE. Inflammatory and immune pathways in the pathogenesis of periodontal disease. Periodontol 2000. 2014;64(1):57–80. https://doi.org/doi.org/10.1111/prd.12002 DOI: https://doi.org/10.1111/prd.12002
Ramfjord SP, Morrison EC, Burgett FG, Nissle RR, Shick RA, Zann GJ, et al. Oral hygiene and maintenance of periodontal support. J Periodontol. 1982;53(1):26–30. https://doi.org/doi.org/10.1902/jop.1982.53.1.26 DOI: https://doi.org/10.1902/jop.1982.53.1.26
Hegde R, Awan KH. Effects of periodontal disease on systemic health. Dis Mon. 2019;65(6):185–92. https://doi.org/10.1016/j.disamonth.2018.09.011 DOI: https://doi.org/10.1016/j.disamonth.2018.09.011
Jepsen S, Caton JG, Albandar JM, Bissada NF, Bouchard P, Cortellini P, et al. Periodontal manifestations of systemic diseases and developmental and acquired conditions: consensus report of workgroup 3 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Periodontol. 2018;89 Suppl 1:S237–48. https://doi.org/10.1002/jper.17-0733 DOI: https://doi.org/10.1002/JPER.17-0733
Kalhan AC, Wong ML, Allen F, Gao X. Periodontal disease and systemic health: an update for medical practitioners. Ann Acad Med Singap. 2022;51(9):567–74. https://doi.org/10.47102/annals-acadmedsg.2021503 DOI: https://doi.org/10.47102/annals-acadmedsg.2021503
Kim J, Amar S. Periodontal disease and systemic conditions: a bidirectional relationship. Odontology. 2006;94(1):10–21. https://doi.org/10.1007/s10266-006-0060-6 DOI: https://doi.org/10.1007/s10266-006-0060-6
Dhaifullah E, Al-Maweri SA, Koppolu P, Elkhtat E, Mostafa D, Mahgoub M. Body mass index and periodontal health status among young Saudi adults: a cross-sectional study. Ann Saudi Med. 2019;39(6):433–40. https://doi.org/10.5144/0256-4947.2019.433 DOI: https://doi.org/10.5144/0256-4947.2019.433
Amin Hel S. Relationship between overall and abdominal obesity and periodontal disease among young adults. East Mediterr Health J. 2010;16(4):429–33. DOI: https://doi.org/10.26719/2010.16.4.429
Pamuk F, Kantarci A. Inflammation as a link between periodontal disease and obesity. Periodontol 2000. 2022;90(1):186–96. https://doi.org/10.1111/prd.12457 DOI: https://doi.org/10.1111/prd.12457
Alaskar M, AlMoharib HS, Mirdad A, Talakey AA, Levi P, Alshihri A. Prevalence of radiographic alveolar bone loss as a function of age in the periodontics clinic population at the College of Dentistry, King Saud University, Riyadh, Saudi Arabia. Oral Health Prev Dent. 2023;21:313–8. https://doi.org/10.3290/j.ohpd.b4424899
Kemer Doğan ES, Duran N. Is periodontal inflamed surface area associated with serum and salivary levels of IL-1β, visfatin, and omentin-1 in overweight/obese patients? Clin Oral Investig. 2022;26(8):5351–8. https://doi.org/10.1007/s00784-022-04502-0 DOI: https://doi.org/10.1007/s00784-022-04502-0
Speaker KJ, Fleshner M. Interleukin-1 beta: a potential link between stress and the development of visceral obesity. BMC Physiol. 2012;12:8. https://doi.org/10.1186/1472-6793-12-8 DOI: https://doi.org/10.1186/1472-6793-12-8
Moura MF, Navarro TP, Silva TA, Cota LOM, Soares Dutra Oliveira AM, Costa FO. Periodontitis and endothelial dysfunction: periodontal clinical parameters and levels of salivary markers interleukin-1β, tumor necrosis factor-α, matrix metalloproteinase-2, tissue inhibitor of metalloproteinases-2 complex, and nitric oxide. J Periodontol. 2017;88(8):778–87. https://doi.org/10.1902/jop.2017.170023 DOI: https://doi.org/10.1902/jop.2017.170023
Kawai T, Autieri MV, Scalia R. Adipose tissue inflammation and metabolic dysfunction in obesity. Am J Physiol Cell Physiol. 2021;320(3):C375–91. https://doi.org/10.1152/ajpcell.00379.2020 DOI: https://doi.org/10.1152/ajpcell.00379.2020
Osman M, Papon N. Smoking-aggravated oral candidiasis: Nrf2 pathway dampens NLRP3 inflammasome. J Cell Mol Med. 2021;25(19):9473–5. https://doi.org/10.1111/jcmm.16901 DOI: https://doi.org/10.1111/jcmm.16901
Nouraei H, Jahromi MG, Jahromi LR, Zomorodian K, Pakshir K. Potential pathogenicity of candida species isolated from oral cavity of patients with diabetes mellitus. Biomed Res Int. 2021;2021:9982744. https://doi.org/10.1155/2021/9982744 DOI: https://doi.org/10.1155/2021/9982744
De-La-Torre J, Quindós G, Marcos-Arias C, Marichalar-Mendia X, Gainza ML, Eraso E, et al. Oral Candida colonization in patients with chronic periodontitis. Is there any relationship? Rev Iberoam Micol. 2018;35(3):134–9. https://doi.org/10.1016/j.riam.2018.03.005 DOI: https://doi.org/10.1016/j.riam.2018.03.005
Alnuaimi AD, Wiesenfeld D, O’Brien-Simpson NM, Reynolds EC, McCullough MJ. Oral Candida colonization in oral cancer patients and its relationship with traditional risk factors of oral cancer: a matched case-control study. Oral Oncol. 2015;51(2):139–45. https://doi.org/10.1016/j.oraloncology.2014.11.008 DOI: https://doi.org/10.1016/j.oraloncology.2014.11.008
Nawaz A, Pärnänen P, Kari K, Meurman JH. Proteolytic activity and cytokine up-regulation by non-albicans Candida albicans. Arch Microbiol. 2015;197(4):533–7. https://doi.org/10.1007/s00203-015-1083-6 DOI: https://doi.org/10.1007/s00203-015-1083-6
Zierle-Ghosh A, Jan A. Physiology, body mass index. Treasure Island, FL: StatPearls Publishing LLC; 2024.
ALHarthi SS, BinShabaib MS, Alwahibi A, Gamal S, Elashiry E, Jr, Almershed SE, et al. Periodontal and peri-implant status and whole salivary interleukin 1-beta levels among individuals using selective serotonin reuptake inhibitors: an observational study. BMC Oral Health. 2023;23(1):310. https://doi.org/10.1186/s12903-023-02908-0 DOI: https://doi.org/10.1186/s12903-023-02908-0
Shrestha R, Upadhyay SK, Khatri B, Bhattarai JR, Kayastha M, Upadhyay MP. BMI, waist to height ratio and waist circumference as a screening tool for hypertension in hospital outpatients: a cross-sectional, non-inferiority study. BMJ Open. 2021;11(11):e050096. https://doi.org/10.1136/bmjopen-2021-050096 DOI: https://doi.org/10.1136/bmjopen-2021-050096
Silness J, Loe H. Periodontal disease in pregnancy. II. Correlation between oral hygiene and periodontal condtion. Acta Odontol Scand. 1964;22:121–35. https://doi.org/10.3109/00016356408993968 DOI: https://doi.org/10.3109/00016356408993968
Armitage GC, Svanberg GK, Löe H. Microscopic evaluation of clinical measurements of connective tissue attachment levels. J Clin Periodontol. 1977;4(3):173–90. https://doi.org/10.1111/j.1600-051x.1977.tb02271.x DOI: https://doi.org/10.1111/j.1600-051X.1977.tb02271.x
Loe H, Silness J. Periodontal disease in pregnancy. i. prevalence and severity. Acta Odontol Scand. 1963;21:533–51. https://doi.org/10.3109/00016356309011240 DOI: https://doi.org/10.3109/00016356309011240
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(11 Suppl):2075–84. https://doi.org/10.1902/jop.2005.76.11-S.2075 DOI: https://doi.org/10.1902/jop.2005.76.11-S.2075
Aldulaijan HA, Al-Zawawi AS, Shaheen MY, Ali D, Divakar DD, Basudan AM. Assessment of salivary alpha amylase and mucin-4 before and after non-surgical treatment of peri-implant mucositis. Int J Implant Dent. 2022;8(1):30. https://doi.org/10.1186/s40729-022-00429-z DOI: https://doi.org/10.1186/s40729-022-00429-z
Majeed MM, Ahmed I, Roome T, Alali Y, Al-Aali KA, Ahmed N, et al. Association of the unstimulated whole salivary cytokine IL-1β Levels with initial, moderate and severe periodontitis. A case control study. Int J Environ Res Public Health. 2022;19(5):2889. https://doi.org/10.3390/ ijerph19052889 DOI: https://doi.org/10.3390/ijerph19052889
Samaranayake LP, MacFarlane TW, Lamey PJ, Ferguson MM. A comparison of oral rinse and imprint sampling techniques for the detection of yeast, coliform and Staphylococcus aureus carriage in the oral cavity. J Oral Pathol. 1986;15(7):386–8. https://doi.org/10.1111/j.1600-0714.1986.tb00646.x DOI: https://doi.org/10.1111/j.1600-0714.1986.tb00646.x
Nilsen A, Thorsnes A, Lie SA, Methlie P, Bunaes DF, Reinholtsen KK, et al. Periodontitis in obese adults with and without metabolic syndrome: a cross-sectional study. BMC Oral Health. 2023;23(1):439. https://doi.org/10.1186/s12903-023-03133-5 DOI: https://doi.org/10.1186/s12903-023-03133-5
Curtin LR, Mohadjer LK, Dohrmann SM, Kruszon-Moran D, Mirel LB, Carroll MD, et al. National Health and Nutrition Examination Survey: sample design, 2007–2010. Vital Health Stat 2. 2013;160:1–23.
Oguoma VM, Coffee NT, Alsharrah S, Abu-Farha M, Al-Refaei FH, Al-Mulla F, et al. Prevalence of overweight and obesity, and associations with socio-demographic factors in Kuwait. BMC Public Health. 2021;21(1):667. https://doi.org/10.1186/s12889-021-10692-1 DOI: https://doi.org/10.1186/s12889-021-10692-1
Keller A, Rohde JF, Raymond K, Heitmann BL. Association between periodontal disease and overweight and obesity: a systematic review. J Periodontol. 2015;86(6):766–76. https://doi.org/10.1902/jop.2015.140589 DOI: https://doi.org/10.1902/jop.2015.140589
Shoukat M, Ullah F, Tariq MN, Din G, Khadija B, Faryal R. Profiling of potential pathogenic candida species in obesity. Microb Pathog. 2023;174:105894. https://doi.org/10.1016/j.micpath.2022.105894 DOI: https://doi.org/10.1016/j.micpath.2022.105894
Buranarom N, Komin O, Matangkasombut O. Hyposalivation, oral health, and Candida colonization in independent dentate elders. PLoS One. 2020;15(11):e0242832. https://doi.org/10.1371/journal.pone.0242832 DOI: https://doi.org/10.1371/journal.pone.0242832
Hibino K, Samaranayake LP, Hägg U, Wong RW, Lee W. The role of salivary factors in persistent oral carriage of Candida in humans. Arch Oral Biol. 2009;54(7):678–83. https://doi.org/10.1016/j.archoralbio.2009.04.003 DOI: https://doi.org/10.1016/j.archoralbio.2009.04.003
Griffiths JS, Camilli G, Kotowicz NK, Ho J, Richardson JP, Naglik JR. Role for IL-1 family cytokines in fungal infections. Front Microbiol. 2021;12:633047. https://doi.org/10.3389/fmicb.2021.633047 DOI: https://doi.org/10.3389/fmicb.2021.633047
Steele C, Fidel PL, Jr. Cytokine and chemokine production by human oral and vaginal epithelial cells in response to Candida albicans. Infect Immun. 2002;70(2):577–83. https://doi.org/10.1128/iai.70.2.577-583.2002 DOI: https://doi.org/10.1128/IAI.70.2.577-583.2002
Vonk AG, Netea MG, van Krieken JH, Iwakura Y, van der Meer JW, Kullberg BJ. Endogenous interleukin (IL)-1 alpha and IL-1 beta are crucial for host defense against disseminated candidiasis. J Infect Dis. 2006;193(10):1419–26. https://doi.org/10.1086/503363 DOI: https://doi.org/10.1086/503363
Gorman A, Kaye EK, Apovian C, Fung TT, Nunn M, Garcia RI. Overweight and obesity predict time to periodontal disease progression in men. J Clin Periodontol. 2012;39(2):107–14. https://doi.org/10.1111/j.1600-051X.2011.01824.x DOI: https://doi.org/10.1111/j.1600-051X.2011.01824.x
Muzurovic S, Babajic E, Masic T, Smajic R, Selmanagic A. The relationship between oral hygiene and oral colonisation with Candida species. Med Arch. 2012;66(6):415–7. https://doi.org/10.5455/medarh.2012.66.415-417 DOI: https://doi.org/10.5455/medarh.2012.66.415-417
Ali D, AlAhmari F, Mikami T, Baskaradoss JK. Increased expression of advanced glycation endproducts in the gingival crevicular fluid compromises periodontal status in cigarette-smokers and waterpipe users. BMC Oral Health. 2022;22(1):206. https://doi.org/10.1186/s12903-022-02240-z DOI: https://doi.org/10.1186/s12903-022-02240-z
Ali D, Al-Yahya QM, Baskaradoss JK. Peri-Implant inflammation in waterpipe users and cigarette smokers: an observational study. Int Dent J. 2023;73(5):717–23. https://doi.org/10.1016/j.identj.2023.03.005 DOI: https://doi.org/10.1016/j.identj.2023.03.005
Ali D, Kuyunov I, Baskaradoss JK, Mikami T. Comparison of periodontal status and salivary IL-15 and -18 levels in cigarette-smokers and individuals using electronic nicotine delivery systems. BMC Oral Health. 2022;22(1):655. https://doi.org/10.1186/s12903-022-02700-6 DOI: https://doi.org/10.1186/s12903-022-02700-6
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