Gum disease, blood pressure and heart measurements in diabetes

Summarised from:

Blood pressure and left ventricular mass in subjects with type 2 diabetes and gingivitis or chronic periodontitis
(Journal of Clinical Periodontology; doi: 10.1111/j.1600-051X.2010.01613.x)

Authors:

Edward Franek, Magdalena Napora, Anna Blach, Tadeusz Budlewski, Dariusz Gozdowski, Krystyna Jedynasty, Jaroszaw Krajewski, Renata Gorska

Summarised by:

Dr Dominika Antoniszczak

Research Topic:

Why does this matter?

Diabetes, high blood pressure and gum disease may occur together. Researchers are investigating whether periodontal inflammation is linked with cardiovascular measurements, while recognising that an association does not establish cause.

What was studied?

The study examined 155 adults with type 2 diabetes from an outpatient clinic in Poland. Participants were grouped as having healthy gums, gingivitis or periodontitis. Researchers measured blood pressure and used ultrasound to estimate the muscle mass of the left ventricle, the heart’s main pumping chamber. Analyses considered factors including body size and blood pressure medication.

What did the researchers find?

Participants with periodontitis had higher blood pressure and greater left ventricular mass than those with healthier gums. Those with gingivitis also had greater ventricular mass, but not a clear blood pressure difference. These were comparisons between groups at one point in time. The study did not measure whether periodontal treatment changed these findings or reduced later heart problems.

What does this mean for me?

The findings add to research connecting oral and cardiovascular health in people with diabetes, but they do not prove that gum disease enlarges the heart or causes hypertension. They also cannot show that treating gums will lower blood pressure. Both dental disease and cardiovascular risk deserve appropriate assessment; a good gum-treatment response is not a substitute for monitoring and treating blood pressure through your medical team.

What should I keep in mind?

This study provides a snapshot rather than showing what happened first. People in the comparison groups may differ in ways the researchers could not fully measure, such as other health conditions, medicines or access to care. Statistical adjustment helps, but cannot remove every difference. A relationship seen across a group is also not a forecast for one person. The findings are best viewed as a reason for further research, not proof that changing one measurement will prevent or treat another condition.

Read the full article Back to Research

Research  |  12.07.10

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