| Abstract | Cilj istraživanja: Cilj ovog istraživanja bio je ispitati jesu li manjak fizičke aktivnosti, pretilost i starija životna dob čimbenici rizika uznapredovalog parodontitisa.
Materijali i metode: U istraživanju je sudjelovalo 35 ispitanika, podijeljenih u dvije skupine prema težini kliničke slike. U kontrolnoj skupini bilo je 15 ispitanika s dijagnozom parodontitisa stadija I i II, a u ispitnoj skupini bilo je 20 ispitanika s dijagnozom parodontitisa stadija III i IV. Zabilježeni su anamnestički podaci, oralno-higijenske navike, status tvrdih zubnih tkiva, indeks tjelesne mase, omjer struka i kukova i procijenjena je razina fizičke aktivnosti validiranim upitnikom (GPAQ). Uz to, svim ispitanicima napravljen je detaljan parodontološki status te su primili standarrdnu parodontološku terapiju.
Rezultati: U ovom istraživanju prosječna dob isitanika u kontrolnoj skupini bila je 48,133 (SD ±9,523), a za ispitanike testirane skupine bila je 55,750 (SD ±9,267) godina. Nije pronađena statistički značajna razlika među skupinama ispitujući anamnestičke podatke i oralnohigijenske navike. Većina ispitanika bila je u potpornoj fazi parodontološke terapije, odlazila je redovito k doktoru dentalne medicine i ne prijavljuje simptome neugodnog zadaha i krvarenja pri četkanju. Razlika je pronađena jedino u simptomu klimanja zubi koje je češće zabilježeno u ispitnoj skupini (P=0,001). Također, oralno-higijenske navike obe skupine su zadovoljavajuće obzirom da većina ispitanika redovito provodi oralnu higijenu uz korištenje interdentalnih četkica i vodica za ispiranje. KEP indeks bio je visok za obje skupine. Ispitna skupina imala je veći BMI i manje fizički aktivnih ispitanika međutim pronađena razlika nije bila statistički značajna (P=0,276, P=0,331). Procjenom parodontoškog statusa utvrđena je razlika u dubini sondiranja i gubitku kliničkog pričvrstka (P<0,001), ali skupine se nisu razlikovale procjenom plak indeksa i indeksa krvarenja pri sondiranju. Logističkom regresijom pokazalo se da pušenje i manjak fizičke aktivnosti nisu čimbenici rizika uznapredovalog parodontitisa, ali dob se pokazala statistički značajan prediktor uznapredovalog parodontitisa.
Zaključci: Manjak fizičke aktivnosti i veći indeks tjelesne mase nisu čimbenici rizika uznapredovalog parodontitisa. Starija životna dob je čimbenik rizika uznapredovalog parodontitisa (P=0,033). |
| Abstract (english) | Objectives: The aim of this research was to determine whether lack of physical activity, obesity and older age are risks factors for advanced periodontitis.
Materials and Methods: The study involved 35 participants, divided into two groups according to the severity of periodontitis. The control group consisted of 15 individuals diagnosed with periodontitis stage I and II while the experimental group included 20 individuals diagnosed with periodontitis stage III and IV. We documented anamnestic data, oral hygiene habits, oral health status, body mass index and waist-hip ratio, the level of physical activity was estimated with validated questionnaire (GPAQ). In addition, a detailed periodontal status was documented for all participants, and they received a standard periodontal therapy.
Results: In this study, the average age of participants in the control group was 48.133 years
(SD ±9.523), while for participants in the experimental group, it was 55.750 years (SD ±9.267). No statistically significant difference was found between the groups when examining anamnestic data and oral hygiene habits. Most participants were in the supportive phase of periodontal therapy, regularly visiting doctor of dental medicine and did not report symptoms of bad breath and bleeding during brushing. The only difference was found in the symptom of tooth mobility, which was more frequently recorded in the experimental group (P=0.001). Also, the oral hygiene habits of both groups were adequate, as most participants regularly practiced oral hygiene using interdental brushes and mouthwash. The DMFT (decayed, missing, and filled teeth) index was high for both groups. The experimental group had a higher BMI and fewer physically active participants, but the difference was not statistically significant (P=0.276, P=0.331). An assessment of periodontal status revealed a difference in probing depth and clinical attachment loss (P<0.001), but the groups did not differ in plaque index and bleeding on probing index. Logistic regression showed that smoking and lack of physical activity were not risk factors for advanced periodontitis, but age proved to be a statistically significant predictor of advanced periodontitis.
Conclusions: Lack of physical activity and higher body mass index are not risk factors for advanced periodontitis. Older age is a risk factor for advanced periodontitis (P=0.033). |
