Periodontitis and platelet count: A new potential link with cardiovascular and other systemic inflammatory diseases

Massimo Cordaro, Andreina Laforí, Pierluigi Romandini, Giacomo Baima

Risultato della ricerca: Contributo in rivistaArticolo in rivista

21 Citazioni (Scopus)

Abstract

Aim: As an infection-driven inflammatory disease, periodontitis could lead to a reactive increase in platelet count. This mechanism could partially mediate the well-documented association between periodontitis and atherosclerotic cardiovascular disease. The aim of this cross-sectional study was to test the presence of an association between periodontitis and platelet count in a representative sample of the South Korea population. Materials and methods: A total of 5,197 subjects representative of 34.9 million of adults were examined. Multivariate regression analyses were applied controlling for age, gender, smoking status, educational level, body mass index, alcoholism, diabetes and hypertension status, vitamin D serum levels and total cholesterol, triglycerides, HDL and LDL blood levels. Results: Compared to the non-severe periodontitis group, subjects with severe periodontitis (CPI = 4) displayed 13,048.93 more platelets for μl of blood (95% CI: 3,296.26–22,801.61, p = 0.009) in the fully-adjusted model. The association between severe periodontitis and platelet count has shown to be highlighted in subjects aged more than 60 years, females, non-smokers and with normal HDL blood levels. A systemic inflammatory biomarker (white blood cell count) explained the 19.25% of this association. Conclusions: Within the limitations of this study, periodontitis—especially severe—is independently associated with a considerable increase in platelet count which is explained, at least in part, by an increase in the systemic inflammation.
Lingua originaleEnglish
pagine (da-a)1299-1310
Numero di pagine12
RivistaJournal of Clinical Periodontology
Volume45
DOI
Stato di pubblicazionePubblicato - 2018

Keywords

  • Adult
  • Blood Platelets
  • Cross-Sectional Studies
  • Female
  • Humans
  • Korea National Health And Nutrition Examination Survey (KNHANES)
  • Middle Aged
  • Periodontal Index
  • Periodontitis
  • Republic of Korea
  • cancer
  • cardiovascular diseases
  • coronary heart disease, (CHD)
  • epidemiology
  • mediation analysis
  • mortality
  • periodontal diseases
  • risk factors
  • systemic inflammation

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