Exercise habituation is effective for improvement of periodontal disease status: a prospective intervention study.
Exercise habituation is effective for improvement of periodontal disease status: a prospective intervention study.
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DOI：
10.2147/tcrm.s153397
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发表时间：
2018
影响因子：
2.8
通讯作者：
Bukawa H
中科院分区：
文献类型：
--
作者：
Omori S;Uchida F;Oh S;So R;Tsujimoto T;Yanagawa T;Sakai S;Shoda J;Tanaka K;Bukawa H
牙周病与生活方式相关疾病、肥胖密切相关。众所周知，适度的运动习惯可以改善生活方式相关疾病和肥胖症。然而，很少有人研究运动习惯如何影响牙周病。本研究旨在探讨运动习惯对牙周病及代谢病理的影响。我们进行了为期12周的前瞻性干预研究。受试者是71名肥胖男性，他们参加了运动和/或饮食干预计划。50名受试者被分配到运动干预组（运动干预组），21名受试者被分配到饮食干预组（饮食干预组）。这项研究是在每次干预计划之前和之后进行的。运动干预组牙周袋探诊深度（PPD）≥4 mm的患牙从14.4%降至5.6%（P<0.001），探诊出血（BOP）的患牙从39.8%降至14.4%（P<0.001）。结核杆菌和齿垢密螺旋体的拷贝数显著降低（P=0.001）。T. PPD ≥4 mm的患牙数（P=0.003）和BOP的患牙数（P=0.010）。T.龋齿和体重（P=0.008）、低密度脂蛋白胆固醇（P=0.049）和空腹胰岛素（P=0.041）。而饮食干预组T.牙周致病菌数与PPD、BOP无相关性。我们的研究结果首次表明，运动可能有助于改善牙周病。
Periodontal disease is closely related to lifestyle-related diseases and obesity. It is widely known that moderate exercise habits lead to improvement in lifestyle-related diseases and obesity. However, little research has been undertaken into how exercise habits affect periodontal disease. The purpose of this study was to examine the effect of exercise habits on periodontal diseases and metabolic pathology. We conducted a prospective intervention research for 12 weeks. The subjects were 71 obese men who participated in an exercise and/or dietary intervention program. Fifty subjects were assigned to exercise interventions (exercise intervention group) and 21 subjects were assigned to dietary interventions (dietary intervention group). This research was conducted before and after each intervention program. In the exercise intervention group, the number of teeth with a probing pocket depth (PPD) ≥4 mm significantly decreased from 14.4% to 5.6% (P<0.001), and the number of teeth with bleeding on probing (BOP) significantly decreased from 39.8% to 14.4% (P<0.001). The copy counts of Tannerella forsythia and Treponema denticola decreased significantly (P=0.001). A positive correlation was found between the change in the copy count of T. denticola and the number of teeth with PPD ≥4 mm (P=0.003) and the number of teeth with BOP (P=0.010). A positive correlation was also found between the change in the copy count of T. denticola and body weight (P=0.008), low-density lipoprotein cholesterol (P=0.049), and fasting insulin (P=0.041). However, in the dietary intervention group the copy count of T. denticola decreased significantly (P=0.007) and there was no correlation between the number of periodontal disease-causing bacteria and PPD and BOP. Our results are the first to show that exercise might contribute to improvements in periodontal disease.