Stress, cortisol, and periodontitis in a population aged 50 years and over

被引:79
|
作者
Hilgert, JB
Hugo, FN
Bandeira, DR
Bozzetti, MC
机构
[1] Univ Fed Rio Grande do Sul, Fac Med, Postgrad Program Epidemiol, BR-90035003 Porto Alegre, RS, Brazil
[2] Univ Estadual Campinas, Fac Dent Piracicaba, Dept Physiol Sci, Piracicaba, SP, Brazil
[3] Univ Fed Rio Grande do Sul, Inst Psychol, Porto Alegre, RS, Brazil
关键词
stress; periodontitis; glucocorticoids;
D O I
10.1177/154405910608500408
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Periodontitis and its relationship with psychoneuro-immunological variables, such as psychological stress and cortisol, have been little explored. The objective of this study was to evaluate the extent and severity of chronic periodontitis and its association with the levels of salivary cortisol and the scores obtained with a stress questionnaire in a population aged 50 years and over. We studied 235 individuals in a cross-sectional study. They answered the Lipp's Inventory of Stress Symptoms for Adults, were instructed to collect three saliva samples for cortisol analysis, and were examined for evaluation for periodontitis. Based on logistic regression, cortisol levels were positively associated with the following outcomes: means of clinical attachment level (CAL) > = 4 mm [ OR = 5.1, 95% CI (1.2, 20.7)]; 30% of sites with CAL > = 5 mm [ OR = 6.9, 95% CI ( 1.7, 27.1)]; and 26% of sites with probing depth > = 4 mm [ OR = 10.7, 95% CI ( 1.9, 54.1)] after adjustment for confounding variables. The results suggest that cortisol levels were positively associated with the extent and severity of periodontitis.
引用
收藏
页码:324 / 328
页数:5
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