IADR Abstract Archives
Prevalence of Systemic Conditions Among Filipino Older Adults With Periodontitis
Objectives: Research over the past several years supports the association of periodontitis with various systemic conditions. However, there is limited data of this association among older adults in the Philippines. This study aimed to determine the prevalence of systemic comorbidities among Filipino elderly with periodontitis.
Methods: This is a substudy of the Focused Interventions for Frail Older Adults Research and Development Program (FITforFRAIL) of the Institute on Aging-NIH. Participants were adults aged 60 years and older, from four geographical regions in the Philippines. One hundred eighty-three participants were diagnosed with periodontitis, following full-mouth periodontal assessment of probing depths, clinical attachment levels and bleeding on probing. Periodontal diagnosis was based on the 2018 Classification of Periodontal Diseases. Systemic conditions were determined using the Comprehensive Geriatric Assessment and adjudicated by a senior Geriatrician. Frailty was determined using a modified Fried’s criteria. Descriptive statistics were used to describe associations.
Results: Of the 183 participants, 94.5% had severe periodontitis, while the remaining 5.5% presented with moderate periodontitis. Hypertension was the top comorbidity, and was diagnosed in 80% and 62.4% of moderate and severe periodontitis subjects, respectively. Diabetes mellitus (18.5%), rheumatoid arthritis (4.6%), atherosclerotic cardiovascular disease (1.2%) and osteoporosis (1.2%) were diagnosed only among severe periodontitis subjects but not in those with moderate periodontitis. Obesity was identified in 30% and 16% of moderate and severe periodontitis subjects, respectively. Moreover, 10% of moderate and 6.4% of severe periodontitis patients suffered from asthma. Lastly, frailty was detected among 10% of those with moderate periodontitis, while 13.9% of severe periodontitis subjects were frail.
Conclusions: Data from this study show that the prevalence of various systemic conditions varies in this representative sample of Filipino older adults with periodontitis. Additional research on a higher number of participants is recommended, along with comparison of systemic conditions in Filipino elderly without periodontitis.
Methods: This is a substudy of the Focused Interventions for Frail Older Adults Research and Development Program (FITforFRAIL) of the Institute on Aging-NIH. Participants were adults aged 60 years and older, from four geographical regions in the Philippines. One hundred eighty-three participants were diagnosed with periodontitis, following full-mouth periodontal assessment of probing depths, clinical attachment levels and bleeding on probing. Periodontal diagnosis was based on the 2018 Classification of Periodontal Diseases. Systemic conditions were determined using the Comprehensive Geriatric Assessment and adjudicated by a senior Geriatrician. Frailty was determined using a modified Fried’s criteria. Descriptive statistics were used to describe associations.
Results: Of the 183 participants, 94.5% had severe periodontitis, while the remaining 5.5% presented with moderate periodontitis. Hypertension was the top comorbidity, and was diagnosed in 80% and 62.4% of moderate and severe periodontitis subjects, respectively. Diabetes mellitus (18.5%), rheumatoid arthritis (4.6%), atherosclerotic cardiovascular disease (1.2%) and osteoporosis (1.2%) were diagnosed only among severe periodontitis subjects but not in those with moderate periodontitis. Obesity was identified in 30% and 16% of moderate and severe periodontitis subjects, respectively. Moreover, 10% of moderate and 6.4% of severe periodontitis patients suffered from asthma. Lastly, frailty was detected among 10% of those with moderate periodontitis, while 13.9% of severe periodontitis subjects were frail.
Conclusions: Data from this study show that the prevalence of various systemic conditions varies in this representative sample of Filipino older adults with periodontitis. Additional research on a higher number of participants is recommended, along with comparison of systemic conditions in Filipino elderly without periodontitis.