Original scientific paper
https://doi.org/10.20471/acc.2021.60.s1.09
Correlation of Sarcopenia and Periodontitis in Patients on Chronic Hemodialysis
Petra Kovačević
orcid.org/0000-0003-4701-0321
; Sestre milosrdnice Clinical University Hospital, Zagreb, Croatia
Mirela Maver Bišćanin
orcid.org/0000-0002-5739-1394
; Dental Clinic Zagreb, Zagreb, Croatia
Selma Cvijetić Avdagić
; Institute for Medical Research and Occupational Health, Zagreb, Croatia
Karla Kovačević
; Croatian Institute for Public Health, Zagreb, Croatia
Velimir Altabas
orcid.org/0000-0002-9076-9870
; Sestre milosrdnice Clinical University Hospital, Zagreb, Croatia
Karmela Altabas
; Sestre milosrdnice Clinical University Hospital, Zagreb, Croatia
Abstract
Aim: Hemodialysis patients present with signs of chronic systemic inflammation.
Periodontitis can also trigger systemic inflammation and thus affect sarcopenia. The aim of the study
was to examine the presence of sarcopenia and periodontitis in patients on chronic hemodialysis and
see whether there is a correlation between them. Methods: The study included 53 patients on hemodialysis.
Oral status and routine laboratory parameters, as well as body composition and handgrip
strength, were measured. Results: 20.8% of patients had sarcopenia, while 69% had stage 4. periodontitis.
No statistically significant correlation was found between sarcopenia and periodontitis, but fat
mass (FM%) correlated positively with tooth loss (rho = 0.313, p = 0.027), as well as muscle fat
(IMAT) (rho = 0.393, p = 0.005). Percentage of skeletal muscle in relation to body weight (wSMI)
correlated negatively with tooth loss (rho = -0.393, p = 0.005), as well as the grip strength of the
dominant hand (rho = -0.294, p = 0.043). Conclusion: In this pilot study, the correlation between sarcopenia
and periodontitis in patients on HD ‘was not determined, but a significant correlation of body
composition parameters with tooth loss was found, which should be tested in a larger cohort of patients.
Keywords
Periodontitis; Sarcopenia; Hemodialysis
Hrčak ID:
260297
URI
Publication date:
1.1.2021.
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