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BMI-defined obesity, high WC, and high fat per cent were significantly associated with increased odds of having periodontitis.

A low physical activity level and a poor diet were significantly associated with increased odds of periodontal disease. Further studies are needed to understand this relationship in greater detail.

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Patients with MeS displayed more severe and extensive periodontal disease compared to subjects without MeS. Additional large-scale longitudinal epidemiologic and interventional studies are needed to establish whether periodontal disease is a contributing factor to or a result of MeS.

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