Periodontal disease severity is related to high levels of C-reactive protein in pre-eclampsia

Herrera, Julián A.; Parra, Beatriz; Herrera, Enrique; Botero, Javier Enrique; Arce, Roger M.; Contreras, Adolfo; López‐Jaramillo, Patricio

doi:10.1097/hjh.0b013e3281139ea9

Cited by 56 publications

(59 citation statements)

References 41 publications

(44 reference statements)

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“…Differences between developed countries in the causes of preeclampsia and in the strategies to prevent it have been described [123]. Inflammation secondary to vaginal and urinary subclinical infection [124,125], periodontal disease [126], insulin resistance [127] are considered as possible risk factors for the development of preeclampsia. Therefore, it is important that pregnant women with the above-mentioned risk factors be carefully followed to detect hypertension and proteinuria early, prevent severe complications requiring hospitalization, and, if necessary, perform cesarean delivery to preserve mother and child.…”

Section: Definition and Classificationmentioning

confidence: 99%

Latin American guidelines on hypertension*

Sánchez¹,

Ayala²,

Baglivo³

et al. 2009

Journal of Hypertension

103

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Hypertension is a highly prevalent cardiovascular risk factor in the world and particularly overwhelming in low and middle-income countries. Recent reports from the WHO and the World Bank highlight the importance of chronic diseases such as hypertension as an obstacle to the achievement of good health status. It must be added that for most low and middle-income countries, deficient strategies of primary healthcare are the major obstacles for blood pressure control. Furthermore, the epidemiology of hypertension and related diseases, healthcare resources and priorities, the socioeconomic status of the population vary considerably in different countries and in different regions of individual countries. Considering the low rates of blood pressure control achieved in Latin America and the benefits that can be expected from an improved control, it was decided to invite specialists from different Latin American countries to analyze the regional situation and to provide a consensus document on detection, evaluation and treatment of hypertension that may prove to be cost-utility adequate. The recommendations here included are the result of preparatory documents by invited experts and a subsequent very active debate by different discussion panels, held during a 2-day sessions in Asuncion, Paraguay, in May 2008. Finally, in order to improve clinical practice, the publication of the guidelines should be followed by implementation of effective interventions capable of overcoming barriers (cognitive, behavioral and affective) preventing attitude changes in both physicians and patients.

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Section: Definition and Classificationmentioning

confidence: 99%

Latin American guidelines on hypertension*

Sánchez¹,

Ayala²,

Baglivo³

et al. 2009

Journal of Hypertension

103

View full text Add to dashboard Cite

show abstract

“…The same is true for serum high-sensitivity C-reactive protein concentration, in the general population as well as in some specific populations. [3][4][5][6] According to Ross and Glomset's theory, 7,8 inflammation is responsible for the development of atherosclerosis. It was found that markers of inflammation (e.g., high-sensitivity C-reactive protein) are predictors of cardiovascular mortality and morbidity in the general population.…”

mentioning

confidence: 99%

Association of Chronic Periodontitis With Left Ventricular Mass and Central Blood Pressure in Treated Patients With Essential Hypertension

Franek

Klamczyńska

Ganowicz

et al. 2009

American Journal of Hypertension

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“…For example, mothers with severe periodontal disease have been reported to be at high risk of premature delivery, low-weight babies 4,16,18,20,24,[27][28][29][30][31][32][33][34] , and preeclampsia 5,6,13,18,35) . Meanwhile, periodontal bacteria have been shown to cause heart disease 3,12,21) in adults.…”

Section: Introductionmentioning

confidence: 99%

Relationship between General Health, Lifestyle, Oral Health, and Periodontal Disease in Adults: A Large Cross-sectional Study in Japan

Kitagawa

Kurahashi

Mutoh

2017

Bull. Tokyo Dent. Coll.

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The aim of this study was to investigate how general health, oral conditions, and lifestyle were associated with periodontal disease in adults, as clarifying this relationship may be useful in preventing periodontal disease. Medical checkups were conducted on individuals aged 40, 50, or 60 years. Data were obtained for analysis on a total of 36,110 patients (men, 12,784; women, 22,896). A stepwise logistic regression model was used to calculate the odds ratio (OR) for patients who were ≥code 3 according to the Community Periodontal Index (CPI). Approximately 40, 60, and 70% of men aged 40, 50, and 60 years, respectively, had a CPI score of ≥3. There were 10% fewer women than men at each age. Stepwise logistic regression revealed a BMI score of ≥30 kg/m 2 (OR, 1.44; 95% confidence interval [95%CI], 1.20-1.73); systolic blood pressure of ≥140 mmHg (OR, 1.09; 95%CI, 1.02-1.18); a fasting blood sugar level of ≥110 mg/dl (OR, 1.17; 95%CI, 1.04-1.30); high-density lipoprotein cholesterol level of <40 mg/dl (OR, 1.21; 95%CI, 1.06-1.37); smoker (OR, 1.59; 95%CI, 1.48-1.71); drinking ≥3 cups of Japanese sake per day (OR, 1.09; 95%CI, 1.05-1.14); use of salts for seasoning (OR, 1.17; 95%CI, 1.07-1.28); and fair and poor oral hygiene (OR, 2.27; 95%CI, 2.08-2.47) as significant risk factors for a CPI score of ≥3. These results suggest that smoking, oral hygiene status, and factors associated with metabolic syndrome are associated with periodontitis. This indicates that health guidance on tooth brushing, the importance of quitting smoking, and control of obesity may be effective in preventing the development of periodontal disease in adults.

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Periodontal disease severity is related to high levels of C-reactive protein in pre-eclampsia

Abstract: These findings suggest that chronic periodontitis may increase hs-CRP levels in pregnant women and lead to complications such as pre-eclampsia.

Cited by 56 publications

References 41 publications

Latin American guidelines on hypertension*

Latin American guidelines on hypertension*

Association of Chronic Periodontitis With Left Ventricular Mass and Central Blood Pressure in Treated Patients With Essential Hypertension

Relationship between General Health, Lifestyle, Oral Health, and Periodontal Disease in Adults: A Large Cross-sectional Study in Japan

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