Abstract
ObjectivesThe aim was to investigate the effect of physical activity on periodontal health and HbA1c levels in patients with type 2 diabetes mellitus (T2DM) over a period of 6 months.Materials and methodsThirty-seven patients with non-insulin-dependent T2DM were included in the study. The intervention group (n=20) performed physical activity over a period of 6 months. The control group (n=17) did not receive any intervention. Baseline and final examinations included dental parameters and concentrations of glycosylated hemoglobin (HbA1c) and high-sensitivity C-reactive protein (hsCRP).ResultsPhysical activity showed a positive effect on periodontal health. Both the BOP (p= 0.005) and the severity of periodontitis (p= 0.001) were significantly reduced in the intervention group compared to the control group. Furthermore, HbA1c levels were reduced (p= 0.010) significantly in the intervention group while hsCRP levels significantly increased in the control group (p= 0.04).ConclusionsWithin the limitations of this randomized, controlled trial, physical activity over a period of 6 months is a health-promoting measure for patients with T2DM and improves both periodontal health and HbA1c concentrations.
Highlights
Diabetes mellitus is one of the most common chronic metabolic diseases and results from an absolute insulin deficiency, K
Thirtyseven participants were available for the final assessment with 20 participants of the physical activity group and 17 patients of the control group (Table 2)
The results showed that a sports intervention of at least 6 months in patients with Type 2 diabetes mellitus (T2DM) has a significant positive effect on periodontal health and HbA1c concentrations compared to a control group without sports intervention
Summary
Diabetes mellitus is one of the most common chronic metabolic diseases and results from an absolute insulin deficiency, K. Clinical relevance Physical activity may contribute to periodontal health in addition to positive effects on systemic health in patients with T2DM. Germany 3 Sportpark Zwickau, Zwickau, Germany 4 Justus-Liebig-Universität Gießen, Gießen, Germany 5 Volkswagen Nutzfahrzeuge, Hanover, Germany 6 The University of Sydney School of Dentistry and the Charles Perkins Centre, Faculty of Health and Medicine, The University of Sydney, Sydney, Australia insulin resistance, or defective insulin production. Type 2 diabetes mellitus (T2DM) is the most common chronic disease in the Western world. Already in the 1970s, studies found that T2DM patients were more likely to develop periodontal diseases than healthy people [1]
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