Chronic stress, depression, and cortisol levels as risk indicators of elevated plaque and gingivitis levels in individuals aged 50 years and older

dc.creatorHugo, FN
dc.creatorHilgert, JB
dc.creatorBozzetti, MC
dc.creatorBandeira, DR
dc.creatorGoncalves, TR
dc.creatorPawlowski, J
dc.creatorde Sousa, MDR
dc.date2006
dc.dateJUN
dc.date2014-11-15T16:48:52Z
dc.date2015-11-26T17:20:42Z
dc.date2014-11-15T16:48:52Z
dc.date2015-11-26T17:20:42Z
dc.date.accessioned2018-03-29T00:08:17Z
dc.date.available2018-03-29T00:08:17Z
dc.identifierJournal Of Periodontology. Amer Acad Periodontology, v. 77, n. 6, n. 1008, n. 1014, 2006.
dc.identifier0022-3492
dc.identifierWOS:000241879100012
dc.identifier10.1902/jop.2006.050037
dc.identifierhttp://www.repositorio.unicamp.br/jspui/handle/REPOSIP/55909
dc.identifierhttp://www.repositorio.unicamp.br/handle/REPOSIP/55909
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/55909
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1283200
dc.descriptionBackground: The role of psychoneuroimmunological factors in oral hygiene has been overlooked in the dental literature. Our objective was to evaluate the effects of stress, depression, and cortisol levels in dental plaque accumulation and gingivitis in a population of individuals aged 50 years. Methods: In this cross-sectional study, 230 subjects, selected from caregivers of demented patient groups and from social activities groups of Porto Alegre, Brazil, were evaluated. Stress was evaluated with the Lipp stress inventory, whereas depressive symptoms were assessed using the Beck depression inventory. Three saliva samples (at 8, 12, and 20 hours) were collected for cortisol analysis by means of radioimmunoassay. Cortisol levels were expressed as the area under the curve of the three samples for each patient. Multivariate logistic regression was performed with the visible plaque index and gingival bleeding index as outcomes. Results: The mean age of subjects was 61.6 +/- 8.2 years, mean monthly income in United States dollars (US$) was US$668 +/- 590, and mean cortisol level was 22.1 +/- 33.7 nmol/l. A total of 51.5% of the individuals were caregivers; 9.4% were smokers, and 25.5% used interdental floss/brush. Being a caregiver (odds ratio [OR] = 3.97; 95% confidence interval [95% CI] = 2.08 to 7.54), using an interdental brush (OR = 0.23; 95% CI = 0.11 to 0.47), cortisol (OR = 2.03; 95% CI = 1.09 to 3.81), and stress (OR = 1.45; 95% CI = 1.03 to 2.02) were all significantly associated with visible plaque index > mean (43%). Being a caregiver (OR = 2.35; 95% CI = 1.13 to 4.86), using an interdental brush (OR = 0.32; 95% CI = 0.13 to 0.77), smoking (OR = 0.26; 95% CI = 0.08 to 0.89), stress (OR = 1.78; 95% CI =1.31 to 2.38), and visible plaque index (mean) (OR = 12.87; 95% CI = 6.29 to 26.31) were significantly associated with a gingival bleeding index > mean (37%). Conclusion: Stress was a significant risk indicator of elevated levels of plaque and gingivitis, whereas cortisol was a risk indicator of plaque in the sample after controlling for confounders.
dc.description77
dc.description6
dc.description1008
dc.description1014
dc.languageen
dc.publisherAmer Acad Periodontology
dc.publisherChicago
dc.publisherEUA
dc.relationJournal Of Periodontology
dc.relationJ. Periodont.
dc.rightsfechado
dc.sourceWeb of Science
dc.subjectcortisol
dc.subjectdental plaque
dc.subjectdepression
dc.subjectgingivitis
dc.subjectstress.
dc.subjectPeriodontal-disease
dc.subjectPsychosocial Stress
dc.subjectOral Hygiene
dc.subjectHealth
dc.subjectMorbidity
dc.subjectMortality
dc.titleChronic stress, depression, and cortisol levels as risk indicators of elevated plaque and gingivitis levels in individuals aged 50 years and older
dc.typeArtículos de revistas


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