Araştırma Makalesi

Association of physical activity level and body mass index with periodontal disease severity: A cross-sectional study

Cilt: 65 Sayı: 3 3 Eylül 2026
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Association of physical activity level and body mass index with periodontal disease severity: A cross-sectional study

Öz

Aim: This cross-sectional study evaluated the relationship of physical activity (PA) level and body mass index (BMI) with periodontal disease severity in adults. Materials and Methods: The study included 200 patients aged 18-65 years. Demographic data, systemic conditions, smoking status, oral hygiene practices, and dental attendance patterns were recorded. PA level was determined using the Turkish version of the International Physical Activity Questionnaire and categorized as low, moderate, or high. Periodontal status was assessed using clinical periodontal measurements and panoramic radiographs, and participants were classified as having gingivitis, stage I/II periodontitis, or stage III/IV periodontitis. BMI was categorized as underweight/normal weight, overweight, or obese/extremely obese. Statistical analyses included chi-square, Kruskal-Wallis, and Mann-Whitney U tests, as well as correlation analysis. Statistical significance was accepted at p<0.05. Results: The periodontal groups comprised 115 patients with gingivitis, 24 with stage I/II periodontitis, and 61 with stage III/IV periodontitis. Age, education level, cardiovascular disease, dental visit frequency, and BMI were significantly related to periodontal status (p<0.05). PA level was not significantly related to periodontal status (p=0.146). Age, education level, cardiovascular disease, periodontal status, and PA level varied significantly across BMI categories. Higher BMI categories were linked to more advanced periodontal status and lower PA level (p<0.05). Conclusion: BMI was associated with periodontal disease severity, whereas PA level was not directly associated with periodontal status. Differences in PA level across BMI categories suggest that lifestyle-related factors and body weight status can contribute to periodontal risk assessment.

Anahtar Kelimeler

Destekleyen Kurum

None

Proje Numarası

Yoktur

Etik Beyan

This study was approved by the Trakya University Non-Interventional Scientific Research Ethics Committee with the approval number TÜTF-GOBAEK 2024/201. All participants were informed about the study procedures, and written informed consent was obtained prior to participation. The study was conducted in accordance with the principles of the Declaration of Helsinki.

Teşekkür

The authors would like to thank Assoc. Prof. Dr. Mediha Büyükgöze Dindar for her valuable contribution to the statistical analysis and Assoc. Prof. Dr. Meltem Tekbaş Atay for her academic support throughout the study.

Kaynakça

  1. 1. Chen MX, Zhong YJ, Dong QQ, Wong HM, Wen YF. Global, regional, and national burden of severe periodontitis, 1990–2019: An analysis of the Global Burden of Disease Study 2019. J Clin Periodontol 2021;48(9):1165-88. doi:10.1111/jcpe.13506
  2. 2. Tonetti MS, Jepsen S, Jin L, Otomo-Corgel J. Impact of the global burden of periodontal diseases on health, nutrition and wellbeing of mankind: A call for global action. J Clin Periodontol 2017;44(5):456-62. doi:10.1111/jcpe.12732
  3. 3. Papapanou PN, Sanz M, Buduneli N, Dietrich T, Feres M, Fine DH, et al. Periodontitis: Consensus report of workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Periodontol 2018;89(Suppl 1):S173-82. doi:10.1002/jper.17-0721
  4. 4. Ferreira RDO, Corrêa MG, Magno MB, Almeida APCPSC, Fagundes NCF, Rosing CK, et al. Physical activity reduces the prevalence of periodontal disease: Systematic review and meta-analysis. Front Physiol 2019;10:234. doi:10.3389/fphys.2019.00234
  5. 5. Reytor-González C, Parise-Vasco JM, González N, Simancas-Racines A, Zambrano-Villacres R, Zambrano AK, et al. Obesity and periodontitis: A comprehensive review of their interconnected pathophysiology and clinical implications. Front Nutr 2024;11:1440216. doi:10.3389/fnut.2024.1440216
  6. 6. Suvan J, D’Aiuto F, Moles DR, Petrie A, Donos N. Association between overweight/obesity and periodontitis in adults. A systematic review. Obes Rev 2011;12(5):e381-404. doi:10.1111/j.1467-789X.2010.00808.x
  7. 7. Reda M, Koldsland OC, Bhatta L, Sen A. Body mass index, physical activity, and severe periodontitis: A cross-sectional HUNT4 Oral Health Study. BMC Oral Health 2026;26(1):404. doi:10.1186/s12903-026-07882-x
  8. 8. Merchant AT, Pitiphat W, Rimm EB, Joshipura K. Increased physical activity decreases periodontitis risk in men. Eur J Epidemiol 2003;18(9):891-8. doi:10.1023/A:1025622815579

Ayrıntılar

Birincil Dil

İngilizce

Konular

Klinik Tıp Bilimleri (Diğer)

Bölüm

Araştırma Makalesi

Yayımlanma Tarihi

3 Eylül 2026

Gönderilme Tarihi

15 Haziran 2026

Kabul Tarihi

20 Temmuz 2026

Yayımlandığı Sayı

Yıl 2026 Cilt: 65 Sayı: 3

Kaynak Göster

APA
Gençay Yıldırım, D., Açıkgöz Alparslan, E., & Yılmaz, A. (2026). Association of physical activity level and body mass index with periodontal disease severity: A cross-sectional study. Ege Tıp Dergisi, 65(3), 563-571. https://doi.org/10.19161/etd.1971646
AMA
1.Gençay Yıldırım D, Açıkgöz Alparslan E, Yılmaz A. Association of physical activity level and body mass index with periodontal disease severity: A cross-sectional study. ETD. 2026;65(3):563-571. doi:10.19161/etd.1971646
Chicago
Gençay Yıldırım, Deniz, Ece Açıkgöz Alparslan, ve Ali Yılmaz. 2026. “Association of physical activity level and body mass index with periodontal disease severity: A cross-sectional study”. Ege Tıp Dergisi 65 (3): 563-71. https://doi.org/10.19161/etd.1971646.
EndNote
Gençay Yıldırım D, Açıkgöz Alparslan E, Yılmaz A (01 Eylül 2026) Association of physical activity level and body mass index with periodontal disease severity: A cross-sectional study. Ege Tıp Dergisi 65 3 563–571.
IEEE
[1]D. Gençay Yıldırım, E. Açıkgöz Alparslan, ve A. Yılmaz, “Association of physical activity level and body mass index with periodontal disease severity: A cross-sectional study”, ETD, c. 65, sy 3, ss. 563–571, Eyl. 2026, doi: 10.19161/etd.1971646.
ISNAD
Gençay Yıldırım, Deniz - Açıkgöz Alparslan, Ece - Yılmaz, Ali. “Association of physical activity level and body mass index with periodontal disease severity: A cross-sectional study”. Ege Tıp Dergisi 65/3 (01 Eylül 2026): 563-571. https://doi.org/10.19161/etd.1971646.
JAMA
1.Gençay Yıldırım D, Açıkgöz Alparslan E, Yılmaz A. Association of physical activity level and body mass index with periodontal disease severity: A cross-sectional study. ETD. 2026;65:563–571.
MLA
Gençay Yıldırım, Deniz, vd. “Association of physical activity level and body mass index with periodontal disease severity: A cross-sectional study”. Ege Tıp Dergisi, c. 65, sy 3, Eylül 2026, ss. 563-71, doi:10.19161/etd.1971646.
Vancouver
1.Deniz Gençay Yıldırım, Ece Açıkgöz Alparslan, Ali Yılmaz. Association of physical activity level and body mass index with periodontal disease severity: A cross-sectional study. ETD. 01 Eylül 2026;65(3):563-71. doi:10.19161/etd.1971646

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