title: Metabolic syndrome parameters in adolescents may be determinants for the future periodontal diseases.
abstract: OBJECTIVE
  The prevalence of metabolic syndrome (MetS) increases even in adolescents. The evidence that MetS is associated with the periodontal diseases in adolescents has been understudied. Therefore, our aim was to assess the association between MetS parameters and gingivitis in adolescents.
  
  
  METHODS
  A total of 941 participants (590 boys, 351 girls), aged 12-18 years was selected from the Fourth Korea National Health and Nutrition Examination Survey, a cross-sectional and nationally representative survey, which had had information on waist circumference, blood pressure, serum triglyceride, high-density lipoprotein (HDL) cholesterol, and the fasting blood sugar and community periodontal Index (CPI).
  
  
  RESULTS
  The number of positive parameters of MetS showed significant positive correlation with gingivitis; adjusted and crude ORs with one positive parameters of MetS were 1.92 (95% CI: 1.21-3.04) and 1.88(95% CI: 1.28-2.76), respectively. And adjusted OR with three or more positive parameters of MetS was 3.29 (95% CI: 1.24-8.71). Among five parameters of MetS, Low HDL-cholesterol showed significant association with gingivitis (crude OR 2.12, 95% CI 1.20-3.73; adjusted OR 1.96, 95% CI 1.24-3.12).
  
  
  CONCLUSIONS
  Having more positive parameters of MetS and low HDL-cholesterol parameter had an independent relationship with the prevalence of gingivitis, which may be determinants for the future periodontal diseases even in adolescents.
authors.affiliation: Department of Preventive Medicine and Public Health, College of Medicine, Yeungnam University, Namgu, Daegu, Korea.
authors.forename: Kyeong-Soo
authors.initials: KS
authors.lastname: Lee
authors.forename: Sang Gyu
authors.initials: SG
authors.lastname: Lee
authors.forename: Eun-Kyong
authors.initials: EK
authors.lastname: Kim
authors.forename: Hye-Jung
authors.initials: HJ
authors.lastname: Jin
authors.forename: Sang-Uk
authors.initials: SU
authors.lastname: Im
authors.forename: Hee-Kyung
authors.initials: HK
authors.lastname: Lee
authors.forename: Anwar T
authors.initials: AT
authors.lastname: Merchant
authors.forename: Keun-Bae
authors.initials: KB
authors.lastname: Song
authors.forename: Youn-Hee
authors.initials: YH
authors.lastname: Choi
mesh_terms: D000293:Adolescent; D001786:Blood Glucose / Q000032:analysis; D001794:Blood Pressure / Q000502:physiology; D015992:Body Mass Index; D002648:Child; D008076:Cholesterol, HDL / Q000097:blood; D003430:Cross-Sectional Studies; D005215:Fasting; D005260:Female; D005891:Gingivitis / Q000150:complications*; D006801:Humans; D006943:Hyperglycemia / Q000150:complications; D006973:Hypertension / Q000150:complications; D015228:Hypertriglyceridemia / Q000150:complications; D052456:Hypoalphalipoproteinemias / Q000150:complications; D008297:Male; D024821:Metabolic Syndrome / Q000150:complications*; D056128:Obesity, Abdominal / Q000150:complications; D010512:Periodontal Index; D014280:Triglycerides / Q000097:blood; D055105:Waist Circumference / Q000502:physiology
chemical_list: D001786:Blood Glucose; D008076:Cholesterol, HDL; D014280:Triglycerides
keywords: adolescent; gingivitis; metabolic syndrome parameters