PMID- 29479293 OWN - NLM STAT- MEDLINE DCOM- 20180926 LR - 20181113 IS - 1537-744X (Electronic) IS - 2356-6140 (Print) IS - 1537-744X (Linking) VI - 2018 DP - 2018 TI - Predictors for Gingival Index in Middle-Aged Asian Indians with Type 2 Diabetes from South India: A Cross-Sectional Observational Study. PG - 9081572 LID - 10.1155/2018/9081572 [doi] LID - 9081572 AB - Asian Indians develop type 2 diabetes mellitus (T2DM) much earlier as compared to White Caucasians, due to unique phenotypic and genetic architecture. Periodontitis in T2DM patients is often a neglected clinical feature. This study was conducted to derive predictor variables for gingival index in middle-aged Asian Indians with T2DM in a semiurban population of Dravidian ethnicity from Tamil Nadu, India. T2DM patients (n = 232, mean age: 50.6 +/- 10.4 years) with periodontitis (n = 123, mean age: 54.3 +/- 2.4 years) and without periodontitis (n = 109, mean age: 55.2 +/- 3.1 years) were recruited between 2014 and 2016 by purposive sampling method. Dental examinations for pocket depth (PD) and clinical attachment level (CAL) were performed and gingival index was calculated. Fasting venous blood samples were analysed for measures of glycaemia and cholesterol. Significant positive correlation (p < 0.01) was observed for gingival index with glycosylated haemoglobin (HbA1c), pocket depth, presence of T2DM, and clinical attachment level. Stepwise multiple linear regression analysis derived increased pocket depth (p < 0.01), elevated HbA1c (p < 0.01), clinical attachment level (p < 0.01), and presence of diabetes (p < 0.01) as significant predictors (r(2) value = 0.67) for increased gingival index in middle aged patients with T2DM. These variables significantly (p < 0.01) predispose middle-aged T2DM patients to increased gingival index, thus warranting appropriate intervention. FAU - Karthik, S Jai AU - Karthik SJ AUID- ORCID: 0000-0001-6437-5328 AD - Department of Environmental Sciences, Bharathiar University, Coimbatore, Tamil Nadu, India. AD - RVS Dental College, Coimbatore, Tamil Nadu, India. FAU - Anoop, Shajith AU - Anoop S AD - Department of Environmental Sciences, Bharathiar University, Coimbatore, Tamil Nadu, India. FAU - Kumar, R Suresh AU - Kumar RS AD - Suresh Diabetes Centre, Vadavalli, Coimbatore, Tamil Nadu, India. FAU - Rani, M V Usha AU - Rani MVU AD - Department of Environmental Sciences, Bharathiar University, Coimbatore, Tamil Nadu, India. LA - eng PT - Journal Article DEP - 20180102 PL - United States TA - ScientificWorldJournal JT - TheScientificWorldJournal JID - 101131163 RN - 0 (Biomarkers) SB - IM MH - Adult MH - Biomarkers MH - Cross-Sectional Studies MH - Dental Care/statistics & numerical data MH - Diabetes Mellitus, Type 2/*epidemiology/metabolism MH - Female MH - Humans MH - India/epidemiology MH - Male MH - Middle Aged MH - *Periodontal Index MH - Public Health Surveillance MH - Sex Factors PMC - PMC5816844 EDAT- 2018/02/27 06:00 MHDA- 2018/09/27 06:00 PMCR- 2018/01/02 CRDT- 2018/02/27 06:00 PHST- 2017/06/26 00:00 [received] PHST- 2017/11/02 00:00 [revised] PHST- 2017/11/19 00:00 [accepted] PHST- 2018/02/27 06:00 [entrez] PHST- 2018/02/27 06:00 [pubmed] PHST- 2018/09/27 06:00 [medline] PHST- 2018/01/02 00:00 [pmc-release] AID - 10.1155/2018/9081572 [doi] PST - epublish SO - ScientificWorldJournal. 2018 Jan 2;2018:9081572. doi: 10.1155/2018/9081572. eCollection 2018.