Periodontitis and metabolic diseases (diabetes and obesity): Tackling multimorbidity.

IF 17.5 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE
Crystal Marruganti, Jean E Suvan, Francesco D'Aiuto
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引用次数: 0

Abstract

Noncommunicable diseases (NCDs) are multifactorial, long-term, chronic conditions that represent a burden to health-care systems worldwide as they can only be controlled rather than cured; hence, they require long-term care. With the exponential increase in NCDs, the occurrence of individuals presenting with more than one chronic disease is also rapidly rising. "Multimorbidity," defined as the presence of two or more long-term physical or mental disorders, is now considered a worldwide epidemic, affecting around 20% of the adult population. Periodontitis, diabetes, and obesity, all chronic inflammatory diseases, are an example of multimorbidity highly relevant to dental practitioners. Over the last three decades, the three-way relationship among the diseases has been vastly researched and accepted, with important contributions by European researchers. The interplay among periodontitis, diabetes, and obesity is sustained by shared biological mechanisms, such as systemic inflammation, insulin resistance, and metabolic dysfunction, as well as common lifestyle-related risk factors. As such, unhealthy lifestyles were found to generally increase systemic inflammation and insulin resistance and decrease immune function, hence, eventually increasing the risk of NCDs onset and the development of multimorbidity. This narrative review of the evidence supports the need for a paradigm shift from a "single-disease" to a "multiple-disease" framework, characterized by an integrated multidisciplinary approach, which should include lifestyle modification interventions to successfully tackle multimorbid periodontitis and metabolic diseases (diabetes and obesity). A multidisciplinary integrated care pathway in both dental and medical settings should be considered to further tackle the global health challenge of multimorbidity.

牙周炎和代谢性疾病(糖尿病和肥胖症):应对多种疾病。
非传染性疾病是一种多因素的长期慢性疾病,对全世界的医疗保健系统来说是一种负担,因为它们只能得到控制而不能治愈;因此,他们需要长期护理。随着非传染性疾病呈指数级增长,患有一种以上慢性病的患者的发病率也在迅速上升。“多发病”,定义为存在两种或两种以上长期身体或精神障碍,现在被认为是一种全球流行病,影响约20%的成年人口。牙周炎、糖尿病和肥胖,所有的慢性炎症性疾病,都是与牙科医生高度相关的多发病的一个例子。在过去的三十年里,欧洲研究人员对这些疾病之间的三方关系进行了广泛的研究和接受,并做出了重要贡献。牙周炎、糖尿病和肥胖之间的相互作用是由共同的生物学机制维持的,如全身炎症、胰岛素抵抗和代谢功能障碍,以及常见的生活方式相关风险因素。因此,人们发现,不健康的生活方式通常会增加全身炎症和胰岛素抵抗,并降低免疫功能,从而最终增加非传染性疾病发作和多发病的风险。这篇对证据的叙述性综述支持了从“单一疾病”到“多种疾病”框架的范式转变的必要性,其特点是采用综合的多学科方法,其中应包括改变生活方式的干预措施,以成功解决多发性牙周炎和代谢性疾病(糖尿病和肥胖症)。应考虑在牙科和医疗环境中采用多学科综合护理途径,以进一步应对多发病的全球健康挑战。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Periodontology 2000
Periodontology 2000 医学-牙科与口腔外科
CiteScore
34.10
自引率
2.20%
发文量
62
审稿时长
>12 weeks
期刊介绍: Periodontology 2000 is a series of monographs designed for periodontists and general practitioners interested in periodontics. The editorial board selects significant topics and distinguished scientists and clinicians for each monograph. Serving as a valuable supplement to existing periodontal journals, three monographs are published annually, contributing specialized insights to the field.
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