Influence of physical activity on periodontal health in patients with type 2 diabetes mellitus. A blinded, randomized, controlled trial

Clin Oral Investig. 2021 Nov;25(11):6101-6107. doi: 10.1007/s00784-021-03908-6. Epub 2021 Apr 1.

Abstract

Objectives: The aim was to investigate the effect of physical activity on periodontal health and HbA1c levels in patients with type 2 diabetes mellitus (T2DM) over a period of 6 months.

Materials and methods: Thirty-seven patients with non-insulin-dependent T2DM were included in the study. The intervention group (n=20) performed physical activity over a period of 6 months. The control group (n=17) did not receive any intervention. Baseline and final examinations included dental parameters and concentrations of glycosylated hemoglobin (HbA1c) and high-sensitivity C-reactive protein (hsCRP).

Results: Physical activity showed a positive effect on periodontal health. Both the BOP (p= 0.005) and the severity of periodontitis (p= 0.001) were significantly reduced in the intervention group compared to the control group. Furthermore, HbA1c levels were reduced (p= 0.010) significantly in the intervention group while hsCRP levels significantly increased in the control group (p= 0.04).

Conclusions: Within the limitations of this randomized, controlled trial, physical activity over a period of 6 months is a health-promoting measure for patients with T2DM and improves both periodontal health and HbA1c concentrations.

Keywords: Diabetes; HbA1c; Periodontal health; Periodontitis; Physical activity.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • C-Reactive Protein
  • Chronic Periodontitis*
  • Diabetes Mellitus, Type 2* / complications
  • Exercise
  • Glycated Hemoglobin / analysis
  • Humans
  • Periodontitis*

Substances

  • Glycated Hemoglobin A
  • C-Reactive Protein