Physical exercise is associated with improved periodontal health in type 2 diabetic patients

Schulze A2 , Busse M1

General Outpatient Ambulance1 and Sports Dentistry2 of the Institute of Sports Medicine & Prevention, University of Leipzig (1Director: Prof. M.W. Busse, MD) (2Head: A. Schulze, DDS)

Summary

Schulze A, Busse M. Physical exercise is associated with improved periodontal health in type 2 diabetic patients. Clinical Sports Medicine International (CSMI) 2009, 3: 5-10.

Materials and methods:Fifty type 2 diabetic subjects were examined before and after a 7.1±3.2 months` recreational training program. The training consisted of sessions twice a week, each 45 min. A self-reported oral hygiene questionnaire was completed before and after the program. All subjects underwent a clinical periodontal examination including the gingivitis index (GI), papillary bleeding index (PBI), probing pocket depth (PPD), and periodontal screening and recording (PSR). Training and diabetes parameters were also measured.

Results:Endurance capacity was improved by 70%. There were no relevant changes in weight. HbA1c was decreased from 6,6±0,9 to 6,3±0,7. Oral hygiene was unchanged. The overall PSR was significantly decreased by 19%. The GI was significantly reduced to 62%, the PBI code 3 to 42% of pre-training values. The PPD of 5mm or 6mm was significantly reduced to 64% and 38% respectively.

Keywords: Diabetes, periodontal disease, inflammation, physical exercise