Physical activity as a modifiable risk factor for periodontal disease

Non-communicable diseases (NCDs), which contribute significantly to global morbidity, are largely preventable through behavioral changes. As with other NCDs, periodontitis is associated with modifiable risk factors such as smoking and stress and is linked to multiple adverse health outcomes through...

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Main Authors: Charlotte Cheuk Kwan Chan, Alice Kit Ying Chan, Chun Hung Chu, Yiu Cheung Tsang
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-11-01
Series:Frontiers in Oral Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/froh.2023.1266462/full
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author Charlotte Cheuk Kwan Chan
Alice Kit Ying Chan
Chun Hung Chu
Yiu Cheung Tsang
author_facet Charlotte Cheuk Kwan Chan
Alice Kit Ying Chan
Chun Hung Chu
Yiu Cheung Tsang
author_sort Charlotte Cheuk Kwan Chan
collection DOAJ
description Non-communicable diseases (NCDs), which contribute significantly to global morbidity, are largely preventable through behavioral changes. As with other NCDs, periodontitis is associated with modifiable risk factors such as smoking and stress and is linked to multiple adverse health outcomes through a shared pathway of chronic systemic inflammation. While the health benefits of physical activity have been widely promoted in public health and extensively studied for other systemic conditions, its impact on periodontal health has only recently started to gain attention. This article critically evaluates the current literature on the relationship between physical activity and periodontitis. While cross-sectional studies have shown an inverse association between physical activity levels and periodontitis risk in the general population, clinical oral health surveys of elite athletes with high levels of physical activity have nonetheless revealed poor periodontal conditions. Although causality has not been determined, physical activity could positively impact periodontitis directly, by reducing inflammatory biomarkers, and indirectly, through its modulatory effects on insulin sensitivity, obesity, bone density, stress, and other health promoting behaviors. Given the importance of risk factor control during initial periodontal therapy, understanding the role of physical activity as a potential behavioral risk modifier is paramount. The findings of this review provide an evidence-based overview of how physical activity could influence periodontitis. There is a need for longitudinal cohort studies to verify the temporality of the reported associations and exclude confounders, while interventions are needed to assess the efficacy of physical activity on periodontal treatment outcomes.
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spelling doaj.art-66e513aa7af24a0c88944dba8d8d8a442023-11-14T02:33:37ZengFrontiers Media S.A.Frontiers in Oral Health2673-48422023-11-01410.3389/froh.2023.12664621266462Physical activity as a modifiable risk factor for periodontal diseaseCharlotte Cheuk Kwan ChanAlice Kit Ying ChanChun Hung ChuYiu Cheung TsangNon-communicable diseases (NCDs), which contribute significantly to global morbidity, are largely preventable through behavioral changes. As with other NCDs, periodontitis is associated with modifiable risk factors such as smoking and stress and is linked to multiple adverse health outcomes through a shared pathway of chronic systemic inflammation. While the health benefits of physical activity have been widely promoted in public health and extensively studied for other systemic conditions, its impact on periodontal health has only recently started to gain attention. This article critically evaluates the current literature on the relationship between physical activity and periodontitis. While cross-sectional studies have shown an inverse association between physical activity levels and periodontitis risk in the general population, clinical oral health surveys of elite athletes with high levels of physical activity have nonetheless revealed poor periodontal conditions. Although causality has not been determined, physical activity could positively impact periodontitis directly, by reducing inflammatory biomarkers, and indirectly, through its modulatory effects on insulin sensitivity, obesity, bone density, stress, and other health promoting behaviors. Given the importance of risk factor control during initial periodontal therapy, understanding the role of physical activity as a potential behavioral risk modifier is paramount. The findings of this review provide an evidence-based overview of how physical activity could influence periodontitis. There is a need for longitudinal cohort studies to verify the temporality of the reported associations and exclude confounders, while interventions are needed to assess the efficacy of physical activity on periodontal treatment outcomes.https://www.frontiersin.org/articles/10.3389/froh.2023.1266462/fullphysical activityperiodontitismodifiable risk factorperiodontal diseaseelite athletegeneral public
spellingShingle Charlotte Cheuk Kwan Chan
Alice Kit Ying Chan
Chun Hung Chu
Yiu Cheung Tsang
Physical activity as a modifiable risk factor for periodontal disease
Frontiers in Oral Health
physical activity
periodontitis
modifiable risk factor
periodontal disease
elite athlete
general public
title Physical activity as a modifiable risk factor for periodontal disease
title_full Physical activity as a modifiable risk factor for periodontal disease
title_fullStr Physical activity as a modifiable risk factor for periodontal disease
title_full_unstemmed Physical activity as a modifiable risk factor for periodontal disease
title_short Physical activity as a modifiable risk factor for periodontal disease
title_sort physical activity as a modifiable risk factor for periodontal disease
topic physical activity
periodontitis
modifiable risk factor
periodontal disease
elite athlete
general public
url https://www.frontiersin.org/articles/10.3389/froh.2023.1266462/full
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AT yiucheungtsang physicalactivityasamodifiableriskfactorforperiodontaldisease