Revista de gastroenterologia de Mexico (English) · 2026
Prevalence and importance of periodontal disease in patients with metabolic dysfunction-associated steatotic liver disease (MASLD) in Veracruz.
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Roesch-Ramos L, Guzmán-Uzcanga D N, Nolasco-Polito S, Pérez-Pérez S, Moreno-Marín F, Francisco R M, Ordaz-Álvarez H R, Roesch-Dietlen F B, Remes-Troche J M, Cano-Contreras A D
Аннотация
INTRODUCTION: Patients with metabolic dysfunction-associated steatotic liver disease (MASLD) have a higher incidence of periodontal disease. Both conditions are related to the oral and gut microbiota dysbiosis that conditions systemic inflammation. In our population, the frequency and importance of that association have not been documented.
AIM: To determine the prevalence of periodontal disease in patients with MASLD treated at a referral center in Veracruz.
MATERIAL AND METHODS: A prospective, comparative, analytic, cross-sectional study was conducted on patients with MASLD and a group of healthy controls. Anthropometric characteristics, liver steatosis grade, dental involvement, and quality of life were analyzed. The statistical analysis included measures of central tendency and dispersion, as well as frequency and percentage. The two groups were compared using the Student's t test or Wilcoxon test, the chi-square test, and the Pearson or Spearman correlations, employing the SPSS-5 program.
RESULTS: Thirty-seven patients with MASLD were studied. Mean patient age was 56.3 ± 12.3 years, 70.3% were women, and mean BMI was 34.2 ± 5.9. A total of 18.9% of patients presented with gingivitis and 81.1% with periodontitis (p < 0.0001), compared with the controls (mean age 54.6 ± 9.8 years, 65.5% women, BMI 28.7 ± 5.7), in which 13.8% had gingivitis and 37.9% periodontitis. Steatosis grade and periodontal disease were significantly correlated (r = 0.412, p = 0.003), with no differences in food quality (r = -0.037, p = 0.798); 36.9% of patients reported a decrease in quality of life.
CONCLUSIONS: Our results showed an elevated prevalence of periodontal disease in patients with MASLD that negatively impacted quality of life, suggesting the need for comprehensive management.
AIM: To determine the prevalence of periodontal disease in patients with MASLD treated at a referral center in Veracruz.
MATERIAL AND METHODS: A prospective, comparative, analytic, cross-sectional study was conducted on patients with MASLD and a group of healthy controls. Anthropometric characteristics, liver steatosis grade, dental involvement, and quality of life were analyzed. The statistical analysis included measures of central tendency and dispersion, as well as frequency and percentage. The two groups were compared using the Student's t test or Wilcoxon test, the chi-square test, and the Pearson or Spearman correlations, employing the SPSS-5 program.
RESULTS: Thirty-seven patients with MASLD were studied. Mean patient age was 56.3 ± 12.3 years, 70.3% were women, and mean BMI was 34.2 ± 5.9. A total of 18.9% of patients presented with gingivitis and 81.1% with periodontitis (p < 0.0001), compared with the controls (mean age 54.6 ± 9.8 years, 65.5% women, BMI 28.7 ± 5.7), in which 13.8% had gingivitis and 37.9% periodontitis. Steatosis grade and periodontal disease were significantly correlated (r = 0.412, p = 0.003), with no differences in food quality (r = -0.037, p = 0.798); 36.9% of patients reported a decrease in quality of life.
CONCLUSIONS: Our results showed an elevated prevalence of periodontal disease in patients with MASLD that negatively impacted quality of life, suggesting the need for comprehensive management.