Subgingival microbial diversity and respiratory decline: a cross‐sectional study

Lewis Winning*, Gary Moran, Mary McClory, Ikhlas El Karim, Fionnuala T. Lundy, Christopher C. Patterson, Dermot Linden, Kathy M. Cullen, Frank Kee, Gerard J. Linden

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)
47 Downloads (Pure)

Abstract

Aim
To investigate whether there is an association between subgingival microbial diversity and reduced respiratory function.

Materials and Methods
A group of dentate 58–72-year-old men in Northern Ireland had a comprehensive periodontal examination including subgingival plaque sampling. DNA was extracted from plaque samples and the V1–V3 regions of the 16S rRNA gene were analysed by high-throughput sequencing and a microbial diversity index (MDI) was derived. Spirometry measurements were made using a wedge bellows spirometer. The primary outcome variable of interest was the percentage of predicted forced expiratory volume in 1 s (% predicted FEV1). Analysis included multiple linear regression with adjustment for various confounders.

Results
Five-hundred and seven men were included in the analysis. The mean age was 63.6 years (SD = 3.1). Of these, 304 (60.0%) men had no or mild periodontitis, 105 (20.7%) had moderate periodontitis and 98 (19.3%) had severe periodontitis. Multiple linear regression analysis showed that a one unit increase in MDI was associated with a 0.71% loss (95% confidence interval: 0.06%–1.35%; p = .03) in % predicted FEV1 after adjustment for all confounders.

Conclusions
In this group of dentate men from Northern Ireland, subgingival microbial diversity was associated with reduced respiratory function.

Original languageEnglish
Pages (from-to)921-931
Number of pages11
JournalJournal of Clinical Periodontology
Volume50
Issue number7
Early online date13 Apr 2023
DOIs
Publication statusEarly online date - 13 Apr 2023

Keywords

  • ORIGINAL ARTICLE
  • ORIGINAL ARTICLES
  • chronic obstructive pulmonary disease
  • periodontitis
  • respiratory function
  • subgingival microbiome

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