Evidence map›Paper›PMID 27978601›Full record

ArticleJournal of clinical periodontology2017

Cross-sectional associations of impaired glucose metabolism measures with bleeding on probing and periodontitis.

Cynthia M Pérez, Francisco Muñoz, Oelisoa M Andriankaja, Christine S Ritchie, Sasha Martínez, José Vergara, José Vivaldi, Lydia López, Maribel Campos, Kaumudi J Joshipura

Open access · greenAbstract read
In one paragraph

Article in Journal of clinical periodontology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 4 pooled it
3.3field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 4 syntheses or guidelines pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Nonsurgical Periodontal Therapy for Diabetes Patients with Periodontal Disease.Journal of clinical and experimental dentistry · 2026
    Review
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  15. Effect of Overweight and Obesity on Periodontal Treatment Intensity.JDR clinical and translational research · 2023
    Article
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  17. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 2 countries.

Cynthia M PérezDepartment of Biostatistics and Epidemiology, Graduate School of Public Health, University of Puerto Rico, Medical Sciences Campus, San Juan, Puerto Rico.
Francisco MuñozCenter for Clinical Research and Health Promotion, School of Dental Medicine, University of Puerto Rico, Medical Sciences Campus, San Juan, Puerto Rico.
Oelisoa M AndriankajaCenter for Clinical Research and Health Promotion, School of Dental Medicine, University of Puerto Rico, Medical Sciences Campus, San Juan, Puerto Rico.
Christine S RitchieSan Francisco Veterans Affairs Medical Center, Center for Research on Aging at the Jewish Home of San Francisco, San Francisco, CA, USA.
Sasha MartínezCenter for Clinical Research and Health Promotion, School of Dental Medicine, University of Puerto Rico, Medical Sciences Campus, San Juan, Puerto Rico.
José VergaraCenter for Clinical Research and Health Promotion, School of Dental Medicine, University of Puerto Rico, Medical Sciences Campus, San Juan, Puerto Rico.
José VivaldiSchool of Dental Medicine, University of Puerto Rico, Medical Sciences Campus, San Juan, Puerto Rico.
Lydia LópezSchool of Dental Medicine, University of Puerto Rico, Medical Sciences Campus, San Juan, Puerto Rico.
Maribel CamposCenter for Clinical Research and Health Promotion, School of Dental Medicine, University of Puerto Rico, Medical Sciences Campus, San Juan, Puerto Rico.
Kaumudi J JoshipuraCenter for Clinical Research and Health Promotion, School of Dental Medicine, University of Puerto Rico, Medical Sciences Campus, San Juan, Puerto Rico.ORCID 0000-0003-1964-7579
University of Puerto Rico, Medical Sciences Campus · PRHarvard University · USSan Francisco VA Medical Center · US

Funding

Upstream Regulation and Downstream effectors of c-MYC in Ovarian CancerU54MD007600 · NIMHD · UNIVERSITY OF PUERTO RICO MED SCIENCES · PI Carmen M Velez Vega · 2017 to 2026
$35.8M
TECHNOLOGIES AND RESOURCES FOR CORE LABORATORIESU54MD007587 · NIMHD · UNIVERSITY OF PUERTO RICO MED SCIENCES · PI LUCIANO, CARLOS A., NOBOA, CARIAMARIE · 2012 to 2018
$23.2M
Periodontitis and pre-clinical diabetesR01DE020111 · NIDCR · UNIVERSITY OF PUERTO RICO MED SCIENCES · PI JOSHIPURA, KAUMUDI J, PEREZ, CYNTHIA MADELINE · 2010 to 2015
$3.1M
Study of Pathways in the Link Between Type 2 Diabetes and PeriodontitisK23DE025313 · NIDCR · UNIVERSITY OF PUERTO RICO MED SCIENCES · PI ANDRIANKAJA, OELISOA M · 2016 to 2020
$809k
NIDCR NIH HHS K23 DE025313NIDCR NIH HHS R01 DE020111NIMHD NIH HHS U54 MD007587NIMHD NIH HHS U54 MD007600
6 · The paper itself

Abstract

aimThis study assessed the associations of pre-diabetes and insulin resistance with bleeding on probing (BOP) and periodontitis among adults. MATERIALS AND

methodsWe included 1191 Hispanic adults aged 40-65 years, free of diabetes, enrolled in San Juan Overweight Adults Longitudinal Study. Pre-diabetes was defined as impaired fasting glucose (IFG), impaired glucose tolerance (IGT), or impaired glycated haemoglobin. Impaired one-hour plasma glucose (1hPG) was defined as levels >155 mg/dl. Insulin resistance was defined using the study population-specific 75th percentile (HOMA-IR ≥ 3.13). High BOP was defined as percentage of teeth with bleeding ≥30%. Periodontitis was defined according to the CDC/AAP definition.

resultsAfter multivariable adjustment for age, gender, education, smoking status, alcohol consumption, physical activity, obesity, HDL-C, and plaque index, pre-diabetes with and without 1hPG, IFG, impaired 1hPG, IGT, and HOMA-IR were significantly associated with high BOP; pre-diabetes, IFG, and impaired 1hPG were significantly associated with severe periodontitis. Most of these associations remained significant when the analyses were restricted to non-smokers.

conclusionsThis study suggests associations between pre-diabetes and insulin resistance with BOP and periodontitis. Given the high prevalence of impaired glucose metabolism and periodontitis, the assessment of the temporal sequence of these associations is of utmost importance.

Indexed as

Periodontal IndexAdultCross-Sectional StudiesFemaleGlucose IntoleranceGlucose Tolerance TestHumansMaleMiddle AgedPeriodontitisbleeding on probingimpaired fasting glucoseimpaired glucose toleranceimpaired glycated haemoglobininsulin resistanceperiodontitispre-diabetes

Identifiers

PMID27978601
PMCPMC5385925
OpenAlexW2566487992

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.