Correlación entre estrés, tabaquismo y estado periodontal en adultos residentes en la ciudad de Mendoza / Correlation between stress, smoking and periodontal state residents adults

INTRODUCCIÓN: Las periodontitis son infecciones asociadas a microorganismos patogénicos y alteraciones en la respuesta del huésped. El estrés psicosocial y las conductas de afrontamiento inadecuadas pueden ejercer efectos inmunosupresión, incrementando la susceptibilidad. El objetivo del estudio fue investigar la correlación entre estrés psicosocial, conductas adaptativas y tabaquismo con el estado periodontal. MATERIALES Y MÉTODO: Se reclutaron 166 sujetos voluntarios de ambos sexos, sanos sistémicamente, entre 25 a 65 ańos (41,2±11,3), que asistieron a la Facultad de Odontología de la UNCuyo. Para la valoración del estrés y conductas adaptativas se aplicaron: Escala de Reajuste Social (SRRS), Inventario de Síntomas de Estrés (SSI), cuestionario de conductas de afrontamiento (COPE). Se determinó el nivel de cortisol salival y se evaluó el hábito tabáquico. Los parámetros periodontales evaluados fueron: profundidad de sondaje, pérdida de inserción, índice gingival y de placa. El estudio estadístico incluyó análisis de regresión logística bivariado y multivariado, prueba dechi cuadrado, ANOVA. RESULTADOS: Se demuestra asociación significativa por análisis bivariado: edad y estado periodontal(p < 0,0001); conductas adaptativas y estado periodontal (p < 0,0001) OR 5,3 IC95% (2,2-12,6); tabaquismo y estado periodontal (p < 0,0001) OR 3,36 IC95% (1,6-7,0); cortisol y estado periodontal(p = 0,0008). El análisis bivariado no encontró significancia entre estrés y estado periodontal. El análisis de regresión logística multivariado encontró asociación significativa de la relación estado periodontal con estrés (p = 0,014), conductas adaptativas (p = 0,030), tabaco (p = 0,031), edad (p < 0,0001).CONCLUSIONES: Los sujetos que presentan estrés, inadecuadas conductas adaptativas y fuman son más susceptibles al deterioro periodontal. Valores altos de cortisol salival se asociaron a mayor deterioro periodontal

BACKGROUND: The periodontitis are infections associated with pathogenic microorganisms and host response alterations. The psychosocial stress and inadequate coping behaviours to it may exert immunosuppressive effects, increasing susceptibility to periodontitis. The aim was to research the association between psychosocial stress, coping behaviours and smoking with periodontal condition. METHODS: One hundred and sixty six voluntary subjects were recruited of both sexes, with healthy systemic conditions, between 25-65 years of age (41,2±11,3), that go to the Dentistry Branch of National University of Cuyo. For stress and coping behaviors assessment tests were applicated: Social Readjustment Rating Scale (SRRS), Stress Symptom Inventory (SSI), coping behaviours questionnaire COPE. Levels of salivary cortisol were determined and smoking habits were evaluated. The examinations of the periodontal condition were: probing pocket depth, attachment level, gingival and plaque index. The statistical survey included: bivariated and multivariated logistic regression, X 2 test; ANOVA. RESULTS: The obtained results demonstrate significative association by bivariate analysis: age and periodontal condition (p < 0,0001); coping behaviours and periodontal condition (p < 0,0001) OR 5,3 CI95% (2,2-12,6); smoking and periodontal condition (p < 0,0001) OR 3,36 CI95% (1,6-7,0); cortisol and periodontal condition (p0,0008). Bivariate analysis did not found significant difference between stress and periodontal condition. Multivariated logistic regression analysis adjusted to age found significant association of the relationship periodontal condition with stress (p = 0,014), coping behaviors (p = 0,030), smoking (p = 0,031), age (p < 0,0001). CONCLUSION: The subjects that show stress, inadequate coping behaviours and smoke are more susceptible to the periodontal damage. High levels of salivary cortisol are associated with major periodontal damage

The comparison of antioxidative/oxidative profile in blood, colostrum and milk of early post-partum cows and their newborns.

Act of delivery is supposed to be connected with antioxidative/oxidative imbalance not only in female but also in her newborn. The aim of the study was to compare antioxidative/oxidative profile of cows and their newborns in blood, colostrum and milk during early post-partum period. Twenty-five healthy pregnant cows and their newborns were included into study. Blood and colostrum/milk samples were obtained immediately after parturition, 24, 48 h as well as 6 and 12 days post-partum. Parameters of antioxidative defence including total antioxidant capacity (TAC) and glutathione peroxidase (GSH-Px) as well as parameters of lipid (LPI) and protein (SH) peroxidation intensity were determined spectrophotometrically. Obtained results indicated dynamic changes in values of examined parameters during time of experiment, which were significantly marked between 24 and 48 h post-partum, and the relationship between mother and her newborn. All parameters except for GSH-Px were markedly higher in blood of newborns as in their mothers. Moreover, TAC and GSH-Px in colostrum were lower as in blood of mothers and their newborns during first 24 h and showed opposite relationship later on. LPI was higher in colostrum as in plasma of mothers and their newborns during first 48 h, while SH was lower in colostrum as in plasma of examined animals. Values of antioxidative parameters increased significantly within examined period of time, while the content of SH groups tended to decrease and lipid peroxidation intensity fluctuated. Dynamics in changes of examined parameters may suggest temporary imbalance in antioxidative/oxidative status and adequate answer of organism to current challenge resulting from overproduction of reactive oxygen species. Present study may bring new knowledge into studies of post-parturient and post-natal period in cows and calves and may help preventing from diseases of this period.

Riesgo de complicaciones perinatales en embarazadas con periodontitis moderada y severa, en la ciudad de Córdoba. Argentina / Risk for adverse pregnancy outcome in a population with moderate and severe periodontal disease in Córdoba. Argentina

Objetivo: Evaluar en nuestro medio a las Periodontitis Moderadas a Severas (PM/S) en embarazadas como factores de riesgo de prematuridad (PP), ruptura prematura de membranas (RPM) y bajo peso al nacer (BPN). Método: Este estudio de cohorte, observacional y prospectivo involucró a 66 embarazadas en las semanas 24 a 30 de gestación, sin patologías sistémicas diagnosticadas, asistidas en dos hospitales universitarios de Maternidad y Neonatología de la ciudad de Córdoba, Argentina. Las pacientes fueron incorporadas al Grupo 1 ó de Cohorte expuesta al riesgo (CE) y Grupo 2 ó Cohorte no expuesta al riesgo (CNE) según presentaran o no PM/S en no menos de 4 sitios ubicados en diferentes cuadrantes de la boca. Fueron considerados los siguientes indicadores clínicos: índice de Placa Bacteriana (Pb); índice Gingival (IG); Profundidad de Sondaje (PS) y Nivel de Inserción Clínica (NIC) e"3 mm. Posteriormente, fueron recolectados los datos perinatales a partir de las historias clínicas de acuerdo con el sistema informático perinatal SIP (CLAP-OPS/OMS) y sometidos a los análisis estadísticos correspondientes. Resultados: Veintiún pacientes (n=21) conformaron el Grupo 1 ó CE; veintitrés mujeres (n=23) el Grupo 2 ó CNE y 22 embarazadas debieron ser excluidas por razones médicas. El 13.6 por ciento del total de pacientes, presentó su parto antes de las 37 semanas de gestación (PP). El Odds Ratio hallado para prematuridad fue de 6.06 (IC 95 por ciento; 5.86 - 7.76); para RPM, 2.8 (IC 95 por ciento; 1.81 - 4.39) y con respecto al BPN no se hallaron diferencias en la población estudiada. Conclusión: En la población analizada, las Periodontitis maternas moderadas a severas constituyen un verdadero factor de riesgo para PP y para RPM; por el contrario las mismas parecerían no tener influencia sobre los nacimientos de bajo peso.

Objectives: To evaluate moderate to severe Periodontitis (M/SP) in pregnant women as a risk factor for preterm birth (PTB), premature rupture of membranes (PROM) and low birth weight (LBW). Method: This observational and prospective cohort study involved 66 pregnant women between weeks 24 and 30 of gestation, without diagnosed systemic pathologies, attending at the Maternal and Neonatology University Hospital, Cordoba, Argentina. The patients were integrated into Group 1 or Cohort exposed to risk (CER) and Group 2 or Cohort not exposed to risk (CNER) according to whether they showed or not moderate to severe PD in no less than 4 points situated in different quadrants of the mouth. The following clinical indicators were considered: Dental Plaque Index (DP); Gingival index (GI); Periodontal Depth (PD) and Clinical Attachment Level (CALe"3 mm). Later, the perinatal data was collected from the medical records, according to the Perinatal informatic system, Latin American Center of Perinatology and Human Development-Panamerican Health Organization/WHO) and submitted to under proper statistical analyses. Results: Group 1 or CER comprised twenty-one patients (n=21); Group 2 or CNER comprised twenty-three women. 22 pregnant women had to be excluded due to medical reasons. 13.6 percent of the patients gave birth before the 37th week of gestation (PTB). The Odds Ratio for prematurity was 6.06 (CI 95 percent; 5.86 - 7.76); 2.8 for PROM (CI 95 percent; 1.81 - 4.39) and no differences were found concerning LBW among the population studied. Conclusion: In the population of patients studied, moderate to severe PD in pregnant women constitute a real risk factor for premature birth as well as for premature rupture of membranes; on the other hand, these diseases would not seem to affect low birth weight.

The comparison of antioxidative/oxidative profile in colostrum, milk and blood of early post-partum cows during their first and second lactation.

The aim of the study was to compare antioxidative/oxidative profile in blood, colostrum and milk of early post-partum cows during their first and second lactation. A total of 19 healthy, primiparous cows were included in experiment and samples were collected during 2 years from the same animals immediately after parturition, 24, 48 h as well as 6 and 12 days later. All parameters including the activity of glutathione peroxidase (GSH-Px), total antioxidant capacity (TAC), the content of vitamin A, C as well as the contents of products of lipid and protein peroxidation were determined by the use of spectrophotometric methods. Comparing the profile within lactation, TAC and GSH-Px activity in blood showed decreasing trends, while parameters of lipid and protein peroxidation fluctuated. All examined parameters in colostrum and milk except from intermediates of lipid peroxidation exhibited increasing trends. These results which showed dynamic changes of antioxidative/oxidative profile not only in blood but also in colostrum/milk within examined period of time suggested appropriate answer of organism to current challenge. Moreover, not uniform but detectable changes between first and second lactation suggested that two consecutive lactations are not the same. Comparing first and second lactation, TAC and parameters of lipid and protein peroxidation in blood showed increasing tendency in second as first lactation while GSH-Px activity was opposite. The content of antioxidative vitamins and SH groups in colostrum/milk showed increasing tendency in second as first lactation, while TAC and content of end products of lipid peroxidation showed opposite trend, and GSH-Px together with intermediates of lipid peroxidation remained stable. Molecular and biochemical background for it require further elucidation.

Antioxidants in colostrum and milk of sows and cows.

On account of the oxidative stress conditions that may appear during parturition, colostrum should provide with not only nutritional and immunological components but also antioxidative protection of newborn. There is evidence that apart from well-known antioxidative enzymes like glutathione peroxidase, superoxide dismutase, catalase or low molecular antioxidants, proteins like lactoperoxidase (LPO), lactoferrin (LF) and ceruloplasmin (CP) may exert antioxidative properties in colostrum. The aim of present study was to determine and to evaluate LPO, LF and CP activities in colostrum and milk of sows and cows. Samples were collected from 16 healthy cows five times: immediately after parturition, 12, 24 and 48 h, and 7 days postpartum as well as from 14 healthy sows five times: immediately after parturition, 6, 12, 24 and 36 h later. Examined parameters were determined spectrophotometrically at 412, 560 and 540 nm respectively. LPO activity was higher in sows as in cows and increased significantly within examined time. LF ability to inhibit superoxide radical generation was higher in sows as in cows and increased significantly within examined time. CP oxidase activity was higher in cows as in sows and decreased significantly during experimental period. In conclusion, antioxidative defence system in colostrum shows dynamic changes that allow for providing with necessary protection from oxidative stress conditions, which may appear after parturition.

Postpartum relationship of beta carotene and vitamin A between placenta, blood and colostrum in cows and their newborns.

Carotenoids are lipophilic compounds which are involved not only in scavenging reactive oxygen species but also in many important biochemical processes. Periparturient period is supposed to be connected with oxidative imbalance which can be detected in blood of mother and newborn. Colostrum contains antioxidants which should protect newborn from stressful conditions. The aim of present study was do evaluate the relationship of beta carotene and vitamin A concentration between placenta, blood and colostrum of cows and blood of their newborns. 12 pregnant, healthy cows and their newborns were included into study. The concentration of beta carotene and vitamin A were detected in homogenates of placental tissues obtained immediately after parturition as well as in blood of mother and newborn and colostrum. Additionally blood and colostrum samples were collected 24 hours after parturition. The determinations were performed by use of spectrophotometric method at 325 and 453 nm. The concentration of beta carotene was significantly higher in fetal as in maternal part of placenta. Plasma level significantly decreased during 24 h after parturition in cows but significantly increased in calves. Colostrum level remained relatively stable during examined time. The concentration of retinol was significantly higher in fetal as in maternal part of placenta. Plasma levels, significantly higher in cows as in calves, increased significantly during 24 h after parturition in mothers but remained unchanged in newborns. Colostral concentrations increased significantly during examined period of time. In conclusion, dynamic changes in carotenoid concentrations in placenta, blood of mother and newborn as well as in colostrum that occur during 24 h after parturition may indicate the importance of antioxidative defence at this time both for cow and calf.

Maximal electroshock induces changes in some markers of oxidative stress in mice.

The oxidative/antioxidative status was investigated in maximal electroshock-induced seizures in mice, a well established model of generalized seizures in humans. Mice were given a single electroshock resulting in tonic convulsions. Total antioxidant capacity (TAC), lipid peroxidation intensity and glutathione peroxidase (GSH-Px) activity was measured spectrophotometrically in the brain, plasma and erythrocytes collected from mice sacrificed at different time points after stimulation. For comparison, sham-stimulated and subeffectively stimulated (no tonic seizures) mice were used. Tonic seizures caused an immediate increase in GSH-Px activity in the brain and during the following three hours the enzyme activity decreased below control values. Similar changes were seen after subconvulsive stimulations, however, a significant increase occurred only one hour after electroshock. A marked TAC reduction in the brain was observed three hours after subconvulsive stimulations. Nevertheless, no significant changes in TAC after tonic seizures were noted. TAC in plasma was significantly reduced three hours after both subconvulsive and convulsive stimulation. Marked reduction of lipid peroxidation intensity in the brain and plasma was recorded after both modes of stimulation. In conclusion, pronounced changes in oxidative/antioxidative status in mice following electroshock are caused by both convulsive and subconvulsive stimuli. Participation of oxidative stress in seizures and pathophysiology of epilepsy awaits further clarification.

Antioxidants in bovine colostrum.

Quality, content and properties of colostrum are crucial for the neonate and its further development. Due to essential differences between intrauterine and extrauterine environment, the neonate is exposed to oxidative stress conditions. Colostrum apart from nutrient and immunological components should contain antioxidative systems necessary for the protection against reactive oxygen species. This review describes available data on enzymatic and non-enzymatic antioxidants in colostrum. Due to the fact that the literature concerning bovine colostrum is scanty, the information based on bovine mature milk determinations as well as other species is provided. Bovine colostrum is used not only by calves, but also for the production of hyperimmunized colostrum, medicines or feed supplements. Quality of colostrum influences quality of mature milk. This is another reason, except from health of neonate, why antioxidative properties of bovine colostrum are of special importance and require further detailed elucidation.

Anti-oxidative/oxidative status of rat liver after ovariectomy.

The lack of protective action of oestrogens which appears during menopausal period may be the reason of serious metabolic disturbances including oxidative stress. The hypothesis was stated that ovariectomy may induce the variations of antioxidant/oxidant status which can be detected in rat liver. A total of 102 healthy Wistar female rats were included in the experiment and divided into control (CON; n = 6), sham-operated (SHO; n = 48) and ovariectomized (OVX; n = 48) groups. Animals from SHO (n = 6) and OVX (n = 6) groups were killed every week during 8 weeks of experiment to detect dynamic changes in examined parameters. Anti-oxidative enzyme activities [glutathione peroxidase (GSH-Px); superoxide dismutase (SOD)] as well as total antioxidant capacity (TAC) and the intensity of lipid peroxidation, measured by the concentration of N,N,diethyl-p-phenylene diamine (DEPPD) radical, were determined in liver homogenates by the use of spectrophotometric methods. Wave-like patterns of examined parameters within 8 weeks of experiment were detected. GSH-Px activity tended to be higher in OVX animals and was significantly lower at 8th week when compared with 1st week of experiment. SOD activity was higher in SHO animals and showed significant differences between 3rd, 4th, 7th and 1st week. TAC values were significantly higher in OVX when compared with SHO groups in 2nd, 4th, 5th week and significantly lower in 3rd, 6th and 7th week of the experiment. The concentration of DEPPD radicals tended to increase in OVX group. In conclusion, ovariectomy which leads to oestrogen insufficiency is reflected as well in variation of anti-oxidative/oxidative parameters in rat liver homogenates.