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"To the best of our knowledge, this is the first report to demonstrate a significant relationship between insulin resistance and severe periodontitis in individuals with normal weight or normal waist circumference," the authors wrote.
Distinguishing between normal BMI and holistic health
Although the study had a large sample size, it consisted entirely of South Korean adults, so its findings may not be able to be generalized to other populations. In addition, because it was a cross-sectional study, a definite causal relationship among insulin resistance, periodontitis, and diabetes can't be made.
Nevertheless, it helped highlight a flaw with some traditional weight measurements, such as BMI or waist circumference. While the tools can be used for wide-scale observations and metrics, they were not designed to be the definitive measure of an individual's health. A person's BMI alone cannot indicate their level of holistic health or disease.
The authors suggested that using metabolic profiles, such as to identify insulin resistance, might provide a better tool for evaluating individual's holistic health and risk for diseases, such as periodontitis.
"This study clearly showed that individuals with insulin resistance were more likely to have severe periodontitis, even among participants with normal waist circumference," the authors concluded. "Obesity might not be directly linked to severe periodontitis, as other studies have shown, and the role of insulin resistance might be a clue."
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