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Updated: Jan 26, 2026

In Silico Clinical Trials for Cardiovascular Disease
Published on: May 27, 2022
Lewis and AB0 blood group-phenotypes in periodontitis, cardiovascular disease, obesity and stroke
C Enevold1, C H Nielsen2,3, D Molbo4
1Institute for Inflammation Research, Center for Rheumatology and Spine Diseases, Rigshospitalet, Copenhagen, Denmark. chrej@hotmail.com.
Insights
Blood group phenotypes were not associated with periodontitis in this Danish study. However, the Lewis (a-b-) phenotype showed a strong link to self-reported stroke, suggesting a potential hereditary predisposition.
Area of Science:
- Genetics and Public Health
- Cardiovascular Epidemiology
- Oral Health Research
Background:
- AB0 and Lewis blood groups are associated with cardiovascular diseases and obesity.
- Periodontitis shares potential links with these conditions, suggesting common hereditary factors.
- Investigating blood group associations with periodontitis and related disorders is crucial for understanding disease predisposition.
Purpose of the Study:
- To examine the association between AB0 and Lewis blood group phenotypes and periodontitis in a Danish subpopulation.
- To confirm previously reported associations between blood group phenotypes and hypertension, ischaemic heart disease, stroke, and obesity.
- To explore potential hereditary links between blood groups and these common disorders.
Main Methods:
- Cross-sectional study of 702 participants from a Danish cohort.
- Analysis of AB0 and Lewis blood group phenotypes.
- Statistical assessment of associations with periodontitis, hypertension, ischaemic heart disease, stroke, and obesity.
Main Results:
- No significant association was found between blood group phenotype and periodontitis.
- Previously reported associations with hypertension, ischaemic heart disease, stroke, and obesity were not confirmed.
- A strong association was observed between the Lewis (a-b-) phenotype and self-reported stroke (OR: 22.28).
Conclusions:
- Blood group phenotype does not appear to be a significant risk factor for periodontitis in this population.
- The lack of confirmed associations may be due to study design and population differences.
- The Lewis (a-b-) phenotype warrants further investigation for its potential role in stroke predisposition.
Abstract:
The AB0 blood group has been linked to ischaemic heart disease, stroke, and periodontal disease, while the Lewis blood group has been linked to ischaemic heart disease and obesity, all of which have been associated with periodontitis. AB0 or Lewis blood group phenotype may therefore constitute common hereditary components predisposing to these disorders. In this study, we investigated if blood group phenotype associated with periodontitis in a subpopulation consisting of 702 participants from a Danish cross-sectional cohort and, secondarily, attempted to confirm their association with hypertension, ischaemic heart disease, stroke, and obesity. No significant association between blood group phenotype and periodontitis was detected, nor were previously reported associations between blood group phenotype and hypertension, ischaemic heart disease, stroke, and obesity confirmed. This may, at least partly, be attributed to differences in study type, outcome definitions, cohort sizes, and population attributable factors. However, our results suggested a strong association between self-reported stroke and the Lewis (a-b-) phenotype (P = 0.0002, OR: 22.28; CI 95: 4.72-131.63).
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