Excessive weight in pregnant women increases the chance of diagnosing periodontitis combined with tooth loss.

IF 4.2 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE
Josicélia Estrela Tuy Batista, Ana Claudia Morais Godoy Figueiredo, Elivan Silva Souza, Amanda Oliveira Lyrio, Johelle Santana Passos-Soares, Soraya Castro Trindade, Claudia Maria Coêlho Alves, Maria Isabel Pereira Vianna, Julita Maria Freitas Coelho, Sarah Dos Santos Conceição, Eneida de Moraes Marcílio Cerqueira, Alexandre Marcelo Hintz, Gregory John Seymour, Frank Andrew Scannapieco, Peter Michael Loomer, Isaac Suzart Gomes-Filho, Simone Seixas da Cruz
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Abstract

Background: Excess weight (EW), especially in women of childbearing age, those who are pregnant, as well as postpartum, is a problem worldwide. Fat accumulation deregulates the inflammatory response, contributing to the development of health problems, such as periodontitis. This study investigated the association between EW and periodontitis during pregnancy.

Methods: A cross-sectional, multicenter study involved 1745 postpartum women in Brazil. Socioeconomic-demographic data, gestational history, lifestyle behavior, and general and oral health conditions were obtained. Pre-pregnancy body mass index (BMI) was collected from medical records with EW being the exposure. Both tooth loss and clinical attachment level (CAL) were evaluated, and the presence of periodontitis was the outcome. Logistic regression, odds ratio (OR) and 95% confidence interval (95% CI), and quantile regression, beta coefficient and 95% CI, estimated the association between EW (BMI) and periodontitis and its combined effect with tooth loss ≥3, as dichotomous and continuous variables (CAL and tooth loss), with 5% significance level.

Results: The EW was 27.7% prevalent and periodontitis was 11.7%. There was a positive association between EW and periodontitis: ORadjusted:1.39; 95% CI:1.01;1.92 and between EW and periodontitis combined with tooth loss ≥3: ORadjusted:1.73; 95% CI:1.36;2.20. The adjusted association between EW and periodontitis as continuous variables was also positive, showing that for each unit of increased BMI, there was an elevation in the mean CAL (p = 0.04) and tooth loss (p < 0.01), with statistical significance.

Conclusions: There was a moderate association between EW and periodontitis during pregnancy, with an even greater association of pregnant women with EW presenting periodontitis combined with tooth loss.

孕妇体重过重会增加诊断牙周炎合并牙齿脱落的几率。
背景:体重超标(EW),尤其是育龄妇女、孕妇和产后妇女的体重超标,是一个全球性问题。脂肪堆积会降低炎症反应,导致牙周炎等健康问题的发生。本研究调查了孕期 EW 与牙周炎之间的关系:这项横断面多中心研究涉及巴西的 1745 名产后妇女。获得了社会经济-人口学数据、妊娠史、生活方式、一般健康状况和口腔健康状况。从医疗记录中收集了孕前体重指数(BMI),并将 EW 作为暴露指标。对牙齿脱落和临床附着水平(CAL)进行评估,并以是否存在牙周炎作为结果。通过逻辑回归、几率比(OR)和 95% 置信区间(95% CI),以及量回归、贝塔系数和 95% CI,估算了 EW(BMI)与牙周炎之间的关系,以及其与牙齿脱落≥3(二分变量和连续变量(CAL 和牙齿脱落))之间的综合影响,显著性水平为 5%:结果:EW患病率为27.7%,牙周炎患病率为11.7%。EW与牙周炎呈正相关:EW与牙周炎之间存在正相关:OR调整值为1.39;95% CI:1.01;1.92;EW与牙周炎合并牙齿缺失≥3之间存在正相关:OR调整值为1.73;95% CI:1.36;2.20。作为连续变量,EW 与牙周炎之间的调整关联也是正相关的,表明体重指数每增加一个单位,平均 CAL(P = 0.04)和牙齿脱落(P 结论:EW 与牙周炎之间的关系是中度相关的:妊娠期 EW 与牙周炎之间存在中度关联,EW 孕妇合并牙周炎和牙齿脱落的关联更大。
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来源期刊
Journal of periodontology
Journal of periodontology 医学-牙科与口腔外科
CiteScore
9.10
自引率
7.00%
发文量
290
审稿时长
3-8 weeks
期刊介绍: The Journal of Periodontology publishes articles relevant to the science and practice of periodontics and related areas.
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