The relationship between obesity and oral-health status in North African adults: A comparative study

IF 1.6 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

International journal of dental hygiene Pub Date : 2023-10-07 DOI:10.1111/idh.12767

Mehdi Khemiss, Nour Sayda Ben Messaoud, Meriem Hadidane, Mohamed Ben Khelifa, Helmi Ben Saad

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引用次数: 0

Abstract

Introduction

The strength of the association between obesity and oral health is still indecisive.

Objective

The objectives of the study were to compare some oral-health data between two groups involving obese (OG) and normal weight (NWG) participants and determine the influencing factors of the periodontal probing depth (PPD).

Methods

This was a cross-sectional study including 67 Tunisian adults [OG (n = 33, body mass index (BMI) > 30 kg/m²), NWG (n = 34, BMI: 18.5–25.0 kg/m²)]. The plaque level was recorded using the plaque index (PI). Gingival index (GI) was used to evaluate gingival inflammation. The depths of the sulci/pockets were probed using a periodontal probe. Stimulated saliva was collected for 5 min, and salivary flow rate (SFR) was determined. Salivary baseline pH (SBpH) was measured. A multivariable regression analysis was performed between PPD and some independent variables [i.e. obesity status, age, sex, socioeconomic status, systemic diseases and PI data].

Results

The OG and NWG were age- and sex-matched and included comparable percentages of participants with systemic diseases (27.3 vs. 29.4%, respectively). The OG included a higher percentage of participants having a low socioeconomic status (87.9 vs. 64.7%, respectively). Compared with the NWG, the OG: (i) had comparable values of daily toothbrushing frequency, PI, GI and tooth mobility, (ii) included comparable percentages of irregular brushers, of participants with periodontitis, PI classes [0–1]and [1–2]; and GI classes [0–1], [1–2] and [2, 3]; (iii) had a higher PPD (2.02 ± 0.41 vs. 2.35 ± 0.22 mm, respectively), (iv) had lower SBpH (7.59 ± 0.21 vs. 7.45 ± 0.22, respectively) and SFR (1.98 ± 0.28 vs. 1.60 ± 0.32 mL/mn, respectively) and (v) included a higher percentage of participants having a PI class [2, 3] (67.6 vs. 87.9%, respectively). The multivariable regression analysis revealed that only obesity status, age and PI classes influenced the PPD, altogether explained 29.62% of the PPD variance.

Conclusion

Obesity poses a risk for oral health, and obese adults had altered PPD and lower BSpH and SFR. Dentists should make obese patients aware of the health risks of obesity in an attempt to reduce the potential oral complications associated with this epidemic.

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北非成年人肥胖与口腔健康状况的关系：一项比较研究。

引言：肥胖与口腔健康之间的联系强度仍然不确定。目的：本研究的目的是比较肥胖（OG）和正常体重（NWG）两组参与者的一些口腔健康数据，并确定牙周探测深度（PPD）的影响因素 = 33，体重指数（BMI） > 30 kg/m2），NWG（n = 34，BMI:18.5-25.0 kg/m2）]。使用斑块指数（PI）记录斑块水平。牙龈指数（GI）用于评估牙龈炎症。使用牙周探针探测沟/袋的深度。采集刺激唾液5 min和唾液流速（SFR）。测量唾液基线pH值（SBpH）。PPD和一些自变量[即肥胖状况、年龄、性别、社会经济状况、系统性疾病和PI数据]之间进行了多变量回归分析。结果：OG和NWG的年龄和性别匹配，包括患有系统性疾病的参与者的可比百分比（分别为27.3%和29.4%）。OG包括较高比例的低社会经济地位参与者（分别为87.9%和64.7%）。与NWG相比，OG：（i）每日刷牙频率、PI、GI和牙齿活动度具有可比值，（ii）包括不规则刷牙者、牙周炎参与者、PI等级[0-1]和[1-2]的可比百分比；以及GI类别[0-1]、[1-2]和[2，3]；（iii）PPD较高（2.02 ± 0.41对2.35 ± 0.22 mm），（iv）具有较低的SBpH（7.59 ± 0.21对7.45 ± 分别为0.22）和SFR（1.98 ± 0.28对1.60 ± 0.32 mL/mn）和（v）包括较高百分比的PI等级参与者[2，3]（分别为67.6%和87.9%）。多变量回归分析显示，只有肥胖状况、年龄和PI等级影响PPD，总共解释了29.62%的PPD方差。结论：肥胖对口腔健康构成风险，肥胖成年人的PPD发生了改变，BSpH和SFR降低。牙医应该让肥胖患者意识到肥胖的健康风险，以减少与这种流行病相关的潜在口腔并发症。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International journal of dental hygiene DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

4.00

自引率

8.30%

发文量

审稿时长

>12 weeks

期刊介绍： International Journal of Dental Hygiene is the official scientific peer-reviewed journal of the International Federation of Dental Hygienists (IFDH). The journal brings the latest scientific news, high quality commissioned reviews as well as clinical, professional and educational developmental and legislative news to the profession world-wide. Thus, it acts as a forum for exchange of relevant information and enhancement of the profession with the purpose of promoting oral health for patients and communities. The aim of the International Journal of Dental Hygiene is to provide a forum for exchange of scientific knowledge in the field of oral health and dental hygiene. A further aim is to support and facilitate the application of new knowledge into clinical practice. The journal welcomes original research, reviews and case reports as well as clinical, professional, educational and legislative news to the profession world-wide.