TY - JOUR
T1 - Obesity and periodontitis are not associated in pregnant women
AU - Gomes-Filho, Isaac S.
AU - Batista, Josicélia Estrela Tuy
AU - Trindade, Soraya Castro
AU - Passos-Soares, Johelle de Santana
AU - Cerqueira, Eneida de Moraes Marcílio
AU - Costa, Teresinha Silveira da
AU - Figueiredo, Ana Claudia Morais Godoy
AU - Costa, Maria da Conceição Nascimento
AU - Adan, Luis Fernando Fernandes
AU - Orrico, Gessica Santana
AU - Porto, Edla Carvalho Lima
AU - Pimenta, Rodolfo Macedo Cruz
AU - Scannapieco, Frank A.
AU - Loomer, Peter Michael
AU - Cruz, Simone Seixas da
N1 - Publisher Copyright:
© 2019 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd
PY - 2020/1/1
Y1 - 2020/1/1
N2 - Objective: The objective of this study was to investigate an association between obesity (exposure) and periodontitis (outcome) in pregnant women. Background: This association was investigated and only five studies were identified as showing a positive association. However, some of these studies had limitations such as reduced sample sizes, inadequate exposure criteria and outcome measures, which question the internal validity of these investigations. Methods: A cross-sectional study was carried out with a sample of 644 pregnant women of the public health service of the municipality of Santo Antônio de Jesus, Bahia, Brazil. Data were obtained by collecting of socioeconomic-demographic information, health behavior, health conditions, and reproductive history through an interview. Obesity was evaluated using body mass index adjusted for gestational age and expected weight gain. The diagnosis of periodontitis followed two criteria: (a) Center for Disease Prevention and Control and American Academy of Periodontology (CDC/AAP); (b) Gomes-Filho et al (2018) using criterion that also evaluated bleeding upon probing; Prevalence ratios and respective 95% confidence intervals were obtained by Poisson regression analysis. Results: In accordance with the outcome diagnostic criterion, the frequency of periodontitis was 17.24% (Gomes-Filho et al) and 66.92% (CDC/AAP). The participants were classified as low weight (19.72%), adequate weight (42.39%), overweight (24.84%), and obesity (13.04%), based on the exposure diagnostic criterion. The low weight and overweight groups were excluded from the data analysis, giving a final sample of 357 pregnant women. The association between obesity in pregnant women and periodontitis was not statistically significant, after adjusting for confounders such as age, schooling level, alcoholic beverage consumption, alimentary and nutritional orientation, urinary infection, and dental flossing. Conclusions: The findings showed a high frequency of periodontitis, obesity, and overweight in the studied population but no association between obesity and periodontitis in pregnant women was found.
AB - Objective: The objective of this study was to investigate an association between obesity (exposure) and periodontitis (outcome) in pregnant women. Background: This association was investigated and only five studies were identified as showing a positive association. However, some of these studies had limitations such as reduced sample sizes, inadequate exposure criteria and outcome measures, which question the internal validity of these investigations. Methods: A cross-sectional study was carried out with a sample of 644 pregnant women of the public health service of the municipality of Santo Antônio de Jesus, Bahia, Brazil. Data were obtained by collecting of socioeconomic-demographic information, health behavior, health conditions, and reproductive history through an interview. Obesity was evaluated using body mass index adjusted for gestational age and expected weight gain. The diagnosis of periodontitis followed two criteria: (a) Center for Disease Prevention and Control and American Academy of Periodontology (CDC/AAP); (b) Gomes-Filho et al (2018) using criterion that also evaluated bleeding upon probing; Prevalence ratios and respective 95% confidence intervals were obtained by Poisson regression analysis. Results: In accordance with the outcome diagnostic criterion, the frequency of periodontitis was 17.24% (Gomes-Filho et al) and 66.92% (CDC/AAP). The participants were classified as low weight (19.72%), adequate weight (42.39%), overweight (24.84%), and obesity (13.04%), based on the exposure diagnostic criterion. The low weight and overweight groups were excluded from the data analysis, giving a final sample of 357 pregnant women. The association between obesity in pregnant women and periodontitis was not statistically significant, after adjusting for confounders such as age, schooling level, alcoholic beverage consumption, alimentary and nutritional orientation, urinary infection, and dental flossing. Conclusions: The findings showed a high frequency of periodontitis, obesity, and overweight in the studied population but no association between obesity and periodontitis in pregnant women was found.
KW - epidemiology
KW - obesity
KW - oral health
KW - periodontitis
KW - pregnancy
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U2 - 10.1111/jre.12690
DO - 10.1111/jre.12690
M3 - Article
C2 - 31407348
AN - SCOPUS:85070711959
SN - 0022-3484
VL - 55
SP - 77
EP - 84
JO - Journal of Periodontal Research
JF - Journal of Periodontal Research
IS - 1
ER -