Association between tooth loss and obesity in Brazilian adults: a population-based study

Bernardo, Carla de Oliveira; Boing, Antônio Fernando; Vasconcelos, Francisco de Assis Guedes de; Peres, Karen Glazer; Peres, Marco Aurélio

doi:10.1590/s0034-89102012000500010

Cited by 22 publications

(36 citation statements)

References 16 publications

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“…2,7,8,9,19,20,21 Some have been conducted with elderly populations, 10,22 but few with workingage adults. 6,23,24 Our findings are consistent with those of other studies with children, 7,8,19,20,25 adults 24 and the elderly, 26 which also found no association between obesity and dental caries after adjusting for confounding variables. However, some investigations with children and adolescents 2,21 and with adults 6 and the elderly, 10,22 have found an association among these individuals, even after controlling for some confounding factors.…”

Section: Discussionsupporting

confidence: 91%

Association between tooth loss and overweight/obesity among Brazilian adults: the Pró-Saúde Study

et al. 2014

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The aim of this study was to evaluate the association between tooth loss and overweight/obesity in an adult Brazilian population. It is a cross-sectional study comprising 3,930 adults [1,744 men and 2,186 women; median age of 40 y (ranging 20-59); 16.9% obese; 7.3% almost all or all teeth missing]. Data were collected using a selfadministered questionnaire for tooth loss (4 categories), diet, access and use of health services, socioeconomic factors, health habits and behaviors, demographics and anthropometric measurements. Multiple ordinal logistic regressions were performed. In comparison with adults with BMI < 25 kg/m², the overweight (BMI ≥ 25 and < 30kg/m²) and obese individuals (BMI ≥ 30 kg/m²) showed a greater odds of tooth loss (OR = 1.6, 95% CI 1.4-1.9 and OR = 2.1, 95% CI 1.8-2.5, respectively). After adjusting for potential confounders, overweight and obesity showed no statistically significant associations with tooth loss, with OR = 0.8 and OR = 0.9, respectively. The results of this study are consistent with the hypothesis that the association between overweight/obesity and tooth loss can be explained by known, common risk factors.

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Section: Discussionsupporting

confidence: 91%

Association between tooth loss and overweight/obesity among Brazilian adults: the Pró-Saúde Study

et al. 2014

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“…Although an association between obesity and tooth loss has been reported among adults [26,27], several studies have found no such associations after adjusting for confounding factors [34]. These previous studies did not consider other oral health conditions such as dental caries and periodontal disease.…”

Section: Discussionmentioning

confidence: 99%

“…Although teeth function may play an important role in eating speed, this has not been well described. Additionally, periodontal disease [25] and tooth loss [26,27] are also suggested to increase the risk of obesity. However, it is uncertain whether deteriorated oral health or quick eating enhances obesity, because eating speed and oral health condition have never been analyzed simultaneously until now.…”

Section: Introductionmentioning

confidence: 99%

Associations among Obesity, Eating Speed, and Oral Health

et al. 2018

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Objective: This study was conducted to understand how eating speed and oral health condition are associated with obesity in Japanese working men. Methods: We studied a total of 863 men attending an annual medical checkup of the Japanese Maritime Self Defense Force in Sasebo City, Japan. Participants answered a questionnaire about their eating speed, and we examined their anthropometric status in terms of BMI, waist circumference, and oral health condition, especially periodontal disease and number of functional teeth. Multivariate logistic regression analyses adjusting for potential confounding variables were performed. Results: The multivariate-adjusted odds ratio for waist circumference greater than 90 cm of the ‘very fast' group compared to the ‘slow, very slow' group was 5.22 (95% confidence interval 1.81-15.06) after adjusting for potential confounding factors. Individuals were more likely to have waist circumference greater than 90 cm if they had a larger ‘number of missing functional teeth' (odds ratio 1.14; 95% confidence interval 1.01-1.28) and severe periodontal disease (odds ratio 2.74; 95% confidence interval, 1.46-5.13). Conclusion: Eating speed, the number of missing functional teeth, and severe periodontal disease are associated independently with larger waist circumference.

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“…8,30,31 Loss of teeth may lead to pain and difficulty chewing, decreased consumption of fruits and vegetables, lower intake of key nutrients, and ultimately, unintentional weight loss, 32 or in some cases, weight gain and obesity. 33 …”

Section: Discussionmentioning

confidence: 99%

A Community-Based Oral Public Health Approach to Promote Health Equity

et al. 2015

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Objectives We explored the interrelationships among diabetes, hypertension, and missing teeth among underserved racial/ethnic minority elders. Methods Self-reported sociodemographic characteristics and information about health and health care were provided by community-dwelling ElderSmile participants, aged 50 years and older, who took part in community-based oral health education and completed a screening questionnaire at senior centers in Manhattan, New York, from 2010 to 2012. Results Multivariable models (both binary and ordinal logistic regression) were consistent, in that both older age and Medicaid coverage were important covariates when self-reported diabetes and self-reported hypertension were included, along with an interaction term between self-reported diabetes and self-reported hypertension. Conclusions An oral public health approach conceptualized as the intersection of 3 domains — dentistry, medicine, and public health — might prove useful in place-based assessment and delivery of services to underserved older adults. Further, an ordinal logit model that considers levels of missing teeth might allow for more informative and interpretable results than a binary logit model.

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Association between tooth loss and obesity in Brazilian adults: a population-based study

Abstract: Obesity was associated with number of teeth, though it depended on the participants' age groups.

Cited by 22 publications

References 16 publications

Association between tooth loss and overweight/obesity among Brazilian adults: the Pró-Saúde Study

Association between tooth loss and overweight/obesity among Brazilian adults: the Pró-Saúde Study

Associations among Obesity, Eating Speed, and Oral Health

A Community-Based Oral Public Health Approach to Promote Health Equity

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