Association Between Obesity and Periodontitis in Pregnant Females

Jun, Jin Yong; Lee, Seoung Mi; Ha, Jong-Chul; Paik, Dai‐Il; Bae, Kyun‐Seop

doi:10.1902/jop.2014.130578

Cited by 35 publications

(45 citation statements)

References 41 publications

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“…The findings of the present study did not show an association between obesity in pregnant women and periodontitis after adjustment for probable confounding covariables, contrary to previous studies that found a positive association . Given the paucity of research on this topic, the findings presented in this study deserve to be carefully discussed and compared to those previously published.…”

Section: Discussioncontrasting

confidence: 99%

“…All participants had both their gestational weight and height measured at the time they were evaluated in the study, adjusting the anthropometric nutritional status for the gestation period. This methodological criterion may avoid potential information bias and, consequently, explain the differences that exist between the finding of non‐association between obesity in pregnant women and periodontitis in the present study, in comparison with previous studies on the topic that indicated a positive association …”

Section: Discussioncontrasting

confidence: 49%

“…The criteria for evaluating the oral status of pregnant women were varied in previous studies on the topic, as were criteria for determining diagnosis of periodontitis. Only Lee et al (2014) used the internationally recognized CDC‐AAP criterion, also used in the present investigation. In addition, we used an additional diagnostic criterion for periodontitis having the advantage of including bleeding on probing in its clinical assessment of gingival inflammation, since gingivitis in pregnant women is common .…”

Section: Discussionmentioning

confidence: 99%

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Obesity and periodontitis are not associated in pregnant women

Gomes‐Filho

Batista

Trindade

et al. 2019

J of Periodontal Research

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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.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussioncontrasting

confidence: 49%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Obesity and periodontitis are not associated in pregnant women

Gomes‐Filho

Batista

Trindade

et al. 2019

J of Periodontal Research

View full text Add to dashboard Cite

show abstract

“…Some previous studies have reported a positive association between excessive weight and periodontitis during pregnancy. Nonetheless, these studies used different methodologies for the classification of periodontitis and nutritional status.…”

Section: Discussionmentioning

confidence: 99%

Systemic and oral conditions of pregnant women with excessive weight assisted in a private health system

Fusco

Foratori‐Junior

Missio

et al. 2019

International Dental Journal

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Objective This observational cross‐sectional study aimed to evaluate systemic and oral conditions in pregnant women with excessive pre‐pregnancy weight (PEW) and normal pre‐pregnancy weight (PNW) who underwent follow‐up in the private healthcare system during the third trimester of pregnancy. Methods Fifty pregnant women were evaluated from August 2017 to February 2018 and divided into two groups: women with PEW (n = 25); and those with PNW (n = 25). Their weight and body mass index (BMI), periodontal disease status, stimulated salivary flow, and systemic condition were evaluated. Statistical analyses were conducted using t‐test, Mann–Whitney test, chi‐square test and binary logistic regression (P < 0.05). Results The groups did not differ in age, educational level or monthly household income (P > 0.05). The PEW group had a higher frequency of arterial hypertension (P = 0.019) and excessive weight gain during gestation (P = 0.010), sought dental services less frequently, and had increased severity of periodontitis (P < 0.0001). Both groups presented low salivary flow, with no intergroup difference. In the final binary logistic regression models, high maternal pre‐pregnancy BMI was a significant predictor of arterial hypertension and periodontitis during the third trimester of gestation; maternal excessive weight gain was also a significant predictor of periodontitis during pregnancy. Conclusion Women with PEW who underwent follow‐up in a private healthcare system had a higher prevalence of arterial hypertension and worse periodontal status during the third trimester of pregnancy as compared to women with normal weight.

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“…The majority of articles that related to obesity and periodontal disease suggested an association between the two, specifically noting obesity as a risk factor for periodontal disease [15][16][17][18][19][20][21][22][23][24][25] however not all the published articles found a significant association 7,26 .…”

Section: Discussionmentioning

confidence: 99%