Obesity, sedentarism and TMD‐pain in adolescents

Abstract

Summary Background Obesity is a chronic and prevalent disorder, affecting individuals of all age. Previous evidence suggests that it is associated with some types of chronic pain, especially musculoskeletal pain. In addition, sedentarism is also associated with an increase of the inflammatory factors and chronic pain. So, we conducted a cross‐sectional study to evaluate the association between obesity, sedentarism and the presence of TMD‐pain in adolescents. Methods Temporomandibular Disorders were classified according to the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD). Obesity was assessed by the body mass index (BMI), bioimpedance (BIA), skinfold (triceps and subscapular) and circumferences (arm and abdominal). The level of physical activity was rated according to the instrument adopted by the Brazilian National School Health Survey. Descriptive statistics, univariate logistic regression and odds ratios (OR) with 95% confidence intervals (CI) were used to study the associations of interest. Results The sample consisted of 690 individuals with a mean age of 12.7 (±0.76) years of whom 389 (56.4%) were girls. Of the total, 112 (16.2%) had TMD‐pain, 110 (15.9%) were obese according to BMI, 74 (10.8%) according to BIA, and 127 (18.4%) following the skinfolds and circumferences assessments. There was no significant association between TMD‐pain and obesity according to BMI (P = 0.95), BIA (P = 0.16), skinfold and circumference (P = 0.22), and neither with sedentarism (P = 0.94). Conclusion Obesity and sedentarism were not associated with the presence of TMD‐pain in adolescents.

Association between Temporomandibular Joint Disorder and Weight Changes: A Longitudinal Follow-Up Study Using a National Health Screening Cohort

“…In a cross-sectional study, TMD was associated with low BMI in women (adjusted odds ratio (aOR) = 1.44, 95% confidence interval (95% CI) = 1.09-1.93, p = 0.037) [5]. However, other cross-sectional studies demonstrated no association between BMI and TMD in adolescents [15] or the general population [16]. On the other hand, overweight (BMI ≥ 25) was associated with frequent pain-associated TMD symptoms among Finnish conscripts (aOR = 1.23, 95% CI = 1.01-1.49) [18].…”

“…The association of TMD with BMI has been suggested in several prior studies with differing results [5,[15][16][17][18]. In a cross-sectional study, TMD was associated with low BMI in women (adjusted odds ratio (aOR) = 1.44, 95% confidence interval (95% CI) = 1.09-1.93, p = 0.037) [5].…”

Distúrbios intracapsulares da articulação temporomandibular: da semiologia à terapêutica: uma revisão de literatura

“…Nesse contexto, o termo disfunção temporomandibular (DTM) é coletivo para representar um grupo de condições osteomusculares heterogêneas que acomete a região orofacial (Jordani et al, 2019;Galvão et al, 2020), afetando diretamente a anatomia e as características funcionais da ATM (Gil-Martínez et al, 2018). Por conseguinte, as DTM's podem ser subdivididas em distúrbios articulares e não-articulares, também denominados de condições intracapsulares e extracapsulares, respectivamente (Liu & Steinkeler, 2013;Dalewski et al, 2019).…”

Fiabilidad y viabilidad de un cuestionario autorreportado sobre el modo, tiempo y distancia de desplazamiento en niños y adolescentes (Reliability and feasibility of a self-reported questionnaire on the mode, time and distance of commuting in children an

“…El desplazamiento activo al y desde el centro educativo, corresponde a desplazarse de forma no motorizada (caminado, bicicleta, patines, skate, entre otros) y se presenta como una oportunidad para aumentar el nivel de actividad física tanto de niños como de adolescentes (Yang et al, 2014;García-Hermoso et al, 2017). Estudios previos han afirmado que el desplazamiento activo al centro educativo se asocia positivamente con la capacidad cardiorrespiratoria, especialmente en bicicleta (Chillón et al, 2010;Ramírez-Vélez et al, 2017), que a su vez se asocia a mejor rendimiento cognitivo y académico (Martínez, Aznar y Contreras, 2015;Carulla, Mas y Sampol, 2019), menor depresión, menor hiperactividad, menor transtornos del sueño y en general mejor salud mental (Messerli-Bürgy, 2019;Yungán, 2019). Existen diversas formas para evaluar el comportamiento en desplazamiento, por ejemplo, a través de acelerómetros, GPS o podómetros, que si bien otorgan información precisa sobre el nivel de actividad física o conteo de pasos, no otorgan el modo de desplazamiento, además presentan limitaciones al valorar a grandes poblaciones, especialmente a población escolar, ya sea por el costo o por la propia accesibilidad de los dispositivos (Cardon, Van Cauwenberghe, Labarque, Haerens y De Bourdeaudhuij, 2008;McKee, Mutrie, Crawford y Green, 2007;Arriscado, Muros, Zabala y Dalmau, 2015).…”