Systemic and periodontal conditions of overweight/obese patients during pregnancy and after delivery: a prospective cohort

Foratori‐Junior, Gerson Aparecido; Silva, Bruna Machado da; Pinto, Ana Carolina da Silva; Honório, Heitor Marque; Groppo, Francisco Carlos; Sales-Peres, Sílvia Helena de Carvalho

doi:10.1007/s00784-019-02932-x

Cited by 32 publications

(75 citation statements)

References 48 publications

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“…In our study, patients with excessive GWG had a lower monthly income ( Figure ) and higher BMI at all study assessment periods, including after childbirth ( Figure ). This is in agreement with the findings of previous studies that inadequate dietary pattern, characterised by the consumption of low‐cost food that is more caloric and less nutritious, is an important contributing factor to the association between high BMI and excessive GWG 16,33 .…”

Section: Discussionsupporting

confidence: 93%

“…Moreover, both groups showed worsening of the prevalence of dental calculus after delivery, which was greater in pregnant women with excessive GWG ( P < 0.001; Table 3 ). These findings are probably related to worsening oral hygiene behaviours in both groups after delivery ( P < 0.001) 43,44 , which may be the result of a lack of time in women occupied with child care ( Table 2 ) 16 .…”

Section: Discussionmentioning

confidence: 99%

“…Education level was graded on a numeric scale from illiterate to doctorate, as previously described by Foratori‐Junior et al 16 Similarly, monthly household income was categorised in levels also described by Foratori‐Junior et al 16 …”

Section: Methodsmentioning

confidence: 99%

“…Probing pocket depth (PPD) and clinical attachment level (CAL) were considered when diagnosing periodontitis, as described by Caracho et al 26 PPD was calculated from the free gingival margin to the bottom of the periodontal pocket, while CAL was calculated from the cementoenamel junction to the base of the periodontal pocket 16,26 .…”

Section: Methodsmentioning

confidence: 99%

“…Being overweight or obese is associated with inflammation of the periodontal tissues as a result of the presence of inflammatory cytokines and adipokines, such as tumour necrosis factor‐α (TNF‐α), interleukin‐6 (IL‐6) and leptin, that are secreted by the patients’ adipose tissue 15 and cause a generalised inflammatory state in the body 16 . Some studies have highlighted that periodontitis in pregnant women has a potential association with preterm birth and low newborn weight 17–20 .…”

Section: Introductionmentioning

confidence: 99%

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Periodontal status of women with excessive gestational weight gain and the association with their newborns’ health

Jesuino

Foratori‐Junior

Missio

et al. 2020

International Dental Journal

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The aim of this study was to assess the association between high gestational weight gain and systemic and periodontal status of women between the 32nd and 36th gestational weeks of pregnancy (T1) and after delivery (T2), and the association of these factors with newborns' health. Methods: The sample was divided into excessive gestational weight gain (GE = 25) and normal gestational weight gain (GN = 25) and was evaluated regarding: (i) socioeconomic status; (ii) systemic and periodontal status; and (iii) newborns' health. The results were analysed using the Mann-Whitney U-test, the t-test, the Friedman test, analysis of variance (ANOVA) and Cochran's Q test (P < 0.05). Results: Women with GE had lower household income (P = 0.010) and higher body mass index (BMI) at both T1 and T2. The prevalence of hypertension at T1 was higher in women with GE, but the condition resolved post-delivery (P = 0.001). Worsening in oral hygiene was observed at T2 in both groups (P < 0.001). Sixty-eight percent of women with GE and 16% of women with GN had periodontitis at T1, and 52% and 12%, respectively, had periodontitis at T2. In women with GE, the BMI of newborns was higher (P = 0.031). Conclusions: Women with high gestational weight gain also showed a high prevalence of hypertension and periodontitis during pregnancy, and persistent periodontitis after delivery. High gestational weight gain was related to high BMI of newborns.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Periodontal status of women with excessive gestational weight gain and the association with their newborns’ health

Jesuino

Foratori‐Junior

Missio

et al. 2020

International Dental Journal

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Excessive weight in pregnant women increases the chance of diagnosing periodontitis combined with tooth loss

Batista,

Figueiredo,

Souza

et al. 2024

Journal of Periodontology

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BackgroundExcess weight (EW), especially in women of childbearing age, those who are pregnant, as well as postpartum, is a problem worldwide. Fat accumulation deregulates the inflammatory response, contributing to the development of health problems, such as periodontitis. This study investigated the association between EW and periodontitis during pregnancy.MethodsA cross‐sectional, multicenter study involved 1745 postpartum women in Brazil. Socioeconomic‐demographic data, gestational history, lifestyle behavior, and general and oral health conditions were obtained. Pre‐pregnancy body mass index (BMI) was collected from medical records with EW being the exposure. Both tooth loss and clinical attachment level (CAL) were evaluated, and the presence of periodontitis was the outcome. Logistic regression, odds ratio (OR) and 95% confidence interval (95% CI), and quantile regression, beta coefficient and 95% CI, estimated the association between EW (BMI) and periodontitis and its combined effect with tooth loss ≥3, as dichotomous and continuous variables (CAL and tooth loss), with 5% significance level.ResultsThe EW was 27.7% prevalent and periodontitis was 11.7%. There was a positive association between EW and periodontitis: ORadjusted:1.39; 95% CI:1.01;1.92 and between EW and periodontitis combined with tooth loss ≥3: ORadjusted:1.73; 95% CI:1.36;2.20. The adjusted association between EW and periodontitis as continuous variables was also positive, showing that for each unit of increased BMI, there was an elevation in the mean CAL (p = 0.04) and tooth loss (p < 0.01), with statistical significance.ConclusionsThere was a moderate association between EW and periodontitis during pregnancy, with an even greater association of pregnant women with EW presenting periodontitis combined with tooth loss.

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Oral and general health conditions involved in periodontal status during pregnancy: a prospective cohort study

Gil-Montoya

Rivero-Blanco

León-Ríos

et al. 2022

Arch Gynecol Obstet

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Purpose Pregnancy is a period in a woman’s life that has important consequences on oral health, particularly for gingival health. Present study aims to identify women at higher risk of developing periodontal disease (gingivitis and periodontitis) during late pregnancy and evaluate how this condition evolves during this period. Methods Prospective cohort study was designed with pregnant women who were assessed during the first and third trimesters of gestation in a southern Spanish public hospital. Data regarding gingival and periodontal health, oral hygiene, and overall health status (obesity and diabetes mellitus) were collected. Reporting followed STROBE checklist. Results Significantly higher number of women had the periodontal and gingival disease in the third trimester of gestation compared with in early pregnancy. In the third trimester of gestation, 42 (28.6%) and 63 (42.9%) of women presented symptoms of periodontal disease and gingival disease, respectively. Obesity (OR 2.834; 95%CI 0.919–8.741), worse oral hygiene during the first trimester of gestation (OR: 4.031; 95%CI 2.12–7.65), and periodontal disease during early pregnancy (OR: 15.104; 95%CI 3.60–63.36) most effectively predicted periodontal disease during late pregnancy. Conclusions Pregnancy is associated with exacerbated periodontal and gingival disease symptoms throughout the different trimesters of gestation. Obesity and oral hygiene during early pregnancy were the risk factors that most contributed to the aforementioned changes in periodontal disease.

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Systemic and periodontal conditions of overweight/obese patients during pregnancy and after delivery: a prospective cohort

Cited by 32 publications

References 48 publications

Periodontal status of women with excessive gestational weight gain and the association with their newborns’ health

Periodontal status of women with excessive gestational weight gain and the association with their newborns’ health

Excessive weight in pregnant women increases the chance of diagnosing periodontitis combined with tooth loss

Oral and general health conditions involved in periodontal status during pregnancy: a prospective cohort study

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