Department of Periodontology, Dentistry School, Federal University of Minas Gerais, Antonio Carlos Avenue, 6627-Pampulha, PO Box 359, 31270-901, Belo Horizonte, Minas Gerais, Brazil.
Clin Oral Investig. 2012 Jun;16(3):727-34. doi: 10.1007/s00784-011-0554-7. Epub 2011 May 10.
This study evaluated the association between body mass index (BMI) and periodontal condition in a population of Brazilian women. A hospital convenience sample of 594 eligible women was recruited from a women's health reference center of Belo Horizonte, Brazil. Four groups were formed considering BMI levels: BMI normal group (n = 352), overweight (n = 54), obesity level I (n = 48), obesity level II (n = 56), and obesity level III (n = 74). Full-mouth periodontal examination was performed and biological, demographic, and behavioral risk variables were evaluated. Obese and overweight women showed statistically significant differences in bleeding on probing, probing depth and clinical attachment level ≥ 4 mm, and frequency of periodontitis (p < 0.05) compared to women showing normal BMI. The final multivariate model for the occurrence of periodontitis revealed that obesity groups were significantly associated with periodontitis. In addition, age (25-45), smoking, diabetes, and hypertension remained significantly associated with the occurrence of periodontitis (p < 0.05). Periodontitis was positively associated with obesity, and this association was more evident as obesity levels increases. These findings indicate the need for early diagnosis and the inclusion of periodontal care in health care programs for obese women.
本研究评估了巴西女性人群中体重指数（BMI）与牙周状况之间的关系。采用便利抽样方法，从巴西贝洛奥里藏特的一家女性健康参考中心招募了 594 名符合条件的女性。根据 BMI 水平将参与者分为 4 组：BMI 正常组（n = 352）、超重组（n = 54）、肥胖 I 级组（n = 48）、肥胖 II 级组（n = 56）和肥胖 III 级组（n = 74）。对所有参与者进行全口牙周检查，并评估生物学、人口统计学和行为风险变量。与 BMI 正常的女性相比，肥胖和超重女性的探诊出血、探诊深度和临床附着水平≥4mm 以及牙周炎的频率存在统计学显著差异（p<0.05）。牙周炎发生的最终多变量模型显示，肥胖组与牙周炎显著相关。此外，年龄（25-45 岁）、吸烟、糖尿病和高血压与牙周炎的发生仍显著相关（p<0.05）。牙周炎与肥胖呈正相关，且随着肥胖程度的增加，这种相关性更加明显。这些发现表明需要对肥胖女性进行早期诊断，并将牙周护理纳入医疗保健计划。
