Al Habashneh Rola, Azar Wesam, Shaweesh Ashraf, Khader Yousef
Preventive Department, College of Dentistry, Jordan University of Science and Technology, Irbid, Jordan.
Preventive Department, College of Dentistry, Jordan University of Science and Technology, Irbid, Jordan.
Obes Res Clin Pract. 2016 Jan-Feb;10(1):15-23. doi: 10.1016/j.orcp.2015.03.010. Epub 2015 Apr 15.
Periodontitis and overweight/obesity prevalence are both increasing worldwide. Overweight/obesity has been suggested as a risk factor for developing periodontitis. The aim of this study was to determine the association between obesity and periodontitis among postmenopausal Jordanian women.
Cross-sectional associations between obesity and periodontitis were examined in 400 postmenopausal women aged 50-79 years. All women completed a questionnaire, had a clinical periodontal examination and had their weight and height recorded. Multivariable analysis was carried out using logistic regression with adjustment for possible confounders.
Based on body mass index (BMI), 23.5% of the women were considered overweight and 70% were obese. Obese participants with BMI≥25 had decreased odds (OR) for having periodontitis compared to participants with normal weight (OR: 0.54; 95% confidence interval [CI]: 0.27-0.87). The obese patients showed significantly higher loss of clinical attachment (CAL), calculus, as well as plaque and gingival index and as compared to normal and overweight (p<0.01). The extent of periodontal disease was also significantly higher in obese women as measured by average percent of sites with the deepest CAL≥5 mm (p=0.025). There was no significant difference in mean and percentage of sites with alveolar crestal bone loss (ACH) among different categories of obesity. In conclusion, BMI may be inversely associated with prevalence of periodontitis but positively related to the severity of periodontitis assessed by several periodontal parameters such as CAL, recession, plaque, and calculus. Additional prospective studies to further quantify, or understand the mechanisms, of this association are merited.
牙周炎和超重/肥胖的患病率在全球范围内都在上升。超重/肥胖被认为是患牙周炎的一个风险因素。本研究的目的是确定约旦绝经后女性中肥胖与牙周炎之间的关联。
对400名年龄在50 - 79岁的绝经后女性进行了肥胖与牙周炎之间的横断面关联研究。所有女性都完成了一份问卷，接受了临床牙周检查，并记录了体重和身高。使用逻辑回归进行多变量分析，并对可能的混杂因素进行调整。
根据体重指数（BMI），23.5%的女性被认为超重，70%为肥胖。与体重正常的参与者相比，BMI≥25的肥胖参与者患牙周炎的几率（OR）降低（OR：0.54；95%置信区间[CI]：0.27 - 0.87）。与正常体重和超重者相比，肥胖患者的临床附着丧失（CAL）、牙石以及菌斑和牙龈指数明显更高（p<0.01）。以CAL≥5 mm最深部位的平均百分比衡量，肥胖女性的牙周疾病程度也明显更高（p = 0.025）。在不同肥胖类别中，牙槽嵴顶骨丧失（ACH）部位的平均值和百分比没有显著差异。总之，BMI可能与牙周炎患病率呈负相关，但与通过CAL、牙龈退缩、菌斑和牙石等几个牙周参数评估的牙周炎严重程度呈正相关。值得进行更多前瞻性研究以进一步量化或了解这种关联的机制。
