Santos Taise, Cury Patricia Ramos, Santos Edvaldo, Vasconcelos Rebeca, Santos Jean Nunes Dos, Ramalho Luciana Maria Pedreira
Oral Health Prev Dent. 2019;17(2):173-177. doi: 10.3290/j.ohpd.a42374.
To evaluate the association of severe periodontitis with overweight and obesity.
Full-mouth periodontal examination was performed on a random sample of 80 obese, 69 overweight and 87 normal-weight individuals (≥ 18 years). Severe periodontitis was defined using the Centers for Disease Control and Prevention - American Academy of Periodontology (CDC-AAP) case classification. Weight (kg) and height (m) were measured by a single examiner, body mass index (BMI) was calculated, and the subjects were classified as normal range, overweight and obese according to World Health Organization definitions. Interviews using a structured questionnaire were performed to collect data on demographics as well as socioeconomic and health status. Chi-squared and logistic regression tests were used to assess the association between severe periodontitis and obesity (p ≤ 0.05).
Although severe periodontitis was significantly associated with obesity (OR = 3.25, 95% CI = 1.27-8.31, p = 0.01), it was not associated with overweight (p = 0.59).
In the present study, severe periodontitis was associated with obesity but not with overweight. Patients diagnosed with obesity should be referred for periodontal evaluation.
评估重度牙周炎与超重及肥胖之间的关联。
对80名肥胖、69名超重及87名体重正常（≥18岁）的个体进行随机抽样，进行全口牙周检查。采用美国疾病控制与预防中心-美国牙周病学会（CDC-AAP）病例分类法定义重度牙周炎。由一名检查者测量体重（kg）和身高（m），计算体重指数（BMI），并根据世界卫生组织的定义将受试者分为正常范围、超重和肥胖。使用结构化问卷进行访谈，收集人口统计学以及社会经济和健康状况的数据。采用卡方检验和逻辑回归检验评估重度牙周炎与肥胖之间的关联（p≤0.05）。
尽管重度牙周炎与肥胖显著相关（OR=3.25，95%CI=1.27-8.31，p=0.01），但与超重无关（p=0.59）。
在本研究中，重度牙周炎与肥胖相关，但与超重无关。被诊断为肥胖的患者应转诊进行牙周评估。
