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对肥胖女性和接受胃旁路手术的女性的全身状况、牙齿缺失、身体形象及生活质量的评估。

Evaluation of systemic conditions, tooth loss, body image, and quality of life of women with obesity and women who underwent gastric bypass surgery.

作者信息

Foratori-Junior Gerson Aparecido, Máscoli Leonardo Silva, Jesuino Bruno Gualtieri, Missio Alana Luiza Trenhago, Sales-Peres Silvia Helena de Carvalho

机构信息

Department of Pediatric Dentistry, Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo, Bauru, São Paulo, Brazil.

University of Integrated Faculties of Ourinhos, Ourinhos, São Paulo, Brazil.

出版信息

Spec Care Dentist. 2020 Mar;40(2):151-159. doi: 10.1111/scd.12453. Epub 2020 Feb 21.

Abstract

AIM

To evaluate the systemic conditions, tooth loss, oral health, body image perceptions, and quality of life of women with obesity and women who underwent bypass surgery.

METHODS AND RESULTS

Sixty women were classified into the gastric bypass (G1, n = 30) and obesity (G2, n = 30) groups, and their systemic condition, oral health perception, oral hygiene, tooth loss, body image perception (Stunkard scale), and quality of life (WHOQOL-bref) were evaluated. The t-test, Mann-Whitney, chi-square, and multiple linear regression were used for statistical analysis (P < .05). G2 presented higher prevalence of hypertension (P = .020) and G1 higher prevalence of anemia (P = .040). G2 demonstrated less favorable perceptions of oral health, primarily associated with chewing (P = .0007) and speech (P = .005), and a lower frequency of dental floss usage (P = .047); however, there were no intergroup differences regarding the prevalence of missing teeth (P = .180). G1 demonstrated greater satisfaction with regard to their body image (P < .0001), contrary to those in G2, who negatively perceived the same (P = .001), particularly considering the physical, psychological, and environmental parameters (P < .05).

CONCLUSION

High body mass index (BMI) indicated a higher prevalence of hypertension and a negative impact on oral health perception and quality of life. However, bariatric surgery was associated with a positive body image perception and quality-of-life parameters.

摘要

目的

评估肥胖女性和接受搭桥手术女性的全身状况、牙齿缺失情况、口腔健康状况、身体形象认知以及生活质量。

方法与结果

60名女性被分为胃搭桥组(G1,n = 30)和肥胖组(G2,n = 30),对她们的全身状况、口腔健康认知、口腔卫生、牙齿缺失情况、身体形象认知(斯汤卡德量表)以及生活质量(世界卫生组织生活质量简表)进行评估。采用t检验、曼-惠特尼检验、卡方检验和多元线性回归进行统计分析(P <.05)。G2组高血压患病率较高(P =.020),G1组贫血患病率较高(P =.040)。G2组对口腔健康的认知较差,主要与咀嚼(P =.0007)和说话(P =.005)有关,牙线使用频率较低(P =.047);然而,两组间牙齿缺失患病率无差异(P =.180)。与G2组相反,G1组对自己的身体形象更满意(P <.0001),G2组对此有负面认知(P =.001),尤其是在身体、心理和环境参数方面(P <.05)。

结论

高体重指数(BMI)表明高血压患病率较高,对口腔健康认知和生活质量有负面影响。然而,减肥手术与积极的身体形象认知和生活质量参数相关。

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