Foratori-Junior Gerson-Aparecido, Jesuino Bruno-Gualtieri, Castilho Ana-Virgínia-Santana-Sampaio, Sales-Peres Silvia-Helena-de Carvalho
Department of Pediatric Dentistry, Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo, Bauru, São Paulo, Brazil.
J Clin Exp Dent. 2021 Nov 1;13(11):e1140-e1146. doi: 10.4317/jced.58789. eCollection 2021 Nov.
The aim of this study was to assess the periodontal condition and quality of life of pregnant women affected with both overweight/obesity and arterial hypertension.
Pregnant women were dived into three groups: with overweight/obesity and hypertension (G1 = 23), with overweight/obesity without hypertension (G2 = 31) and with normal BMI and without hypertension (G3 = 38). They were evaluated regarding: contextual variables (age, socioeconomic level and anthropometric parameters); periodontal status; and quality of life (adapted version of Oral Health Impact Profile - OHIP-14). ANOVA, Kruskal-Wallis, chi-square and binary logistic regression model were adopted (< 0.05).
There were no intergroup differences for age ( = 0.700), education level ( = 0.119) and gestational weight gain ( = 0.415), nevertheless G2 differed from G3 regarding household monthly income ( = 0.040). G2 had higher prevalence of bleeding on probing than G3 ( = 0.001), but G1 and G2 presented higher prevalence of periodontitis (< 0.001). Household monthly income (adjusted OR = 0.71; 95% CI = 0.52 - 0.98; = 0.038) and hypertension (adjusted OR = 3.70; 95% CI = 1.16 - 11.80; = 0.026) remained in the final logistic regression model [X2(4) = 21.79; = 0.0002; R2 of Nagelkerke = 0.284]. G1 showed worse impact on quality of life, mainly regarding physical pain (< 0 .001), psychological discomfort (< 0 .001), physical disability (< 0 .001), social disability ( = 0.005) and handicap (< 0 .001).
In conclusion, maternal excessive weight is associated with periodontitis during pregnancy. Moreover, the presence of hypertension in overweight pregnant women seems to be determinant to negatively influence their quality of life, resulting in physical, psychological and social damages. Hypertension, obesity, overweight, periodontitis, quality of life.
本研究的目的是评估超重/肥胖且患有动脉高血压的孕妇的牙周状况和生活质量。
将孕妇分为三组：超重/肥胖且患有高血压（G1 = 23例）、超重/肥胖但无高血压（G2 = 31例）以及BMI正常且无高血压（G3 = 38例）。对她们进行了以下评估：背景变量（年龄、社会经济水平和人体测量参数）；牙周状况；以及生活质量（口腔健康影响程度量表 - OHIP - 14的改编版）。采用方差分析、克鲁斯卡尔 - 沃利斯检验、卡方检验和二元逻辑回归模型（<0.05）。
年龄（ = 0.700）、教育水平（ = 0.119）和孕期体重增加（ = 0.415）在组间无差异，不过G2与G3在家庭月收入方面存在差异（ = 0.040）。G2的探诊出血患病率高于G3（ = 0.001），但G1和G2的牙周炎患病率更高（<0.001）。家庭月收入（调整后的比值比 = 0.71；95%置信区间 = 0.52 - 0.98； = 0.038）和高血压（调整后的比值比 = 3.70；95%置信区间 = 1.16 - 11.80； = 0.026）保留在最终的逻辑回归模型中[X2(4) = 21.79； = 0.0002；Nagelkerke的R2 = 0.284]。G1对生活质量的影响更差，主要体现在身体疼痛（<0.001）、心理不适（<0.001）、身体残疾（<0.001）、社会残疾（ = 0.005）和功能障碍（<0.001）方面。
总之，孕期母亲体重超标与牙周炎有关。此外，超重孕妇患高血压似乎是对其生活质量产生负面影响的决定性因素，会导致身体、心理和社会方面的损害。高血压、肥胖、超重、牙周炎、生活质量。
