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孕妇全身及牙周状况评估及其对新生儿出生体重的影响:一项前瞻性队列研究。

Assessment of Systemic and Periodontal Conditions in Pregnant Women and Their Impact on Neonatal Birth Weight: A Prospective Cohort Study.

作者信息

Jesuino Bruno Gualtieri, Foratori-Junior Gerson Aparecido, Castilho Ana Virgínia Santana Sampaio, da Silva Pinto Ana Carolina, Meira Gabriela de Figueiredo, Sales-Peres Sílvia Helena de Carvalho

机构信息

Department of Pediatric Dentistry, Orthodontics and Collective Health, Bauru School of Dentistry, University of São Paulo, Bauru 05508-220, São Paulo, Brazil.

Department of Biological Sciences, Bauru School of Dentistry, University of São Paulo, Bauru 05508-220, São Paulo, Brazil.

出版信息

Int J Environ Res Public Health. 2025 Feb 27;22(3):355. doi: 10.3390/ijerph22030355.

DOI:10.3390/ijerph22030355
PMID:40238398
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11942014/
Abstract

The aim of this study was to assess some variables of women in the 27th week of pregnancy and after childbirth, in addition to determining which of these variables were associated with low birth weight during the coronavirus disease (COVID-19) pandemic. The patients were divided into two groups: mothers with normal-weight babies (G1 = 60) and mothers with below-normal-weight babies (G2 = 16). The variables assessed were education, monthly family income, anthropometric parameters, systemic health, periodontal condition, oral hygiene habits, Oral Health Impact Profile-14 results, data from the babies at birth, and a COVID-19 diagnosis during pregnancy. The mothers in G1 showed greater weight gain during pregnancy. There was an increase in tooth plaque percentage, probing pocket depth, and clinical attachment level during the study period for both groups and an increase in periodontitis cases in the patients from G1. The mothers from G1 had longer pregnancy periods and delivered taller babies with a higher body mass index. A one-unit increase in weight during pregnancy decreases the likelihood of having a below-normal-weight baby by 11.3% [confidence interval = 2.4-20.4%]. Weight gain during pregnancy is a protective factor that decreases the likelihood of babies being born with below-normal weights.

摘要

本研究的目的是评估妊娠第27周及产后女性的一些变量,此外还确定在冠状病毒病(COVID-19)大流行期间,这些变量中的哪些与低出生体重有关。患者被分为两组:体重正常婴儿的母亲(G1 = 60)和体重低于正常婴儿的母亲(G2 = 16)。评估的变量包括教育程度、家庭月收入、人体测量参数、全身健康状况、牙周状况、口腔卫生习惯、口腔健康影响量表-14结果、婴儿出生时的数据以及孕期的COVID-19诊断情况。G1组的母亲在孕期体重增加更多。在研究期间,两组的牙菌斑百分比、探诊深度和临床附着水平均有所增加,G1组患者的牙周炎病例也有所增加。G1组的母亲孕期更长,分娩出的婴儿更高,体重指数也更高。孕期体重每增加一个单位,生出体重低于正常婴儿的可能性就降低11.3%[置信区间 = 2.4 - 20.4%]。孕期体重增加是一个保护因素,可降低婴儿出生时体重低于正常水平的可能性。

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本文引用的文献

1
Pregnancy Outcomes in Women With SARS-CoV-2 Infection During the First and Second Waves of the COVID-19 Pandemic in a Tertiary Care Hospital in Ayodhya, Uttar Pradesh, India: A Comparative Study.印度北方邦阿约提亚一家三级护理医院在新冠疫情第一波和第二波期间感染新冠病毒2型的女性的妊娠结局:一项比较研究
Cureus. 2023 Feb 14;15(2):e34969. doi: 10.7759/cureus.34969. eCollection 2023 Feb.
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The Association of Periodontal Disease with Low Birth Weight Infants: A Case Control Study.牙周疾病与低体重儿的关联:一项病例对照研究。
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Association Between Periodontitis and Preterm Birth in a Cohort of Pregnant Women in Ivory Coast.科特迪瓦孕妇队列研究中牙周炎与早产的关系。
Oral Health Prev Dent. 2022 Oct 19;20:363-368. doi: 10.3290/j.ohpd.b3464893.
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Gestational diabetes mellitus and adverse pregnancy outcomes: systematic review and meta-analysis.妊娠期糖尿病与不良妊娠结局:系统评价与荟萃分析。
BMJ. 2022 May 25;377:e067946. doi: 10.1136/bmj-2021-067946.
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Association among gestational diabetes mellitus, periodontitis and prematurity: a cross-sectional study.妊娠期糖尿病、牙周炎与早产的相关性:一项横断面研究。
Arch Endocrinol Metab. 2022 Mar 8;66(1):58-67. doi: 10.20945/2359-3997000000435.
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COVID-19 in pregnancy: What we know from the first year of the pandemic.妊娠期 COVID-19:大流行第一年我们所了解的情况。
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The impact of COVID-19 on pregnancy outcomes: a systematic review and meta-analysis.COVID-19 对妊娠结局的影响:系统评价和荟萃分析。
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Systemic Condition, Periodontal Status, and Quality of Life in Obese Women During Pregnancy and After Delivery.孕期和产后肥胖女性的全身状况、牙周状况和生活质量。
Int Dent J. 2021 Oct;71(5):420-428. doi: 10.1016/j.identj.2020.12.012. Epub 2021 Jan 30.
10
Periodontal status of women with excessive gestational weight gain and the association with their newborns' health.妊娠期体重过度增加的女性的牙周状况及其与新生儿健康的关系。
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