Effect of obesity on periodontal attachment loss progression: a 5-year population-based prospective study

Citation:
Gaio, EJ, Haas AN, Rosing CK, Oppermann RV, Albandar JM, Susin C.  2016.  Effect of obesity on periodontal attachment loss progression: a 5-year population-based prospective study, Jul. J Clin Periodontol. 43:557-65., Number 7

Abstract:

AIM: The aim of this study was to assess the effect of overweight and obesity on periodontal attachment loss (PAL) progression in an urban population from south Brazil. METHODS: In 2001, a population-based oral health survey entitled "Epidemiology of periodontal diseases: the Porto Alegre Study" was conducted by drawing a probabilistic sample of 1586 individuals. After 5 years, 755 (participation rate: 47.6%) individuals were re-examined. For this analysis, self-reported diabetics, underweight individuals, and individuals with <6 teeth were excluded. Poisson regressions were used to calculate relative risks (RR) and 95% confidence intervals (CI) adjusted for sex, age, skin colour, education, socio-economic status, smoking and dental care. RESULTS: Five hundred and eighty-two individuals (333 males/249 females, 36.02 +/- 14.97 years) were included. Overall, obese individuals had significantly higher risk of experiencing PAL progression than individuals with normal weight after adjusting for important co-factors (RR = 1.36, 95% CI = 1.04-1.78). In a stratified analysis, no statistically significant associations were observed between PAL progression and obesity for males (RR = 1.13, 95% CI = 0.75-1.69), whereas obese females were at statistically significant higher risk than normal weight females (RR = 1.64, 95% CI = 1.11-2.43). CONCLUSION: Obesity appears to be a risk factor for PAL progression for females but not males in this developing country population.

Notes:

Gaio, Eduardo JoseHaas, Alex NogueiraRosing, Cassiano KuchenbeckerOppermann, Rui VicenteAlbandar, Jasim MSusin, CristianoengJ Clin Periodontol. 2016 Jul;43(7):557-65. doi: 10.1111/jcpe.12544. Epub 2016 May 19.

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