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Evaluation of obesity in prevalence and severity of temporomandibular disorders

Grant number: 12/09900-1
Support Opportunities:Scholarships in Brazil - Master
Start date: November 01, 2012
End date: March 31, 2014
Field of knowledge:Health Sciences - Dentistry
Principal Investigator:Daniela Aparecida de Godoi Gonçalves
Grantee:Paula Cristina Jordani Ongaro
Host Institution: Faculdade de Odontologia (FOAr). Universidade Estadual Paulista (UNESP). Campus de Araraquara. Araraquara , SP, Brazil

Abstract

Obesity is a chronic and prevalent disorder. Beyond being a risk factor for cardiovascular disease, clinical evidence suggests that obesity and some types of chronic pain are comorbid. Accordingly, herein we hypothesize obesity is also comorbid to temporomandibular disorder (TMD). Aim: To test whether obesity, TMD pain, and severity of TMD pain are associated. Methods: Sample size calculations defined the sample as n = 230. Participants will be adults seeking dental care at the Araraquara School of Dentistry - UNESP. They will be stratified in with and without TMD (as per the RDC) and will undergo nutritional characterization. Sample will be described from a sociodemographic perspective. Other variables to be assessed using validated instruments include depression (Research Diagnostic Criteria for Temporomandibular Disorders- Axis II), migraine (ID-Migraine), allodynia (Allodynia Symptom Checklist (ASC 12)), obstructive sleep apnea (Berlin Questionnaire), and evaluate the grade of physical activity (International Physical Activity Questionnaire). Body mass index and abdominal circumference will be estimated, and bioimpedance will be conducted to determinate the visceral fat area. For univariate assessments of associations the chi-square test, one-way ANOVA or Kruskal-Wallis tests will be performed. Multivariate analysis will estimate TMD pain and severity of pain as a function of obesity after adjustments for gender, age, depression, sleep apnea, sedentary lifestyle, allodynia, migraine and musculoskeletal chronic pain. The significant level of 5% will be adopted.

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Scientific publications
(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)
JORDANI, P. C.; CAMPI, L. B.; CIRCELI, G. Z.; VISSCHER, C. M.; BIGAL, M. E.; GONCALVES, D. A. G.. Obesity as a risk factor for temporomandibular disorders. Journal of Oral Rehabilitation, v. 44, n. 1, p. 1-8, . (12/10935-4, 12/09900-1)
Academic Publications
(References retrieved automatically from State of São Paulo Research Institutions)
ONGARO, Paula Cristina Jordani. Avaliação da obesidade na prevalência e gravidade das disfunções temporomandibulares. 2014. Master's Dissertation - Universidade Estadual Paulista (Unesp). Faculdade de Odontologia. Araraquara Araraquara.