Systemic and periodontal conditions of overweight/obese patients during pregnancy and after delivery: a prospective cohort

Author(s)

Foratori-Junior, Gerson Aparecido ^[1] ; da Silva, Bruna Machado ^[1] ; da Silva Pinto, Ana Carolina ^[1] ; Honorio, Heitor Marque ^[1] ; Groppo, Francisco Carlos ^[2] ; de Carvalho Sales-Peres, Silvia Helena ^[1]

Affiliation

^[1] Univ Sao Paulo, Bauru Sch Dent, Dept Pediat Dent Orthodont & Publ Hlth, Bauru, SP - Brazil

^[2] Univ Estadual Campinas, Piracicaba Dent Sch, Dept Physiol Sci, Area Pharmacol, Campinas, SP - Brazil

• Document type: Journal article
• Source: CLINICAL ORAL INVESTIGATIONS; v. 24, n. 1, p. 157-165, JAN 2020.
• Web of Science Citations: 1

Abstract

Objective To evaluate the systemic and periodontal conditions, as well as the determinants of health in pregnant women with and without obesity/overweight during the second and third trimesters of pregnancy and after delivery. Materials and methods In the second trimester (T1), 93 pregnant women were divided into two groups with either excessive weight (G1, n = 53) or normal weight (G2, n = 40) and subsequently examined them in the third trimester of pregnancy (T2) and at least 2 months after delivery (T3). The following variables were analyzed: (a) systemic impairments during pregnancy-arterial hypertension (AH) and gestational diabetes mellitus (GDM); (b) oral hygiene behavior; (c) periodontal conditions; (d) anthropometric data and systemic health condition after pregnancy. The Mann-Whitney test, chi-squared test, ANOVA, and binary logistic regression were adopted (p < 0.05). Results G1 showed higher frequency of GDM and AH in T1 and T2, respectively (p = 0.047; p = 0.004). Both groups had worse oral hygiene behaviors after delivery. A higher frequency of periodontitis was found in all periods for G1 (p < 0.05). G2 showed improvement of all periodontal parameters after delivery, whereas G1 showed no difference regarding these parameters between time periods. Conclusion Pregnant women with excessive weight presented worse systemic and periodontal conditions during pregnancy and after delivery. (AU)

• FAPESP's process: 15/25421-4 - Oral condition, nutrition and quality of life: analyse in obese and non-obese patients before and after the labor
• Grantee: Gerson Aparecido Foratori Junior
• Support Opportunities: Scholarships in Brazil - Master