Systemic Condition, Periodontal Status, and Quality of Life in Obese Women During Pregnancy and After Delivery

Author(s)

Foratori-Junior, Gerson Aparecido ^{[1, 2]} ; Trenhago Missio, Alana Luiza ^[1] ; Orenha, Eliel Soares ^[1] ; de Carvalho Sales-Peres, Silvia Helena ^[1]

Affiliation

^[1] Univ Sao Paulo, Bauru Sch Dent, Dept Pediat Dent Orthodont & Publ Health, Al Octavio Pinheiro Brisolla 9-75, Bauru, SP - Brazil

^[2] Univ Integrated Fac Ourinhos, Ourinhos, SP - Brazil

• Document type: Journal article
• Source: INTERNATIONAL DENTAL JOURNAL; v. 71, n. 5, p. 420-428, OCT 2021.
• Web of Science Citations: 0

Abstract

Objective: To evaluate the systemic condition, periodontal status, and quality of life of obese women during pregnancy and after delivery. Methods: This prospective cohort consisted of 60 women examined in the third trimester of pregnancy (32nd-36th gestational week {[}T1]) and after delivery (T2) and were divided into elevated body mass index (BMI; GO = 30) and normal BMI (GN = 30) according to the World Health Organization. The variables assessed were: (1) gestational weight gain, arterial hypertension (AH), and diabetes mellitus; (2) oral hygiene behaviour (frequency of dental floss using and toothbrushing); (3) probing pocket depth (PPD), clinical attachment loss (CAL), bleeding on probing (BOP), and dental biofilm; and (4) quality of life (Oral Health Impact Project {[}OHIP]-14). Analysis of variance (ANOVA), Friedman, Cochran's Q and chi(2) tests, and logistic regression model were adopted (P <.05). Results: GO showed a higher frequency of AH in T1 (P <.001). Both groups decreased the frequency of dental floss use (P =.013) and toothbrushing (P <.001) and increased the percentage of dental biofilm in T2 (P <.001). GO presented a greater PPD and CAL in T1 and T2 and higher BOP in T1 (P <.001), demonstrating a negative impact in the following dimensions of Oral Health Impact Project-14 during T1 functional limitation (P =.020), physical disability (P =.020), and handicap (P =.021). Conclusion: Obese women presented higher prevalence of AH during pregnancy and higher prevalence of periodontitis in both periods. They showed a poor quality of life in T1 regarding functional limitation, physical disability, and handicap. (C) 2021 Published by Elsevier Inc. on behalf of FDI World Dental Federation. (AU)

• FAPESP's process: 18/20626-5 - Evaluation of the proteins differentially expressed in saliva associated with periodontitis during the 3rd trimester of pregnancy in obese and eutrophic patients
• Grantee: Gerson Aparecido Foratori Junior
• Support Opportunities: Scholarships in Brazil - Doctorate
• FAPESP's process: 18/25934-0 - Evaluation of proteins differentially expressed in saliva associated with periodontitis in obese and eutrophic pregnant women before and after labor
• Grantee: Silvia Helena de Carvalho Sales Peres
• Support Opportunities: Regular Research Grants
• 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
• FAPESP's process: 18/13990-2 - Impact of obesity on systemic and periodontal conditions of pregnant women assisted during the 3rd gestational trimester and after baby's birth
• Grantee: Alana Luiza Trenhago Missio
• Support Opportunities: Scholarships in Brazil - Scientific Initiation