Association between arterial hypertension and periodontal status in morbidly obese patients who are candidates for bariatric surgery

Autor(es)

Foratori-Junior, Gerson Aparecido ^{[1, 2]} ; Mascoli, Leonardo Silva ^[1] ; Marchese, Carolina Cordeiro ^[1] ; Orenha, Eliel Soares ^[1] ; de Carvalho Sales-Peres, Silvia Helena ^[1]

Afiliação do(s) autor(es)

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

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

• Tipo de documento: Artigo Científico
• Fonte: INTERNATIONAL DENTAL JOURNAL; v. 71, n. 3, p. 242-249, JUN 2021.
• Citações Web of Science: 0

Resumo

Objective This study aimed to compare the systemic and periodontal conditions between morbidly obese patients with and without hypertension who were candidates for bariatric surgery. Methods The study cohort had 111 morbidly obese patients stratified into two groups: patients with (G1 = 54) and without (G2 = 57) arterial hypertension. The following characteristics were compared between the two groups: (i) education level; (ii) anthropometric parameters {[}weight, height, body mass index (BMI), waist and hip circumferences and waist-to-hip ratio (WHR)]; (iii) risk of developing cardiovascular diseases (based on patients' sex, age and WHR); (iv) behaviours regarding oral hygiene; and (v) periodontal status. Thet-test, Mann-WhitneyU-test, chi-square test and logistic regression were applied, with a significance level of 5%. Results Patients in G1 had a lower level of education (P = 0.002). There were no intergroup differences for weight (P = 0.211), height (P = 0.126), BMI (P = 0.551), waist circumference (P = 0.859) and WHR (P = 0.067); however, patients in G2 had a smaller hip circumference (P = 0.029), and 78% of patients in G1 had a high/very high risk of developing cardiovascular diseases. The prevalence of periodontitis was 72.2% (n = 39) in G1 and 38.6% (n = 22) in G2. On logistic regression analysis, age {[}adjusted odds ratio (OR) = 1.07; 95% CI = 1.01-1.13;P = 0.008) and the presence of arterial hypertension (OR = 2.77; 95% CI = 1.17-6.56;P = 0.019) were identified as the independent variables associated with periodontitis. Conclusion Morbid obesity and arterial hypertension are associated with a higher prevalence of cardiovascular diseases. Moreover, morbidly obese patients with hypertension have a higher prevalence of periodontitis and greater severity of periodontal disease than those without hypertension. (AU)

• Processo FAPESP: 13/19691-3 - Avaliação da perda dentária em pacientes obesos mórbidos: influência da síndrome metabólica no edentulismo
• Beneficiário: Gerson Aparecido Foratori Junior
• Modalidade de apoio: Bolsas no Brasil - Iniciação Científica