Oral health and Obesity in Brazilian elders: A longitudinal study

Autor(es)

do Nascimento Torres, Luisa Helena ^[1] ; De Marchi, Renato Jose ^[2] ; Hilgert, Juliana Balbinot ^[2] ; Hugo, Fernando Neves ^[2] ; Ismail, Amid Ibrahim ^[3] ; Ferreira Antunes, Jose Leopoldo ^[4] ; Rosario de Sousa, Maria da Luz ^[5]

Afiliação do(s) autor(es)

^[1] Univ Fed Santa Maria, Sch Dent, Dept Stomatol, Santa Maria, RS - Brazil

^[2] Univ Fed Rio Grande do Sul, Fac Dent, Dept Social & Prevent Dent, 2492 Ramiro Barcelos Ave, BR-90035003 Porto Alegre, RS - Brazil

^[3] Temple Univ, Maurice H Kornberg Sch Dent, Dept Oral Hlth Sci, Philadelphia, PA 19122 - USA

^[4] Univ Sao Paulo, Sch Publ Hlth, Dept Epidemiol, Sao Paulo - Brazil

^[5] Univ Estadual Campinas, Piracicaba Dent Sch, Dept Hlth Sci & Pediat Dent, Piracicaba - Brazil

• Tipo de documento: Artigo Científico
• Fonte: COMMUNITY DENTISTRY AND ORAL EPIDEMIOLOGY; v. 48, n. 6, p. 540-548, DEC 2020.
• Citações Web of Science: 0

Resumo

Objectives Obesity is an important risk factor for chronic diseases and can also result in greater mortality. The aim of this longitudinal study was to investigate whether poor oral health acts as a risk factor for obesity as indicated by body mass index (BMI) and waist circumference (WC). Methods We included in this analysis all participants who volunteered in a cohort study entitled `Carlos Barbosa Cohort Study-CBCS' in the city of Carlos Barbosa, Southern Brazil. The interview questionnaire comprised socio-demographic information, behavioural questions and medical history. Oral examinations and anthropometric assessments were carried out. The outcome was obesity measured by both BMI (>= 30 kg/m(2)) and WC (>0.80 for women and >0.94 for men). Variables were collected longitudinally. Those associated with the outcome and epidemiologically relevant to the conceptual framework participated in the analysis and were adjusted for socio-demographic, behavioural, general and oral health conditions. Results Six hundred and thirty-three independently living elders participated. The baseline mean age was 67.5 +/- 6.1 years. Individuals who never visited a dentist (OR = 3.02, 95% CI: 1.25-7.26) as well as participants who needed a dental prosthesis in the lower arch (OR = 4.38, 95% CI: 1.34-14.32) were more likely to be obese, through BMI and WC measures, respectively. Edentulous participants with complete dentures in both arches (OR = 0.23, 95% CI: 0.06-0.84) and those who perceived their oral health as unsatisfactory (OR = 0.41, 95% CI: 0.19-0.88) had a lower likelihood of being obese, according to BMI and WC measures. Conclusions Older persons with poor oral health may be at risk for general and central obesity, a relationship that may have important clinical implications. (AU)

• Processo FAPESP: 11/22541-8 - Condição bucal como preditora de mudanças na saúde geral de idosos independentes e seus fatores de risco: estudo de coorte de base populacional
• Beneficiário: Maria da Luz Rosario de Sousa
• Modalidade de apoio: Auxílio à Pesquisa - Regular