title: Association between severity of body mass index and periodontal condition in women.
abstract: This study evaluated the association between body mass index (BMI) and periodontal condition in a population of Brazilian women. A hospital convenience sample of 594 eligible women was recruited from a women's health reference center of Belo Horizonte, Brazil. Four groups were formed considering BMI levels: BMI normal group (n = 352), overweight (n = 54), obesity level I (n = 48), obesity level II (n = 56), and obesity level III (n = 74). Full-mouth periodontal examination was performed and biological, demographic, and behavioral risk variables were evaluated. Obese and overweight women showed statistically significant differences in bleeding on probing, probing depth and clinical attachment level ≥ 4 mm, and frequency of periodontitis (p < 0.05) compared to women showing normal BMI. The final multivariate model for the occurrence of periodontitis revealed that obesity groups were significantly associated with periodontitis. In addition, age (25-45), smoking, diabetes, and hypertension remained significantly associated with the occurrence of periodontitis (p < 0.05). Periodontitis was positively associated with obesity, and this association was more evident as obesity levels increases. These findings indicate the need for early diagnosis and the inclusion of periodontal care in health care programs for obese women.
authors.affiliation: Department of Periodontology, Dentistry School, Federal University of Minas Gerais, Antonio Carlos Avenue, 6627-Pampulha, PO Box 359, 31270-901, Belo Horizonte, Minas Gerais, Brazil.
authors.forename: André Luiz
authors.initials: AL
authors.lastname: Pataro
authors.forename: Fernando Oliveira
authors.initials: FO
authors.lastname: Costa
authors.forename: Sheila Cavalca
authors.initials: SC
authors.lastname: Cortelli
authors.forename: José Roberto
authors.initials: JR
authors.lastname: Cortelli
authors.forename: Mauro Henrique Nogueira Guimarães
authors.initials: MH
authors.lastname: Abreu
authors.forename: José Eustáquio
authors.initials: JE
authors.lastname: Costa
mesh_terms: D000328:Adult; D000367:Age Factors; D015992:Body Mass Index; D001938:Brazil; D048909:Diabetes Complications; D005260:Female; D006801:Humans; D006973:Hypertension / Q000150:complications; D008875:Middle Aged; D015999:Multivariate Analysis; D009765:Obesity / Q000150:complications*; D009910:Oral Hygiene / Q000706:statistics & numerical data; D050177:Overweight / Q000150:complications; D010518:Periodontitis / Q000150:complications*; D012307:Risk Factors; D012907:Smoking / Q000009:adverse effects; D012959:Socioeconomic Factors