Oral health by obesity classification in young obese women – a cross-sectional study. (17th November 2022)

• Record Type: Journal Article
• Authors: Taghat, Negin; Lingström, Peter; Mossberg, Karin; Fändriks, Lars; Eliasson, Björn; Östberg, Anna-Lena
• Is Part Of: Acta odontologica Scandinavica. Volume 80:Number 8(2022)
• Page Start: 596
• Page End: 604
• Publication Date: 2022-11-17
• Subjects: BMI -- dental caries -- obesity -- oral health; Dentistry -- Periodicals; 617.6005
• DOI: 10.1080/00016357.2022.2063942
• Languages: English
• ISSNs: 0001-6357

Abstract

Abstract: Objective: To explore oral health by increasing degree of obesity and the influence of modifying factors. Materials and methods: A cross-sectional design was used. Swedish females ( n = 118; 18–35 years) with morbid obesity were recruited from the BAriatric SUbstitution and Nutrition study (BASUN). Body mass index (BMI) was used as continuous and categorized into 35–39.9 kg/m 2 /40–44.9 kg/m 2 /≥45 kg/m 2 . Oral examinations assessed dental caries using the ICDAS system, periodontal status and saliva characteristics. Information on sociodemographics, oral health behaviour and symptoms was collected via a questionnaire. Results: Mean BMI was 42.2 kg/m 3 (SD 4.0; range 35.0–63.7). Significantly higher frequencies of dentine caries ( p = .001) and total caries ( p = .046) were found with higher BMI with an increase in total caries by 0.59 tooth surface ( p = .025) for each increasing BMI degree. There were consistent associations between obesity and dentine caries for the group with the highest BMI (≥45), adjusted RR 2.08 (95% CI 1.20–3.61), and all stages of caries, adjusted RR 1.41 (95% CI 1.02–1.96). High scores were found for dental plaque (50.2%) and gingivitis (34.5%). Conclusion: Young obese women exhibited poor oral health with higher caries levels by higher BMI. Dental care should adapt the prevention efforts for obese individuals. Trial Registration: The trial was prospectively registered on March 03; 2015; NCT03152617