Oral status and its association with obesity in Southern Brazilian older people
Oral status and its association with obesity in Southern Brazilian older people
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DOI：
10.1111/j.1741-2358.2008.00226.x
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发表时间：
2009-03-01
期刊：
影响因子：
2
通讯作者：
Bozzetti, Mary Clarisse
中科院分区：
文献类型：
--
作者：
Hilgert, Juliana Balbinot;Hugo, Fernando Neves;Bozzetti, Mary Clarisse
失去功能性牙列会造成进食困难和食物回避，这可能对营养状况和健康有害。本研究的目的是调查巴西南部老年人中未使用义齿修复的牙齿脱落和全牙症是否与肥胖有关。采用横断面研究方法对872名独立生活老年人随机抽样进行评价。使用标准化问卷对社会人口、病史和行为数据进行评估。两名训练有素的牙医根据世卫组织标准评估了牙齿数量和假体的使用情况。评估身高和体重并用于生成体重指数（BMI =体重（公斤）/身高（厘米）(2)）数据。参与者被分为非肥胖组（BMI为30）。采用多因素logistic回归对牙齿数量和义齿使用之间的关系进行建模，并对混杂因素进行校正。多因素logistic回归显示，无牙者只戴上假牙（OR = 2.34, 95% CI 1.18-4.27）和有牙者有1 - 8颗牙齿，戴0比1义齿（OR = 2.96, 95% CI 1.68-5.19）更容易肥胖。结果表明，在巴西南部的老年人中，较差的口腔状况（表现为未更换假牙的牙齿较少）与肥胖有关，这表明较差的口腔状况与全身状况之间存在密切关系，这可能具有重要的临床意义。
The loss of a functional dentition imposes eating difficulties and food avoidance, which may be detrimental in terms of nutritional status and health. The objective of this study was to investigate whether tooth loss and edentulism that were not rehabilitated with dental prostheses were associated with obesity among elderly in Southern Brazil.A random sample of 872 independently living elderly was evaluated by means of a cross-sectional study. Socio-demographic, medical history and behaviour data were assessed using a standardised questionnaire. Two trained dentists assessed the number of teeth and use of prostheses in accordance with the WHO criteria. Height and weight were assessed and used to generate body mass index (BMI = weight (kilos)/height (cm)(2)) data. Participants were categorised into non-obese (BMI 30). Multivariate logistic regression was used to model the relationship between number of teeth and use of dental prostheses with obesity adjusting for confounders.Multivariate logistic regression revealed that edentulous persons wearing only upper dentures (OR = 2.34, 95% CI 1.18-4.27) and dentate participants with one to eight teeth wearing 0-to-1 prosthesis (OR = 2.96, 95% CI 1.68-5.19) were more likely to be obese.The results show that a poorer oral status, represented by having fewer teeth that were not replaced by dental prostheses, was associated with obesity in Southern Brazil older people, suggesting a close relationship between poor oral status and systemic conditions that may have important clinical implications.