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Association Between Arterial Hypertension and Periodontal Status in Morbidly Obese Patients Who Are Candidates for Bariatric Surgery

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 wi...

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Autores principales: Foratori-Junior, Gerson Aparecido, Máscoli, Leonardo Silva, Marchese, Carolina Cordeiro, Orenha, Eliel Soares, Sales-Peres, Silvia Helena de Carvalho
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9275335/
https://www.ncbi.nlm.nih.gov/pubmed/34024333
http://dx.doi.org/10.1111/idj.12625
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author Foratori-Junior, Gerson Aparecido
Máscoli, Leonardo Silva
Marchese, Carolina Cordeiro
Orenha, Eliel Soares
Sales-Peres, Silvia Helena de Carvalho
author_facet Foratori-Junior, Gerson Aparecido
Máscoli, Leonardo Silva
Marchese, Carolina Cordeiro
Orenha, Eliel Soares
Sales-Peres, Silvia Helena de Carvalho
author_sort Foratori-Junior, Gerson Aparecido
collection PubMed
description 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. The t-test, Mann–Whitney U-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.
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spelling pubmed-92753352022-08-02 Association Between Arterial Hypertension and Periodontal Status in Morbidly Obese Patients Who Are Candidates for Bariatric Surgery Foratori-Junior, Gerson Aparecido Máscoli, Leonardo Silva Marchese, Carolina Cordeiro Orenha, Eliel Soares Sales-Peres, Silvia Helena de Carvalho Int Dent J Scientific Research Report 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. The t-test, Mann–Whitney U-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. Elsevier 2021-01-27 /pmc/articles/PMC9275335/ /pubmed/34024333 http://dx.doi.org/10.1111/idj.12625 Text en © 2021 Published by Elsevier Inc. on behalf of FDI World Dental Federation. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Scientific Research Report
Foratori-Junior, Gerson Aparecido
Máscoli, Leonardo Silva
Marchese, Carolina Cordeiro
Orenha, Eliel Soares
Sales-Peres, Silvia Helena de Carvalho
Association Between Arterial Hypertension and Periodontal Status in Morbidly Obese Patients Who Are Candidates for Bariatric Surgery
title Association Between Arterial Hypertension and Periodontal Status in Morbidly Obese Patients Who Are Candidates for Bariatric Surgery
title_full Association Between Arterial Hypertension and Periodontal Status in Morbidly Obese Patients Who Are Candidates for Bariatric Surgery
title_fullStr Association Between Arterial Hypertension and Periodontal Status in Morbidly Obese Patients Who Are Candidates for Bariatric Surgery
title_full_unstemmed Association Between Arterial Hypertension and Periodontal Status in Morbidly Obese Patients Who Are Candidates for Bariatric Surgery
title_short Association Between Arterial Hypertension and Periodontal Status in Morbidly Obese Patients Who Are Candidates for Bariatric Surgery
title_sort association between arterial hypertension and periodontal status in morbidly obese patients who are candidates for bariatric surgery
topic Scientific Research Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9275335/
https://www.ncbi.nlm.nih.gov/pubmed/34024333
http://dx.doi.org/10.1111/idj.12625
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