Banner Portal
Is obesity associated with tooth loss due to caries?
PDF

Keywords

Epidemiology
Tooth loss
Dental caries
Obesity

How to Cite

1.
Chisini LA, Queiroz AB de L, Vareira de Lima F, Silva LJ da, Gonzalez Cademartori M, Costa F dos S, et al. Is obesity associated with tooth loss due to caries? A cross-sectional study. Braz. J. Oral Sci. [Internet]. 2021 Jan. 5 [cited 2024 Apr. 26];19:e201088. Available from: https://periodicos.sbu.unicamp.br/ojs/index.php/bjos/article/view/8661088

Abstract

Aim: To investigate the association between obesity, overweight, and tooth loss due to caries among university students of (Federal University of Pelotas) in southern Brazil. Methods: A cross-sectional study with all first-year students who regularly enrolled in the first semester of 2016 who were invited to respond to a self-administered questionnaire contain socioeconomic and demographic; psychosocial; oral health; behavioral questions. The body mass index (BMI) was calculated through the self-reported data of weight and height. The main outcome of the present study was determined by the person’s that answer having had at least one tooth extracted due to caries. A Poisson regression using a backward stepwise procedure was performed. Two models were tested: i) including socioeconomic and behavioral variables; ii) without behavioral variables. Results: From 3,237 eligible students, 2,089 (64.5%) participated in the present study. Almost 23% of students presented overweight and 8.4% obesity, whereas 362 individuals (17.5%) reported having had at least one tooth extracted due to caries. Regarding the final model adjusted by behavioral variables, it was observed that obese university students presented a 32.0% higher prevalence of tooth loss (PR=0.32,CI95%[1.17–1.49]). However, overweight was not associated with tooth loss in the present sample. When the model was not associated with behavioral variables, overweight was associated with tooth loss (PR=1.44; CI95%[1.15–1.81]), just as obesity (PR=2.13; CI95%[1.63 – 2.78]). Conclusions: Obesity and overweight were associated with tooth loss due to caries in the present sample of university students.

https://doi.org/10.20396/bjos.v19i0.8661088
PDF

References

Collaboration NCDRF. Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128.9 million children, adolescents, and adults. Lancet. 2017 Dec 16;390(10113):2627-42. doi: 10.1016/S0140-6736(17)32129-3.

Falagas ME, Kompoti M. Obesity and infection. Lancet Infect Dis. 2006 Jul;6(7):438-46. doi: 10.1016/S1473-3099(06)70523-0.

Peeters A, Barendregt JJ, Willekens F, Mackenbach JP, Al Mamun A, Bonneux L, et al. Obesity in adulthood and its consequences for life expectancy: a life-table analysis. Ann Intern Med. 2003 Jan;138(1):24-32. doi: 10.7326/0003-4819-138-1-200301070-00008.

Hayden C, Bowler JO, Chambers S, Freeman R, Humphris G, Richards D, et al. Obesity and dental caries in children: a systematic review and meta-analysis. Community Dent Oral Epidemiol. 2013 Aug;41(4):289-308. doi: 10.1111/cdoe.12014.

World Health Organization. Consideration of the evidence on childhood obesity for the Commission on Ending Childhood Obesity: report of the Ad hoc Working Group on Science and Evidence for Ending Childhood Obesity. Geneva: WHO; 2016.

Silva AE, Menezes AM, Demarco FF, Vargas-Ferreira F, Peres MA. Obesity and dental caries: systematic review. Rev Saude Publica. 2013 Aug;47(4):799-812. doi: 10.1590/S0034-8910.2013047004608.

Chisini LA, Cademartori MG, Conde MCM, Costa FDS, Salvi LC, Tovo-Rodrigues L, et al. Single nucleotide polymorphisms of taste genes and caries: a systematic review and meta-analysis. Acta Odontol Scand. 2020 Oct 25;1-9. doi: 10.1080/00016357.2020.1832253.

Peres MA, Sheiham A, Liu P, Demarco FF, Silva AE, Assuncao MC, et al. Sugar consumption and changes in dental caries from childhood to adolescence. J Dent Res. 2016 Apr;95(4):388-94. doi: 10.1177/0022034515625907.

Paisi M, Kay E, Kaimi I, Witton R, Nelder R, Christophi C, et al. Obesity and dental caries in young children in Plymouth, United Kingdom: a spatial analysis. Community Dent Health. 2018 Mar;35(1):58-64. doi: 10.1922/CDH_4214Paisi07.

Paisi M, Kay E, Kaimi I, Witton R, Nelder R, Potterton R, et al. Obesity and caries in four-to-six year old English children: a cross-sectional study. BMC Public Health. 2018 Feb;18(1):267. doi: 10.1186/s12889-018-5156-8.

Lock NC, Susin C, Brusius CD, Maltz M, Alves LS. Obesity and dental caries among South Brazilian schoolchildren: a 2.5-year longitudinal study. Braz Oral Res. 2019 Jul;33:e056. doi: 10.1590/1807-3107bor-2019.vol33.0056.

Fernandez MR, Goettems ML, Demarco FF, Correa MB. Is obesity associated to dental caries in Brazilian schoolchildren? Braz Oral Res. 2017 Nov;31:e83. doi: 10.1590/1807-3107BOR-2017.vol31.0083.

Alves LS, Susin C, Dame-Teixeira N, Maltz M. Overweight and obesity are not associated with dental caries among 12-year-old South Brazilian schoolchildren. Community Dent Oral Epidemiol. 2013 Jun;41(3):224-31. doi: 10.1111/cdoe.12010.

Peltzer K, Pengpid S. The Association of Dietary Behaviors and Physical Activity Levels with General and Central Obesity among ASEAN University Students. AIMS Public Health. 2017 Jun 23;4(3):301-13. doi: 10.3934/publichealth.2017.3.301.

Nascimento GG, Leite FR, Conceicao DA, Ferrua CP, Singh A, Demarco FF. Is there a relationship between obesity and tooth loss and edentulism? A systematic review and meta-analysis. Obes Rev. 2016 Jul;17(7):587-98. doi: 10.1111/obr.12418.

Costacurta M, DiRenzo L, Sicuro L, Gratteri S, De Lorenzo A, Docimo R. Dental caries and childhood obesity: analysis of food intakes, lifestyle. Eur J Paediatr Dent. 2014 Dec;15(4):343-8.

Alghamdi AA, Almahdy A. Association Between Dental Caries and Body Mass Index in Schoolchildren Aged Between 14 and 16 Years in Riyadh, Saudi Arabia. J Clin Med Res. 2017 Dec;9(12):981-6. doi: 10.14740/jocmr2958w.

Chisini LA, Cademartori MG, Collares K, Tarquinio SBC, Goettems ML, demarco FF, et al. Methods and logistics of an oral health cohort of university students from Pelotas, a Brazilian Southern city. Braz J Oral Sci. 2019;18:e191460. doi: 10.20396/bjos.v18i0.8655316.

Chisini LA, Cademartori MG, Collares K, Pires ALC, Correa MB, demarco FF. Desire of university students for esthetic treatment and tooth bleaching: a cross-sectional study. Braz J Oral Sci. 2019;18:e191648. doi: 10.20396/bjos.v18i0.8657267.

World Health Organization. Obesity: preventing and managing the global epidemic. Geneva: WHO; 2000.

Luppino FS, de Wit LM, Bouvy PF, Stijnen T, Cuijpers P, Penninx BW, et al. Overweight, obesity, and depression: a systematic review and meta-analysis of longitudinal studies. Arch Gen Psychiatry. 2010 Mar;67(3):220-9. doi: 10.1001/archgenpsychiatry.2010.2.

Speed MS, Jefsen OH, Borglum AD, Speed D, Ostergaard SD. Investigating the association between body fat and depression via Mendelian randomization. Transl Psychiatry. 2019 Aug;9(1):184. doi: 10.1038/s41398-019-0516-4.

Tyrrell J, Mulugeta A, Wood AR, Zhou A, Beaumont RN, Tuke MA, et al. Using genetics to understand the causal influence of higher BMI on depression. Int J Epidemiol. 2019 Jun;48(3):834-48. doi: 10.1093/ije/dyy223.

Arora G, Humphris G, Lahti S, Richards D, Freeman R. Depression, drugs and dental anxiety in prisons: A mediation model explaining dental decay experience. Community Dent Oral Epidemiol. 2020 Jun;48(3):248-55. doi: 10.1111/cdoe.12522.

Prpic J, Kuis D, Glazar I, Ribaric SP. Association of obesity with periodontitis, tooth loss and oral hygiene in non-smoking adults. Cent Eur J Public Health. 2013 Dec;21(4):196-201.

Brouns F. Overweight and diabetes prevention: is a low-carbohydrate-high-fat diet recommendable? Eur J Nutr. 2019 Apr;58(3):1339. doi: 10.1007/s00394-019-01959-w.

Modeer T, Blomberg CC, Wondimu B, Julihn A, Marcus C. Association between obesity, flow rate of whole saliva, and dental caries in adolescents. Obesity (Silver Spring). 2010 Dec;18(12):2367-73. doi: 10.1038/oby.2010.63.

Zhu Q, Scherer PE. Immunologic and endocrine functions of adipose tissue: implications for kidney disease. Nat Rev Nephrol. 2018 Feb;14(2):105-20. doi: 10.1038/nrneph.2017.157.

Chisini LA, Collares K, Cademartori MG, de Oliveira LJC, Conde MCM, Demarco FF, et al. Restorations in primary teeth: a systematic review on survival and reasons for failures. Int J Paediatr Dent. 2018 Mar;28(2):123-39. doi: 10.1111/ipd.12346.

Kantovitz KR, Pascon FM, Rontani RM, Gaviao MB. Obesity and dental caries--A systematic review. Oral Health Prev Dent. 2006;4(2):137-44.

Marshall TA, Eichenberger-Gilmore JM, Broffitt BA, Warren JJ, Levy SM. Dental caries and childhood obesity: roles of diet and socioeconomic status. Community Dent Oral Epidemiol. 2007 Dec;35(6):449-58. doi: 10.1111/j.1600-0528.2006.00353.x.

Willerhausen B, Blettner M, Kasaj A, Hohenfellner K. Association between body mass index and dental health in 1,290 children of elementary schools in a German city. Clin Oral Investig. 2007 Sep;11(3):195-200. doi: 10.1007/s00784-007-0103-6.

Pinto A, Kim S, Wadenya R, Rosenberg H. Is there an association between weight and dental caries among pediatric patients in an urban dental school? A correlation study. J Dent Educ. 2007 Nov;71(11):1435-40.

Kopycka-Kedzierawski DT, Auinger P, Billings RJ, Weitzman M. Caries status and overweight in 2- to 18-year-old US children: findings from national surveys. Community Dent Oral Epidemiol. 2008 Apr;36(2):157-67. doi: 10.1111/j.1600-0528.2007.00384.x.

Cereda MA, Faleiros SC, A.Q. O, Pinto GM, Tapia VR, Díaz CS, et al. [Prevalence of Dental decay in elementary school children and association with nutritional status]. Rev Chil Pediatr. 2010 Feb;81(1):28-36. doi: 10.4067/S0370-41062010000100004. Spanish.

Alm A, Fahraeus C, Wendt LK, Koch G, Andersson-Gare B, Birkhed D. Body adiposity status in teenagers and snacking habits in early childhood in relation to approximal caries at 15 years of age. Int J Paediatr Dent. 2008 May;18(3):189-96. doi: 10.1111/j.1365-263X.2007.00906.x.

Alm A, Isaksson H, Fahraeus C, Koch G, Andersson-Gare B, Nilsson M, et al. BMI status in Swedish children and young adults in relation to caries prevalence. Swed Dent J. 2011;35(1):1-8.

Bhandari A, Wagner T. Self-reported utilization of health care services: improving measurement and accuracy. Med Care Res Rev. 2006 Apr;63(2):217-35. doi: 10.1177/1077558705285298.

Silva AE, Menezes AM, Assuncao MC, Goncalves H, Demarco FF, Vargas-Ferreira F, et al. Validation of self-reported information on dental caries in a birth cohort at 18 years of age. PLoS One. 2014 Sep 9;9(9):e106382. doi: 10.1371/journal.pone.0106382.

Silva FBD, Chisini LA, Demarco FF, Horta BL, Correa MB. Desire for tooth bleaching and treatment performed in Brazilian adults: findings from a birth cohort. Braz Oral Res. 2018 Mar;32:e12. doi: 10.1590/1807-3107bor-2018.vol32.0012.

Sherry B, Jefferds ME, Grummer-Strawn LM. Accuracy of adolescent self-report of height and weight in assessing overweight status: a literature review. Arch Pediatr Adolesc Med. 2007 Dec;161(12):1154-61. doi: 10.1001/archpedi.161.12.1154.

Maukonen M, Mannisto S, Tolonen H. A comparison of measured versus self-reported anthropometrics for assessing obesity in adults: a literature review. Scand J Public Health. 2018 Jul;46(5):565-79. doi: 10.1177/1403494818761971.

Chisini LA, Conde MC, Correa MB, Dantas RV, Silva AF, Pappen FG, et al. Vital pulp therapies in clinical practice: findings from a survey with dentist in Southern Brazil. Braz Dent J. 2015;26(6):566-71. doi: 10.1590/0103-6440201300409.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright (c) 2020 Brazilian Journal of Oral Sciences

Downloads

Download data is not yet available.