Influence of body mass index on severity of dental caries: cross-sectional study in healthy adults

Idrees, Majdy; Hammad, Mohammad; Faden, Asmaa; Kujan, Omar

doi:10.5144/0256-4947.2017.444

Cited by 24 publications

(36 citation statements)

References 15 publications

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“…Previous publications are consistent with this finding. 29–31 These results vouch for the need to establish measures that promote habits for adequate oral hygiene among psychiatric inpatients.…”

Section: Discussionmentioning

confidence: 95%

Association between obesity/overweight and dental caries in psychiatric patients

et al. 2019

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BACKGROUND: Patients with psychiatric illness are more prone to develop obesity and dental caries due to general self-negligence associated with psychiatric illness and side effect of various medications used in psychiatry.OBJECTIVE: Assess the association between dental caries status and obesity among resident patients.DESIGN: Descriptive, cross-sectional.SETTING: Mental health hospital.PATIENTS AND METHODS: A sample of psychiatric in-patients was recruited. Dental caries detection was performed according to the World Health Organization criteria and body mass index (BMI) was measured. Relationships were assessed using multivariable logistic regression.MAIN OUTCOME MEASURES: Relationships between decayed, missing and filled teeth (DMFT) and obesity.SAMPLE SIZE: 223.RESULTS: The sample included 126 males and 97 female with a mean (SD) age of 42.3 (2.2) years. The prevalence of dental caries was 92.6%. The mean (SD) DMFT score was 5.2 (4.2). Twenty-seven percent were schizophrenic, 21.9% had mental retardation and 19.7% had bipolar mood disorder. The mean (SD) BMI was 27.7 (6.3) kg/m2. One hundred twenty-three (55.2%) of in-patients were classified as normal weight, 47 (21.1%) as overweight, and 45 (20.2%) as obese. The logistic regression model showed a strong association between caries and obesity/overweight (adjusted odds ratios=2.7; 95% CI=1.4 – 4.3, P<.001).CONCLUSION: The present study demonstrated a significant association between the frequency of caries and obesity/overweight among resident patients at a psychiatric hospital.LIMITATIONS: Since the data were cross-sectional, causal relationships cannot be established and the observed association could be due to other unexplored factors.CONFLICT OF INTEREST: None.

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Section: Discussionmentioning

confidence: 95%

Association between obesity/overweight and dental caries in psychiatric patients

et al. 2019

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“…Increasing prevalence of obesity is considered to be a significant public health problem in Saudi Arabia [ 3 ]. The primary cause of obesity is consumption of a high-calorie diet and a low calorie expenditure [ 4 ]. Additionally, physical inactivity and overweight are, respectively, found to be the fourth and fifth major causes of mortality worldwide, and are considered to be the leading risk factor for other systemic diseases like cardiovascular diseases, musculoskeletal diseases, and cancers of the liver, colon, and prostate [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Association of BMI, Diet, Physical Activity, and Oral Hygiene Practices with DMFT Index of Male Dental Students at King Faisal University, Al-Ahsa

et al. 2021

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Despite sufficient knowledge of good oral hygiene habits, dental students still suffer from oral health problems owing to dietary habits, obesity, and a sedentary lifestyle. This cross-sectional study was conducted to evaluate an association of BMI (body mass index), diet, physical activity, and oral hygiene practices with DMFT (decayed, missing, and filled teeth) of male dental students and interns at King Faisal University, Saudi Arabia, from August to September 2020. One hundred and eighty-five male participants completed the study questionnaire. The questionnaire consisted of sociodemographic information and nineteen close-ended questions about current diet, physical activity, and oral hygiene practices. Students’ height (cm) and weight (kg) were measured to calculate BMI. The principal investigator performed the oral clinical examinations for the DMFT status in the dental clinic. The chi-square test was used for the dichotomous variables and a t-test was used for the continuous variables. Linear and multinomial logistic regression were performed to detect the significant predictors of the DMFT score. The mean age of participants was 22.29 ± 2.13 years, and the BMI was 24.94 ± 3.36 (Kg/m2). Parents’ higher education and income levels were significantly (p < 0.001) associated with a higher BMI. Most dietary variables, especially sugar products, and low physical activity, were significantly (<0.047) associated with higher BMI. All oral hygiene practices, except miswak and mouthwash, were significantly (<0.003) associated with higher BMI. Decayed and missing teeth were significantly (<0.001) higher in the overweight and obese. A simple linear regression analysis demonstrated association between BMI and decayed teeth, with an R = 0.35 (<0.001); BMI and missing teeth had an R = 0.12 (p = 0.867); BMI and filled teeth had an R = 0.15 (p = 0.033), and BMI with DMFT had an R = 0.33 ((<0.001). This study demonstrated a strong significant association of the decayed and missing teeth with higher BMI levels. In addition, BMI was significantly associated with diet and physical activity, despite acceptable oral hygiene practices.

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“…In Saudi Arabia, obesity is a serious public health problem with a prevalence among the highest in the world. 17,18 In 2014, it was estimated that 34.7% of Saudi adults were obese and 69.6% were overweight. 18 Despite the high prevalence of obesity and overweight among the Saudi population, there is no published study that has explored the association between BMI and periodontal health status.…”

Section: Introductionmentioning

confidence: 99%

Body mass index and periodontal health status among young Saudi adults: a cross-sectional study

Dhaifullah¹,

Al‐Maweri²,

Koppolu

et al. 2019

Ann Saudi Med

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BACKGROUND: Obesity has been suggested as a risk factor for periodontal disease. Despite the high prevalence of obesity and over-weight among Saudi population, no study has assessed whether there is an association between periodontal health status and body mass index (BMI).OBJECTIVES: Assess the association between BMI and other variables with periodontal health status among young Saudi adults.DESIGN: Analytical, hospital-based cross-sectional study.SETTING: University dental hospital, Riyadh.PATIENTS AND METHODS: All dental students aged 21-35 years who met inclusion criteria were invited to participate in the study. Periodontal health status was assessed by the plaque index (PI), gingival index (GI) and community periodontal index (CPI) scores. Biometric measurements included weight, height and BMI. Multiple logistic regression was used to assess the association of independent variables with periodontal disease (CPI>2 vs CPI ≤2) and multiple linear regression models to assess associations with PI and GI.MAIN OUTCOME MEASURES: Periodontal health by BMI and other variables.SAMPLE SIZE: 308.RESULTS: Of 700 participants invited, 380 participated for a response rate of 54.2%. Slightly more than half of the obese subjects 54 (52%) did not brush their teeth regularly. The mean (standard deviation) PI and GI scores were significantly higher among the obese (PI score: 1.54 [0.45]); GI score: 1.52 [0.51]) and overweight (PI score: 1.36 [0.47]) and (GI score: 1.42 [0.57]) subjects when compared with subjects with normal weight (PI score: 1.27 [0.51]); (GI score: 1.31 [0.48]); (P<.05). No significant differences were seen between BMI groups in CPI scores. There were also no significant differences in the mean number and percentage of sextants between different BMI groups. The only signficant factor for periodontal disease in the multivariable analysis was toothbrushing.CONCLUSION: The present study shows a significant positive correlation between BMI and PI and GI scores. However, no statistically significant association was found between BMI and periodontal health status.LIMITATION: Cross-sectional, so not possible to assess the association of oral health and BMI over time.CONFLICT OF INTEREST: None.

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Influence of body mass index on severity of dental caries: cross-sectional study in healthy adults

Cited by 24 publications

References 15 publications

Association between obesity/overweight and dental caries in psychiatric patients

Association between obesity/overweight and dental caries in psychiatric patients

Association of BMI, Diet, Physical Activity, and Oral Hygiene Practices with DMFT Index of Male Dental Students at King Faisal University, Al-Ahsa

Body mass index and periodontal health status among young Saudi adults: a cross-sectional study

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