Systemic conditions and oral health-related quality of life of pregnant women of normal weight and who are overweight

Caracho, Rafaela Aparecida; Foratori‐Junior, Gerson Aparecido; Fusco, Nathália dos Santos; Jesuino, Bruno Gualtieri; Missio, Alana Luiza Trenhago; Sales-Peres, Sílvia Helena de Carvalho

doi:10.1111/idj.12547

Cited by 34 publications

(74 citation statements)

References 39 publications

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“…Comprehensive prenatal care should consider the biological aspects inherent to gestation and the family, as well as the social and economic determinants of health 26 . In our study, patients with excessive GWG had a lower monthly income ( Figure ) and higher BMI at all study assessment periods, including after childbirth ( Figure ).…”

Section: Discussionmentioning

confidence: 64%

“…Explanations for the high prevalence of hypertension found in women with excessive GWG has been described in detail elsewhere 26,33 . Hypertension is associated with vascular inflammation and endothelial disturbance 33,41,42 .…”

Section: Discussionmentioning

confidence: 99%

“…Previous findings have indicated an association between excessive weight and periodontal impairments during pregnancy 16,26,33,45,49–53 . Nonetheless, no study has focussed on specifically evaluating systemic and periodontal conditions in pregnant women with excessive GWG.…”

Section: Discussionmentioning

confidence: 99%

“…Probing pocket depth (PPD) and clinical attachment level (CAL) were considered when diagnosing periodontitis, as described by Caracho et al 26 PPD was calculated from the free gingival margin to the bottom of the periodontal pocket, while CAL was calculated from the cementoenamel junction to the base of the periodontal pocket 16,26 .…”

Section: Methodsmentioning

confidence: 99%

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Periodontal status of women with excessive gestational weight gain and the association with their newborns’ health

Jesuino

Foratori‐Junior

Missio

et al. 2020

International Dental Journal

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The aim of this study was to assess the association between high gestational weight gain and systemic and periodontal status of women between the 32nd and 36th gestational weeks of pregnancy (T1) and after delivery (T2), and the association of these factors with newborns' health. Methods: The sample was divided into excessive gestational weight gain (GE = 25) and normal gestational weight gain (GN = 25) and was evaluated regarding: (i) socioeconomic status; (ii) systemic and periodontal status; and (iii) newborns' health. The results were analysed using the Mann-Whitney U-test, the t-test, the Friedman test, analysis of variance (ANOVA) and Cochran's Q test (P < 0.05). Results: Women with GE had lower household income (P = 0.010) and higher body mass index (BMI) at both T1 and T2. The prevalence of hypertension at T1 was higher in women with GE, but the condition resolved post-delivery (P = 0.001). Worsening in oral hygiene was observed at T2 in both groups (P < 0.001). Sixty-eight percent of women with GE and 16% of women with GN had periodontitis at T1, and 52% and 12%, respectively, had periodontitis at T2. In women with GE, the BMI of newborns was higher (P = 0.031). Conclusions: Women with high gestational weight gain also showed a high prevalence of hypertension and periodontitis during pregnancy, and persistent periodontitis after delivery. High gestational weight gain was related to high BMI of newborns.

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Section: Discussionmentioning

confidence: 64%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Periodontal status of women with excessive gestational weight gain and the association with their newborns’ health

Jesuino

Foratori‐Junior

Missio

et al. 2020

International Dental Journal

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“…They cover aspects such as pain perceptions, eating di culties, sleeping disorders or self-consciousness [14]. Speci cally, the short version of the OHIP questionnaire (OHIP-14) has been extensively used in different populations, such as with pregnant women [9,10,[15][16][17][18]. It has also been validated within a Spanish population [19].…”

Section: Introductionmentioning

confidence: 99%

Changes in Oral Health-Related Quality of Life during Pregnancy

Gil-Montoya¹,

León-Ríos²,

Rivero³

et al. 2021

Preprint

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PurposeTo evaluate the evolution of perceived quality of life in relation to oral health during pregnancy and to determine the risk factors involved in this process. MethodsA follow-up study was carried out with pregnant Spanish women. Two oral examinations and an oral health-related quality of life (OHRQoL) assessment, using the OHIP-14 questionnaire, were performed in the first and third trimester of pregnancy. Data on sociodemographic characteristics, medical history, O’Sullivan Test measures, oral hygiene habits, history of caries, and periodontal status of participants were collected through structured medical-dental questionnaires. ResultsA complete dataset comprising 246 pregnant women was available for analysis. Overall scores for negative impacts on the OHIP questionnaire were significantly higher during late pregnancy (74%). This indicated a deterioration in oral health-related quality of life amongst participants. Items describing “painful aching”, “self-consciousness”, “unsatisfactory diet”, and “interrupted meals” showed the greatest increase between the first and third trimester of gestation. Multivariate analysis showed that pre-gestational/gestational diabetes mellitus and poor oral hygiene habits during the first trimester of gestation were directly associated with worse oral health-related quality of life during the third trimester of gestation (hyperglycemia: OR: 2.86; 95% CI: 1.019-8.050: p=0.043 / Oral Hygiene: OR: 1.33; 95% CI: 0.970-1.836; p=0.076). ConclusionsIn the present research, hyperglycemia during pregnancy and poor oral hygiene habits during the first trimester of gestation led to a higher risk of poor oral quality of life during late pregnancy.

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Excessive weight in pregnant women increases the chance of diagnosing periodontitis combined with tooth loss

Batista,

Figueiredo,

Souza

et al. 2024

Journal of Periodontology

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BackgroundExcess weight (EW), especially in women of childbearing age, those who are pregnant, as well as postpartum, is a problem worldwide. Fat accumulation deregulates the inflammatory response, contributing to the development of health problems, such as periodontitis. This study investigated the association between EW and periodontitis during pregnancy.MethodsA cross‐sectional, multicenter study involved 1745 postpartum women in Brazil. Socioeconomic‐demographic data, gestational history, lifestyle behavior, and general and oral health conditions were obtained. Pre‐pregnancy body mass index (BMI) was collected from medical records with EW being the exposure. Both tooth loss and clinical attachment level (CAL) were evaluated, and the presence of periodontitis was the outcome. Logistic regression, odds ratio (OR) and 95% confidence interval (95% CI), and quantile regression, beta coefficient and 95% CI, estimated the association between EW (BMI) and periodontitis and its combined effect with tooth loss ≥3, as dichotomous and continuous variables (CAL and tooth loss), with 5% significance level.ResultsThe EW was 27.7% prevalent and periodontitis was 11.7%. There was a positive association between EW and periodontitis: ORadjusted:1.39; 95% CI:1.01;1.92 and between EW and periodontitis combined with tooth loss ≥3: ORadjusted:1.73; 95% CI:1.36;2.20. The adjusted association between EW and periodontitis as continuous variables was also positive, showing that for each unit of increased BMI, there was an elevation in the mean CAL (p = 0.04) and tooth loss (p < 0.01), with statistical significance.ConclusionsThere was a moderate association between EW and periodontitis during pregnancy, with an even greater association of pregnant women with EW presenting periodontitis combined with tooth loss.

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Systemic conditions and oral health-related quality of life of pregnant women of normal weight and who are overweight

Cited by 34 publications

References 39 publications

Periodontal status of women with excessive gestational weight gain and the association with their newborns’ health

Periodontal status of women with excessive gestational weight gain and the association with their newborns’ health

Changes in Oral Health-Related Quality of Life during Pregnancy

Excessive weight in pregnant women increases the chance of diagnosing periodontitis combined with tooth loss

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