Evaluation of systemic conditions, tooth loss, body image, and quality of life of women with obesity and women who underwent gastric bypass surgery.

Autor: Foratori-Junior GA; Department of Pediatric Dentistry, Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo, Bauru, São Paulo, Brazil.; University of Integrated Faculties of Ourinhos, Ourinhos, São Paulo, Brazil., Máscoli LS; Department of Pediatric Dentistry, Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo, Bauru, São Paulo, Brazil., Jesuino BG; Department of Pediatric Dentistry, Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo, Bauru, São Paulo, Brazil., Missio ALT; Department of Pediatric Dentistry, Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo, Bauru, São Paulo, Brazil., Sales-Peres SHC; Department of Pediatric Dentistry, Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo, Bauru, São Paulo, Brazil.
Jazyk: angličtina
Zdroj: Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry [Spec Care Dentist] 2020 Mar; Vol. 40 (2), pp. 151-159. Date of Electronic Publication: 2020 Feb 21.
DOI: 10.1111/scd.12453
Abstrakt: Aim: To evaluate the systemic conditions, tooth loss, oral health, body image perceptions, and quality of life of women with obesity and women who underwent bypass surgery.
Methods and Results: Sixty women were classified into the gastric bypass (G1, n = 30) and obesity (G2, n = 30) groups, and their systemic condition, oral health perception, oral hygiene, tooth loss, body image perception (Stunkard scale), and quality of life (WHOQOL-bref) were evaluated. The t-test, Mann-Whitney, chi-square, and multiple linear regression were used for statistical analysis (P < .05). G2 presented higher prevalence of hypertension (P = .020) and G1 higher prevalence of anemia (P = .040). G2 demonstrated less favorable perceptions of oral health, primarily associated with chewing (P = .0007) and speech (P = .005), and a lower frequency of dental floss usage (P = .047); however, there were no intergroup differences regarding the prevalence of missing teeth (P = .180). G1 demonstrated greater satisfaction with regard to their body image (P < .0001), contrary to those in G2, who negatively perceived the same (P = .001), particularly considering the physical, psychological, and environmental parameters (P < .05).
Conclusion: High body mass index (BMI) indicated a higher prevalence of hypertension and a negative impact on oral health perception and quality of life. However, bariatric surgery was associated with a positive body image perception and quality-of-life parameters.
(© 2020 Special Care Dentistry Association and Wiley Periodicals, Inc.)
Databáze: MEDLINE