Systemic and oral conditions of pregnant women with excessive weight assisted in a private health system
| Autor: | Gerson Aparecido Foratori-Junior, Alana Luiza Trenhago Missio, Sílvia Helena de Carvalho Sales-Peres, Bruno Gualtieri Jesuino, Nathalia dos Santos Fusco |
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| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Health Status Oral Health Weight Gain Logistic regression PERIODONTIA Body Mass Index 03 medical and health sciences 0302 clinical medicine Periodontal disease Pregnancy medicine Humans 030212 general & internal medicine General Dentistry Periodontitis Scientific Research Report Obstetrics business.industry 030206 dentistry medicine.disease Obesity Pregnancy Complications Cross-Sectional Studies Gestation Female Observational study business Body mass index |
| Zdroj: | Repositório Institucional da USP (Biblioteca Digital da Produção Intelectual) Universidade de São Paulo (USP) instacron:USP Int Dent J |
| ISSN: | 0020-6539 |
| Popis: | Objective: This observational cross-sectional study aimed to evaluate systemic and oral conditions in pregnant women with excessive pre-pregnancy weight (PEW) and normal pre-pregnancy weight (PNW) who underwent follow-up in the private healthcare system during the third trimester of pregnancy. Methods: Fifty pregnant women were evaluated from August 2017 to February 2018 and divided into two groups: women with PEW (n = 25); and those with PNW (n = 25). Their weight and body mass index (BMI), periodontal disease status, stimulated salivary flow, and systemic condition were evaluated. Statistical analyses were conducted using t-test, Mann–Whitney test, chi-square test and binary logistic regression (P < 0.05). Results: The groups did not differ in age, educational level or monthly household income (P > 0.05). The PEW group had a higher frequency of arterial hypertension (P = 0.019) and excessive weight gain during gestation (P = 0.010), sought dental services less frequently, and had increased severity of periodontitis (P < 0.0001). Both groups presented low salivary flow, with no intergroup difference. In the final binary logistic regression models, high maternal pre-pregnancy BMI was a significant predictor of arterial hypertension and periodontitis during the third trimester of gestation; maternal excessive weight gain was also a significant predictor of periodontitis during pregnancy. Conclusion: Women with PEW who underwent follow-up in a private healthcare system had a higher prevalence of arterial hypertension and worse periodontal status during the third trimester of pregnancy as compared to women with normal weight. |
| Databáze: | OpenAIRE |
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