Research Article
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Obezite yetişkinlerde ağız sağlığını tehdit eden bir sorun mu?

Year 2021, , 1215 - 1221, 30.09.2021
https://doi.org/10.17826/cumj.950243

Abstract

Amaç: Obezite, birçok gelişmiş ve gelişmekte olan ülkede ağız ve diş sağlığını doğrudan veya dolaylı olarak etkileyen, giderek artan olumsuz faktörlerden biridir. Bu çalışmada yetişkinlerde obezite ile diş problemleri arasındaki ilişkinin belirlenmesi ve obezitenin ağız ve diş sağlığı üzerindeki etkisinin araştırılması amaçlanmıştır.
Gereç ve Yöntem: Çeşitli diş şikayetleri ile başvuran 18 yaş üstü 200 hasta klinik ve radyolojik olarak muayene edildi. Dünya Sağlık Örgütü'nün belirlediği vücut kitle indeksine göre 50 sağlıklı kadın, 50 sağlıklı erkek, 50 obez kadın ve 50 obez erkek (sağlıklı birey < 30.0 kg / m2 ve 30.0 kg / m2 ≤ obez birey) olarak sınıflandırıldı. Tüm hastaların sosyodemografik özellikleri, dental sağlık durumları ve bulguları incelendi.
Bulgular: Obezite ile diş kaybı sayısı, çürük diş sayısı, eğitim durumu ve diş hekimine başvuru sıklığı arasında istatistiksel olarak anlamlı fark vardı. Obezite grubunda (%58) kontrol grubuna göre daha yüksek oranda periodontitis saptandı, buna karşın obezite ve periodontal durum arasındaki ilişki istatistiksel olarak anlamlı değildi.
Sonuç: Diş kaybı sayısı, çürük sayısı, periodontitis gibi dental problemler obezite grubunda daha fazlaydı ve bu sonuç obezitenin ağız ve diş sağlığını tehdit ettiğini göstermiştir. Bu sorunları önlemek için obez hastalarda önleyici stratejilere ve ağız ve diş sağlığı konusunda farkındalıklarının arttırılmasına ihtiyaç vardır.

Supporting Institution

Başkent Üniversitesi Tıp ve Sağlık Bilimleri Araştırma Kurulu

Project Number

D-KA20/43

References

  • Referans1. WHO Consultation on Obesity (‎1999: Geneva, Switzerland)‎ & World Health Organization‎. Obesity: preventing and managing the global epidemic: report of a WHO consultation. World Health Organization Internet. 2000; Available from: https://who.int/iris/handle/10665/42330.
  • Referans2. NCD Risk Factor Collaboration (NCD-RisC). Trends in adult body-mass index in 200 countries from 1975 to 2014: a pooled analysis of 1698 population-based measurement studies with 19.2 million participants. Lancet. 2016;387(10026):1377–96.
  • Referans3. Mokdad AH, Forouzanfar MH, Daoud F, Mokdad AA, El Bcheraoui C, Moradi-Lakeh M et al. Global burden of diseases, injuries, and risk factors for young people’s health during 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2016;387(10036):2383–401.
  • Referans4. Koliaki C, Liatis S, Kokkinos A. Obesity and cardiovascular disease: revisiting an old relationship. Metabolism. 2019;92:98-107.
  • Referans5. Fock KM, Khoo J. Diet and exercise in management of obesity and overweight. J Gastroenterol Hepatol. 2013;28(Suppl 4):59-63.
  • Referans6. Mathus-Vliegen EM, Nikkel D, Brand HS. Oral aspects of obesity. Int Dent J. 2007;57(4):249-56.
  • Referans7. Roa I, Del Sol M. Obesity, salivary glands and oral pathology. Colomb Med (Cali). 2018;49(4):280-7.
  • Referans8. Suvan J, D’Aiuto F, Moles DR, Petrie A, Donos N. Association between overweight ⁄obesity and periodontitis in adults. A systematic review. Obes Rev. 2011;12(5):e381–404.
  • Referans9. Meisel, P, Holtfreter B, Völzke H, Kocher T. Sex Differences of Tooth Loss and Obesity on Systemic Markers of Inflammation. J Dent Res. 2014;93(8):774-9.
  • Referans10. Somay E, Yılmaz B. Postmenopozal dönemin kadınlarda dental sağlık ve oral hijyen alışkanlıklarına etkisi. Ege Tıp Dergisi. 2020;59(4):287-93.
  • Referans11. González Muñoz M, Adobes Martin M, González de Dios J. Revisión sistemática sobre la caries en niños y adolescentes con obesidad y/o sobrepeso [Systematic review about dental caries in children and adolescents with obesity and/or overweight]. Nutr Hosp. 2013;28(5):1372–83.
  • Referans12. Cereceda MA, Faleiros CS, Ormeño QA, Pinto M, Tapia R, Díaz C et al. Prevalencia de caries en alumnos de educación básica y su asociación con el estado nutricional. Rev Chil Pediatr. 2010;81(1):28–36.
  • Referans13. Costa LR, Daher A, Queiroz MG. Early childhood caries and body mass index in young children from low income families. Int J Environ Res Public Health. 2013;10(3):867–78.
  • Referans14. Timonen P, Niskanen M, Suominen-Taipale L, Jula A, Knuuttila M, Ylöstalo P. Metabolic syndrome, periodontal infection, and dental caries. J Dent Res. 2010;89(10):1068–73.
  • Referans15. Levine R. Obesity and oral disease- a challenge for dentistry. Br Dent J. 2012;213(9):453–6.
  • Referans16. Lennerz B, Lennerz JK. Food Addiction, High-Glycemic-Index Carbohydrates, and Obesity. Clin Chem. 2018;64(1):64-71.
  • Referans17. Arboleda S, Vargas M, Losada S, Pinto A. Review of obesity and periodontitis: an epidemiological view. Br Dent J. 2019;227(3):235-9.
  • Referans18. Modéer T, Blomberg C, Wondimu B, Lindberg TY, Marcus C. Association between obesity and periodontal risk indicators in adolescents. Int J Pediatr Obes. 2011;6(2-2):e264–70. doi: 10.3109/17477166.2010.495779.
  • Referans19. Moura-Grec PG, Marsicano JA, Carvalho CA, Sales-Peres SH. Obesity and periodontitis: systematic review and meta-analysis. Cien Saude Colet. 2014;19(6):1763–72.
  • Referans20. Ruiz LD, Zuelch ML, Dimitratos SM, Scherr RE. Adolescent Obesity: Diet Quality, Psychosocial Health, and Cardiometabolic Risk Factors. Nutrients. 2019;12(1):43.
  • Referans21. Kang J, Smith S, Pavitt S, Wu J. Association between central obesity and tooth loss in the non-obese people: Results from the continuous National Health and Nutrition Examination Survey (NHANES) 1999-2012. J Clin Periodontol. 2019;46(4):430-37.
  • Referans22. Chari M, Sabbah W. The relationships among consumption of fruits, tooth loss and obesity. Community Dent Health. 2018;35(3):148-52.
  • Referans23. Hu HY, Lee YL, Lin SY, Chou YC, Chung D, Huang N et al. Association Between Tooth Loss, Body Mass Index, and All-Cause Mortality Among Elderly Patients in Taiwan. Medicine (Baltimore). 2015;94(39):e1543.
  • Referans24. Jiang, Y, Okoro CA, Oh J, Fuller DL. Sociodemographic and health-related risk factors associated with tooth loss among adults in Rhode Island. Prev Chronic Dis. 2013;10:E45. doi:10.5888/pcd10.110285.
  • Referans25. Dinsa GD, Goryakin Y, Fumagalli E, Suhrcke M. Obesity and socioeconomic status in developing countries: a systematic review. Obes Rev. 2012;13(11):1067–79.
  • Referans26. Cohen AK, Rai M, Rehkopf DH, Abrams B. Educational attainment and obesity: a systematic review. Obes Rev. 2013;14(12):989–1005.
  • Referans27. Schultz NS, Chui KKH, Economos CD, Lichtenstein AH, Volpe SL, Sacheck JM. Impact of physical activity, diet quality and stress on cardiometabolic health in school employees. Prev Med Rep. 2020;20:101243.
  • Referans28. Inoue M, Tsurugano S, Nishikitani M, Yano E. Effort–reward imbalance and its association with health among permanent and fixed-term workers. Biopsychosoc Med. 2010;4:16.

Is obesity a problem that threatens oral health in adults?

Year 2021, , 1215 - 1221, 30.09.2021
https://doi.org/10.17826/cumj.950243

Abstract

Purpose: Obesity is one of the increasingly negative factors affecting oral and dental health directly or indirectly in many developed and developing countries. The aim of this study was to determine the relationship between obesity and dental problems in adults and to investigate the effect of obesity on oral and dental health.
Materials and Methods: 200 patients over the age of 18 who applied with various dental complaints were examined clinically and radiologically. They were classified as 50 healthy females, 50 healthy males, 50 obese females, and 50 obese males according to the body mass index determined by the World Health Organization (healthy individual < 30.0 kg / m2 and 30.0 kg / m2 ≤ obesity individual). Sociodemographic characteristics, dental health status, and data of all patients were examined.
Results: A statistically significant relationship was found between obesity and the number of tooth loss, the number of dental caries, educational status, and the frequency of applying to the dentist. Periodontitis was detected at a higher rate in the obesity group (58 %) compared to the control group, but the relationship between obesity and periodontal status was not statistically significant.
Conclusion: Dental problems such as tooth loss, the number of dental caries, and periodontitis were higher in the obesity group, and this result showed that obesity threatens oral and dental health. To prevent these problems, there is a need for preventive strategies and increasing awareness of oral and dental health in obese patients.

Project Number

D-KA20/43

References

  • Referans1. WHO Consultation on Obesity (‎1999: Geneva, Switzerland)‎ & World Health Organization‎. Obesity: preventing and managing the global epidemic: report of a WHO consultation. World Health Organization Internet. 2000; Available from: https://who.int/iris/handle/10665/42330.
  • Referans2. NCD Risk Factor Collaboration (NCD-RisC). Trends in adult body-mass index in 200 countries from 1975 to 2014: a pooled analysis of 1698 population-based measurement studies with 19.2 million participants. Lancet. 2016;387(10026):1377–96.
  • Referans3. Mokdad AH, Forouzanfar MH, Daoud F, Mokdad AA, El Bcheraoui C, Moradi-Lakeh M et al. Global burden of diseases, injuries, and risk factors for young people’s health during 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2016;387(10036):2383–401.
  • Referans4. Koliaki C, Liatis S, Kokkinos A. Obesity and cardiovascular disease: revisiting an old relationship. Metabolism. 2019;92:98-107.
  • Referans5. Fock KM, Khoo J. Diet and exercise in management of obesity and overweight. J Gastroenterol Hepatol. 2013;28(Suppl 4):59-63.
  • Referans6. Mathus-Vliegen EM, Nikkel D, Brand HS. Oral aspects of obesity. Int Dent J. 2007;57(4):249-56.
  • Referans7. Roa I, Del Sol M. Obesity, salivary glands and oral pathology. Colomb Med (Cali). 2018;49(4):280-7.
  • Referans8. Suvan J, D’Aiuto F, Moles DR, Petrie A, Donos N. Association between overweight ⁄obesity and periodontitis in adults. A systematic review. Obes Rev. 2011;12(5):e381–404.
  • Referans9. Meisel, P, Holtfreter B, Völzke H, Kocher T. Sex Differences of Tooth Loss and Obesity on Systemic Markers of Inflammation. J Dent Res. 2014;93(8):774-9.
  • Referans10. Somay E, Yılmaz B. Postmenopozal dönemin kadınlarda dental sağlık ve oral hijyen alışkanlıklarına etkisi. Ege Tıp Dergisi. 2020;59(4):287-93.
  • Referans11. González Muñoz M, Adobes Martin M, González de Dios J. Revisión sistemática sobre la caries en niños y adolescentes con obesidad y/o sobrepeso [Systematic review about dental caries in children and adolescents with obesity and/or overweight]. Nutr Hosp. 2013;28(5):1372–83.
  • Referans12. Cereceda MA, Faleiros CS, Ormeño QA, Pinto M, Tapia R, Díaz C et al. Prevalencia de caries en alumnos de educación básica y su asociación con el estado nutricional. Rev Chil Pediatr. 2010;81(1):28–36.
  • Referans13. Costa LR, Daher A, Queiroz MG. Early childhood caries and body mass index in young children from low income families. Int J Environ Res Public Health. 2013;10(3):867–78.
  • Referans14. Timonen P, Niskanen M, Suominen-Taipale L, Jula A, Knuuttila M, Ylöstalo P. Metabolic syndrome, periodontal infection, and dental caries. J Dent Res. 2010;89(10):1068–73.
  • Referans15. Levine R. Obesity and oral disease- a challenge for dentistry. Br Dent J. 2012;213(9):453–6.
  • Referans16. Lennerz B, Lennerz JK. Food Addiction, High-Glycemic-Index Carbohydrates, and Obesity. Clin Chem. 2018;64(1):64-71.
  • Referans17. Arboleda S, Vargas M, Losada S, Pinto A. Review of obesity and periodontitis: an epidemiological view. Br Dent J. 2019;227(3):235-9.
  • Referans18. Modéer T, Blomberg C, Wondimu B, Lindberg TY, Marcus C. Association between obesity and periodontal risk indicators in adolescents. Int J Pediatr Obes. 2011;6(2-2):e264–70. doi: 10.3109/17477166.2010.495779.
  • Referans19. Moura-Grec PG, Marsicano JA, Carvalho CA, Sales-Peres SH. Obesity and periodontitis: systematic review and meta-analysis. Cien Saude Colet. 2014;19(6):1763–72.
  • Referans20. Ruiz LD, Zuelch ML, Dimitratos SM, Scherr RE. Adolescent Obesity: Diet Quality, Psychosocial Health, and Cardiometabolic Risk Factors. Nutrients. 2019;12(1):43.
  • Referans21. Kang J, Smith S, Pavitt S, Wu J. Association between central obesity and tooth loss in the non-obese people: Results from the continuous National Health and Nutrition Examination Survey (NHANES) 1999-2012. J Clin Periodontol. 2019;46(4):430-37.
  • Referans22. Chari M, Sabbah W. The relationships among consumption of fruits, tooth loss and obesity. Community Dent Health. 2018;35(3):148-52.
  • Referans23. Hu HY, Lee YL, Lin SY, Chou YC, Chung D, Huang N et al. Association Between Tooth Loss, Body Mass Index, and All-Cause Mortality Among Elderly Patients in Taiwan. Medicine (Baltimore). 2015;94(39):e1543.
  • Referans24. Jiang, Y, Okoro CA, Oh J, Fuller DL. Sociodemographic and health-related risk factors associated with tooth loss among adults in Rhode Island. Prev Chronic Dis. 2013;10:E45. doi:10.5888/pcd10.110285.
  • Referans25. Dinsa GD, Goryakin Y, Fumagalli E, Suhrcke M. Obesity and socioeconomic status in developing countries: a systematic review. Obes Rev. 2012;13(11):1067–79.
  • Referans26. Cohen AK, Rai M, Rehkopf DH, Abrams B. Educational attainment and obesity: a systematic review. Obes Rev. 2013;14(12):989–1005.
  • Referans27. Schultz NS, Chui KKH, Economos CD, Lichtenstein AH, Volpe SL, Sacheck JM. Impact of physical activity, diet quality and stress on cardiometabolic health in school employees. Prev Med Rep. 2020;20:101243.
  • Referans28. Inoue M, Tsurugano S, Nishikitani M, Yano E. Effort–reward imbalance and its association with health among permanent and fixed-term workers. Biopsychosoc Med. 2010;4:16.
There are 28 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Research
Authors

Büşra Yılmaz 0000-0003-0633-5648

Efsun Somay 0000-0001-8251-6913

Project Number D-KA20/43
Publication Date September 30, 2021
Acceptance Date July 4, 2021
Published in Issue Year 2021

Cite

MLA Yılmaz, Büşra and Efsun Somay. “Is Obesity a Problem That Threatens Oral Health in Adults?”. Cukurova Medical Journal, vol. 46, no. 3, 2021, pp. 1215-21, doi:10.17826/cumj.950243.