Skip to main content

Advertisement

Log in

Association between severity of body mass index and periodontal condition in women

  • Original Article
  • Published:
Clinical Oral Investigations Aims and scope Submit manuscript

Abstract

This study evaluated the association between body mass index (BMI) and periodontal condition in a population of Brazilian women. A hospital convenience sample of 594 eligible women was recruited from a women's health reference center of Belo Horizonte, Brazil. Four groups were formed considering BMI levels: BMI normal group (n = 352), overweight (n = 54), obesity level I (n = 48), obesity level II (n = 56), and obesity level III (n = 74). Full-mouth periodontal examination was performed and biological, demographic, and behavioral risk variables were evaluated. Obese and overweight women showed statistically significant differences in bleeding on probing, probing depth and clinical attachment level ≥4 mm, and frequency of periodontitis (p < 0.05) compared to women showing normal BMI. The final multivariate model for the occurrence of periodontitis revealed that obesity groups were significantly associated with periodontitis. In addition, age (25–45), smoking, diabetes, and hypertension remained significantly associated with the occurrence of periodontitis (p < 0.05). Periodontitis was positively associated with obesity, and this association was more evident as obesity levels increases. These findings indicate the need for early diagnosis and the inclusion of periodontal care in health care programs for obese women.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Wilson PW, Bozeman SR, Burton TM, Hoaglin DC, Ben-Joseph R, Pashos CL (2008) Prediction of first events of coronary heart disease and stroke with consideration of adiposity. Circulation 118:124–130

    Article  PubMed  Google Scholar 

  2. Saito T, Shimazaki Y (2007) Metabolic disorders related to obesity and periodontal disease. Periodontol 2000 43:254–266

    Article  PubMed  Google Scholar 

  3. Reeves G, Pirie K, Beral V, Green J, Spencer E, Bull D (2007) Cancer incidence and mortality in relation to body mass index in the Million Women Study: cohort study. BMJ 335:1134

    Article  PubMed  Google Scholar 

  4. Haenle M, Brockmann S, Kron M, Bertling U, Mason R, Steinbach G (2006) Overweight, physical activity, tobacco and alcohol consumption in a cross-sectional random sample of German adults. BMC Public Health 6:233

    Article  PubMed  Google Scholar 

  5. Linden G, Patterson C, Evans A, Kee F (2007) Obesity and periodontitis in 60–70-year-old men. J Clin Periodontol 34:461–466

    Article  PubMed  Google Scholar 

  6. IBGE—Instituto Brasileiro de Geografia e Estatística (2004) Pesquisa de orçamentos familiares, POF 2002–2003. http://www.ibge.gov.br/home/presidencia/noticias/noticia_impressao.php?id_noticia=278. Accessed 20 May 2009

  7. Flegal KM, Carroll MD, Ogden CL, Curtin LR (2010) Prevalence and trends in obesity among US adults, 1999–2008. JAMA 303:275–276

    Article  Google Scholar 

  8. WHO—World Health Organization (2005) The World Health Organization warns of the rising threat of heart disease and stroke as overweight and obesity rapidly increase. http://www.who.int/mediacentre/news/releases/2005/pr44/en/index.html. Accessed 19 April 2007

  9. Saito T, Shimazaki Y, Koga T, Tsuzuki M, Ohshima A (2001) Relationship between upper body obesity and periodontitis. J Dent Res 80:1631–1636

    Article  PubMed  Google Scholar 

  10. Al-Zahrani MS, Bissada NF, Borawski E (2003) Obesity and periodontal disease in young, middle-aged and older adults. J Periodontol 74:610–615

    Article  PubMed  Google Scholar 

  11. Al-Emadi A, Bissada N, Farah C, Siegel B, Al-Zaharani M (2006) Systemic diseases among patients with and without alveolar bone loss. Quintessence Int 37:761–765

    PubMed  Google Scholar 

  12. Dall Vecchia CF, Susin C, Rosing CK, Oppermann RV, Albandar JM (2005) Overweight and obesity as risk indicators for periodontitis in adults. J Periodontol 76:1721–1728

    Article  Google Scholar 

  13. Wood N, Johnson RB, Streckfus CF (2003) Comparison of body composition and periodontal disease using nutritional assessment techniques: Third National Health and Nutrition Examination Survey (NHANES III). J Clin Periodontol 30:321–327

    Article  PubMed  Google Scholar 

  14. Genco RJ, Grossi SG, Ho A, Nishimura F, Murayama Y (2005) A proposed model linking inflammation to obesity, diabetes, and periodontal infections. J Periodontol 76:2075–2084

    Article  PubMed  Google Scholar 

  15. Nishida N, Tanaka M, Hayashi N, Nagata H, Takeshita T, Nakayama K, Morimoto K, Shizukuishi S (2005) Determination of smoking and obesity as periodontitis risks using the classification and regression tree method. J Periodontol 76:923–928

    Article  PubMed  Google Scholar 

  16. Reeves AF, Rees JM, Schiff M, Hujoel P (2006) Total body weight and waist circumference associated with chronic periodontitis among adolescents in the United States. Arch Pediatr Adolesc Med 160:894–899

    Article  PubMed  Google Scholar 

  17. Ritchie CS (2007) Obesity and periodontal disease. Periodontol 2000 44:154–163

    Article  PubMed  Google Scholar 

  18. Khader YS, Bawadi HA, Haroun TF, Alomari M, Tayyemm RF (2009) The association between periodontal disease and obesity among adults in Jordan. J Clin Periodontol 36:18–24

    Article  PubMed  Google Scholar 

  19. Haffajee AD, Socransky SS (2009) Relation of body mass index, periodontitis and Tannerella forsythia. J Clin Periodontol 36:89–99

    Article  PubMed  Google Scholar 

  20. Ritchie S, Kinane F (2003) Nutrition, inflammation, and periodontal disease. Nutr J 19:475–476

    Article  Google Scholar 

  21. Tomofuji T, Yamamoto T, Tamaki N, Ekuni D, Azuma T, Sanbe T, Irie K, Kasuyama K, Umakoshi M, Murakami J, Kokeguchi S, Morita M (2009) Effects of obesity on gingival oxidative stress in a rat model. J Periodontol 80:1324–1329

    Article  PubMed  Google Scholar 

  22. Shuldiner AR, Yang R, Gong DW (2001) Resistin, obesity and insulin resistance—the emerging role of the adipocyte as an endocrine organ. New Engl J Med 345:1345–1346

    Article  PubMed  Google Scholar 

  23. Cutler CW, Iacopino AM (2003) Periodontal disease: links with serum lipid/triglyceride levels? Review and new data. J Int Acad Periodontol 5:47–51

    PubMed  Google Scholar 

  24. Kongstad J, Hvidtfeldt UA, Grønbaek M, Stoltze K, Holmstrup P (2009) The relationship between body mass index and periodontitis in the Copenhagen City Heart Study. J Periodontol 80:1246–1253

    Article  PubMed  Google Scholar 

  25. WHO—World Health Organization (1997) Obesity: preventing and managing the global epidemic—report of a WHO consultation on obesity.

  26. Page RC, Eke PI (2007) Case definitions for use in population-based surveillance of periodontitis. J Periodontol 78:1387–1399

    Article  PubMed  Google Scholar 

  27. Silness J, Löe H (1964) Periodontal disease in pregnancy. II. Correlation between oral hygiene and periodontal condition. Acta Odontol Scand 22:121–135

    Article  PubMed  Google Scholar 

  28. Costa FO, Guimarães AN, Cota LOM, Pataro AL, Segundo TK, Cortelli SC, Costa JE (2009) Impact of different periodontitis case definitions on periodontal research. J Oral Sci 51:199–206

    Article  PubMed  Google Scholar 

  29. Hyman J (2006) The importance of assessing confounding and effect modification in research involving periodontal disease and systemic diseases. J Clin Periodontol 33:102–103

    Article  PubMed  Google Scholar 

  30. Socransky SS, Haffajee AD (2005) Periodontal microbial ecology. Periodontol 2000 38:135–187

    Article  PubMed  Google Scholar 

  31. Ylöstalo P, Suominen-Taipale L, Reunanen A, Knuuttila M (2008) Association between body weight and periodontal infection. J Clin Periodontol 35:297–304

    Article  PubMed  Google Scholar 

  32. Marti A, Marcos A, Martinez JA (2001) Obesity and immune function relationships. Obes Rev 2:131–140

    Article  PubMed  Google Scholar 

  33. Noack B, Jachmann I, Roscher S, Sieber L, Kopprasch S, Luck C, Hanefeld M, Hoffmann T (2000) Metabolic diseases and their possible link to risk indicators of periodontitis. J Periodontol 71:898–903

    Article  PubMed  Google Scholar 

  34. Katz J, Flugelman MY, Goldberg A, Heft M (2007) Association between periodontal pockets and elevated cholesterol and low density lipoprotein cholesterol levels. J Periodontol 73:494–500

    Article  Google Scholar 

  35. Uchiumi D, Kobayashi M, Tachikawa T, Hasegawa K (2004) Subcutaneous and continuous administration of lipopolysaccharide increases serum levels of triglyceride and monocyte chemoattractant protein-1 in rats. J Periodontal Res 39:120–128

    Article  PubMed  Google Scholar 

  36. Fentoğlu O, Oz G, Taşdelen P, Uskun E, Aykaç Y, Bozkurt FY (2009) Periodontal status in subjects with hyperlipidemia. J Periodontol 80:1610–1615

    Article  Google Scholar 

  37. Holmlund A, Holm G, Lind L (2006) Severity of periodontal disease and number of remaining teeth are related to the prevalence of myocardial infarction and hypertension in a study based on 4,254 subjects. J Periodontol 77:1173–1178

    Article  PubMed  Google Scholar 

  38. Engström S, Gahnberg L, Högberg H, Svärdsudd K (2007) Association between high blood pressure and deep periodontal pockets: a nested case-referent study. Ups J Med Sci 112:95–103

    Article  PubMed  Google Scholar 

  39. Pischon N, Heng N, Bernimoulin JP, Kleber BM, Willich SN, Pischon T (2007) Obesity, inflammation, and periodontal disease. J Dent Res 86:400–409

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

Financial support was obtained from the Research Support Foundation of Minas Gerais (FAPEMIG/15354), Coordination for the Improvement of Higher Education Personnel (CAPES), and the National Council for Scientific and Technological Development (CNPq).

Conflict of interest

Authors declare that they have no conflict of interests.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Fernando Oliveira Costa.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Pataro, A.L., Costa, F.O., Cortelli, S.C. et al. Association between severity of body mass index and periodontal condition in women. Clin Oral Invest 16, 727–734 (2012). https://doi.org/10.1007/s00784-011-0554-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00784-011-0554-7

Keywords

Navigation