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08.05.2019 | Original Article

Systemic and periodontal conditions of overweight/obese patients during pregnancy and after delivery: a prospective cohort

verfasst von: Gerson Aparecido Foratori-Junior, Bruna Machado da Silva, Ana Carolina da Silva Pinto, Heitor Marque Honório, Francisco Carlos Groppo, Silvia Helena de Carvalho Sales-Peres

Erschienen in: Clinical Oral Investigations | Ausgabe 1/2020

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Abstract

Objective

To evaluate the systemic and periodontal conditions, as well as the determinants of health in pregnant women with and without obesity/overweight during the second and third trimesters of pregnancy and after delivery.

Materials and methods

In the second trimester (T1), 93 pregnant women were divided into two groups with either excessive weight (G1, n = 53) or normal weight (G2, n = 40) and subsequently examined them in the third trimester of pregnancy (T2) and at least 2 months after delivery (T3). The following variables were analyzed: (a) systemic impairments during pregnancy—arterial hypertension (AH) and gestational diabetes mellitus (GDM); (b) oral hygiene behavior; (c) periodontal conditions; (d) anthropometric data and systemic health condition after pregnancy. The Mann-Whitney test, chi-squared test, ANOVA, and binary logistic regression were adopted (p < 0.05).

Results

G1 showed higher frequency of GDM and AH in T1 and T2, respectively (p = 0.047; p = 0.004). Both groups had worse oral hygiene behaviors after delivery. A higher frequency of periodontitis was found in all periods for G1 (p < 0.05). G2 showed improvement of all periodontal parameters after delivery, whereas G1 showed no difference regarding these parameters between time periods.

Conclusion

Pregnant women with excessive weight presented worse systemic and periodontal conditions during pregnancy and after delivery.

Clinical relevance

Low socioeconomic level and overweight/obesity were significant predictors of periodontitis during pregnancy and after delivery.

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Titel: Systemic and periodontal conditions of overweight/obese patients during pregnancy and after delivery: a prospective cohort
verfasst von: Gerson Aparecido Foratori-Junior
Bruna Machado da Silva
Ana Carolina da Silva Pinto
Heitor Marque Honório
Francisco Carlos Groppo
Silvia Helena de Carvalho Sales-Peres
Publikationsdatum: 08.05.2019
Verlag: Springer Berlin Heidelberg
Erschienen in: Clinical Oral Investigations / Ausgabe 1/2020
Print ISSN: 1432-6981
Elektronische ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-019-02932-x

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Systemic and periodontal conditions of overweight/obese patients during pregnancy and after delivery: a prospective cohort