Inter-relação de obesidade visceral, glúteo-femoral e doença periodontal em mulheres
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Data
2019-08-02
Autores
Jacomossi, Angelo César Fernandes [UNESP]
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Universidade Estadual Paulista (Unesp)
Resumo
Este trabalho teve como objetivo avaliar a gravidade da Doença Periodontal (DP) em mulheres obesas, vivendo em uma uma mesma comunidade, com semelhantes hábitos e condições de vida e com amplo acesso à assistência médico-odontológica, considerando a distribuição de gordura corporal. Foram avaliadas 39 mulheres, 15 com obesidade visceral (OBV), 10 com obesidade glúteo-femoral (OBF) e 14 com peso normal (CON). Todas foram submetidas à avaliação periodontal e classificadas de acordo com o Índice Periodontal Comunitário (IPC). Medidas antropométricas e bioimpedanciometria foram realizadas para discriminar a regionalização da gordura corporal. Uma coleta de amostra sanguínea foi feita para dosagem glicemia de jejum e insulinemia a fim de se obter o cálculo do HOMA-IR (Homeostatic Model Assessment for Insulin Resistance) e quantificação laboratorial da resistência à insulina. Os três grupos foram comparados em relação à gravidade da DP. Foram realizadas análises de correlação entre o IPC e os seguintes parâmetros: Índice de Massa Corporal (IMC), circunferência da cintura (C), relação enter a circunferência da cintura/ e a circunferência do quadril (C/Q), percentual de gordura visceral em relação ao peso corporal (%GV) e HOMA -IR. O escore média do IPC foi significativamente maior (p = 0,0045) no grupo OBV do que no grupo CON. Não houve diferença no grupo OBF quando comparado ao grupo OBV e ao grupo CON. Houve correlação positivamente significativa entre o escore IPC (p = 0,0173), C/Q (p = 0,0004) e CC (p = 0,0082). Com esses resultados foi possível concluir que o presente estudo está de acordo com dados prévios da literatura que associam Obesidade à DP. Entretanto, o estudo fornece dados importantes, ainda não relatados, que sugerem que tal associação pode não ocorrer em todos os obesos, mas principalmente naqueles com acúmulo de gordura intra-abdominal.
This study aim to evaluate the severity of Periodontal Disease (PD) in obese women from the same community, sharing the same life habits and life conditions and with broad access to dental-medical assistance, considering the distribution of body fat. 39 women were evaluated, 15 with visceral obesity (VOB), 10 with gluteofemoral obesity (FOB) and 14 with normal weight (CON). All were submitted to periodontal evaluation and scored according to the Community Periodontal Index (CPI). Anthropometric measurements and bioimpedanciometry were performed in order to discriminate the regionalization of body fat. A collect of blood sample was made for fasting dosage of glycemia and insulinemia for calculation of HOMA-IR determination and laboratory quantification of insulin resistance. The three groups were compared in relation to the severity of PD. Correlation analyzes were performed between CPI and the following parameters: Body Mass Index (BMI), waist circumference (WC), waist/hip circumference ratio (W/H), percentage of visceral fat in relation to body weight (%GV) and HOMA-IR. The mean CPI score was significantly higher (p = 0.0045) in the VOB group than in the CON group. There was no difference in the FOB group when compared to the VOB group and the CON group. There was a significant positive correlation between the CPI score (p = 0.0173), W/H (p = 0.0004), and WC (p = 0.0082). It was possible to conclude that the present study agrees with previous literature data associating Obesity with PD, however, the study provides an important data suggesting that such association may not occur in all obese individuals, but especially in those with accumulation of intra-abdominal fat.
This study aim to evaluate the severity of Periodontal Disease (PD) in obese women from the same community, sharing the same life habits and life conditions and with broad access to dental-medical assistance, considering the distribution of body fat. 39 women were evaluated, 15 with visceral obesity (VOB), 10 with gluteofemoral obesity (FOB) and 14 with normal weight (CON). All were submitted to periodontal evaluation and scored according to the Community Periodontal Index (CPI). Anthropometric measurements and bioimpedanciometry were performed in order to discriminate the regionalization of body fat. A collect of blood sample was made for fasting dosage of glycemia and insulinemia for calculation of HOMA-IR determination and laboratory quantification of insulin resistance. The three groups were compared in relation to the severity of PD. Correlation analyzes were performed between CPI and the following parameters: Body Mass Index (BMI), waist circumference (WC), waist/hip circumference ratio (W/H), percentage of visceral fat in relation to body weight (%GV) and HOMA-IR. The mean CPI score was significantly higher (p = 0.0045) in the VOB group than in the CON group. There was no difference in the FOB group when compared to the VOB group and the CON group. There was a significant positive correlation between the CPI score (p = 0.0173), W/H (p = 0.0004), and WC (p = 0.0082). It was possible to conclude that the present study agrees with previous literature data associating Obesity with PD, however, the study provides an important data suggesting that such association may not occur in all obese individuals, but especially in those with accumulation of intra-abdominal fat.
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Palavras-chave
Obesidade visceral, Obesidade gluteofemoral, Gordura intra- abdominal, Doença periodontal, Periodontite, Visceral obesity, Gluteo-femoral obesity, Intra-abdominal fat, Periodontal disease, Periodontitis