Associação de obesidade e sedentarismo com a presença das disfunções temporomandibulares dolorosas em adolescentes
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Data
2018-07-04
Autores
Ongaro, Paula Cristina Jordani
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Universidade Estadual Paulista (Unesp)
Resumo
Objetivo: Obesidade é uma doença crônica e prevalente, atingindo de maneira progressiva crianças e adolescentes. Evidências sugerem que a obesidade está associada com algumas dores crônicas, especialmente as musculoesqueléticas, e que o sedentarismo pode contribuir com essa relação. Dessa forma, o objetivo desse estudo foi avaliar a associação entre a obesidade e o sedentarismo com a presença da Disfunção Temporomandibular (DTM) dolorosa em adolescentes. Métodos: Tratase de um estudo transversal, cuja amostra foi constituída por 690 adolescentes de 12 a 14 anos de escolas públicas e particulares de Araraquara, SP. A DTM foi classificada de acordo com a presença de DTM dolorosa segundo o Research Diagnostic Criteria para Temporomandibular Disorders (RDC/TMD). A obesidade foi determinada por diferentes métodos, incluindo o Índice de Massa Corporal (IMC), o exame de bioimpedância (BIA), as Pregas Cutâneas tricipital (PCT) e subescapular (PCS), e as circunferências do braço (CB) e abdominal (CA). Outras variáveis foram avaliadas através de instrumentos validados incluindo o sedentarismo, presença de cefaleias primárias, distúrbios respiratórios do sono, estágio de maturação sexual e sintomas de depressão. O teste do qui-quadrado ou teste exato de Fisher foram utilizados para estudo das associações de interesse, razão de prevalência (RP) e intervalo de confiança (IC) de 95% foram aplicados. O nível de significância adotado foi de 5%. Resultados: Do total, 389 (56,4%) eram meninas e 112 (16,2%) apresentaram DTM dolorosa. Não houve associação significativa entre a presença de DTM dolorosa e o estado nutricional segundo IMC (p= 0,81), BIA (p= 0,17), PCT (p= 0,17), PCS (p=0,352), CB (p=0,28), CA (meninos Fisher= 0,78, meninas Fisher=1,00) e com o sedentarismo (p=0,942). Conclusão: Obesidade e sedentarismo não estão associados com a presença de DTM dolorosa na amostra de adolescentes avaliada.
Objective: Obesity is a chronic and prevalent disease, progressively affecting children and adolescents. Evidence suggests that obesity is associated with some chronic pain, especially musculoskeletal pain, and that sedentarism may contribute to this relationship. Thus, the objective of this study was to evaluate the association between obesity and sedentary with the presence of Temporomandibular Disorders (TMD) in adolescents. Methods: This is a cross-sectional study whose sample consisted of 690 adolescents between 12 and 14 years of public and private schools in Araraquara, SP. TMD was classified following the Research Diagnostic Criteria for Temporomandibular Disorders (RDC / TMD), and individuals were stratified according to the presence of painful TMD. The nutritional status was determined by different methods, including Body Mass Index (BMI), Bioimpedance (BIA), Skinfold (triceps and subscapular) and Circumferences (abdominal and arm). Other variables were evaluated through validated instruments including sedentarism, the presence of primary headaches, sleep respiratory disorders, stage of sexual maturation and symptoms of depression. The chi-square test or Fisher's exact test was used to study the associations of interest, prevalence ratio (PR) and confidence intervals (CI) of 95%. The significance level was 5%. Results: Of total 389 (56.4%) were girls, 112 (16.2%) had painful TMD. There was no significant association between painful TMD and nutritional status according to BMI (p = 0.81), BIA (p = 0.17), triceps skinfold (p = 0.17), subscapular skinfold (p = 0.352), arm circumference (p = 0.28), abdominal circumference (Fisher boys = 0.78, Fisher girls = 1.00) and sedentary (p = 0.942).Conclusion: Obesity and sedentary are not associated with the presence of painful TMD in the sample of adolescents evaluated.
Objective: Obesity is a chronic and prevalent disease, progressively affecting children and adolescents. Evidence suggests that obesity is associated with some chronic pain, especially musculoskeletal pain, and that sedentarism may contribute to this relationship. Thus, the objective of this study was to evaluate the association between obesity and sedentary with the presence of Temporomandibular Disorders (TMD) in adolescents. Methods: This is a cross-sectional study whose sample consisted of 690 adolescents between 12 and 14 years of public and private schools in Araraquara, SP. TMD was classified following the Research Diagnostic Criteria for Temporomandibular Disorders (RDC / TMD), and individuals were stratified according to the presence of painful TMD. The nutritional status was determined by different methods, including Body Mass Index (BMI), Bioimpedance (BIA), Skinfold (triceps and subscapular) and Circumferences (abdominal and arm). Other variables were evaluated through validated instruments including sedentarism, the presence of primary headaches, sleep respiratory disorders, stage of sexual maturation and symptoms of depression. The chi-square test or Fisher's exact test was used to study the associations of interest, prevalence ratio (PR) and confidence intervals (CI) of 95%. The significance level was 5%. Results: Of total 389 (56.4%) were girls, 112 (16.2%) had painful TMD. There was no significant association between painful TMD and nutritional status according to BMI (p = 0.81), BIA (p = 0.17), triceps skinfold (p = 0.17), subscapular skinfold (p = 0.352), arm circumference (p = 0.28), abdominal circumference (Fisher boys = 0.78, Fisher girls = 1.00) and sedentary (p = 0.942).Conclusion: Obesity and sedentary are not associated with the presence of painful TMD in the sample of adolescents evaluated.
Descrição
Palavras-chave
Síndrome da disfunção da articulação temporomandibular , Obesidade, Adolescente, Temporomandibular joint dysfunction syndrome, Obesity, Adolescent