Body fat rather than body mass index is associated with gingivitis - A southern Brazilian cross-sectional study.

Abstract:

BACKGROUND:This cross-sectional study aimed to evaluate the association between body mass index (BMI) and body fat with gingivitis in 613 adults of Porto Alegre, Brazil. METHODS:Individuals with at least four teeth were included in this study. They were identified through a multi-stage probability sampling, considering the city distribution of sex and age. Structured interviews were conducted by trained researchers in order to collect sociodemographic characteristics, behavioral habits, and systemic impaired conditions. Visible plaque and modified gingival index were assessed by a trained and calibrated examiner. Additionally, weight, height, and body fat percentage were measured. Body fat percentage was determined by bioelectrical-impedance analysis using a portable electrical micro-current monitor. The median sites with marginal bleeding was 20%, and used as a cutoff point for gingivitis. Crude and adjusted prevalence ratio by mean Poisson regression with robust variance were calculated. Two multivariable models were performed in order to associate both independent and dependent variables. RESULTS:In the multivariable analysis that included BMI, no significant association with gingivitis was detected. On the other hand, the multivariable model that included body fat showed that very high body fat category (PR 1.22; 95% CI: 1.01 to 1.49) was significantly associated with higher marginal gingival bleeding. CONCLUSION:Very high body fat category rather than BMI was significantly associated with higher positive marginal gingival bleeding in adults.

journal_name

J Periodontol

authors

Muniz FWMG,Costa RDSA,Cavagni J,Milanesi FC,Hilgert JB,Gomes SC,Oppermann RV,Rösing CK

doi

10.1002/JPER.17-0292

subject

Has Abstract

pub_date

2018-04-01 00:00:00

pages

388-396

issue

4

eissn

0022-3492

issn

1943-3670

journal_volume

89

pub_type

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