Title Prekomjerna tjelesna težina, pretilost i parodontitis. Istraživanje slučajeva i kontrola. Title (english) Overweight, obesity and periodontitis, a cross-sectional study Author Mare Ković Mentor Ana Družijanić (mentor) Committee member Marija Roguljić (predsjednik povjerenstva)Committee member Livia Cigić (član povjerenstva)Committee member Ivana Medvedec Mikić (član povjerenstva)Granter University of Split Defense date and country 2023-07-17, Croatia Scientific / art field, BIOMEDICINE AND HEALTHCARE Abstract Cilj istraživanja: Glavni cilj ovog znanstvenog istraživanja bio je ispitati postoji li povezanost
prekomjerne tjelesne težine i pretilosti sa parodontitisom, te utječu li povišeni BMI i omjer
struk/bokovi na težinu parodontitisa. Također, specifični ciljevi su bili ispitati postoji li povezanost
prekomjerne tjelesne težine i pretilosti sa indeksom krvarenja potpornog aparata zuba i plak
indeksom.
Ispitanici i postupci: Detaljnom anamnezom su od svih ispitanika (n = 40) prikupljeni podaci o
dobi, spolu, navikama pušenja, o oralno-higijenskim navikama i redovitosti posjeta odabranom
doktoru dentalne medicine, te je proveden detaljan parodontološki pregled. Prikupljene su
informacije o kvaliteti života povezanoj s oralnim zdravljem kao i KEP indeks. Ispitnu skupinu
činilo je 20 ispitanika s dijagnozom parodontitisa, koja je postavljena na temelju kliničkog
pregleda, analize RTG snimke te mjerenjem parodontoloških parametara graduiranom sondom.
Kontrolnu skupinu činilo je 20 ispitanika bez patoloških promjena na potpornom aparatu zuba.
Svim ispitanicima je izmjerena tjelesna visina izražena u metrima i težina izražena u kilogramima
u svrhu izračunavanja BMI. Također je izmjeren obujam struka i kukova izražen u centimetrima
u svrhu izračunavanja WHR.
Rezultati: Rezultati ovog istraživanja pokazali su da je čak je 80 % ispitanika s parodontitisom
imalo povišen BMI, te ih je 50 % imalo povišen WHR. U kontrolnoj skupini samo je 25 %
ispitanika imalo povišen BMI, dok ih je 20 % imalo povišen WHR. Medijan BMI u ispitnoj skupini
iznosio je 26,90, što je za 3,75 veće od kontrolne skupine, gdje je iznosio 23,15.
Svi ispitanici imali su slične oralno – higijenske navike, provodili su oralnu higijenu
četkicom i pastom, koristili ista dodatna sredstva, dok su zubni konac koristili češće pacijenti
kontrolne skupine, njih 65 % dok je u ispitnoj skupini 20 % pacijenata koristilo zubni konac ( P =
0,004). Kvaliteta života povezana sa zdravljem usne šupljine veća je u zdravih ispitanika, u odnosu
na ispitanike s parodontitisom (P < 0,001).
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Zaključak: Zaključno, BMI i WHR su povišeni u ispitanika s parodontitisom u odnosu na
ispitanike bez patoloških promjena na potpornom aparatu zuba.
Ispitanici bez patoloških promjena na potpornom aparatu zuba imaju bolje oralnohigijenske navike od ispitanika s parodontitisom, a kvaliteta života povezana sa zdravljem usne
šupljine veća je u zdravih ispitanika, u odnosu na ispitanike s parodontitisom.
Abstract (english) Objectives: The main objective of this research was to determine the relationship between
overweight, obesity and periodontitis and whether increased BMI and WHR affect the severity of
the periodontal disease. Also, the specific goals were to investigate whether there is a relationship
between overweight and obesity with periodontal bleeding index and plaque index.
Subjects and Methods: A detailed medical history was obtained from each subject (n = 40),
including age, gender, smoking, oral hygiene habits, and regularity of visits to the dentist. Detailed
periodontal examination and radiographic analysis were performed. Information on quality of liferelated to oral health was obtained through the OHIP-14 questionnaire, and overall oral health was
assessed through the WHO Oral Health Assessment Form for Adults. The body mass information
was collected using the BMI and WHR indexes. Based on clinical examination and radiographic
analysis, the test group consisted of 20 subjects diagnosed with periodontitis. The control group
consisted of 20 periodontally-healthy subjects.
Results: This study showed that 80% of subjects with periodontitis had increased BMI, and 50%
had increased WHR. In the control group, only 25% of the subjects had an increased BMI, while
20% had an increased WHR. The median BMI in the test group was 26.90, 3.75, higher than in
the control group, 23.15. The median WHR was also higher in the test group, at 0.85 and 0.80 in
the control group.
All subjects had similar oral hygiene habits, performed oral hygiene with a toothbrush and
toothpaste, and mainly used the same additional products. At the same time, patients in the control
group flossed more frequently, 65% of them, while only 20% of patients in the test group flossed
(P = 0.004). The quality of life regarding oral cavity health is higher in healthy individuals than
those with periodontitis.
Conclusions: In conclusion, BMI and WHR are increased in subjects with periodontitis compared
with subjects in the control group.
Subjects in the control group have better oral hygiene habits than subjects with
periodontitis, and the quality of life regarding oral cavity health is higher in healthy subjects than
in subjects with periodontitis.
Keywords
parodontitis
pretilost
prekomjerna tjelesna težina
nekirurška parodontološka terapija
Keywords (english)
periodontitis
overweight
obesity
non-surgical periodontal therapy
Language croatian URN:NBN urn:nbn:hr:171:162574 Study programme Title: Dental Medicine Type of resource Text File origin Born digital Access conditions Open access Terms of use Created on 2023-07-18 13:04:36
