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Poor oral hygiene and gingivitis are associated with obesity and overweight status in paediatric subjects
Author(s) -
Franchini Roberto,
Petri Antonella,
Migliario Mario,
Rimondini Lia
Publication year - 2011
Publication title -
journal of clinical periodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.456
H-Index - 151
eISSN - 1600-051X
pISSN - 0303-6979
DOI - 10.1111/j.1600-051x.2011.01770.x
Subject(s) - overweight , medicine , gingivitis , obesity , body mass index , oral hygiene , anthropometry , periodontitis , metabolic syndrome , insulin resistance , dentistry
Franchini R, Petri A, Migliario M, Rimondini L: Poor oral hygiene and gingivitis are associated with obesity and overweight status in paediatric subjects. J Clin Periodontol 2011; 38: 1021–1028. doi: 10.1111/j.1600‐051X.2011.01770.x.AbstractAim: The association between obesity and periodontitis has been extensively investigated in adults but not in young people. Our aim is to evaluate whether overweight/obese paediatric patients have a greater chance of being affected by gingivitis than those of normal weight.Subjects and Methods: Ninety‐eight subjects ranging between 10 and 17 years of age were classified as obese/overweight or normal weight on the basis of body mass index. Auxological data, blood pressure, insulin resistance, psychological profile, oral hygiene habits, plaque and gingival indices were collected.Results: Anthropometric measurements and blood pressure were significantly higher in overweight/obese subjects than in the normal‐weight subjects ( p <0001). The overweight/obese subjects showed a worse attitude towards oral hygiene. Two‐way anova revealed a significant effect of obesity status ( p <0001) on the gingival index. Logistic and linear regression analyses identified gingivitis as dependent on insulin resistance and bad oral hygiene rather than on the overweight/obese status simply defined. Negative psychological features related to physical and academic self‐concept were also risk factors for gingivitis probably because they were related to a generic poor self‐awareness.Conclusion: The gingivitis observed in overweight and obese young subjects is probably due to a combination of metabolic and inflammatory profiles and neglected attitude towards oral hygiene.