RODOLFO MACEDO CRUZ PIMENTA
@uefs.br
Health Department
Universidade Estadual de Feira de Santana - UEFS
Scopus Publications
Scholar Citations
Scholar h-index
Scholar i10-index
Scopus Publications
Isaac S. Gomes‐Filho, Josicélia Estrela Tuy Batista, Soraya Castro Trindade, Johelle de Santana Passos‐Soares, Eneida de Moraes Marcílio Cerqueira, Teresinha Silveira da Costa, Ana Claudia Morais Godoy Figueiredo, Maria da Conceição Nascimento Costa, Luis Fernando Fernandes Adan, Gessica Santana Orrico,et al.
Wiley
OBJECTIVE
The objective of this study was to investigate an association between obesity (exposure) and periodontitis (outcome) in pregnant women.
BACKGROUND
This association was investigated and only five studies were identified as showing a positive association. However, some of these studies had limitations such as reduced sample sizes, inadequate exposure criteria and outcome measures, which question the internal validity of these investigations.
METHODS
A cross-sectional study was carried out with a sample of 644 pregnant women of the public health service of the municipality of Santo Antônio de Jesus, Bahia, Brazil. Data were obtained by collecting of socioeconomic-demographic information, health behavior, health conditions, and reproductive history through an interview. Obesity was evaluated using body mass index adjusted for gestational age and expected weight gain. The diagnosis of periodontitis followed two criteria: (a) Center for Disease Prevention and Control and American Academy of Periodontology (CDC/AAP); (b) Gomes-Filho et al (2018) using criterion that also evaluated bleeding upon probing; Prevalence ratios and respective 95% confidence intervals were obtained by Poisson regression analysis.
RESULTS
In accordance with the outcome diagnostic criterion, the frequency of periodontitis was 17.24% (Gomes-Filho et al) and 66.92% (CDC/AAP). The participants were classified as low weight (19.72%), adequate weight (42.39%), overweight (24.84%), and obesity (13.04%), based on the exposure diagnostic criterion. The low weight and overweight groups were excluded from the data analysis, giving a final sample of 357 pregnant women. The association between obesity in pregnant women and periodontitis was not statistically significant, after adjusting for confounders such as age, schooling level, alcoholic beverage consumption, alimentary and nutritional orientation, urinary infection, and dental flossing.
CONCLUSIONS
The findings showed a high frequency of periodontitis, obesity, and overweight in the studied population but no association between obesity and periodontitis in pregnant women was found.
Ana Claudia Morais Godoy Figueiredo, Isaac Suzart Gomes-Filho, Josicélia Estrela Tuy Batista, Géssica Santana Orrico, Edla Carvalho Lima Porto, Rodolfo Macedo Cruz Pimenta, Sarah dos Santos Conceição, Sheila Monteiro Brito, Michelle de Santana Xavier Ramos, Maria Cristina Ferreira Sena,et al.
Public Library of Science (PLoS)
Objective To investigate the association between maternal anemia and low/insufficient birth weight. Design A prospective cohort study of pregnant women who underwent prenatal care at the healthcare units in a municipality of northeast Brazil together with their newborn infants was carried out. The pregnant women were classified as having anemia when the hemoglobin level was below 11 g/dl. Infants who were born full term weighing less than 2500 grams were classified as low birth weight, and those weighing between 2500 and 2999 grams were classified as insufficient weight. The occurrence of maternal anemia and its association with birth weight was verified using crude and adjusted Relative Risk (RR) estimates with their corresponding 95% confidence intervals (95%CIs). Results The final sample was comprised of 622 women. Maternal anemia was considered a risk factor for low/insufficient birth weight, after adjusting the effect measurement for maternal age, family income, urinary infection, parity, alcoholic beverage consumption during pregnancy and gestational body mass index: RRadjusted = 1.38 [95% CI: 1.07 to 1.77]. Conclusions Maternal anemia was associated with low/insufficient birth weight, representing a risk factor for the gestational outcomes studied.