Systemic Condition, Periodontal Status, and Quality of Life in Obese Women During Pregnancy and After Delivery.

Abstract

OBJECTIVE\nTo evaluate the systemic condition, periodontal status, and quality of life in obese women during pregnancy and after delivery.\n\n\nMETHODS\nThis prospective cohort consisted of 60 women examined in the third trimester of pregnancy (32nd-36th gestational week [T1]) and after delivery (T2) and were divided into elevated body mass index (BMI; GO\u202f=\u202f30) and normal BMI (GN\u202f=\u202f30) according to the World Health Organization. The variables assessed were: (1) gestational weight gain, arterial hypertension (AH), and diabetes mellitus; (2) oral hygiene behaviour (frequency of dental floss using and toothbrushing); (3) probing pocket depth (PPD), clinical attachment loss (CAL), bleeding on probing (BOP), and dental biofilm; and (4) quality of life (Oral Health Impact Project [OHIP]-14). Analysis of variance (ANOVA), Friedman, Cochran s Q and χ2 tests, and logistic regression model were adopted (P < .05).\n\n\nRESULTS\nGO showed a higher frequency of AH in T1 (P < .001). Both groups decreased the frequency of dental floss use (P\u202f=\u202f.013) and toothbrushing (P < .001) and increased the percentage of dental biofilm in T2 (P < .001). GO presented a greater PPD and CAL in T1 and T2 and higher BOP in T1 (P < .001), demonstrating a negative impact in the following dimensions of Oral Health Impact Project-14 during T1 functional limitation (P\u202f=\u202f.020), physical disability (P\u202f=\u202f.020), and handicap (P\u202f=\u202f.021).\n\n\nCONCLUSION\nObese women presented a higher prevalence of AH during pregnancy and higher prevalence of periodontitis in both periods. They showed a poor quality of life in T1 regarding functional limitation, physical disability, and handicap.