Acta Scientific Dental Sciences (ASDS)(ISSN: 2581-4893)

Research Article Volume 6 Issue 6

Bone Density, Body Composition and Periodontitis in Obese Men Candidates for Bariatric Surgery: Preliminary Study

Sílvia Helena de Carvalho Sales Peres1*, Ana Vírginia Sampaio Castilho1, Jacira Alves Caracik de Camargo Andrade1, Ana Carolina da Silva Pinto1, Eliel Soares Orenha1 and Sergio Setsuo Maeda2

1Department of Pediatric Dentistry, Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo, Bauru, São Paulo, Brazil
2Department of Endocrinology, Federal University of São Paulo- UNIFESP, Brazil

*Corresponding Author: Sílvia Helena de Carvalho Sales-Peres, Department of Pediatric Dentistry, Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo, Bauru, São Paulo, Brazil.

Received: April 29, 2022; Published: May 23, 2022

Abstract

Objective: This transversal study aimed to evaluate and relate bone mineral density (BMD), body composition and periodontal disease among men.

Study Design: The sample consisted of 22 patients, aged 22 and 48 years, obese with BMI ≥ 40kg/m², candidates for bariatric surgery. Evaluations of dual energy X-ray absorptiometry (DXA), anthropometric and oral evaluation, gingivitis and periodontitis were performed. Pearson's correlation index was adopted (p < 0.05).

Results: The average weight was 148 kg (122-198); Average BMI of 48.8 kg/m2 (40.5-62.5); BMC (bone mineral content), on average, of 3.31kg (2.7-4.1); Mean total body BMD of 1.3 g/cm2 (1.1-1.5); and an average Z-score of 1.2 (0.0-2.9). The mean total body fat was 43.3% (37.4-52.1), and the percentage of total mas of fat free was 56.6 (47.9-82.3). The average FMI (fat mass index) was 20.6 (14.4-27.0), The A (android)/G (ginoid) ratio of 1.2 (1.0-1.6) and the average trunk weight, 85.8kg (68.3-116.2). 29% of patients had periodontal disease. There was a difference of less than 4.5 kg (1.0 to 7.8) in the weight of DXA compared to the anthropometric weight, which corresponds to an average difference of 3.06% (0.05-5.27). In the correlation analysis of the dental evaluation vs the DXA result, only significant correlation was obtained with gingival bleeding and the FMI (p = 0.031, R = -0.525).

Conclusion: It can be concluded that with the increase of fat mass there is a decrease in gingivitis, possibly due to the evolution of periodontal disease. Future studies should be conducted to clarify these preliminary findings.

Keywords: Bone Density; Body Composition; Obesity; Periodontal Diseases; DXA Scan

References

  1. Sales-Peres SHC and Sales-Peres M. “Obesidade e saúde bucal riscos e desafios” 1 (2016): 11-20.
  2. Sales-Peres SHC., et al. “Periodontal Status in Morbidly Obese Patients with and without Obstructive Sleep Apnea Syndrome Risk: A Cross-Sectional Study”. Journal of Periodontology7 (2016): 772-782.
  3. Moura-Grec PG., et al. “Impact of bariatric surgery on oral health conditions: 6-months cohort study”. International Journal of Dentistry 3 (2014): 144-149.
  4. Rocha-Braz MG and Ferraz-de Souza B. “Genetics of osteoporosis: searching for candidate genes for bone fragility”. Archives of Endocrinology and Metabolism 4 (2016): 391-401.
  5. Gluer CC. “30years of DXA technology innovations”. Bone 104 (2017): 7-12.
  6. Balsiger BM., et al. “Bariatric surgery. Surgery for weight control in patients with morbid obesity”. Medical Clinics of North America 2 (2000): 477-489.
  7. Kendler DL., et al. “The Official Positions of the International Society for Clinical Densitometry: Indications of Use and Reporting of DXA for Body Composition”. Journal of Clinical Densitometry 4 (2007): 496-507.
  8. Saini R., et al. “Periodontal diseases: A risk factor to cardiovascular disease”. Ann Card Anaesth 13 (2010): 159-161.
  9. Saito T., et al. “Obesity and periodontitis”. The New England Journal of Medicine 7 (1998): 482-483.
  10. Cochran DL. Inflammation and bone loss in periodontal disease”. Journal of Periodontology 8 (2008): 1569-1576.
  11. Buchwald H., et al. “Bariatric surgery: a systematic review and meta-analysis”. JAMA 14 (2004): 1724-1737.
  12. Trevisan M and Dorn J. “The relationship between periodontal disease (pd) and cardiovascular disease (cvd)”. Mediterranean Journal of Hematology and Infectious Diseases 3 (2010): e2010030.
  13. Moura-Grec PG., et al. “Impact of bariatric surgery on oral health conditions: 6-months cohort study”. International Journal of Dentistry 64 (2014): 144-149.
  14. Pihlstrom BL., et al. “Periodontal diseases”. Lancet9499 (2005): 1809-1820.
  15. Penoni DC., et al. “Association of osteoporosis and bone medication with the periodontal condition in elderly women”. Osteoporosis International 5 (2016): 1887-1896.
  16. Martinez-Maestre MA., et al. “Periodontite e osteoporose: uma revisão sistemática”. Climacteric6 (2010): 523-529.
  17. Herrera A., et al. “Male osteoporosis: A review”. World Journal of Orthopedics 12 (2012): 223-234.
  18. Willson T., et al. “The clinical epidemiology of male osteoporosis: a review of the recent literature”. Clinical Epidemiology 7 (2015): 65-76.
  19. World Health Organization WHO. “Obesity: preventing and managing the global epidemic. Report of a World Health Organization Consultation”. Geneva: World Health Organization. WHO Obesity Technical Report Series (2000): 284.
  20. Eke PI., et al. “Advances in surveillance of periodontitis: the Centers for Disease Control and Prevention periodontal disease surveillance project”. Journal of Periodontology 11 (2012): 1337-1342.
  21. Henry MJ., et al. “Fracture Risk (FRISK) Score: Geelong Osteoporosis Study”. Radiology 1 (2006): 190-196.
  22. Sales-Peres SHC., et al. “Alveolar bone pattern and salivary leptin levels among premenopausal obese women”. Arquivos Brasileiros de Cirurgia Digestiva 1 (2019): e1422.
  23. Chaston TB., et al. “Changes in fat-free mass during significant weight loss: a systematic review”. International Journal of Obesity 5 (2007): 743-750.
  24. Coates PS., et al. “Gastric bypass surgery for morbid obesity leads to an increase in bone turnover and a decrease in bone mass”. The Journal of Clinical Endocrinology and Metabolism 3 (2004): 1061-1065.
  25. Knapp KM., et al. “Obesity increases precision errors in dual-energy X-ray absorptiometry measurements”. Journal of Clinical Densitometry 3 (2012): 315-319.
  26. Woodrow G. “Body composition analysis techniques in the aged adult: indications and limitations”. Current Opinion in Clinical Nutrition and Metabolic Care 12.1 (2009): 8-14.
  27. Ponti F., et al. “Body composition, dual-energy X-ray absorptiometry and obesity: the paradigm of fat (re)distribution”. BJR Case Reports 3 (2019).
  28. Ignasiak Z., et al. “Analysis of the relationships between edentulism, periodontal health, body composition, and bone mineral density in elderly women”. Clinical Interventions in Aging 11 (2016): 351-356.
  29. Gorman U., et al. “Alterações no peso corporal e adiposidade predizem a progressão da periodontite nos homens”. Journal of Dental Research 10 (2012): 921-926.
  30. Marsicano J., et al. “Avaliação do estado de saúde bucal e da taxa de fluxo salivar em pacientes obesos após cirurgia bariátrica”. European Journal of Dentistry 2 (2012): 191-197.

Citation

Citation: Sílvia Helena de Carvalho Sales Peres., et al. “Bone Density, Body Composition and Periodontitis in Obese Men Candidates for Bariatric Surgery: Preliminary Study". Acta Scientific Dental Sciences 6.6 (2022): 122-128.

Copyright

Copyright: © 2022 Sílvia Helena de Carvalho Sales Peres., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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