COVID-19后遗症与牙周病和肥胖之间的关系:一项横断面研究

IF 4.2 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Journal of periodontology Pub Date : 2023-11-21 DOI:10.1002/JPER.23-0412
Maísa Casarin, Francisco Hecktheuer Silva, Ana Flávia Leite Pontes, Betina Dutra Lima, Flavia Q. Pirih, Francisco Wilker Mustafa Gomes Muniz
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引用次数: 0

摘要

背景:评估成人冠状病毒病2019 (COVID-19)的后遗症及其相关因素,如肥胖和牙周炎。方法:该研究纳入了来自巴西佩洛塔斯的128名年龄≥35岁且通过实时聚合酶链反应(RT-PCR)诊断为COVID-19的个体。自我报告的COVID-19后遗症被定义为主要结局。采用新型冠状病毒肺炎后遗症社会人口学、医学、行为和自我报告问卷。进行了完整的牙周临床检查。评估了体重和身高。单、双、多变量分析采用泊松回归进行稳健方差分析。将肥胖作为一个亚组进行额外的分析。结果:在整个样本中,COVID-19的后遗症与牙周炎(患病率[PR]:1.14;95%可信区间[95% ci]: 0.80-1.61)和肥胖(0.93[0.68-1.26])之间没有统计学意义上的相关性。在亚组分析中,仅考虑肥胖个体,与牙周健康或局部牙周炎个体相比,被诊断为广泛性牙周炎的患者患COVID-19后遗症的可能性高86%。然而,当只考虑那些没有肥胖的人时,没有发现与牙周状态有显著关联(0.82[0.55-1.23])。当考虑到后遗症的严重程度(无后遗症、1后遗症和>1后遗症)时,未观察到与牙周状况的显著相关性(p > 0.05)。结论:与仅肥胖的个体相比,诊断为肥胖和牙周炎的个体报告COVID-19后遗症的概率更高。
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Association between sequelae of COVID-19 with periodontal disease and obesity: A cross-sectional study

Background

To assess the sequelae of coronavirus disease 2019 (COVID-19) and associated factors, such as obesity and periodontitis in adults.

Methods

The study included 128 individuals aged ≥35 years with a history of a diagnosis of COVID-19 through real-time polymerase chain reaction (RT-PCR), from Pelotas, Brazil. Self-report sequelae from COVID-19 were defined as the primary outcome. A questionnaire containing sociodemographic, medical, behavioral and self-report of sequelae of COVID-19 was applied. A complete periodontal clinical examination was performed. Weight and height were assessed. Uni-, bi- and multivariate analyses were performed using Poisson regression with robust variance. Additional analyses were performed considering obesity as a subgroup.

Results

When considering the whole sample, no statistically significant associations between sequelae of COVID-19 with periodontitis (prevalence ratio [PR]:1.14;95% confidence interval [95%CI]: 0.80–1.61) and obesity (0.93 [0.68–1.26]) were identified. In the subgroup analysis, considering only individuals with obesity, those diagnosed with generalized periodontitis had 86% higher probability to have sequelae of COVID-19 when compared to individuals with periodontal health or localized periodontitis. However, when only those without obesity were considered, no significant association with periodontal status was detected (0.82 [0.55–1.23). No significant association with periodontal status were observed when the severity of sequelae (no sequelae, 1 sequela, and >1 sequela) were considered (p > 0.05).

Conclusions

Individuals diagnosed with obesity and periodontitis have a higher PR of reporting sequelae from COVID-19 compared to individuals with only obesity.

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来源期刊
Journal of periodontology
Journal of periodontology 医学-牙科与口腔外科
CiteScore
9.10
自引率
7.00%
发文量
290
审稿时长
3-8 weeks
期刊介绍: The Journal of Periodontology publishes articles relevant to the science and practice of periodontics and related areas.
期刊最新文献
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