Association among gestational diabetes mellitus, periodontitis and prematurity: a cross-sectional study
AUTOR(ES)
Damante, Carla Andreotti; Foratori Junior, Gerson Aparecido; Cunha, Paula de Oliveira; Negrato, Carlos Antonio; Sales-Peres, Silvia Helena Carvalho; Zangrando, Mariana Schutzer Ragghianti; Sant’Ana, Adriana Campos Passanezi
FONTE
Archives of Endocrinology and Metabolism
DATA DE PUBLICAÇÃO
2022
RESUMO
ABSTRACT Objective: Gestational diabetes mellitus (GDM) causes maternal and infant morbidity. Periodontitis is associated with adverse pregnancy outcomes. The aim of this study was to evaluate periodontal status, prematurity and associated factors in pregnant women with and without GDM. Subjects and methods: This observational cross-sectional study included 80 pregnant women with GDM (G1 = 40) and without GDM (G2 = 40). Demographic and socioeconomic status, systemic and periodontal health condition, prematurity and newborns’ birth weight were analyzed. For bivariate analysis, Mann-Whitney U-test, t test and Chi-squared test were used. Binary logistic regression analyzed independent variables for periodontitis and prematurity (p < 0.05). Results: Patients from G1 presented lower socioeconomic status, higher weight and body mass index (BMI). Prematurity (G1 = 27.5%; G2 = 2.5%; p < 0.05) and severe periodontitis percentages (G1 = 22.5%; G2 = 0; p = 0.001) were higher in G1 than in G2. Logistic regression analysis showed that household monthly income (OR = 0.65; 95% CI 0.48-0.86; p = 0.003) and maternal BMI (adjusted OR = 1.12; 95% CI 1.01-1.25; p = 0.028) were significant predictors of periodontitis during the third trimester of pregnancy. Presence of GDM remained in the final logistic model related to prematurity (adjusted OR = 14.79; 95% CI 1.80-121.13; p = 0.012). Conclusions: Pregnant women with GDM presented higher severity of periodontitis, lower socioeconomic status, higher overweight/obesity and a 10-fold higher risk of prematurity. Socioeconomic-cultural status and BMI were significant predictors for periodontitis, and GDM was a predictor to prematurity.
Documentos Relacionados
- Serum lipid, lipoprotein and apolipoprotein changes in gestational diabetes mellitus: a cross-sectional and prospective study.
- Association between glycemic control and albuminuria among Peruvian adults with diabetes mellitus 2: a cross-sectional analytical study
- Thyroid function among women with gestational trophoblastic diseases. A cross-sectional study
- Prematurity and functional gastrointestinal disorders in infancy: a cross-sectional study
- Association between frailty and depression among hemodialysis patients: a cross-sectional study