Association between Obesity and Periodontitis in US Adults: NHANES 2011–2014

Introduction: It is controversial whether obesity and periodontitis are related. A representative US population was examined for the relationship between obesity and periodontitis. Methods: In the National Health and Nutrition Examination Survey (NHANES) 2011–2014, participants (n = 6,662) aged 30 y...

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Main Authors: Ling Liu, Lin Yu Xia, Yu Jie Gao, Xiu Hua Dong, Ren Guo Gong, Jing Xu
Format: Article
Language:English
Published: Karger Publishers 2023-11-01
Series:Obesity Facts
Subjects:
Online Access:https://beta.karger.com/Article/FullText/534751
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author Ling Liu
Lin Yu Xia
Yu Jie Gao
Xiu Hua Dong
Ren Guo Gong
Jing Xu
author_facet Ling Liu
Lin Yu Xia
Yu Jie Gao
Xiu Hua Dong
Ren Guo Gong
Jing Xu
author_sort Ling Liu
collection DOAJ
description Introduction: It is controversial whether obesity and periodontitis are related. A representative US population was examined for the relationship between obesity and periodontitis. Methods: In the National Health and Nutrition Examination Survey (NHANES) 2011–2014, participants (n = 6,662) aged 30 years or older and who underwent periodontal examinations were chosen for analysis. An assessment of obesity was based on body mass index (BMI) and waist circumference (WC). Estimates of obesity and periodontal disease were made using univariate and multivariate logistic regression models. Results: According to an adjusted odds ratio (OR) for periodontitis, BMI (OR = 1.01, 95% CI: 1.01∼1.02) and WC (OR = 1.01, 95% CI: 1∼1.01) were significantly associated with periodontitis, respectively. After adjusting for confounding factors, the OR for patients with high WC with periodontitis was 1.18 (1.04∼1.33) compared to normal WC. BMI and WC subgroups showed no significant interaction (p for interaction >0.05), except for the age interaction in BMI. Among young adults aged 30–44 years, obesity was significantly associated with periodontitis in subgroups; the adjusted OR for having periodontal disease was 1.02 (1∼1.03) and 1.01 (1∼1.02) for subjects with BMI and WC, respectively. When all covariates were adjusted, BMI ≥30 kg/m2 was statistically significantly associated with prevalence of periodontal disease among people aged 30–44 years (p < 0.001). Conclusions: BMI and WC are significantly associated with periodontitis, even after adjusting for many variables, and were equally significant in obese (BMI ≥30 kg/m2) young people (30–44 years).
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spelling doaj.art-50b132cf466b44b681521228cb9762eb2023-12-07T07:19:14ZengKarger PublishersObesity Facts1662-40332023-11-0111210.1159/000534751534751Association between Obesity and Periodontitis in US Adults: NHANES 2011–2014Ling Liu0Lin Yu Xia1Yu Jie Gao2Xiu Hua Dong3Ren Guo Gong4Jing Xu5Department of Stomatology, The First Affiliated Hospital of Chengdu Medical College, Chengdu, ChinaDepartment of Thyroid and Breast Surgery, The First Affiliated Hospital of Chengdu Medical College, Chengdu, ChinaDepartment of Stomatology, The First Affiliated Hospital of Chengdu Medical College, Chengdu, ChinaDepartment of Stomatology, The First Affiliated Hospital of Chengdu Medical College, Chengdu, ChinaDepartment of Stomatology, The First Affiliated Hospital of Chengdu Medical College, Chengdu, ChinaHospital of Stomatology, Jilin University, Changchun, ChinaIntroduction: It is controversial whether obesity and periodontitis are related. A representative US population was examined for the relationship between obesity and periodontitis. Methods: In the National Health and Nutrition Examination Survey (NHANES) 2011–2014, participants (n = 6,662) aged 30 years or older and who underwent periodontal examinations were chosen for analysis. An assessment of obesity was based on body mass index (BMI) and waist circumference (WC). Estimates of obesity and periodontal disease were made using univariate and multivariate logistic regression models. Results: According to an adjusted odds ratio (OR) for periodontitis, BMI (OR = 1.01, 95% CI: 1.01∼1.02) and WC (OR = 1.01, 95% CI: 1∼1.01) were significantly associated with periodontitis, respectively. After adjusting for confounding factors, the OR for patients with high WC with periodontitis was 1.18 (1.04∼1.33) compared to normal WC. BMI and WC subgroups showed no significant interaction (p for interaction >0.05), except for the age interaction in BMI. Among young adults aged 30–44 years, obesity was significantly associated with periodontitis in subgroups; the adjusted OR for having periodontal disease was 1.02 (1∼1.03) and 1.01 (1∼1.02) for subjects with BMI and WC, respectively. When all covariates were adjusted, BMI ≥30 kg/m2 was statistically significantly associated with prevalence of periodontal disease among people aged 30–44 years (p < 0.001). Conclusions: BMI and WC are significantly associated with periodontitis, even after adjusting for many variables, and were equally significant in obese (BMI ≥30 kg/m2) young people (30–44 years).https://beta.karger.com/Article/FullText/534751obesityperiodontitisnational health and nutrition examination surveybody mass indexwaist circumference
spellingShingle Ling Liu
Lin Yu Xia
Yu Jie Gao
Xiu Hua Dong
Ren Guo Gong
Jing Xu
Association between Obesity and Periodontitis in US Adults: NHANES 2011–2014
Obesity Facts
obesity
periodontitis
national health and nutrition examination survey
body mass index
waist circumference
title Association between Obesity and Periodontitis in US Adults: NHANES 2011–2014
title_full Association between Obesity and Periodontitis in US Adults: NHANES 2011–2014
title_fullStr Association between Obesity and Periodontitis in US Adults: NHANES 2011–2014
title_full_unstemmed Association between Obesity and Periodontitis in US Adults: NHANES 2011–2014
title_short Association between Obesity and Periodontitis in US Adults: NHANES 2011–2014
title_sort association between obesity and periodontitis in us adults nhanes 2011 2014
topic obesity
periodontitis
national health and nutrition examination survey
body mass index
waist circumference
url https://beta.karger.com/Article/FullText/534751
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