MASTICATORY FUNCTION OF OBESE CANDIDATES TO BARIATRIC SURGERY FROM DISTINCT SOCIOECONOMIC CLASSES
Identifieur interne : 006A63 ( Ncbi/Merge ); précédent : 006A62; suivant : 006A64MASTICATORY FUNCTION OF OBESE CANDIDATES TO BARIATRIC SURGERY FROM DISTINCT SOCIOECONOMIC CLASSES
Auteurs : Celso Roberto Passeri [Brésil] ; Jacira Alves Caracik De Camargo Andrade [Brésil] ; Karla Thaíza Tomal ; Eduardo Marcucci Pracucho ; Livia Paschoalino De Campos [Brésil] ; Silvia Helena De Carvalho Sales-Peres [Brésil]Source :
- Arquivos Brasileiros de Cirurgia Digestiva : ABCD [ 0102-6720 ] ; 2016.
Abstract
Obesity and metabolic syndrome can be labeled as worldwide outbreak; thus, both have led to serious public health problem. Oral health can be worsened by both, obesity and metabolic syndrome. Tooth loss harms masticatory function, essential status to whom will be submitted to bariatric surgery.
Assess masticatory function of obese candidates to bariatric surgery, who belong to distinct socioeconomic class range, in order to recognize hazard factors and the bias of socioeconomic factor in this context.
Observational cross-section study, with samples comprised by two groups of patients, with distinct socioeconomic class range, one of them belonging to public health system (SUSG) and the other to private clinic (CPG), candidates to bariatric surgery. Were assessed anthropometric data, comorbidities and medicines usage, blood tests, habits and the number of dental functional units.
The groups SUSG and CPG were homogeneous taking into account gender (p=0,890) and age range (p=0,170). The number of dental functional units was higher in the private group (p<0.001). The impaired masticatory function was rather present among public group (p<0.001) and female gender (p<0,001). Regarded as blood tests, fasting glucose was higher in female in SUSG (p<0,001). The following hazard factors have corroborated to have patients rated as impaired masticatory function: belong to public service (OR: 8.420, p=0.003), higher age (OR: 1.186, p<0.001), female gender (OR: 0.153, p=0.029), diabetes mellitus (OR: 2.545, p=0.045) and smokers (OR: 2.951, p=0.043).
The general health and masticatory function of female SUSG were worse, highlighting the socioeconomic condition as hazard factor.
Url:
DOI: 10.1590/0102-6720201600S10014
PubMed: 27683777
PubMed Central: 5064279
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">MASTICATORY FUNCTION OF OBESE CANDIDATES TO BARIATRIC SURGERY FROM
DISTINCT SOCIOECONOMIC CLASSES</title><author><name sortKey="Passeri, Celso Roberto" sort="Passeri, Celso Roberto" uniqKey="Passeri C" first="Celso Roberto" last="Passeri">Celso Roberto Passeri</name><affiliation><nlm:aff id="aff1">Bariatric Surgery Service, Amaral Carvalho Hospital, Jau, SP;</nlm:aff><wicri:noCountry code="subfield">SP</wicri:noCountry></affiliation><affiliation wicri:level="4"><nlm:aff id="aff2">Bauru School of Dentistry, University of São Paulo, Bauru, SP;</nlm:aff><orgName type="university">Université de São Paulo</orgName><country>Brésil</country><placeName><settlement type="city">São Paulo</settlement><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Andrade, Jacira Alves Caracik De Camargo" sort="Andrade, Jacira Alves Caracik De Camargo" uniqKey="Andrade J" first="Jacira Alves Caracik De Camargo" last="Andrade">Jacira Alves Caracik De Camargo Andrade</name><affiliation><nlm:aff id="aff1">Bariatric Surgery Service, Amaral Carvalho Hospital, Jau, SP;</nlm:aff><wicri:noCountry code="subfield">SP</wicri:noCountry></affiliation><affiliation wicri:level="4"><nlm:aff id="aff2">Bauru School of Dentistry, University of São Paulo, Bauru, SP;</nlm:aff><orgName type="university">Université de São Paulo</orgName><country>Brésil</country><placeName><settlement type="city">São Paulo</settlement><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Tomal, Karla Thaiza" sort="Tomal, Karla Thaiza" uniqKey="Tomal K" first="Karla Thaíza" last="Tomal">Karla Thaíza Tomal</name><affiliation><nlm:aff id="aff1">Bariatric Surgery Service, Amaral Carvalho Hospital, Jau, SP;</nlm:aff><wicri:noCountry code="subfield">SP</wicri:noCountry></affiliation></author><author><name sortKey="Pracucho, Eduardo Marcucci" sort="Pracucho, Eduardo Marcucci" uniqKey="Pracucho E" first="Eduardo Marcucci" last="Pracucho">Eduardo Marcucci Pracucho</name><affiliation><nlm:aff id="aff1">Bariatric Surgery Service, Amaral Carvalho Hospital, Jau, SP;</nlm:aff><wicri:noCountry code="subfield">SP</wicri:noCountry></affiliation></author><author><name sortKey="De Campos, Livia Paschoalino" sort="De Campos, Livia Paschoalino" uniqKey="De Campos L" first="Livia Paschoalino" last="De Campos">Livia Paschoalino De Campos</name><affiliation wicri:level="2"><nlm:aff id="aff3">Botucatu Faculty of Medicine, Universidade Paulista, Botucatu, SP, Brazil.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Brésil</country><wicri:regionArea>Botucatu Faculty of Medicine, Universidade Paulista, Botucatu, SP</wicri:regionArea><placeName><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Sales Peres, Silvia Helena De Carvalho" sort="Sales Peres, Silvia Helena De Carvalho" uniqKey="Sales Peres S" first="Silvia Helena De Carvalho" last="Sales-Peres">Silvia Helena De Carvalho Sales-Peres</name><affiliation wicri:level="4"><nlm:aff id="aff2">Bauru School of Dentistry, University of São Paulo, Bauru, SP;</nlm:aff><orgName type="university">Université de São Paulo</orgName><country>Brésil</country><placeName><settlement type="city">São Paulo</settlement><region type="state">État de São Paulo</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">27683777</idno><idno type="pmc">5064279</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5064279</idno><idno type="RBID">PMC:5064279</idno><idno type="doi">10.1590/0102-6720201600S10014</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">002844</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002844</idno><idno type="wicri:Area/Pmc/Curation">002844</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002844</idno><idno type="wicri:Area/Pmc/Checkpoint">000614</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000614</idno><idno type="wicri:Area/Ncbi/Merge">006A63</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">MASTICATORY FUNCTION OF OBESE CANDIDATES TO BARIATRIC SURGERY FROM
DISTINCT SOCIOECONOMIC CLASSES</title><author><name sortKey="Passeri, Celso Roberto" sort="Passeri, Celso Roberto" uniqKey="Passeri C" first="Celso Roberto" last="Passeri">Celso Roberto Passeri</name><affiliation><nlm:aff id="aff1">Bariatric Surgery Service, Amaral Carvalho Hospital, Jau, SP;</nlm:aff><wicri:noCountry code="subfield">SP</wicri:noCountry></affiliation><affiliation wicri:level="4"><nlm:aff id="aff2">Bauru School of Dentistry, University of São Paulo, Bauru, SP;</nlm:aff><orgName type="university">Université de São Paulo</orgName><country>Brésil</country><placeName><settlement type="city">São Paulo</settlement><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Andrade, Jacira Alves Caracik De Camargo" sort="Andrade, Jacira Alves Caracik De Camargo" uniqKey="Andrade J" first="Jacira Alves Caracik De Camargo" last="Andrade">Jacira Alves Caracik De Camargo Andrade</name><affiliation><nlm:aff id="aff1">Bariatric Surgery Service, Amaral Carvalho Hospital, Jau, SP;</nlm:aff><wicri:noCountry code="subfield">SP</wicri:noCountry></affiliation><affiliation wicri:level="4"><nlm:aff id="aff2">Bauru School of Dentistry, University of São Paulo, Bauru, SP;</nlm:aff><orgName type="university">Université de São Paulo</orgName><country>Brésil</country><placeName><settlement type="city">São Paulo</settlement><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Tomal, Karla Thaiza" sort="Tomal, Karla Thaiza" uniqKey="Tomal K" first="Karla Thaíza" last="Tomal">Karla Thaíza Tomal</name><affiliation><nlm:aff id="aff1">Bariatric Surgery Service, Amaral Carvalho Hospital, Jau, SP;</nlm:aff><wicri:noCountry code="subfield">SP</wicri:noCountry></affiliation></author><author><name sortKey="Pracucho, Eduardo Marcucci" sort="Pracucho, Eduardo Marcucci" uniqKey="Pracucho E" first="Eduardo Marcucci" last="Pracucho">Eduardo Marcucci Pracucho</name><affiliation><nlm:aff id="aff1">Bariatric Surgery Service, Amaral Carvalho Hospital, Jau, SP;</nlm:aff><wicri:noCountry code="subfield">SP</wicri:noCountry></affiliation></author><author><name sortKey="De Campos, Livia Paschoalino" sort="De Campos, Livia Paschoalino" uniqKey="De Campos L" first="Livia Paschoalino" last="De Campos">Livia Paschoalino De Campos</name><affiliation wicri:level="2"><nlm:aff id="aff3">Botucatu Faculty of Medicine, Universidade Paulista, Botucatu, SP, Brazil.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Brésil</country><wicri:regionArea>Botucatu Faculty of Medicine, Universidade Paulista, Botucatu, SP</wicri:regionArea><placeName><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Sales Peres, Silvia Helena De Carvalho" sort="Sales Peres, Silvia Helena De Carvalho" uniqKey="Sales Peres S" first="Silvia Helena De Carvalho" last="Sales-Peres">Silvia Helena De Carvalho Sales-Peres</name><affiliation wicri:level="4"><nlm:aff id="aff2">Bauru School of Dentistry, University of São Paulo, Bauru, SP;</nlm:aff><orgName type="university">Université de São Paulo</orgName><country>Brésil</country><placeName><settlement type="city">São Paulo</settlement><region type="state">État de São Paulo</region></placeName></affiliation></author></analytic><series><title level="j">Arquivos Brasileiros de Cirurgia Digestiva : ABCD</title><idno type="ISSN">0102-6720</idno><idno type="eISSN">2317-6326</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>ABSTRACT</title><sec><title>Background:</title><p> Obesity and metabolic syndrome can be labeled as worldwide outbreak; thus, both
have led to serious public health problem. Oral health can be worsened by both,
obesity and metabolic syndrome. Tooth loss harms masticatory function, essential
status to whom will be submitted to bariatric surgery. </p></sec><sec><title>Aim:</title><p> Assess masticatory function of obese candidates to bariatric surgery, who belong
to distinct socioeconomic class range, in order to recognize hazard factors and
the bias of socioeconomic factor in this context. </p></sec><sec><title>Methods:</title><p> Observational cross-section study, with samples comprised by two groups of
patients, with distinct socioeconomic class range, one of them belonging to public
health system (SUSG) and the other to private clinic (CPG), candidates to
bariatric surgery. Were assessed anthropometric data, comorbidities and medicines
usage, blood tests, habits and the number of dental functional units. </p></sec><sec><title>Results:</title><p> The groups SUSG and CPG were homogeneous taking into account gender (p=0,890) and
age range (p=0,170). The number of dental functional units was higher in the
private group (p<0.001). The impaired masticatory function was rather present
among public group (p<0.001) and female gender (p<0,001). Regarded as blood
tests, fasting glucose was higher in female in SUSG (p<0,001). The following
hazard factors have corroborated to have patients rated as impaired masticatory
function: belong to public service (OR: 8.420, p=0.003), higher age (OR: 1.186,
p<0.001), female gender (OR: 0.153, p=0.029), diabetes mellitus (OR: 2.545,
p=0.045) and smokers (OR: 2.951, p=0.043). </p></sec><sec><title>Conclusion:</title><p> The general health and masticatory function of female SUSG were worse,
highlighting the socioeconomic condition as hazard factor. </p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Anderson, La" uniqKey="Anderson L">LA Anderson</name></author><author><name sortKey="Eyler, Aa" uniqKey="Eyler A">AA Eyler</name></author><author><name sortKey="Galuska, Da" uniqKey="Galuska D">DA Galuska</name></author><author><name sortKey="Brown, Dr" uniqKey="Brown D">DR Brown</name></author><author><name sortKey="Brownson, Rc" uniqKey="Brownson R">RC Brownson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Babor, Tf" uniqKey="Babor T">TF Babor</name></author><author><name sortKey="Higgins Biddle, Jc" uniqKey="Higgins Biddle J">JC Higgins-Biddle</name></author><author><name sortKey="Saunders, Jb" uniqKey="Saunders J">JB Saunders</name></author><author><name sortKey="Monteiro, Mg" uniqKey="Monteiro M">MG Monteiro</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Belle, Sh" uniqKey="Belle S">SH Belle</name></author><author><name sortKey="Chapman, W" uniqKey="Chapman W">W Chapman</name></author><author><name sortKey="Courcoulas, Ap" uniqKey="Courcoulas A">AP Courcoulas</name></author><author><name sortKey="Flum, Dr" uniqKey="Flum D">DR Flum</name></author><author><name sortKey="Gagner, M" uniqKey="Gagner M">M Gagner</name></author><author><name sortKey="Inabnet, Wb" uniqKey="Inabnet W">WB Inabnet</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Benguigui, C" uniqKey="Benguigui C">C Benguigui</name></author><author><name sortKey="Bongard, V" uniqKey="Bongard V">V Bongard</name></author><author><name sortKey="Ruidavets, Jb" uniqKey="Ruidavets J">JB Ruidavets</name></author><author><name sortKey="Chamontin, B" uniqKey="Chamontin B">B Chamontin</name></author><author><name sortKey="Sixou, M" uniqKey="Sixou M">M Sixou</name></author><author><name sortKey="Ferrieres, J" uniqKey="Ferrieres J">J Ferrieres</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chalub, L" uniqKey="Chalub L">L Chalub</name></author><author><name sortKey="Borges, Cm" uniqKey="Borges C">CM Borges</name></author><author><name sortKey="Ferreira, Rc" uniqKey="Ferreira R">RC Ferreira</name></author><author><name sortKey="Haddad, Jpa" uniqKey="Haddad J">JPA Haddad</name></author><author><name sortKey="Ferreira, Efe" uniqKey="Ferreira E">EFE Ferreira</name></author><author><name sortKey="Vargas, Amd" uniqKey="Vargas A">AMD Vargas</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="De Moura Grec, Pg" uniqKey="De Moura Grec P">PG De Moura-Grec</name></author><author><name sortKey="Yamashita, Jm" uniqKey="Yamashita J">JM Yamashita</name></author><author><name sortKey="Marsicano, Ja" uniqKey="Marsicano J">JA Marsicano</name></author><author><name sortKey="Ceneviva, R" uniqKey="Ceneviva R">R Ceneviva</name></author><author><name sortKey="De Souza Leite, Cv" uniqKey="De Souza Leite C">CV de Souza Leite</name></author><author><name sortKey="De Brito, Gb" uniqKey="De Brito G">GB de Brito</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Di Vetta, V" uniqKey="Di Vetta V">V Di Vetta</name></author><author><name sortKey="Kraytem, A" uniqKey="Kraytem A">A Kraytem</name></author><author><name sortKey="Giusti, V" uniqKey="Giusti V">V. 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uniqKey="Freitas A">AR Freitas</name></author><author><name sortKey="Sales Peres, A" uniqKey="Sales Peres A">A Sales-Peres</name></author><author><name sortKey="Groppo, Fc" uniqKey="Groppo F">FC Groppo</name></author><author><name sortKey="Ceneviva, R" uniqKey="Ceneviva R">R Ceneviva</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zhu, Y" uniqKey="Zhu Y">Y Zhu</name></author><author><name sortKey="Hollis, Jh" uniqKey="Hollis J">JH Hollis</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zukiewicz Sobczak, W" uniqKey="Zukiewicz Sobczak W">W Zukiewicz-Sobczak</name></author><author><name sortKey="Wroblewska, P" uniqKey="Wroblewska P">P Wroblewska</name></author><author><name sortKey="Zwolinski, J" uniqKey="Zwolinski J">J Zwolinski</name></author><author><name sortKey="Chmielewska Badora, J" uniqKey="Chmielewska Badora J">J Chmielewska-Badora</name></author><author><name sortKey="Adamczuk, P" uniqKey="Adamczuk P">P 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Arq Bras Cir Dig</journal-id><journal-id journal-id-type="iso-abbrev">Arq Bras Cir Dig</journal-id><journal-id journal-id-type="publisher-id">abcd</journal-id><journal-title-group><journal-title>Arquivos Brasileiros de Cirurgia Digestiva : ABCD</journal-title></journal-title-group><issn pub-type="ppub">0102-6720</issn><issn pub-type="epub">2317-6326</issn><publisher><publisher-name>Colégio Brasileiro de Cirurgia Digestiva</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">27683777</article-id><article-id pub-id-type="pmc">5064279</article-id><article-id pub-id-type="doi">10.1590/0102-6720201600S10014</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject></subj-group></article-categories><title-group><article-title>MASTICATORY FUNCTION OF OBESE CANDIDATES TO BARIATRIC SURGERY FROM
DISTINCT SOCIOECONOMIC CLASSES</article-title><trans-title-group xml:lang="pt"><trans-title>FUNÇÃO MASTIGATÓRIA DE OBESOS CANDIDATOS À CIRURGIA BARIÁTRICA ORIUNDOS
DE CLASSES SOCIOECONÔMICAS DISTINTAS</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name><surname>PASSERI</surname><given-names>Celso Roberto</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>ANDRADE</surname><given-names>Jacira Alves Caracik de Camargo</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>TOMAL</surname><given-names>Karla Thaíza</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>PRACUCHO</surname><given-names>Eduardo Marcucci</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>de CAMPOS</surname><given-names>Livia Paschoalino</given-names></name><xref ref-type="aff" rid="aff3"><sup>3</sup></xref></contrib><contrib contrib-type="author"><name><surname>SALES-PERES</surname><given-names>Silvia Helena de Carvalho</given-names></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib></contrib-group><aff id="aff1"><label>1</label>Bariatric Surgery Service, Amaral Carvalho Hospital, Jau, SP;</aff><aff id="aff2"><label>2</label>Bauru School of Dentistry, University of São Paulo, Bauru, SP;</aff><aff id="aff3"><label>3</label>Botucatu Faculty of Medicine, Universidade Paulista, Botucatu, SP, Brazil.</aff><author-notes><corresp id="c1">Correspondence: Celso Roberto Passeri E-mail:
<email>celsopasseri@uol.com.br</email></corresp><fn fn-type="COI-statement" id="fn2"><p>Conflicts of interest: none</p></fn></author-notes><pub-date pub-type="epub-ppub"><year>2016</year></pub-date><pmc-comment>Fake ppub date generated by PMC from publisher
pub-date/@pub-type='epub-ppub' </pmc-comment>
<pub-date pub-type="ppub"><year>2016</year></pub-date><volume>29</volume><issue>Suppl 1</issue><fpage>53</fpage><lpage>58</lpage><history><date date-type="received"><day>01</day><month>3</month><year>2016</year></date><date date-type="accepted"><day>02</day><month>6</month><year>2016</year></date></history><permissions><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/4.0/"><license-p>This is an open-access article distributed under the terms of the Creative
Commons Attribution License</license-p></license></permissions><abstract><title>ABSTRACT</title><sec><title>Background:</title><p> Obesity and metabolic syndrome can be labeled as worldwide outbreak; thus, both
have led to serious public health problem. Oral health can be worsened by both,
obesity and metabolic syndrome. Tooth loss harms masticatory function, essential
status to whom will be submitted to bariatric surgery. </p></sec><sec><title>Aim:</title><p> Assess masticatory function of obese candidates to bariatric surgery, who belong
to distinct socioeconomic class range, in order to recognize hazard factors and
the bias of socioeconomic factor in this context. </p></sec><sec><title>Methods:</title><p> Observational cross-section study, with samples comprised by two groups of
patients, with distinct socioeconomic class range, one of them belonging to public
health system (SUSG) and the other to private clinic (CPG), candidates to
bariatric surgery. Were assessed anthropometric data, comorbidities and medicines
usage, blood tests, habits and the number of dental functional units. </p></sec><sec><title>Results:</title><p> The groups SUSG and CPG were homogeneous taking into account gender (p=0,890) and
age range (p=0,170). The number of dental functional units was higher in the
private group (p<0.001). The impaired masticatory function was rather present
among public group (p<0.001) and female gender (p<0,001). Regarded as blood
tests, fasting glucose was higher in female in SUSG (p<0,001). The following
hazard factors have corroborated to have patients rated as impaired masticatory
function: belong to public service (OR: 8.420, p=0.003), higher age (OR: 1.186,
p<0.001), female gender (OR: 0.153, p=0.029), diabetes mellitus (OR: 2.545,
p=0.045) and smokers (OR: 2.951, p=0.043). </p></sec><sec><title>Conclusion:</title><p> The general health and masticatory function of female SUSG were worse,
highlighting the socioeconomic condition as hazard factor. </p></sec></abstract><trans-abstract xml:lang="pt"><title>RESUMO</title><sec><title>Racional:</title><p> Obesidade e síndrome metabólica são graves problemas de saúde pública, com
características de epidemia mundial. A saúde bucal é agravada por ambas as
condições. Perda dentária prejudica função mastigatória, condição essencial para o
paciente que será submetido à cirurgia bariátrica. </p></sec><sec><title>Objetivo:</title><p> Avaliar a função mastigatória de pacientes obesos candidatos à cirurgia
bariátrica pertencentes a dois serviços de saúde com padrões socioeconômicos
distintos, afim de identificar fatores de risco e a influência do fator
socioeconômico nesta condição. </p></sec><sec><title>Métodos:</title><p> Estudo observacional transversal, com amostra constituída por dois grupos de
pacientes obesos, com condições socioeconômicas distintas, um pertencente ao
sistema público de saúde (GSUS) e outro à clínica privada (GCP), candidatos à
cirurgia bariátrica. Foram analisados dados antropométricos, comorbidades e uso de
medicamentos para seu controle, exames laboratoriais, hábitos e o número de
unidades funcionais dentárias presentes. </p></sec><sec><title>Resultados:</title><p> Os grupos GSUS e GCP foram homogêneos quanto ao gênero (p=0,890) e faixa etária
(p=0,170). A média de unidades funcionais dentárias foi maior no grupo privado
(p<0,001). A função mastigatória prejudicada foi mais presente no grupo GSUS e
no gênero feminino (p<0,001). Quanto aos exames laboratoriais: glicemia de
jejum esteve mais alterada em mulheres do GSUS (p<0,001). Foram fatores de
risco independentes para ter função mastigatória prejudicada: ter origem no
serviço público de saúde (OR: 8,420 - p=0,003), maior idade (OR: 1,186 -
p<0,001), ser do gênero feminino (OR: 0,153 - p=0,029), portador de diabete
melito (OR: 2,545 - p=0,045) e tabagista (OR: 2,951 - p=0,043). </p></sec><sec><title>Conclusão:</title><p> A saúde geral e função mastigatória de mulheres do GSUS foram piores, ressaltando
a condição socioeconômica como fator de risco.</p></sec></trans-abstract><kwd-group><title>HEADINGS</title><kwd>Bariatric surgery</kwd><kwd>Epidemiologic Factors</kwd><kwd>Hematologic tests</kwd><kwd>Obesity</kwd><kwd>Oral health</kwd></kwd-group><counts><fig-count count="0"></fig-count><table-count count="6"></table-count><equation-count count="0"></equation-count><ref-count count="31"></ref-count><page-count count="6"></page-count></counts></article-meta></front></pmc><affiliations><list><country><li>Brésil</li></country><region><li>État de São Paulo</li></region><settlement><li>São Paulo</li></settlement><orgName><li>Université de São Paulo</li></orgName></list><tree><noCountry><name sortKey="Pracucho, Eduardo Marcucci" sort="Pracucho, Eduardo Marcucci" uniqKey="Pracucho E" first="Eduardo Marcucci" last="Pracucho">Eduardo Marcucci Pracucho</name><name sortKey="Tomal, Karla Thaiza" sort="Tomal, Karla Thaiza" uniqKey="Tomal K" first="Karla Thaíza" last="Tomal">Karla Thaíza Tomal</name></noCountry><country name="Brésil"><region name="État de São Paulo"><name sortKey="Passeri, Celso Roberto" sort="Passeri, Celso Roberto" uniqKey="Passeri C" first="Celso Roberto" last="Passeri">Celso Roberto Passeri</name></region><name sortKey="Andrade, Jacira Alves Caracik De Camargo" sort="Andrade, Jacira Alves Caracik De Camargo" uniqKey="Andrade J" first="Jacira Alves Caracik De Camargo" last="Andrade">Jacira Alves Caracik De Camargo Andrade</name><name sortKey="De Campos, Livia Paschoalino" sort="De Campos, Livia Paschoalino" uniqKey="De Campos L" first="Livia Paschoalino" last="De Campos">Livia Paschoalino De Campos</name><name sortKey="Sales Peres, Silvia Helena De Carvalho" sort="Sales Peres, Silvia Helena De Carvalho" uniqKey="Sales Peres S" first="Silvia Helena De Carvalho" last="Sales-Peres">Silvia Helena De Carvalho Sales-Peres</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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