Obesity is not associated with oral variables in the elderly: a population-based cross-sectional study

  • Renata Sebastiana de Souza Pizolotto University of Passo Fundo (UPF), Passo Fundo-RS, Brasil.
  • Francisco Wilker Mustafa Gomes Muniz Federal University of Pelotas (UFPel), Pelotas-RS, Brasil.
  • Luciana M. B. Stoffel University of Passo Fundo (UPF), Passo Fundo-RS, Brasil.
  • Ana Karolina Hammes de Amorim Federal University of Pelotas (UFPel), Pelotas-RS, Brasil.
  • Paulo Roberto G. Colussi University of Passo Fundo (UPF), Passo Fundo-RS, Brasil.
  • Cassiano Kuchenbecker Rösing Federal University of Rio Grande do Sul (UFRGS), Porto Alegre-RS, BRasil
  • Eliana L. Colussi University of Passo Fundo (UPF), Passo Fundo-RS, Brasil.
Keywords: Body weight, Ethnic groups, Gerontology, Epidemiology

Abstract

Introduction and objective: To evaluate the association between obesity and independent variables in the elderly of a southern city in Brazil. Material and methods: This is a home-based cross-sectional study conducted in 287 elders, aged 65 to 74 years, from Cruz Alta, Brazil. Clinical examination and a structured questionnaire were used. The diagnosis of obesity was determined by two criteria: according to the World Health Organization (BMI-WHO) and the body mass index for the elderly (BMI-elderly). Poisson regression with robust variance assessed the association between the dependent and independent variables. Two multivariate models were constructed, using the two obesity diagnostic criteria. Results: The prevalence of obesity using the BMI-WHO and BMI-elderly were 24.7% and 49.5%, respectively. In the final multivariate model, non-white and current smokers presented a higher prevalence ratio (PR) of being obese (PR; 95%CI: 1.80; 1.22 - 2.66 and 1.77; 1.09 - 2.88, respectively), according to the BMI-WHO criteria. Meanwhile, according to the BMI-elderly criteria, only skin color presented associated with obesity (PR; 95%CI: 1.28; 1.02 - 1.62). Discussion: Obesity in the elderly may be considered an epidemic public health problem in Brazil. The number of present teeth may not be related to the present of obesity among the elderly. Conclusion: High prevalence of obesity was detected in this sample, which was associated with demographic and behavioral factors. To both criteria, the non-white elders demonstrated higher obesity.

References

-Andrade, F.B.; Caldas Junior, A.e.F.; Kitoko. P.M.; Batista, J.E.; Andrade, T.B. Prevalence of overweight and obesity in elderly people from Vitória-ES, Brazil. Ciência e Saúde Coletiva. Vol. 17. Num. 3. 2012. p. 749-756.

-Bhurosy, T.; Jeewon, R. Overweight and obesity epidemic in developing countries: a problem with diet, physical activity, or socioeconomic status? Scientific World Journal. Vol. 2014. 2014. p. 964236.

-Brazil.Instituto Brasileiro de Geografia e Estatística. IBGE. Índice de Desenvolvimento Humano. Brasília. 2010a.

-Brazil.Ministério da Saúde, Brasil. DATASUS. Indice de gini da renda domiciliar per capita. Rio Grande do Sul. Brasília. 2010b.

-Brazil.Ministério da Saúde. Manual do Instrumento de Avaliação da Atenção. Primária à Saúde: PCATool-Brasil. Brasília. 2010c.

-Brazil.Instituto Brasileiro de Geografia e Estatística. IBGE. Censo demográfico 2010: característica da população e domicílios -resultados gerais. Ministério do Planejamento, Orçamento e Gestão. Brasília. 2011.

-Chao, A.M.; White, M.A.; Grilo, C.M.; Sinha, R. Examining the effects of cigarette smoking on food cravings and intake, depressive symptoms, and stress. Eating Behaviors. Vol. 24. 2017. p. 61-65.

-Fakhouri, T.H.; Ogden, C.L.; Carroll, M.D.; Kit, B.K.; Flegal, K.M. Prevalence of obesity among older adults in the United States, 2007-2010. NCHS Data Brief. Vol. 106. 2012. p. 1-8.

-Gherbon, A. Prevalence of obesity in a group of elderly. European Science Journal. Vol. 10. Num. 9. 2014. p. 28-40.

-Hilgert, J.B.; Hugo, F.N.; Sousa, M.A.L.; Bozzetti, M.C. Oral status and its association with obesity in Southern Brazilian older people. Gerodontology. Vol. 26. Num. 1. 2009. p. 46-52.

-Hruby, A.; Hu,F.B. The Epidemiology of Obesity: A Big Picture. Pharmacoeconomics. Vol. 33. Num. 7. 2015. p. 673-689.

-Jordan, H.; Hidajat, M.; Payne, N.; Adams, J.; White, M.; Ben-Shlomo, Y. What are older smokers' attitudes to quitting and how are they managed in primary care? An analysis of the cross-sectional English Smoking Toolkit Study. BMJ Open. Vol. 7. Num. 11. 2017. p. e018150.

-Kuk, J.L.; Saunders, T.J.; Davidson, L.E.; Ross, R. Age-related changes in total and regional fat distribution. Ageing Research Revie. Vol. 8. Num. 4. 2009. p. 339-348.

-Lincoln, K.D.; Abdou, C.M.; Lloyd, D. Race and socioeconomic differences in obesity and depression among Black and non-Hispanic White Americans. Journal of Health Care for the Poor and Underserved. Vol. 25. Num. 1. 2014. p. 257-275.

-Lipschitz, D.A. Screening for nutritional status in the elderly. Primary Care. Vol. 21. Num. 1. 1994. p. 55-67.

-Nascimento, G.G.; Leite, F.R.M.; Conceição, D.A.; Ferrúa, C.P.; Singh, A.; Demarco, F.F. Is there a relationship between obesity and tooth loss and edentulism? A systematic review and meta-analysis. Obesity Reviews. Vol. 17. Num. 7. 2016. p. 587-598.

-Oliveira Fontes Gasperin, L.; Neuberger, M.; Tichy, A.; Moshammer, H. Cross-sectional association between cigarette smoking and abdominal obesity among Austrian bank employees. BMJ Open. Vol. 4. Num. 7. 2014. p. e004899.

-Oliveira, A.; Araújo, J.; Severo, M.; Correia, D.; Ramos, E.; Torres, D.; Lopes, C.; by the IAN-AF Consortium. Prevalence of general and abdominal obesity in Portugal: comprehensive results from the National Food, nutrition and physical activity survey 2015-2016. BMC Public Health. Vol. 18. Num. 1. 2018. p. 614.

-Peruchi, C.T.; Poli-Frederico, R.C.; Cardelli, A.A.; Fracasso, M.L.; Bispo, C.G.; Neves-Souza, R.D.; Cardoso, J.R.; Maciel, S.M. Association between oral health status and central obesity among Brazilian independent-living elderly. Brazilian Oral Research. Vol. 30. 2016. p. e116.

-Silva, V.S.D.; Souza, I.; Silva, D.A.S.; Barbosa, A.R.; Fonseca, M.J.M.D. Trends and association of BMI between sociodemographic and living conditions variables in the Brazilian elderly: 2002/03-2008/09. Ciência e Saúde Coletiva. Vol. 23. Num. 3. 2018. p. 891-901.

-Silveira, E.A.; Kac, G.; Barbosa, L.S. Obesity prevalence and associated factors in the elderly in Pelotas, Rio Grande do Sul State, Brazil: obesity classification according to two cutoff points for body mass index. Cadernos de Saúde Pública. Vol. 25. Num. 7. 2009. p. 1569-1577.

-Silveira, E.A.D.; Vieira, L.L.; Jardim, T.V.; Souza, J.D. Obesity and its Association with Food Consumption, Diabetes Mellitus, and Acute Myocardial Infarction in the Elderly. Arquivos Brasileiros de Cardiologia. Vol. 107. Num. 6. 2016. p. 509-517.

-Smith, K.J.; Pedneault, M.; Schmitz, N. Investigation of anxiety and depression symptom co-morbidity in a community sample with type 2 diabetes: Associations with indicators of self-care. Canadian Journal of Public Health. Vol. 106. Num. 8. 2016. p. e496-501.

-Stoffel, L.; Muniz, F.W.; Colussi, P.; Rösing, C.; Colussi, E. Nutritional assessment and associated factors in the elderly: a population-based cross-sectional study. Nutrition. Vol. 55-56. 2018. p. 104-110.

-Toniazzo, M.P.; Amorim, P.S.; Muniz, F.W.M.G.; Weidlich, P. Relationship of nutritional status and oral health in elderly: Systematic review with meta-analysis. Clinical Nutrition. Vol. 37. Num. 3. 2018. p. 824-830.

-World Health Organization. WHO. Oral health surveys -basic methods. editor WHO. Geneva.1997.

-World Health Organization. WHO. Obesity: preventing and managing the global epidemic. editor WHO. Geneva.1998.

-Xu, F.; Yin, X.M.; Wang, Y. The association between amount of cigarettes smoked and overweight, central obesity among Chinese adults in Nanjing, China. Asia Pacific Journal of Clinical Nutrition. Vol. 16. Num. 2. 2007. p. 240-247.

-Zamboni, M.; Mazzali, G.; Zoico, E.; Harris, T.B.; Meigs, J.B.; Di Francesco V, Fantin, F.; Bissoli, L.; Bosello, O. Health consequences of obesity in the elderly: a review of four unresolved questions. International Journal of Obesity. Vol. 29. Num. 9. 2005. p. 1011-1029.

Published
2020-10-17
How to Cite
Pizolotto, R. S. de S., Muniz, F. W. M. G., Stoffel, L. M. B., Amorim, A. K. H. de, Colussi, P. R. G., Rösing, C. K., & Colussi, E. L. (2020). Obesity is not associated with oral variables in the elderly: a population-based cross-sectional study. Brazilian Journal of Obesity, Nutrition and Weight Loss, 13(83), 1044-1053. Retrieved from https://www.rbone.com.br/index.php/rbone/article/view/1107
Section
Scientific Articles - Original