מדד מסת הגוף

מדד מסת גוף (BMI) כגורם מנבא של תוצאות טיפול פריודונטלי

מחקר מצא כי מדד מסת גוף (BMI) והשמנה התגלו כמשתנים בלתי תלויים, המנבאים תגובה גרועה לטיפול פריודונטלי שאינו כירורגי

25.12.2013, 10:34

מבוא
מדד מסת גוף (Body Mass Index - BMI) והשמנה קשורים לשכיחות, להיקף ולחומרה של פריודונטיטיס.
במחקר זה נבדקה יכולת הניבוי של עודף משקל או השמנת יתר על התגובה הקלינית לטיפול פריודונטלי לא כירורגי, במטופלים עם פריודונטיטיס חמורה (Severe Periododntitis).

שיטות
260 מבוגרים עברו סדרה אינטנסיבית של טיפולים פריודונטליים לא כירורוגים. הסטטוס הפריודונטלי נמדד לפני תחילת הטיפול ולאחר חודשיים (בסיום הטיפול). המדידות כללו את עומק הכיסים בפרובינג (PPD), מידת התאחיזה (CAL) ודימום ג'ינג'יבלי בכל הפה (FMBS). המדדים נקבעו על ידי שני חוקרים ששיטת המדידה שלהם כוילה לשם כך.

נעשה שימוש במשוואות אומדן כלליות (GEE) כדי לקבוע את מידת ההשפעה של BMI ועודף משקל / השמנת יתר על התגובה לטיפול הפריודונטלי, תוך שליטה על משתנים אחרים כגון מצב פריודונטלי התחלתי, גיל, עישון ומדד פלאק של כל הפה.

תוצאות
מדד ה-BMI (כמשתנה רציף) ומדד ההשמנה (בהשוואה למשקל תקין) נמצאו קשורים לממוצע הגרוע ביותר של PPDי(p < .005), ולאחוז ה-PPDי>4 מ"מ (p=0.01) בסיום הטיפול.

מדדי BMI והשמנה לא נמצאו קשורים ל- FMBSי(p>0.05) או ל- CALי(p>0.05) בסיום הטיפול. המשתנים גיל, עישון ורמות פלאק נוטרלו בחישובים הנ"ל. עוצמת הקשר הנ"ל היתה דומה לזו של עישון, שנקשר גם הוא לתוצאה הקלינית הגרועה ביותר בסוף הטיפול (p<0.01).

מסקנות
BMI והשמנה התגלו במחקר זה כמשתנים לא תלויים המנבאים תגובה גרועה לטיפול פריודונטלי שאינו כירורגי.

ערכה: ד"ר לילך קרטייה (טאובמן)

מקור:
J Dent Res. 2014 Jan;93(1):49-54. doi: 10.1177/0022034513511084. Epub 2013 Oct 28.
Body mass index as a predictive factor of periodontal therapy outcomes.
Suvan J, Petrie A, Moles DR, Nibali L, Patel K, Darbar U, Donos N, Tonetti M, D'Aiuto F.

נושאים קשורים:  מדד מסת הגוף,  עישון,  השמנת יתר,  משקל יתר,  טיפול פריודונטלי,  מחקרים
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