Avaliação da obesidade na prevalência e gravidade das disfunções temporomandibulares

• Autor(a) principal: Jordani, Paula Cristina [UNESP]
• Data de Publicação: 2014
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional da UNESP
• Texto Completo: http://hdl.handle.net/11449/123835; http://www.athena.biblioteca.unesp.br/exlibris/bd/cathedra/19-05-2015/000830144.pdf
• topic: Transtornos da articulação temporomandibular; Temporomandibular joint diseases; Obesidade; Fatores de risco

Objectives: Obesity is a chronic and prevalent disorder, comorbid with painful conditions such as musculoskeletal disease. Temporomandibular disorders (TMD) are a high prevalent musculoskeletal pain. The aim of this study was to evaluate the relationship between obesity and the presence and degree of painful TMD. Methods: The sample was stratified according to the presence of painful TMD following the Research Diagnostic Criteria for Temporomandibular Disorders- Axis I and II (RDC/TMD) criteria. The body composition was assessed through Body Mass Index (BMI) and bioimpedance (BIA) analysis. The primary headaches (PH) were classified according to the International Classification for Headache Disorders II (ICHD-II). Uni and multivariate analysis assessed the association between painful TMD and obesity. Results: The sample consisted of 245 individuals (35.89 ± 12.61 years), 183 (74.70%) of them were women. Of the total, 130 (53.25%) presented painful TMD. In contrast with normal weighted individuals, those presenting overweight/obesity according to BIA were more likely to present painful TMD (PR= 1.44, 95%CI= 1.09 to 1.91). Association persisted in multivariate analysis correcting for gender and presence of chronic daily headache (CDH) (OR = 2.02, 95%CI: 1.16 to 3.54). There was no significant association between the grade of the TMD pain and body composition assessed through BMI (p= 0.06) or BIA (p= 0.08). Conclusion: Obesity is associated with the presence of painful TMD, but not with the grade of TMD pain, after adjustment for the CDH and gender.