Association between overweight/obesity and oral health in adults aged 55 and older: a systematic review and meta-analysis
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Notice bibliographique
Résumé
The increasing prevalence of overweight/obesity among the elderly has significant implications for oral health due to shared pathophysiological mechanisms. Despite its importance, comprehensive reviews on this topic remain limited. This study investigates the association between overweight/obesity and oral health outcomes in adults aged 55 and older. This systematic review followed PRISMA guidelines and was registered with PROSPERO (CRD42020202108). A systematic literature search was conducted across PubMed, Embase.com, CINAHL, and Web of Science up to November 6, 2023. The study was structured using the Population, Intervention/Exposure, Comparison, Outcome, and Study Design (PICOS) criteria: Population (P) included adults aged ≥ 55 years; Intervention/Exposure (I/E) involved overweight/obesity; Comparison (C) included normal-weight individuals; Outcomes (O) focused on periodontal diseases, dental caries, tooth wear, and orofacial pain; and Study design (S) included case-control, cross-sectional, prospective, and retrospective cohort studies and randomized controlled trials. Eligible studies underwent data extraction and quality assessment using the Newcastle-Ottawa scale. Meta-analyses were conducted using fixed and random effects models in Stata v.18. From 6219 records, 16 studies met the inclusion criteria. Among these, 14 focused on periodontal diseases, while 2 examined dental caries. No studies met the eligibility criteria for tooth wear or orofacial pain. The included studies were predominantly of "good" or "very good" quality. Meta-analysis indicated that overweight or obese older adults had a significantly higher risk of periodontal disease compared with normal-weight counterparts (pooled odds ratio [OR] = 1.49; 95% confidence interval [CI] 1.13-1.97). The association was stronger in studies conducted in Asia (OR = 2.21; 95% CI 1.28-3.81) and in mixed-sex populations (OR = 1.52; 95% CI 1.02-2.28) compared with male-only samples. The two cross-sectional studies on dental caries yielded inconsistent findings, precluding a meta-analysis for this outcome. This systematic review demonstrates a significant association between overweight/obesity and increased prevalence of periodontal disease in adults aged 55 and older. These findings underscore the need to consider oral health as a key component of general health in this population. The current evidence base is insufficient regarding dental caries, tooth wear, and orofacial pain, highlighting the need for high-quality research in these domains.
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Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,002 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,000 | 0,001 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découle