The relationship between oral health and nutritional aspects are complex, especially in individuals with chronic diseases and comorbidities, such as morbid obesity. Thus, the aim of the present study was to identify oral health and nutritional-related patterns in 113 individuals, aged 19-68 years (92 females), seeking treatment for morbid obesity. Sociodemographic variables and medical records were examined, in addition to the consumption of fruit, vegetables, candies and processed foods. Measures of body mass index, neck, waist and hip, caries experience (DMFT index), Community Periodontal Index (CPI index), and salivary physicochemical aspects were gathered. Aspects of oral health-related quality of life and symptoms of dry mouth were evaluated by means of Oral Health Impact Profile (OHIP-14) and Xerostomia Inventory-XI questionnaires. K-means cluster analysis and, subsequently, comparisons between clusters (one-way ANOVA) were performed (?=5%). Three clusters were generated: Cluster 1 (labeled ‘Young’; n=77) was characterized by younger participants with higher BMI, who reported the use of distractors while eating, the smallest number of meals/day, and who consumed sweetened drinks and processed food the day before. Cluster 2 (labeled ‘Diabetic individuals’; n=12) was characterized by older participants with the highest proportion of diabetic participants (100% were diabetic; 73% insulin users), lower BMI, higher DMFT index and OHIP-14 and xerostomia scores, and who reported having consumed fruit and vegetables the day before. Finally, Cluster 3 (labeled ‘Poor periodontal health’; n=24) was characterized by participants with the worse periodontal condition (higher CPI), and lower salivary flow, pH and buffer capacity. Cluster 1 and 2 were the groups that showed higher demand for nutritional and dietetic counseling, because of the poor eating behavior and higher serum glucose levels, respectively. On the other hand, Cluster 2 and 3 showed the higher demand for oral rehabilitation and dental treatment because of the loss of teeth and worse periodontal condition, respectively, besides the need for dietetic counseling. This sample of individuals with morbid obesity showed very unique oral-health and nutritional characteristics and special needs patterns that should be identified to adjust or change unhealthy habits, thus improving the assistance of this condition.
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机译：口腔健康与营养方面之间的关系是复杂的，特别是在具有慢性疾病和可嗜血症的个体中，如病态肥胖症。因此，本研究的目的是鉴定113岁的人的口腔健康和营养相关模式，年龄在19-68岁（女性92例），寻求治疗病态肥胖症。除了果实，蔬菜，糖果和加工食品的消耗外，还检查了社会渗目变量和医疗记录。收集了体重指数，颈部，腰部和臀部，龋齿经验（DMFT指数），社区牙周指数（CPI指数）和唾液物理化学方面的措施。通过口腔健康影响概况（OHIP-14）和Xerostomia Inventory-XI问卷评估口腔健康相关生活质量和口干症状的方面。 K-Means集群分析以及随后进行簇（单向ANOVA）的比较（？= 5％）。产生了三个集群：群集1（标记为“年轻”; n = 77）的特点是具有更高的BMI的年轻参与者，他报告使用分散的人在吃饭时使用，膳食最少的膳食/日，以及饮用甜饮料和加工的饮料前一天的食物。群集2（标记为“糖尿病个体”; n = 12）的特点是糖尿病参与者比例最高（100％是糖尿病; 73％胰岛素使用者），低BMI，更高的DMFT指数和OHIP-14和Xerostomia评分据报道，前一天举行的水果和蔬菜。最后，群集3（标记为较差的牙周健康'; n = 24）的特征是具有更差的牙周病症（较高CPI）和降低唾液流动，pH和缓冲能力的参与者。由于饮食行为不良和更高的血清葡萄糖水平，群体1和2是表现出对营养和饮食咨询的更高需求的群体。另一方面，由于饮食咨询的需要，群体2和3分别表现出对口腔康复和牙科治疗的更高需求，并且牙齿状况较差。这种具有病态肥胖的个体样本表现出非常独特的口腔健康和营养特征以及应确定的特殊需求模式，以调整或改变不健康的习惯，从而提高这种情况的援助。
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