Evaluation of systemic conditions, tooth loss, body image, and quality of life of women with obesity and women who underwent gastric bypass surgery.

Abstract

To evaluate the systemic conditions, tooth loss, oral health, body image perceptions, and quality of life of women with obesity and women who underwent bypass surgery. Sixty women were classified into the gastric bypass (G1, n=30) and obesity (G2, n=30) groups, and their systemic condition, oral health perception, oral hygiene, tooth loss, body image perception (Stunkard scale), and quality of life (WHOQOL-bref) were evaluated. The t-test, Mann-Whitney, chi-square, and multiple linear regression were used for statistical analysis (P<.05). G2 presented higher prevalence of hypertension (P=.020) and G1 higher prevalence of anemia (P=.040). G2 demonstrated less favorable perceptions of oral health, primarily associated with chewing (P=.0007) and speech (P=.005), and a lower frequency of dental floss usage (P=.047); however, there were no intergroup differences regarding the prevalence of missing teeth (P=.180). G1 demonstrated greater satisfaction with regard to their body image (P<.0001), contrary to those in G2, who negatively perceived the same (P=.001), particularly considering the physical, psychological, and environmental parameters (P<.05). High body mass index (BMI) indicated a higher prevalence of hypertension and a negative impact on oral health perception and quality of life. However, bariatric surgery was associated with a positive body image perception and quality-of-life parameters.