Association between osteoporosis treatment and severe periodontitis in postmenopausal women.

OBJECTIVE: To estimate the association between osteoporosis treatment and severe periodontitis in postmenopausal women. METHODS: This cross-sectional study comprised of 492 postmenopausal women, 113 women in osteoporosis treatment, and 379 not treated. Osteoporosis treatment consisted of systemic estrogen alone, or estrogen plus progestin, and calcium and vitamin D supplements, for at least 6 months. Severe periodontitis was defined as at least two interproximal tooth sites with clinical attachment loss of at least 6 mm, and at least one interproximal site with probing depth of at least 5 mm; and dental caries experience was measured using the decayed, missing, and filled teeth (DMFT) index. Analysis included descriptive statistics and Poisson multivariate analysis with robust variance. RESULTS: Women receiving osteoporosis treatment had less periodontal probing depth, less clinical attachment loss, and less gingival bleeding than women not receiving treatment for osteoporosis (P ≤ 0.05). In the osteoporosis treatment group, the estimated mean DMFT index score was approximately 20, the most frequent component being the number of missing teeth, and in the nontreated group, the DMFT index was approximately 19. The prevalence of severe periodontitis was 44% lower in the osteoporosis treatment group than in the nontreatment group. The prevalence ratioadjusted was 0.56, 95% confidence interval was 0.31 to 0.99 (P = 0.05), after adjustments for smoking, age, family income, and visit to the dentist. CONCLUSIONS: The results suggest that women treated with estrogen for postmenopausal osteoporosis have a lower prevalence of severe periodontitis than women not receiving treatment.

Adherence to nutritional therapy in obese adolescents; a review / La adherencia al tratamiento nutricional en adolescentes con obesidad; una revisión

Considering the controversies existent on the subject, the aim of this review is to discuss adherence to diet in obese adolescents. The selection of articles was made in the SCOPUS, COCHRANE, APA Psyc Net, SciELO, LILACS, CAPES Journals, PUBMED/MEDLINE and GOOGLE ACADEMIC databases. Studies published between 2002 and 2012 were selected. There was lack of evidence of conceptual discussion about adherence to diet in obesity in the child-youth context, in addition to scarcity of data on adherence to diet itself in obese adolescents and the methods of evaluating this. Lastly, multiple interdependent factors were found which both facilitated and made the process of adherence to diet difficult for obese youngsters. The majority of these (factors) belong to the socioeconomic and cultural dimension, in addition to pointing out cognitive and psychological factors and those associated with health services and professionals (AU)

Considerando las actuales controversias sobre el tema, el objetivo de esta revisión es discutir la adhesión a la dieta en adolescentes obesos. Los artículos publicados entre 2002 y 2012 fueron seleccionados en las siguientes basis de datos SCOPUS, COCHRANE, APA Psyc Net, SciELO, LILACS, Revistas CAPES, PubMed/MEDLINE y GOOGLE ACADÉMICO. Observa-se ausencia de discusión conceptual sobre el tema, así como escasez de datos sobre adherencia a la dieta en adolescentes obesos y de métodos de evaluación para aferir esta adherencia. Por último, fueron identificados varios factores ínter-dependientes que facilitan y obstaculizan la adhesión a la dieta en jóvenes obesos. La mayoría de estas dimensiones se refieren a los factores socio-económicos y culturales, además de los cognitivos, psicológicos y aquellos relacionados con los servicios de salud y los profesionales (AU)

Adherence to nutritional therapy in obese adolescents; a review.

Considering the controversies existent on the subject, the aim of this review is to discuss adherence to diet in obese adolescents. The selection of articles was made in the SCOPUS, COCHRANE, APA Psyc Net, SciELO, LILACS, CAPES Journals, PUBMED/MEDLINE and GOOGLE ACADEMIC databases. Studies published between 2002 and 2012 were selected. There was lack of evidence of conceptual discussion about adherence to diet in obesity in the child-youth context, in addition to scarcity of data on adherence to diet itself in obese adolescents and the methods of evaluating this. Lastly, multiple interdependent factors were found which both facilitated and made the process of adherence to diet difficult for obese youngsters. The majority of these (factors) belong to the socioeconomic and cultural dimension, in addition to pointing out cognitive and psychological factors and those associated with health services and professionals.

Considerando las actuales controversias sobre el tema, el objetivo de esta revisión es discutir la adhesión a la dieta en adolescentes obesos. Los artículos publicados entre 2002 y 2012 fueron seleccionados en las siguientes basis de datos SCOPUS, COCHRANE, APA Psyc Net, SciELO, LILACS, Revistas CAPES, PubMed/MEDLINE y GOOGLE ACADÉMICO. Observa-se ausencia de discusión conceptual sobre el tema, así como escasez de datos sobre adherencia a la dieta en adolescentes obesos y de métodos de evaluación para aferir esta adherencia. Por último, fueron identificados varios factores ínter-dependientes que facilitan y obstaculizan la adhesión a la dieta en jóvenes obesos. La mayoría de estas dimensiones se refieren a los factores socio-económicos y culturales, además de los cognitivos, psicológicos y aquellos relacionados con los servicios de salud y los profesionales.