scholarly journals The effect of bariatric surgery on periodontal health: systematic review and meta-analyses

2021 ◽  
Vol 17 (4) ◽  
pp. 1118-1127
Author(s):  
Dejana Čolak ◽  
Rok Gašperšič ◽  
Alja Cmok Kučič ◽  
Tadeja Pintar ◽  
Boris Gašpirc

IntroductionWe aimed to determine if periodontal health deteriorates after bariatric surgery (BS).Material and methodsA search was performed in Medline and Embase, for prospective cohort studies with data on change in periodontal parameters after BS. Me�ta-analysis was performed with available data.ResultsThe results of 4 included studies consistently show significant (p<0.05) worsening of bleeding on probing (4.21% (CI: 0.32, 8.11)), clinical attachment loss (0.16mm (CI: 0.05, 0.27)), periodontal pockets depth (PPD) (0.14mm(CI: 0.06, 0.23)) and percentage of PPD 4-5 mm: 1.72% (CI: 0.11, 3.34) 6-months after BS, but no change after 12-months.ConclusionsBS may have a transient negative consequence on periodontal health.

2018 ◽  
Vol 42 (5) ◽  
pp. S20
Author(s):  
Andrea Glenn ◽  
Effie Viguiliouk ◽  
Maxine Seider ◽  
Sonia Blanco Mejia ◽  
Cyril Kendall ◽  
...  

2014 ◽  
Vol 136 (10) ◽  
pp. 2388-2401 ◽  
Author(s):  
Renate C. Heine-Bröring ◽  
Renate M. Winkels ◽  
Jacoba M.S. Renkema ◽  
Lea Kragt ◽  
Anne-Claire B. van Orten-Luiten ◽  
...  

2020 ◽  
Vol 4 (3) ◽  
pp. 500-513 ◽  
Author(s):  
Rasha Khatib ◽  
Stephanie Ross ◽  
Sean Alexander Kennedy ◽  
Ivan D. Florez ◽  
Thomas L. Ortel ◽  
...  

Abstract Increasing evidence supports the safety and effectiveness of managing low-risk deep vein thrombosis (DVT) or pulmonary embolism (PE) in outpatient settings. We performed a systematic review to assess safety and effectiveness of managing patients with DVT or PE at home compared with the hospital. Medline, Embase, and Cochrane databases were searched up to July 2019 for relevant randomized clinical trials (RCTs), and prospective cohort studies. Two investigators independently screened titles and abstracts of identified citations and extracted data from relevant full-text papers. Risk ratios (RRs) were calculated, and certainty of evidence was assessed using Grading of Recommendations Assessment, Development and Evaluation (GRADE). Seven RCTs (1922 patients) were included in meta-analyses on managing patients with DVT. Pooled estimates indicated decreased risk of PE (RR = 0.64; 95% confidence interval [CI], 0.44-0.93) and recurrent DVT (RR = 0.61; 95% CI, 0.42-0.90) for home management, both with moderate certainty of the evidence. Reductions in mortality and major bleeding were not significant, both with low certainty of the evidence. Two RCTs (445 patients) were included in meta-analyses on home management of low-risk patients with PE. Pooled estimates indicated no significant difference in all-cause mortality, recurrent PE, and major bleeding, all with low certainty of the evidence. Results of pooled estimates from 3 prospective cohort studies (234 patients) on home management of PE showed similar results. Our findings indicate that low-risk DVT patients had similar or lower risk of patient-important outcomes with home treatment compared with hospital treatment. In patients with low-risk PE, there was important uncertainty about a difference between home and hospital treatment.


2021 ◽  
pp. bjsports-2020-103140
Author(s):  
Rodney K Dishman ◽  
Cillian P McDowell ◽  
Matthew Payton Herring

ObjectiveTo explore whether physical activity is inversely associated with the onset of depression, we quantified the cumulative association of customary physical activity with incident depression and with an increase in subclinical depressive symptoms over time as reported from prospective observational studies.DesignSystematic review and meta-analysis.Data sourcesMEDLINE, PsycINFO, PsycARTICLES and CINAHL Complete databases, supplemented by Google Scholar.Eligibility criteriaProspective cohort studies in adults, published prior to January 2020, reporting associations between physical activity and depression.Study appraisal and synthesisMultilevel random-effects meta-analysis was performed adjusting for study and cohort or region. Mixed-model meta-regression of putative modifiers.ResultsSearches yielded 111 reports including over 3 million adults sampled from 11 nations in five continents. Odds of incident cases of depression or an increase in subclinical depressive symptoms were reduced after exposure to physical activity (OR, 95% CI) in crude (0.69, 0.63 to 0.75; I2=93.7) and adjusted (0.79, 0.75 to 0.82; I2=87.6) analyses. Results were materially the same for incident depression and subclinical symptoms. Odds were lower after moderate or vigorous physical activity that met public health guidelines than after light physical activity. These odds were also lower when exposure to physical activity increased over time during a study period compared with the odds when physical activity was captured as a single baseline measure of exposure.ConclusionCustomary and increasing levels of moderate-to-vigorous physical activity in observational studies are inversely associated with incident depression and the onset of subclinical depressive symptoms among adults regardless of global region, gender, age or follow-up period.


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