{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T03:21:59Z","timestamp":1767842519454,"version":"3.49.0"},"reference-count":34,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,5,10]],"date-time":"2024-05-10T00:00:00Z","timestamp":1715299200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical &amp;amp; Exp Dental Res"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>An association between increased risk of dental caries with increased levels of clinically severe obesity has been reported. Data linking body mass index (BMI) and dietary behaviors, including at\u2010risk dietary factors and oral hygiene habits, are lacking in a cohort with clinically severe obesity. This study aimed to explore the dietary and oral hygiene behaviors in individuals with clinically severe obesity attending a hospital\u2010based obesity service.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Adult patients attending a hospital\u2010based obesity service in Greater Western Sydney with clinically severe obesity were invited to participate in a self\u2010administered survey, which collected data on their nutritional and oral hygiene behaviors. Demographic data (age, gender) and BMI were extracted from the participants' medical records. The primary outcome was the relationship between BMI and frequency of <jats:sup>toothbrushing.<\/jats:sup><\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 82 individuals who consented to participate, 81 (98.8%) completed the study questionnaire. The median BMI of the cohort was 49.1\u2009kg\/m<jats:sup>2<\/jats:sup> (interquartile range [IQR]: 43.2\u201357.3\u2009kg\/m<jats:sup>2<\/jats:sup>) and median age 51 (IQR: 39\u201363) years. BMI was not significantly correlated with individual oral health behaviors (<jats:italic>p<\/jats:italic>\u2009&gt;\u2009.05). Many participants reported dietary risk behaviors, which have the potential to influence their oral health.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>While oral health behaviors were not associated with increasing BMI, patients with clinically severe obesity in this study reported unique dietary behaviors and mixed oral hygiene habits that may complicate nutritional and dental management. Awareness of these behaviors among clinicians including dental professionals is required in this cohort.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cre2.895","type":"journal-article","created":{"date-parts":[[2024,5,10]],"date-time":"2024-05-10T09:18:20Z","timestamp":1715332700000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Unique dietary and oral hygiene behaviors in a cohort with clinically severe obesity: A cross sectional study"],"prefix":"10.1002","volume":"10","author":[{"given":"Zanab","family":"Malik","sequence":"first","affiliation":[{"name":"Faculty of Medicine and Health The University of Sydney School of Dentistry Surry Hills New South Wales Australia"},{"name":"College of Health, Medicine and Wellbeing The University of Newcastle, School of Health Sciences (Oral Health) Ourimbah New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Woosung","family":"Sohn","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health The University of Sydney School of Dentistry Surry Hills New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shanika","family":"Nanayakkara","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health The University of Sydney School of Dentistry Surry Hills New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathryn","family":"Williams","sequence":"additional","affiliation":[{"name":"Nepean Blue Mountains Family Metabolic Health Service, Nepean Blue Mountains Local Health District Kingswood New South Wales Australia"},{"name":"Charles Perkins Centre\u2010Nepean The University of Sydney Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,5,10]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/cob.12249"},{"key":"e_1_2_10_3_1","volume-title":"Australian Health Survey: Nutrition First Results \u2010 Foods and Nutrients [Internet]","author":"Australian Bureau of Statistics","year":"2011"},{"key":"e_1_2_10_4_1","volume-title":"National Health Survey: First results [Internet]","author":"Australian Bureau of Statistics","year":"2018"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12955-017-0793-7"},{"issue":"5","key":"e_1_2_10_6_1","first-page":"311","article-title":"The 2013 Australian dietary guidelines and recommendations for older Australians","volume":"44","author":"Brownie S.","year":"2015","journal-title":"Australian Family Physician"},{"issue":"11","key":"e_1_2_10_7_1","first-page":"973","article-title":"Widespread misconceptions about obesity","volume":"60","author":"Chaput J. 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