Non-Cochrane · prognostic · PM40916011

Association between overweight/obesity and oral health in adults aged 55 and older: a systematic review and meta-analysis.

Raoof Maryam, Al Chafi Sami, Tohidinik Hamid Reza, et al. · GeroScience · 2026 · PubMed · doi:10.1007/s11357-025-01849-6

Findings

Population Adults aged 55 years and older

12 findings

Overweight/obesity (BMI, waist circumference, WHR or neck circumference)Normal weight (no overweight/obesity)Periodontal diseases (periodontitis)
Continent: North America
OR 1.17 [1.07, 1.28]
GRADE not reported
5 studies
Overweight/obesity (BMI, waist circumference, WHR or neck circumference)Normal weight (no overweight/obesity)Periodontal diseases (periodontitis)
Design: cohort
OR 1.49 [1.001, 2.22]
GRADE not reported
3 studies
Overweight/obesity (BMI, waist circumference, WHR or neck circumference)Normal weight (no overweight/obesity)Periodontal diseases (periodontitis)
Sex: mixed-sex samples
OR 1.52 [1.02, 2.28]
GRADE not reported
12 studies
Overweight/obesity (BMI, waist circumference, WHR or neck circumference)Normal weight (no overweight/obesity)Periodontal diseases (periodontitis)
Continent: North America and South America combined
OR 1.17 [1.07, 1.28]
GRADE not reported
6 studies
Overweight/obesity (BMI, waist circumference, WHR or neck circumference)Normal weight (no overweight/obesity)Periodontal diseases (periodontitis)
Continent: Europe
OR 1.02 [0.53, 1.96]
GRADE not reported
2 studies
Overweight/obesity (BMI, waist circumference, WHR or neck circumference)Normal weight (no overweight/obesity)Periodontal diseases (periodontitis)
Continent: Asia
OR 2.21 [1.28, 3.81]
GRADE not reported
6 studies
Overweight/obesity (BMI, waist circumference, WHR or neck circumference)Normal weight (no overweight/obesity)Periodontal diseases (periodontitis)
Design: cross-sectional
OR 1.45 [0.97, 2.16]
GRADE not reported
11 studies
Overweight/obesity (BMI, waist circumference, WHR or neck circumference)Normal weight (no overweight/obesity)Periodontal diseases (periodontitis)
Sex: male-only samples
OR 1.20 [1.07, 1.34]
GRADE not reported
2 studies
Overweight/obesity (BMI, waist circumference, WHR or neck circumference)Normal weight (no overweight/obesity)Periodontal diseases (periodontitis)OR 1.49 [1.13, 1.97]
GRADE not reported
14 studies
Overweight/obesity (BMI, waist circumference, WHR or neck circumference)Normal weight (no overweight/obesity)Periodontal diseases (periodontitis)
Continent: South America
OR 1.20 [0.63, 1.77]
GRADE not reported
1 study
Overweight/obesity (BMI, waist circumference, WHR or neck circumference)Normal weight (no overweight/obesity)Tooth wearNo studies met the eligibility criteria for tooth wear
No studies found
0 studies
Overweight/obesity (BMI, waist circumference, WHR or neck circumference)Normal weight (no overweight/obesity)Orofacial painNo studies met the eligibility criteria for orofacial pain
No studies found
0 studies

Included primary studies 32

Open in Studies
StudyYearAlso included byOutcomes it informs hereTrial data
Al Zahrani 2003
Obesity and periodontal disease in young, middle-aged, and older adults.
PMID:12816292
20031 other reviewPeriodontal diseases (periodontitis)not extracted yet
Han 2010
Visceral fat area-defined obesity and periodontitis among Koreans.
PMID:20041978
20101 other reviewPeriodontal diseases (periodontitis)not extracted yet
Iwasaki 2019
Periodontitis, periodontal inflammation, and mild cognitive impairment: A 5-year cohort study.
PMID:30345659
20191 other reviewPeriodontal diseases (periodontitis)not extracted yet
Sheng 2018
Correlation between oral health and quality of life among the elderly in Southwest China from 2013 to 2015.
PMID:29794757
20181 other reviewnot statednot extracted yet
Al Zahrani 2003
Obesity and Periodontal Disease in Young, Middle‐Aged, and Older Adults
DOI:10.1902/jop.2003.74.5.610
2003this review onlyPeriodontal diseases (periodontitis)not extracted yet
Chen 2021
Association between obesity and chronic periodontitis
DOI:10.1097/md.0000000000027506
2021this review onlyPeriodontal diseases (periodontitis)not extracted yet
Chen 2021
Association between obesity and chronic periodontitis: A nationwide population-based cohort study in Taiwan.
PMID:34731134
2021this review onlyPeriodontal diseases (periodontitis)not extracted yet
Han 2010
Visceral fat area‐defined obesity and periodontitis among Koreans
DOI:10.1111/j.1600-051x.2009.01515.x
2010this review onlyPeriodontal diseases (periodontitis)not extracted yet
Iwasaki 2019
Periodontitis, periodontal inflammation, and mild cognitive impairment: A 5‐year cohort study
DOI:10.1111/jre.12623
2018this review onlyPeriodontal diseases (periodontitis)not extracted yet
Jimenez 2012
Prospective Associations Between Measures of Adiposity and Periodontal Disease
DOI:10.1038/oby.2011.291
2012this review onlyPeriodontal diseases (periodontitis)not extracted yet
Jimenez 2012
Prospective associations between measures of adiposity and periodontal disease.
PMID:21979390
2012this review onlyPeriodontal diseases (periodontitis)not extracted yet
Kitagawa 2017
Relationship between General Health, Lifestyle, Oral Health, and Periodontal Disease in Adults: A Large Cross-sectional Study in Japan
DOI:10.2209/tdcpublication.2016-2100
2017this review onlyPeriodontal diseases (periodontitis)not extracted yet
Kitagawa 2017
Relationship between General Health, Lifestyle, Oral Health, and Periodontal Disease in Adults: A Large Cross-sectional Study in Japan.
PMID:28381729
2017this review onlyPeriodontal diseases (periodontitis)not extracted yet
Lee 2014
The relationship between metabolic conditions and prevalence of periodontal disease in rural Korean elderly
DOI:10.1016/j.archger.2013.08.011
2014this review onlyPeriodontal diseases (periodontitis)not extracted yet
Lee 2014
The relationship between metabolic conditions and prevalence of periodontal disease in rural Korean elderly.
PMID:24075494
2014this review onlyPeriodontal diseases (periodontitis)not extracted yet
Linden 2007
Obesity and periodontitis in 60–70‐year‐old men
DOI:10.1111/j.1600-051x.2007.01075.x
2007this review onlyPeriodontal diseases (periodontitis)not extracted yet
Linden 2007
Obesity and periodontitis in 60-70-year-old men.
PMID:17403015
2007this review onlyPeriodontal diseases (periodontitis)not extracted yet
Minagawa 2015
Relationship between metabolic syndrome and periodontitis in 80‐year‐old Japanese subjects
DOI:10.1111/jre.12190
2014this review onlyPeriodontal diseases (periodontitis)not extracted yet
Minagawa 2015
Relationship between metabolic syndrome and periodontitis in 80-year-old Japanese subjects.
PMID:24815529
2015this review onlyPeriodontal diseases (periodontitis)not extracted yet
Munoz Torres 2014
Associations between measures of central adiposity and periodontitis among older adults
DOI:10.1111/cdoe.12069
2013this review onlyPeriodontal diseases (periodontitis)not extracted yet
Munoz Torres 2014
Associations between measures of central adiposity and periodontitis among older adults.
PMID:24010953
2014this review onlyPeriodontal diseases (periodontitis)not extracted yet
Oikarinen 2014
Body mass index and periodontal infection in a sample of non‐smoking older individuals
DOI:10.1111/odi.12108
2013this review onlyPeriodontal diseases (periodontitis)not extracted yet
Oikarinen 2014
Body mass index and periodontal infection in a sample of non-smoking older individuals.
PMID:23577782
2014this review onlyPeriodontal diseases (periodontitis)not extracted yet
Rivas-Tumanyan 2012
Periodontal Disease, Hypertension, and Blood Pressure Among Older Adults in Puerto Rico
DOI:10.1902/jop.2012.110748
2013this review onlyPeriodontal diseases (periodontitis)not extracted yet
Rivas-Tumanyan 2013
Periodontal disease, hypertension, and blood pressure among older adults in Puerto Rico.
PMID:22548584
2013this review onlyPeriodontal diseases (periodontitis)not extracted yet
Rodrigues 2012
Relation between oral health and nutritional condition in the elderly
DOI:10.1590/s1678-77572012000100008
2012this review onlynot statednot extracted yet
Rodrigues Junior 2012
Relation between oral health and nutritional condition in the elderly.
PMID:22437676
2012this review onlynot statednot extracted yet
Sheng 2018
Correlation between oral health and quality of life among the elderly in Southwest China from 2013 to 2015
DOI:10.1097/md.0000000000010777
2018this review onlynot statednot extracted yet
Teixeira 2020
Relationship between periodontitis and subclinical risk indicators for chronic non-communicable diseases
DOI:10.1590/1807-3107bor-2020.vol34.0058
2020this review onlyPeriodontal diseases (periodontitis)not extracted yet
Teixeira 2020
Relationship between periodontitis and subclinical risk indicators for chronic non-communicable diseases.
PMID:32578801
2020this review onlyPeriodontal diseases (periodontitis)not extracted yet
Yang 2023
A cross-sectional study on the relationship between visceral adiposity index and periodontitis in different age groups
DOI:10.1038/s41598-023-33082-6
2023this review onlyPeriodontal diseases (periodontitis)not extracted yet
Yang 2023
A cross-sectional study on the relationship between visceral adiposity index and periodontitis in different age groups.
PMID:37037870
2023this review onlyPeriodontal diseases (periodontitis)not extracted yet

Overlap with other reviews

Reviews that include the same primary studies are not independent evidence. Shared counts match studies by PMID, DOI or NCT, and otherwise by author and year (a probable match). Only the non-Cochrane dental reviews have study lists, so overlap with Cochrane reviews is not counted yet.

Review question

ElementPlanned (methods)Found (results)
PopulationOlder adults aged 55 years or older, any sex, ethnicity, race or socio-economic statusAdults aged 55 and older (n=16 studies)
InterventionOverweight/obesity by any metric (BMI, waist circumference, waist-to-hip ratio, neck circumference)Overweight/obesity (BMI, waist circumference or waist-to-hip ratio)
ComparisonIndividuals without overweight/obesityNormal-weight individuals
OutcomesPeriodontal diseases, dental caries, tooth wear, orofacial painPeriodontal diseases (n=14 studies); dental caries (n=2 studies, not pooled); no studies for tooth wear or orofacial pain
Study designsCase-control, cross-sectional, prospective and retrospective cohort studies, randomized controlled trialsCross-sectional (n=13 including 2 caries studies); cohort (n=3)
TimingNot specifiedNot specified