Exploratory Efficacy of Calcium-Vitamin D Milk Fortification and Periodontal Therapy on Maternal Oral Health and Metabolic and Inflammatory Profile

Amanda Rodrigues Amorim Adegboye, Danilo Dias Santana, Pedro Paulo Teixeira Dos Santos, Paula Guedes Cocate, Camila Benaim, Maria Beatriz Trindade de Castro, Michael Maia Schlüssel, Gilberto Kac, Berit Lilienthal Heitmann

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Abstract

In this 2 × 2 factorial, outcome-assessor blinded, feasibility randomised trial we explored the effect of a non-pharmaceutical multi-component intervention on periodontal health and metabolic and inflammatory profiles among pregnant women with periodontitis receiving prenatal care in a Brazilian public health centre. 69 pregnant women (gestational age ≤20 weeks, T0) were randomly allocated into four groups: (1) fortified sachet (vitamin D and calcium) and powdered milk plus periodontal therapy during pregnancy (early PT) (n = 17); (2) placebo sachet and powdered milk plus early PT (n = 15); (3) fortified sachet and powdered milk plus late PT (after delivery) (n = 19); (4) placebo sachet and powdered milk plus late PT (n = 18). Third trimester (T1) and 6-8 weeks postpartum (T2) exploratory outcomes included periodontal health (% sites with bleeding on probing (BOP)), glucose, insulin, C-Reactive Protein, serum calcium and vitamin D. The mean BOP was significantly reduced in the early PT groups, while BOP worsened in the late PT groups. No significant effect of fortification on BOP was observed. Changes in glucose levels and variation on birthweight did not differ among groups This feasibility trial provides preliminary evidence for estimating the minimum clinically important differences for selected maternal outcomes. A large-scale trial to evaluate the interventions' clinical benefits and cost-effectiveness is warranted.

Original languageEnglish
Article number783
Number of pages15
JournalNutrients
Volume13
Issue number3
DOIs
Publication statusPublished - 27 Feb 2021

Bibliographical note

This article is an open access article distributed under the terms and
conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0)

Keywords

  • calcium
  • exploratory efficacy
  • feasibility trial
  • periodontitis
  • pregnant women
  • vitamin D

ASJC Scopus subject areas

  • Food Science
  • Nutrition and Dietetics

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