Ana Maria Hofer

Dr. Ana Maria Hofer

orcid

Research Focus & Metrics

Academic Career Length

4Years (2023-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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23 May 2024 in Life
Verified
Journal Article
Open access
PDF file
AHAna Maria Hofer
Ana Maria Hofer
ADAlexandra Dadarlat-Pop
Alexandra Dadarlat-Pop
AMAlexandru Mester
Alexandru Mester
Bogdana Adriana NăsuiBogdana Adriana Năsui
Bogdana Adriana Năsui
MPMonica Popa
Monica Popa
APAndrei Picos
Andrei Picos
Background and Objectives: The aim of this study is to connect peri-implantitis to cardiovascular diseases, following the association found between periodontitis and cardiovascular conditions in recent years. Materials and Methods: PubMed, Scopus, Web of Science online databases were searched up to June 2023, with the exclusion criteria being research written in a language other than English. The MeSH search items were as follows: [“peri-implant health OR peri-implantitis OR peri-implant mucositis OR peri-implant disease”] AND [“cardiovascular diseases”]. Patient/population (P), intervention (I), comparison (C), outcome (O) framework questions were followed to identify the clinical evidence for the systematic review. Only clinical studies that used a control group to compare the relationship between cardiovascular diseases and peri-implantitis were selected. Results: A total of 118 studies were identified through electronic search of the keywords. After removing duplicates, there were 76 records to be screened. Upon exclusion of ineligible titles and abstracts, 27 studies remained for evaluation. Finally, 23 studies were excluded for not meeting the inclusion criteria, leaving 4 studies to be included in the qualitative analyses. Conclusions: This study found there is a linear association between mucosal/gingival inflammation and carotid intima–media thickness test (c-IMT) values. Peri-implant mucosal inflammation could be a contributor to the vascular disease burden of an individual; further specific clinical studies should be performed in order to demonstrate this connection.

24 May 2023 in Children
Verified
Journal Article
Open access
PDF file
Bogdana Adriana NăsuiBogdana Adriana Năsui
Bogdana Adriana Năsui
Rodica UngurRodica Ungur
Rodica Ungur
GNGabriel Adrian Nasui
Gabriel Adrian Nasui
CPCodruța Popescu
Codruța Popescu
AHAna Maria Hofer
Ana Maria Hofer
CSCristina Alina Silaghi
Cristina Alina Silaghi
Several studies have examined how the lockdown restrictions enforced to halt the spread of COVID-19 have affected adults’ movement behaviors; however, there is limited information regarding the effects on youth. This study aimed to report on the lifestyle habits of adolescents during COVID-19 pandemic remote learning and explore associations between the participants’ bodyweight and lifestyle behaviors. We used a cross-sectional study applied to 285 students studying in the gymnasium. The response rate was 74.21%. They completed an online questionnaire regarding lifestyle, eating habits, and nutritional status (assessed by the Body Mass Index—BMI). The study was conducted in January–February 2021. The percentage of overweight and obese was higher among boys (p = 0.001). The mean sleep duration was 8.12 (SD:1.284) hours per night, and was higher in boys than in girls. The respondents met the physical activity (PA) recommendation for their age, based mainly on unorganized PA. The screen time was 4–6 h or more for the majority of the respondents. Dietary habits included a high consumption of comfort food, like cereals, sweets, soft drinks, snacks, and fried food, but a lower consumption of vegetables and fast food. The regression analyses showed that the BMI was correlated with the BMI of the parents and the number of hours spent in front of the computers in free time. The study identified behavioral and environmental factors that can be modified with effective strategies to reduce overweight and obesity among school students and to promote a healthy lifestyle.

22 August 2026 in Healthcare
Verified
Journal Article
Open access
PDF file
AHAna Maria Hofer
Ana Maria Hofer
APAndrei Picos
Andrei Picos
Bogdana Adriana NăsuiBogdana Adriana Năsui
Bogdana Adriana Năsui
ADAlexandra Dadarlat-Pop
Alexandra Dadarlat-Pop
MPMonica Popa
Monica Popa
Background/Objectives: Periodontitis is a multifactorial chronic inflammatory disease influenced by behavioral, metabolic, and lifestyle-related factors. This study aimed to examine the associations of selected dietary habits, body mass index (BMI), physical activity, smoking, and oral hygiene behaviors with clinical periodontal parameters in a clinical sample of adults with periodontitis from northwestern Romania. Methods: This cross-sectional study included 204 adults with clinically diagnosed periodontitis. Sociodemographic characteristics, smoking status, physical activity, toothbrushing frequency, tooth mobility, and selected dietary habits were assessed using a structured questionnaire. Periodontal status was clinically evaluated using periodontal probing depth (PPD), clinical attachment loss (CAL), and bleeding on probing (BOP), while BMI was calculated from anthropometric measurements. Descriptive and inferential statistical analyses were performed to evaluate associations between the investigated factors and periodontal parameters. Multivariable linear regression models were constructed separately for PPD, CAL, and BOP, simultaneously including age, sex, BMI, smoking status, physical activity frequency, toothbrushing frequency, tooth mobility, education level, and the assessed dietary habits. Results: In the fully adjusted multivariable analyses, fish consumption 1–3 times/week was independently associated with lower PPD, whereas sweets consumption 1–3 times/week was independently associated with higher PPD. Carbonated beverage and sweets consumption 1–3 times/week were independently associated with higher BOP. Although the multivariable model for CAL was statistically significant overall, none of the individual predictors included in the model reached statistical significance. BMI and physical activity frequency were not independently associated with PPD, CAL, or BOP after simultaneous adjustment for the other variables. Age group was significantly associated with CAL category (χ2(2) = 13.28, p = 0.001, Cramér’s V = 0.255), while educational level was significantly associated with toothbrushing frequency (χ2 = 62.26, p < 0.001, Cramér’s V = 0.39). Conclusions: Selected dietary habits were independently associated with PPD and BOP after adjustment for demographic, anthropometric, lifestyle, and oral hygiene factors, whereas no individual predictor was independently associated with CAL in the fully adjusted model. BMI and physical activity were not independently associated with the periodontal parameters examined. These findings emphasize the multifactorial nature of periodontal status and suggest that specific dietary habits may be associated with different clinical dimensions of periodontal disease. However, causal relationships cannot be established due to the cross-sectional design of the study. Prospective studies using validated dietary assessment methods are needed to confirm these associations.

27 April 2026 in Preprints.org
Verified
Preprint
Open access
PDF file
AHAna Maria Hofer
Ana Maria Hofer
APAndrei Picos
Andrei Picos
ADAlexandra Dadarlat-Pop
Alexandra Dadarlat-Pop
RTRaluca Tomoaia
Raluca Tomoaia
SRStefan Horia Rosian
Stefan Horia Rosian
MPMonica Popa
Monica Popa
Introduction: Systemic inflammation is a key contributor to the pathophysiology of carotid plaque burden (CpB). Increasing evidence supports a link between periodontitis and systemic conditions, including endothelial dysfunction, and CpB. This study aimed to explore the relationship between periodontal status, inflammatory biomarkers, and CpB, as well as the potential impact of periodontal therapy. Methods: A pilot study was conducted on subjects presenting with both periodontitis and CpB. Of 87 initially screened participants, 10 met the inclusion criteria and completed the study. Periodontal parameters—probing pocket depth (PPD), clinical attachment loss (CAL), and bleeding on probing (BOP)—were recorded. Systemic inflammatory biomarkers, including matrix metalloproteinase-8 (MMP-8), myeloperoxidase (MPO), lipoprotein-associated phospholipase A2 (Lp-PLA2), and soluble CD40 ligand (sCD40L), were analyzed. Results: Participants demonstrated severe periodontal disease, with mean PPD of 5.5 mm (maximum 8 mm), mean CAL of 6.46 mm (maximum 12 mm), and BOP of 67%. High serum Lp-PLA2 levels were associated with increased periodontal tissue destruction and inflammatory burden, supporting its role in both periodontitis and CpB pathophysiology. MMP-8 and MPO showed positive correlations with periodontal parameters, although these did not consistently reach statistical significance. Following periodontal therapy, a significant reduction in MMP-8 and Lp-PLA2 levels was observed, while MPO and sCD40L exhibited a decreasing trend without statistical significance. Conclusion: Inflammatory biomarkers may represent important mechanistic links between periodontitis and carotid artery disease. Within the limitations of this pilot study, non-surgical periodontal therapy was associated with reductions in selected systemic inflammatory biomarkers, supporting the feasibility of investigating the periodontitis–carotid plaque axis in larger translational cohorts. Larger studies are needed to validate these findings.