Alm Anita, Fåhraeus Christina, Wendt Lill-Kari, Koch Göran, Andersson-Gäre Boel, Birkhed Dowen
Department of Paediatric Dentistry, Kärnsjukhuset, Skövde, Sweden.
Int J Paediatr Dent. 2008 May;18(3):189-96. doi: 10.1111/j.1365-263X.2007.00906.x. Epub 2008 Mar 6.
The prevalence of overweight and obesity in children is steadily increasing in many countries. Dental caries and obesity are both multifactorial diseases and are associated with dietary habits.
The purpose of this study was to investigate the relationship between body weight status in adolescents and snacking habits in early childhood to approximal caries prevalence at 15 years of age.
This study is part of a series of surveys of oral health in children followed from the ages of 1 year to 15 years. Body adiposity status was estimated at 13.5-16.4 years using the International Obesity Task Force cut-off values [age-specific body mass index (isoBMI)]. Information about snacking habits in early childhood was collected from interviews conducted at 1 year and 3 years. Approximal caries information was obtained from bitewing radiographs at 15 years. Data related to isoBMI and approximal caries were available in 402 teenagers.
Adolescents with isoBMI > or = 25 (n = 64) had an approximal caries prevalence that was a mean of 1.6 times higher than those with isoBMI < 25 (n = 338) (4.64 vs. 2.94; P = 0.014). Furthermore, children's snacking habits at an early age were associated with approximal caries at 15 years.
Overweight and obese adolescents had more approximal caries than normal-weight individuals. Moreover, the frequent consumption of snacking products during early childhood appears to be a risk indicator for caries at 15 years. Future preventive programmes should therefore include, on a multidisciplinary level, strategies to prevent and reduce both obesity and dental caries at an early age.
在许多国家，儿童超重和肥胖的患病率正在稳步上升。龋齿和肥胖都是多因素疾病，且都与饮食习惯有关。
本研究旨在调查青少年体重状况与幼儿期零食习惯和15岁时邻面龋患病率之间的关系。
本研究是对1至15岁儿童口腔健康进行的一系列调查的一部分。在13.5 - 16.4岁时使用国际肥胖特别工作组的临界值[特定年龄身体质量指数（isoBMI）]估算身体肥胖状况。通过在1岁和3岁时进行的访谈收集有关幼儿期零食习惯的信息。15岁时从咬合翼片X光片中获取邻面龋信息。402名青少年有与isoBMI和邻面龋相关的数据。
isoBMI≥25的青少年（n = 64）邻面龋患病率平均比isoBMI＜25的青少年（n = 338）高1.6倍（4.64对2.94；P = 0.014）。此外，儿童早期的零食习惯与15岁时的邻面龋有关。
超重和肥胖青少年的邻面龋比正常体重个体更多。此外，幼儿期频繁食用零食似乎是15岁时患龋的一个风险指标。因此，未来的预防计划应在多学科层面纳入在早期预防和减少肥胖及龋齿的策略。
