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青少年饮食失调及其对口腔健康的影响。

Eating disorders in adolescents and their repercussions in oral health.

机构信息

Department of Preventive and Social Dentistry, Federal University, Recife, Pernambuco, Brazil.

出版信息

Int J Eat Disord. 2010 Jan;43(1):59-64. doi: 10.1002/eat.20660.

Abstract

OBJECTIVE

To examine the prevalence of oral alterations related to eating disorders and associated factors.

METHOD

A cross-sectional study including 650 adolescents aged from 12 to 16 was carried out through self-report questionnaires (EAT-26; BITE and self-rating hamilton depression questionnaire, SRHDQ) and dental examination.

RESULTS

Significant associations were observed in mucositis, cheilitis, hypertrophy of salivary glands, and dental erosions. The prevalence of adolescents at risk for eating disorders was of 33.1%, according to EAT-26 and 1.7% (high scores) and 36.5% (medium scores), in BITE, higher among 13-year-old females, with brothers, parents or responsible person who are illiterate, being the youngest child, living in a residence of at most two rooms and who showed depressive symptoms. All these factors showed significant relation to eating disorders.

DISCUSSION

Presence of oral alterations is associated to symptoms of eating disorders, helping precocious detection of sub clinical cases.

摘要

目的

调查与饮食障碍相关的口腔改变及其相关因素的流行情况。

方法

本横断面研究通过自报问卷(EAT-26、BITE 和自评汉密尔顿抑郁问卷,SRHDQ)和口腔检查纳入了 650 名年龄在 12 至 16 岁之间的青少年。

结果

观察到黏膜炎、唇炎、唾液腺肥大和牙侵蚀与饮食障碍显著相关。根据 EAT-26,青少年饮食障碍风险率为 33.1%,BITE 中高分为 1.7%,中分为 36.5%,13 岁的女性、有兄弟、父母或监护人不识字、是最小的孩子、居住在最多两间房的住所、有抑郁症状的青少年中,这一比例更高。所有这些因素均与饮食障碍显著相关。

讨论

口腔改变的存在与饮食障碍的症状相关,有助于早期发现亚临床病例。

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