Department of Community Dentistry, Institute of Odontology, University of Copenhagen, Copenhagen, Denmark.
Clin Oral Investig. 2011 Apr;15(2):177-84. doi: 10.1007/s00784-009-0368-z. Epub 2010 Jan 7.
Obesity, dental caries and periodontal diseases are among major public health concerns which may affect children's growth and development. This study seeks any clustering between obesity, oral health and life-style factors among school children in Istanbul, Turkey. A cross-sectional study of children, 10- to 12-year-olds, from a public and a private school was undertaken with questionnaires for children and their mothers and child oral health data, in Istanbul (n = 611). DMFS (number of decayed, missing and filled surfaces of permanent teeth), CPI (Community Periodontal Index), body mass index (BMI) and life-style factors (tooth-brushing frequency, milk consumption at breakfast and bedtimes on school nights) of children were examined. Data analysis included factor analysis, Student's t test and Chi-square tests by cross-tabulation. Public school children were more dentally diseased but less obese than were those in private school (P < 0.001). They more frequently had calculus (62%) and reported non-recommended tooth-brushing (68%) than did those in private school (37%, 56%; P < 0.05). Principal component analysis revealed that DMFS, CPI and BMI shared the same cluster among all children. A need exists for addressing obesity, oral health and nutrition jointly in health promotion strategies to improve children's well-being and empower good life-style factors.
肥胖、龋齿和牙周病是主要的公共卫生问题之一，可能会影响儿童的生长发育。本研究旨在探讨土耳其伊斯坦布尔地区儿童肥胖、口腔健康和生活方式因素之间的关联。通过问卷调查儿童及其母亲，并收集儿童口腔健康数据，对伊斯坦布尔市公立和私立学校的 10-12 岁儿童进行了一项横断面研究（n=611）。评估了儿童的 DMFS（恒牙龋失补牙面数）、CPI（社区牙周指数）、体质量指数（BMI）和生活方式因素（刷牙频率、上学日早餐和睡前的牛奶摄入量）。数据分析包括因子分析、学生 t 检验和交叉表卡方检验。与私立学校儿童相比，公立学校儿童的牙齿疾病更为严重，但肥胖程度较低（P<0.001）。他们更频繁地出现牙石（62%），报告不推荐的刷牙频率（68%），而私立学校儿童为 37%和 56%（P<0.05）。主成分分析显示，DMFS、CPI 和 BMI 在所有儿童中存在共同聚类。在促进儿童健康的策略中，需要共同关注肥胖、口腔健康和营养问题，以增强良好的生活方式因素。
