Alm Anita, Isaksson Helen, Fåhraeus Christina, Koch Göran, Andersson-Gäre Boel, Nilsson Mats, Birkhed Dowen, Wendts Lill-Kari
Department of Paediatric Dentistry, Kärnsjukhuset, Skövde, Sweden.
Swed Dent J. 2011;35(1):1-8.
Overweight and obesity are increasing as health problems at global level. Dental caries and obesity are both multifactorial diseases and are associated with dietary habits. The aim of the present study was to investigate the relationship between body weight status and caries prevalence in an unselected population followed from pre-school years to young adulthood. The present investigation was designed as a longitudinal analysis of the association between overweight/obesity and dental caries in one population at 3, 6, 15 and 20 years of age. The result shows that adolescents (15 years) and young adults (20 years) who are overweight/obese had a statistically significantly higher caries prevalence than normal-weight young people. At 6 years of age, the odds (OR) of having caries among obese children are 2.5 times higher than the odds for caries among six-year-old children of normal weight (p = 0.04). At 3 years of age, no association between overweight/obesity and caries was found. To conclude, overweight and obese adolescents and young adults had more caries than normal-weight individuals. The present study emphasises the need for multidisciplinary approaches to change the lifestyle factors causing both overweight/obesity and dental caries.
超重和肥胖作为全球性的健康问题正在日益增加。龋齿和肥胖都是多因素疾病，且都与饮食习惯有关。本研究的目的是在一个从学龄前到青年期的未经过筛选的人群中，调查体重状况与龋齿患病率之间的关系。本调查设计为对某一人群在3岁、6岁、15岁和20岁时超重/肥胖与龋齿之间的关联进行纵向分析。结果显示，超重/肥胖的青少年（15岁）和青年（20岁）的龋齿患病率在统计学上显著高于体重正常的年轻人。在6岁时，肥胖儿童患龋齿的几率比体重正常的6岁儿童患龋齿的几率高2.5倍（p = 0.04）。在3岁时，未发现超重/肥胖与龋齿之间存在关联。总之，超重和肥胖的青少年及青年比体重正常的人患龋齿更多。本研究强调需要采取多学科方法来改变导致超重/肥胖和龋齿的生活方式因素。
