Elangovan A, Mungara J, Joseph E
Department of Pedodontics and Preventive Dentistry, Ragas Dental College and Hospital, Chennai, Tamilnadu, India.
J Indian Soc Pedod Prev Dent. 2012 Oct-Dec;30(4):293-300. doi: 10.4103/0970-4388.108924.
Childhood overweight and obesity are becoming a major public health concern all over the world. Change in lifestyles and economic growth have led to sedentary lifestyle and altered dietary patterns. There are conflicting reports in the literature regarding the association between body mass index (BMI) and dental caries from various parts of the world. The aim of the present study was to determine if there is an association between BMI-for-age and dental caries in children and to find out the role of diet with respect to BMI-for-age and dental caries.
Demographics and anthropometric measurements were obtained for 600 children and BMI-for-age was calculated. Clinical examination for dental caries was carried out following WHO criteria. A diet recording sheet was prepared and children/parents were asked to record the dietary intake for 3 days. Data obtained were statistically analyzed using Chi-square, analysis of variance (ANOVA), and multiple linear regression.
After excluding improperly filled diet recording sheets, 510 children were included in the study. Caries prevalence was more in obese children than in other BMI groups. Caries scores increased as BMI-for-age increased, though this was not statistically significant. Consumption of fatty foods and snacks was more with obese children compared to other groups. A correlation was found between caries and snacks.
Dental caries scores showed no relationship between BMI-for-age in children. Both snacks and fatty food items were consumed more by obese children, which seeks attention.
儿童超重和肥胖正成为全球主要的公共卫生问题。生活方式的改变和经济增长导致了久坐不动的生活方式和饮食习惯的改变。关于世界不同地区体重指数（BMI）与龋齿之间的关联，文献中有相互矛盾的报道。本研究的目的是确定儿童年龄别BMI与龋齿之间是否存在关联，并找出饮食在年龄别BMI和龋齿方面的作用。
获取了600名儿童的人口统计学和人体测量数据，并计算了年龄别BMI。按照世界卫生组织标准进行龋齿临床检查。准备了一份饮食记录表，要求儿童/家长记录3天的饮食摄入量。使用卡方检验、方差分析（ANOVA）和多元线性回归对获得的数据进行统计分析。
排除填写不当的饮食记录表后，510名儿童纳入研究。肥胖儿童的龋齿患病率高于其他BMI组。随着年龄别BMI的增加，龋齿得分也有所增加，尽管这在统计学上不显著。与其他组相比，肥胖儿童食用的高脂肪食物和零食更多。发现龋齿与零食之间存在相关性。
儿童年龄别BMI与龋齿得分之间无关联。肥胖儿童食用的零食和高脂肪食物都更多，这值得关注。
