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巴西学童的营养状况、牙齿磨损与生活质量

Nutritional status, tooth wear and quality of life in Brazilian schoolchildren.

作者信息

Andrade Francisco Juliherme Pires de, Sales-Peres André de Carvalho, Moura-Grec Patricia Garcia de, Mapengo Marta Artemisa Abel, Sales-Peres Arsenio, Sales-Peres Sílvia Helena de Carvalho

机构信息

1Department of Pediatric Dentistry,Orthodontics and Public Health,Bauru School of Dentistry,University of São Paulo,Avenue Octávio Pinheiro Brisolla 9-75,Bauru, SP,Brazil.

2Catanduva School of Medicine,Integrated Colleges Priest Albino,Catanduva, SP,Brazil.

出版信息

Public Health Nutr. 2016 Jun;19(8):1479-85. doi: 10.1017/S1368980015002876. Epub 2015 Sep 30.

Abstract

OBJECTIVE

To evaluate the correlation among nutritional status, tooth wear and quality of life in Brazilian schoolchildren.

DESIGN

The study followed a cross-sectional design. Nutritional status was measured via anthropometry using BMI and tooth wear was measured using the Dental Wear Index; both these assessments were carried out by a trained recorder according to standard criteria. A modified version of the Child Oral Impacts on Daily Performances was used to assess quality of life.

SETTING

City of Bauru, in Brazil.

SUBJECTS

A cluster sample of 396 schoolchildren (194 boys and 202 girls) aged 7-10 years.

RESULTS

The anthropometric assessment showed similar situations for both sexes regarding underweight (31·40 % in boys and 30·20 % in girls) and overweight/obesity (33·96 % in boys and 33·17 % in girls). The underweight children showed a greater severity of tooth wear in the primary teeth (OR=0·72; CI 0·36, 1·42), although in the permanent dentition the obese children had a greater severity of tooth wear (OR=1·42; 95 % CI 0·31, 6·55). The tooth wear was correlated with age for both dentitions.

CONCLUSIONS

Tooth wear in the primary and permanent dentition may be related to nutritional status. Tooth wear and obesity did not have a significant impact on the schoolchildren's perception of quality of life.

摘要

目的

评估巴西学童的营养状况、牙齿磨损与生活质量之间的相关性。

设计

本研究采用横断面设计。通过人体测量法使用BMI来测量营养状况,使用牙齿磨损指数来测量牙齿磨损;这两项评估均由经过培训的记录员按照标准标准进行。使用儿童口腔对日常表现的影响的修改版来评估生活质量。

地点

巴西包鲁市。

受试者

396名7至10岁学童的整群样本(194名男孩和202名女孩)。

结果

人体测量评估显示,在体重不足方面(男孩为31.40%,女孩为30.20%)和超重/肥胖方面(男孩为33.96%,女孩为33.17%),两性情况相似。体重不足的儿童乳牙的牙齿磨损程度更高(OR = 0.72;CI 0.36,1.42),不过在恒牙列中,肥胖儿童的牙齿磨损程度更高(OR = 1.42;95%CI 0.31,6.55)。两种牙列的牙齿磨损都与年龄相关。

结论

乳牙列和恒牙列的牙齿磨损可能与营养状况有关。牙齿磨损和肥胖对学童的生活质量认知没有显著影响。

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本文引用的文献

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Prevalence of erosive tooth wear in risk groups.高危人群中牙齿磨损的患病率。
Monogr Oral Sci. 2014;25:74-98. doi: 10.1159/000359938. Epub 2014 Jun 26.
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Nutritional status and lipid profile of young children in Brazil.巴西幼儿的营养状况和血脂状况。
J Trop Pediatr. 2013 Feb;59(1):54-8. doi: 10.1093/tropej/fms035. Epub 2012 Sep 3.
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Tooth wear and wear investigations in dentistry.牙磨损与磨损研究在牙科中的应用。
J Oral Rehabil. 2012 Mar;39(3):217-25. doi: 10.1111/j.1365-2842.2011.02257.x. Epub 2011 Sep 16.

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