Khanh Linh Ngo, Ivey Susan L, Sokal-Gutierrez Karen, Barkan Howard, Ngo Kimberly M, Hoang Hung T, Vuong Ivy, Thai Nam
Linh Ngo Khanh, Susan L. Ivey, Karen Sokal-Gutierrez, Howard Barkan, Kimberly M. Ngo, Ivy Vuong, and Nam Thai are with Health Research for Action, University of California, Berkeley School of Public Health. Hung T. Hoang is with University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.
Am J Public Health. 2015 Dec;105(12):2510-7. doi: 10.2105/AJPH.2015.302798. Epub 2015 Oct 15.
We investigated the relationships among early childhood caries (ECC), mouth pain, and nutritional status in children aged 1 to 6 years in Southern and Central Vietnam.
A total of 593 parent-child pairs were recruited from 5 kindergartens or preschools in Ho-Chi Minh City and Da Nang. Parents completed surveys about dietary habits, oral health practices, and children's mouth pain experience; children received anthropometric assessment and dental examinations.
There was a high prevalence of dental caries (74.4%), mostly untreated, and mouth pain (47.1%). Moderate correlations were found between parents' and children's consumption of soda (ρ = 0.361; P < .001) and salty snacks (ρ = 0.292; P < .001). Severity of ECC was associated with decreased weight- and body mass index-for-age z-scores. Presence of pulp-involved caries was associated with strikingly lower height-for-age (mean difference = 0.66; P = .001), weight-for-age (mean difference = 1.17; P < .001), and body mass index-for-age (mean difference = 1.18; P < .001) z-scores. Mouth pain was associated with lower body mass index-for-age z-scores (mean difference = 0.29; P = .013).
ECC might negatively affect children's nutritional status, which might be mediated by the depth of decay, chronic inflammation, and mouth pain. Family-based and prevention-oriented nutrition and oral health programs are needed and should start during pregnancy and infancy.
我们调查了越南南部和中部1至6岁儿童的早期儿童龋（ECC）、口腔疼痛和营养状况之间的关系。
从胡志明市和岘港的5所幼儿园或学前班招募了593对亲子。家长完成了关于饮食习惯、口腔健康习惯和儿童口腔疼痛经历的调查；儿童接受了人体测量评估和牙科检查。
龋齿患病率很高（74.4%），大部分未治疗，口腔疼痛患病率为47.1%。父母和孩子的汽水消费量（ρ = 0.361；P <.001）和咸味零食消费量（ρ = 0.292；P <.001）之间存在中度相关性。ECC的严重程度与年龄别体重和体重指数z评分降低有关。涉及牙髓的龋齿与年龄别身高（平均差异 = 0.66；P = 0.001）、年龄别体重（平均差异 = 1.17；P <.001）和年龄别体重指数（平均差异 = 1.18；P <.001）z评分显著降低有关。口腔疼痛与年龄别体重指数z评分较低有关（平均差异 = 0.29；P = 0.013）。
ECC可能对儿童的营养状况产生负面影响，这可能由龋齿深度、慢性炎症和口腔疼痛介导。需要开展以家庭为基础、以预防为导向的营养和口腔健康项目，并且应该在孕期和婴儿期开始。
