荷兰一家儿童牙科转诊诊所中5至8岁儿童的体重指数与龋齿情况
Body mass index and dental caries in children aged 5 to 8 years attending a dental paediatric referral practice in the Netherlands.
作者信息
de Jong-Lenters Maddelon, van Dommelen Paula, Schuller Annemarie A, Verrips Erik H W
机构信息
TNO, Netherlands Organisation for Applied Scientific Research, Schipholweg 77-89, 2316 ZL, Leiden, The Netherlands.
Department of Cariology Endodontology Pedodontology, Academic Centre for Dentistry Amsterdam, University of Amsterdam and VU University, Gustav Mahlerlaan 3004, 1081 LA, Amsterdam, The Netherlands.
出版信息
BMC Res Notes. 2015 Dec 1;8:738. doi: 10.1186/s13104-015-1715-6.
BACKGROUND
Obesity and dental caries are widely-recognised problems that affect general health. The prevention of both dental caries and obesity have proven very difficult: children and their parents may need professional support to achieve behaviour change. To find out whether both dental caries and overweight in childhood can be targeted using a common risk factor approach, it is necessary to establish whether the two diseases are indeed linked. The aim of the present study was therefore to use anthropometric data obtained professionally to investigate the association between Body Mass Index and dental caries experience in children aged 5-8 years receiving treatment in a referral centre for paediatric dental care in the Netherlands.
METHODS
Children's dmft and dmfs scores were calculated using dental records and sociodemographic data were also extracted from these records. Dentists were trained to measure standing height and weight in a standardised way. Body Mass Index was calculated by dividing kilograms by height squared (kg/m(2)). Extended International (International Obesity Task Force) body mass index cut-offs were used to define 'no overweight' and 'overweight' (with the latter category including obesity).
RESULTS
No statistically significant differences were found between the mean dmft or dmfs scores of the two groups (overweight and non-overweight), even after correction for the effect of the potential confounders sex, socio-economic status and ethnicity. The percentage of caries-active children in the non-overweight group was almost the same as in the overweight group. No statistically significant differences were found.
CONCLUSIONS
We hypothesised to find a positive association between body mass index and dental caries experience in children aged 5-8 years attending our practice. However, this study did not find a relationship of this kind. A common risk factor approach for the prevention of caries and overweight is therefore not supported by our study.
背景
肥胖和龋齿是影响整体健康的公认问题。事实证明，预防龋齿和肥胖都非常困难：儿童及其父母可能需要专业支持来实现行为改变。为了确定是否可以使用共同风险因素方法来针对儿童期的龋齿和超重问题，有必要确定这两种疾病是否确实存在关联。因此，本研究的目的是利用专业获取的人体测量数据，调查在荷兰一家儿科牙科护理转诊中心接受治疗的5至8岁儿童的体重指数与龋齿经历之间的关联。
方法
使用牙科记录计算儿童的dmft和dmfs得分，并从这些记录中提取社会人口统计学数据。培训牙医以标准化方式测量身高和体重。体重指数通过将千克数除以身高的平方（kg/m²）来计算。采用扩展的国际（国际肥胖特别工作组）体重指数临界值来定义“非超重”和“超重”（后一类别包括肥胖）。
结果
即使在对潜在混杂因素性别、社会经济地位和种族的影响进行校正后，两组（超重和非超重）的平均dmft或dmfs得分之间也未发现统计学上的显著差异。非超重组中患龋活跃儿童的百分比与超重组几乎相同。未发现统计学上的显著差异。
结论
我们假设在我们诊所就诊的5至8岁儿童中，体重指数与龋齿经历之间存在正相关。然而，本研究未发现此类关系。因此，我们的研究不支持采用共同风险因素方法来预防龋齿和超重。
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