Department of Pediatric Dentistry, Piracicaba Dental School, University of Campinas, Piracicaba, SP, Brazil.
Department of Biological Sciences, Universidade Federal de São Paulo, Diadema, SP, Brazil.
Int J Dent Hyg. 2017 Nov;15(4):e156-e162. doi: 10.1111/idh.12248. Epub 2016 Oct 4.
This study evaluated the association between excess weight and quality of life (QoL), symptoms of anxiety, caries experience and socio-economic factors in a representative sample of 8- to 10-year-old children from three public schools of Piracicaba (SP, Brazil).
The Autoquestionnaire Qualité de Vie Enfant Image was applied to explore family and social relations, activities, health, body functions and separation domains, and, by means of the Multidimensional Anxiety Scale for Children, symptoms of anxiety were screened. Clinical examination was performed using DMFT/dmft indexes to assess oral health and caries experience. Medical and nutritional history, parents' schooling, monthly income and ownership of household goods and services were also evaluated.
Of the 313 subjects included, four subjects were underweight, 188 normal weight, 67 overweight and 54 presented obesity (38.7% with excess weight). Measures of QoL, anxiety scores and caries experience did not differ between groups. The regression model showed a significant association between excess weight and the ownership of household goods and services (OR = 5.4/CI = 1.6-18.3).
High prevalence of excess weight was observed among prepubertal children, emphasizing the need for continued health programmes to limit risk factors for obesity. QoL, anxiety scores and caries experience did not differ between subjects with different body weights, although children from public schools with higher ownership of goods and services were more likely to present excess weight.
本研究评估了超重与生活质量(QoL)、焦虑症状、龋齿经历以及社会经济因素之间的关联,研究对象为来自巴西皮拉西卡巴市三所公立学校的 8-10 岁儿童。
使用 Autoquestionnaire Qualité de Vie Enfant Image 评估家庭和社会关系、活动、健康、身体功能和分离领域,使用儿童多维焦虑量表筛查焦虑症状。采用 DMFT/dmft 指数进行临床检查,以评估口腔健康和龋齿经历。还评估了医疗和营养史、父母的受教育程度、月收入以及家庭用品和服务的拥有情况。
在 313 名纳入研究的受试者中,4 名体重不足,188 名体重正常,67 名超重,54 名肥胖(38.7%超重)。QoL 指标、焦虑评分和龋齿经历在各组之间没有差异。回归模型显示,超重与家庭用品和服务的拥有情况之间存在显著关联(OR=5.4/CI=1.6-18.3)。
在青春期前儿童中观察到超重的高患病率,强调需要持续开展健康计划以限制肥胖的风险因素。尽管来自拥有更多家庭用品和服务的公立学校的儿童更有可能超重,但 QoL、焦虑评分和龋齿经历在不同体重组之间没有差异。