Basha Sakeenabi, Mohamed Roshan Noor, Swamy Hiremath Shivalinga, Ramamurthy Priyadrshini Hesaragatta, Sexena Vrinda
Oral Health Prev Dent. 2017;15(1):65-71. doi: 10.3290/j.ohpd.a37715.
To determine the incidence of caries in a 3-year follow-up of obese adolescents.
Seven-hundred eighty five 13-year-old school children were selected randomly. Caries was recorded according to WHO criteria and body mass index was assessed in a medical evaluation. With appropriate sample weighting, relationships between caries and other variables were assessed using the chi-squared test, Kruskal-Wallis H-test, and multivariable logistic regression.
At baseline, 185 (24.2%) adolescents presented with caries, having mean DMFT and DMFS scores of 0.9 ± 2.0 and 2.4 ± 3.6, respectively. The accumulated incidence of caries during the 3-year period of study was 16.5%, with mean DMFT and DMFS increments of 0.8 ± 0.2 and 1.1 ± 3.3, respectively. Obese and overweight adolescents had a 3.7 times (95% CI = 1.3-6.8) greater chance of developing caries after adjusting for socioeconomic status, gender, use of fluoridated dentifrice, and past caries experience.
Obese and overweight adolescents were at a higher risk of developing new caries in a 3-year-follow-up.
确定肥胖青少年3年随访期间龋齿的发病率。
随机选取785名13岁学童。根据世界卫生组织标准记录龋齿情况，并在医学评估中评估体重指数。通过适当的样本加权，使用卡方检验、Kruskal-Wallis H检验和多变量逻辑回归评估龋齿与其他变量之间的关系。
基线时，185名（24.2%）青少年患有龋齿，平均龋均（DMFT）和龋面均（DMFS）得分分别为0.9±2.0和2.4±3.6。在3年研究期间，龋齿的累积发病率为16.5%，平均DMFT和DMFS增量分别为0.8±0.2和1.1±3.3。在调整社会经济地位、性别、使用含氟牙膏和既往龋齿经历后，肥胖和超重青少年患龋齿的几率高3.7倍（95%可信区间=1.3-6.8）。
在3年随访中，肥胖和超重青少年患新发龋齿的风险更高。
