吉达市高中青少年超重/肥胖的患病率以及肥胖与龋齿的关联。
The prevalence of overweight/obesity in high school adolescents in Jeddah and the association of obesity association with dental caries.
作者信息
Farsi Deema Jamil, Elkhodary Heba Mohammed
机构信息
Dr. Deema Farsi, Department of Pediatric Dentistry,, King Abdulaziz University,, PO Box 17848, Jeddah 21494,, Saudi Arabia, T: +966126402000 Ext 20388,
出版信息
Ann Saudi Med. 2017 Mar-Apr;37(2):114-121. doi: 10.5144/0256-4947.2017.114.
BACKGROUND
The prevalence of overweight/obesity in children in Saudi Arabia is among the highest in the world. The prevalence of dental caries is also high in Saudi children. Studies on the relationship between caries and obesity in Saudi adolescents are lacking.
OBJECTIVES
To study the prevalence of overweight/obesity in adolescents, and determine any association between obesity and caries.
DESIGN
An analytical cross-sectional study.
SETTING
Private and public schools in Jeddah.
PATIENTS AND METHODS
The study sample comprised high school children from public and private schools selected by multistage stratified random sampling. Height, weight, waist circumference (WC), and body mass index (BMI) were measured for all children, who were then classified as underweight/normal, overweight, or obese according to their BMI values, and nonobese or obese according to their WC values. The presence of caries was assessed using the Association of State and Territorial Dental Directors criteria.
MAIN OUTCOME MEASURE(S): The prevalence of overweight/obesity and the association of obesity with the number of decayed permanent teeth.
RESULTS
801 high school children (48% boys, 49% from public schools) with a mean (SD) age of 16.5 (0.9) years. When the BMI classification was used, 24%, 16%, and 60% adolescents were obese, overweight, and underweight/normal, respectively. When the WC classification was used, 19% and 81% were obese and nonobese, respectively. Obesity was more prevalent in boys and in students attending private schools (P < .05). The number of decayed permanent teeth showed a very weak and insignificant correlation with BMI and WC.
CONCLUSION
One in every four adolescents residing in Jeddah was obese, with a high obesity prevalence in boys and in children attending private schools. The prevalence of caries in the permanent dentition was not associated with BMI or WC.
LIMITATIONS
It was difficult to establish temporality in this cross-sectional study. Data on common risk factors were not adjusted for in the analyses.
背景
沙特阿拉伯儿童超重/肥胖的患病率位居世界前列。沙特儿童的龋齿患病率也很高。目前缺乏关于沙特青少年龋齿与肥胖之间关系的研究。
目的
研究青少年超重/肥胖的患病率，并确定肥胖与龋齿之间的关联。
设计
一项分析性横断面研究。
地点
吉达的私立和公立学校。
患者和方法
研究样本包括通过多阶段分层随机抽样从公立和私立学校选取的高中生。测量了所有儿童的身高、体重、腰围（WC）和体重指数（BMI），然后根据他们的BMI值将其分类为体重过轻/正常、超重或肥胖，并根据他们的WC值分类为非肥胖或肥胖。使用州和领地牙科主任协会的标准评估龋齿的存在情况。
主要观察指标
超重/肥胖的患病率以及肥胖与恒牙龋坏数量的关联。
结果
801名高中生（48%为男孩，49%来自公立学校），平均（标准差）年龄为16.5（0.9）岁。使用BMI分类时，分别有24%、16%和60%的青少年为肥胖、超重和体重过轻/正常。使用WC分类时，分别有19%和81%为肥胖和非肥胖。肥胖在男孩和私立学校学生中更为普遍（P < 0.05）。恒牙龋坏数量与BMI和WC的相关性非常弱且无统计学意义。
结论
居住在吉达的青少年中，每四人中有一人肥胖，男孩和私立学校儿童的肥胖患病率较高。恒牙列龋齿患病率与BMI或WC无关。
局限性
在这项横断面研究中难以确定时间顺序。分析中未对常见危险因素的数据进行调整。
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