Tinanoff Norman, Holt Katrina
Department of Orthodontics and Pediatric Dentistry, School of Dentistry, University of Maryland, Baltimore, MD, USA.
National Maternal and Child Oral Health Resource Center, Georgetown University, Washington, DC, USA.
J Public Health Dent. 2017 Jun;77 Suppl 1:S5-S7. doi: 10.1111/jphd.12218. Epub 2017 May 3.
The Robert Wood Johnson Foundation (RWJF) has worked to ensure that all children have healthy weights. To promote this goal, the RWJF has supported the Healthy Futures: Engaging the Oral Health Community in Childhood Obesity Prevention National Conference, held on November 3-4, 2016, and the proceeding of this conference. The goals of the conference were to increase understanding of the science focusing on oral health and childhood obesity, increase understanding of how to prevent childhood obesity, and provide opportunities to network and plan activities to prevent childhood obesity.
The papers prepared for the conference identified through systematic reviews or scoping reviews the state of the science related to preventing childhood obesity and reducing children's consumption of sugar-sweetened beverages and strategies that oral health professionals and organizations can employ prevent childhood obesity.
Causes of childhood obesity are multifactorial and include genetic components, environmental and lifestyle variables, and nutritional factors. Dental caries also is caused by a combination of factors, including cariogenic diet, inadequate fluoride exposure, a susceptible host, and the presence of caries-causing bacteria in the oral cavity. One key risk factors for both obesity and caries is excessive sugar consumption.
To reduce the risk of obesity and dental caries in children, health professionals and parents need to be aware of the sugar content of processed foods and beverages as well as of current daily sugar-consumption recommendations. Additionally, oral health professionals must become more engaged in identifying children who are at risk for obesity and dental caries; and provide education, screening and referral to reduce these risks.
罗伯特·伍德·约翰逊基金会（RWJF）致力于确保所有儿童都有健康的体重。为推动这一目标，RWJF支持了“健康未来：让口腔健康社区参与儿童肥胖预防全国会议”，该会议于2016年11月3日至4日举行，并支持了此次会议的会议记录。该会议的目标是增进对关注口腔健康与儿童肥胖的科学的理解，增进对如何预防儿童肥胖的理解，并提供建立联系和规划预防儿童肥胖活动的机会。
为该会议准备的论文通过系统评价或范围综述确定了与预防儿童肥胖、减少儿童含糖饮料消费相关的科学现状，以及口腔健康专业人员和组织可用于预防儿童肥胖的策略。
儿童肥胖的成因是多方面的，包括遗传因素、环境和生活方式变量以及营养因素。龋齿也是由多种因素共同导致的，包括致龋饮食、氟摄入不足、易感宿主以及口腔中致龋细菌的存在。肥胖和龋齿的一个关键风险因素是过量摄入糖分。
为降低儿童肥胖和龋齿的风险，卫生专业人员和家长需要了解加工食品和饮料中的糖分含量以及当前的每日糖分摄入建议。此外，口腔健康专业人员必须更积极地识别有肥胖和龋齿风险的儿童；并提供教育、筛查和转诊服务以降低这些风险。
