Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, Brazil.
Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, Brazil.
Arch Oral Biol. 2017 Sep;81:69-73. doi: 10.1016/j.archoralbio.2017.04.032. Epub 2017 Apr 28.
The objective of this study was to determine the influence of masticatory function, dental caries and socioeconomic status on the body mass index (BMI) of preschool children.
A cross-sectional study was conducted with a sample of 285 children aged three to five years allocated to three groups based on the BMI: underweight, ideal weight and overweight/obesity. Socioeconomic status was determined based on the responses of parents/caregivers to a specific form. Cavitated lesions were diagnosed using the criteria of the International Caries Detection and Assessment System. Masticatory function was assessed based on masticatory performance (MP) and the swallowing threshold (ST), which were evaluated based on the results of a test food. Data analysis involved the employment of the Kruskal-Wallis, Mann-Whitney and chi-square tests as well as simple and multiple linear regression analyses.
In the final multiple regression model, BMI was influenced by monthly household income (β=0.234; 95%CI: 1.014 to 1.647), number of cavitated teeth (β=-0.180; 95%CI: -0.293 to -0.054) and X50 of the ST (β=0.304; 95%CI: 0.213-0.498).
Children whose food test resulted in large particles and those from families with a higher monthly income had a higher BMI. Children with a greater number of teeth with cavitated dental caries had a lower BMI.
本研究旨在探讨咀嚼功能、龋齿和社会经济状况对学龄前儿童体重指数(BMI)的影响。
本研究采用横断面研究方法,选取 285 名 3 至 5 岁的儿童作为研究对象,根据 BMI 将其分为消瘦组、理想体重组和超重/肥胖组。社会经济状况通过家长/照顾者对特定表格的回答来确定。采用国际龋齿检测和评估系统的标准来诊断龋洞病变。咀嚼功能通过咀嚼性能(MP)和吞咽阈值(ST)来评估,根据测试食物的结果来评估。数据分析采用 Kruskal-Wallis、Mann-Whitney 和卡方检验以及简单和多元线性回归分析。
在最终的多元回归模型中,BMI 受月家庭收入(β=0.234;95%CI:1.014 至 1.647)、龋坏牙数(β=-0.180;95%CI:-0.293 至 -0.054)和 ST 的 X50(β=0.304;95%CI:0.213-0.498)的影响。
食物测试中产生较大颗粒的儿童和来自高月收入家庭的儿童BMI 较高。患有更多龋坏牙的儿童 BMI 较低。