Divaris Kimon, Bhaskar Vaishnavi, McGraw Kathleen A
Department of Pediatric Dentistry, School of Dentistry, University of North Carolina at Chapel Hill, NC, USA.
Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, NC, USA.
J Public Health Dent. 2017 Jun;77 Suppl 1:S96-S103. doi: 10.1111/jphd.12236. Epub 2017 Jul 14.
The authors conducted a systematic review to determine: a) What dental schools and dental hygiene programs are doing to promote knowledge and skills related to addressing childhood obesity and to reduce consumption of sugar-sweetened beverages (SSBs) and b) What else these schools and programs could do to better equip future oral health professionals to address childhood obesity and reduce consumption of SSBs.
The authors searched PubMed, Scopus, Education Full Text (EBSCOHost), and ERIC (EBSCOHost) to identify peer-reviewed publications reporting on obesity or dietetic-related curricula in dental and dental hygiene education within the last 20 years. Three studies met inclusion and exclusion criteria. Outcomes of the identified studies were abstracted and summarized independently by two investigators.
The first study describes a 2009 survey of pediatric dentistry residents. Approximately, half had received formal training yet they lacked essential knowledge or skills for managing children who were obese. The second study describes nutrition-related coursework offered in the second year of a predoctoral dental school curriculum in Saudi Arabia, and the third study reports on the development of an "oral health rotation" dietetic internship in a pediatric dentistry clinic, in the context of interprofessional education (IPE).
Evidence of dental schools' and dental hygiene programs' efforts to address obesity and SSB consumption in children in their curricula is scant, while Commission on Dental Accreditation standards make sporadic mentions of diet and nutrition. Opportunities exist to leverage existing resources and innovative, experiential approaches, including IPE, to formally, and effectively address this important issue in predoctoral oral health education.
作者进行了一项系统综述，以确定：a）牙科学校和口腔卫生项目在促进与解决儿童肥胖问题相关的知识和技能以及减少含糖饮料（SSB）消费方面正在做什么；b）这些学校和项目还可以做些什么，以便更好地让未来的口腔卫生专业人员有能力解决儿童肥胖问题并减少SSB的消费。
作者检索了PubMed、Scopus、教育全文数据库（EBSCOHost）和教育资源信息中心数据库（ERIC，EBSCOHost），以识别过去20年内关于牙科和口腔卫生教育中肥胖或饮食相关课程的同行评审出版物。三项研究符合纳入和排除标准。两名研究人员独立提取并总结了已识别研究的结果。
第一项研究描述了2009年对儿科牙科住院医师的一项调查。大约一半的人接受过正规培训，但他们缺乏管理肥胖儿童所需的基本知识或技能。第二项研究描述了沙特阿拉伯一所牙科博士前课程第二年提供的与营养相关的课程作业，第三项研究报告了在跨专业教育（IPE）背景下，儿科牙科诊所开展的“口腔健康轮转”饮食实习项目。
牙科学校和口腔卫生项目在课程中努力解决儿童肥胖和SSB消费问题的证据很少，而牙科认证委员会的标准只是偶尔提及饮食和营养。有机会利用现有资源以及创新的体验式方法，包括IPE，在博士前口腔健康教育中正式且有效地解决这一重要问题。
