Sanghavi Ankit, Siddiqui Nadia J
Community and Oral Health Program, Texas Health Institute, TX, USA.
Health Equity Programs, Texas Health Institute, TX, USA.
J Public Health Dent. 2017 Jun;77 Suppl 1:S88-S95. doi: 10.1111/jphd.12235. Epub 2017 Jul 14.
While a large body of work documents the interconnections between oral health and obesity, less is known about the role that oral health professionals and organizations play to prevent childhood obesity, especially by influencing children's consumption of sugar-sweetened beverages (SSBs). This review identifies efforts by oral health professionals and organizations to influence such policy and advocacy, while informing future opportunities to leverage and expand on existing efforts.
A scoping review of peer-reviewed literature and a web-based review of oral health policy and advocacy initiatives addressing prevention of obesity and reducing children's consumption of SSBs were conducted. Of 30 unique references identified, four peer-reviewed and seven non-peer-reviewed references met selection criteria. Qualitative and quantitative data were extracted using a priori determined headings.
Findings suggest a strong role for oral health professionals in preventing childhood obesity and reducing children's consumption of SSBs; however, only a few national, state, and local oral-health-advocacy and -policy efforts were identified, such as policy statements by national associations, state and local education campaigns, and clinical guidelines. Evidence was limited on the role of oral health professionals in influencing broader communitywide advocacy and policy efforts such as soda taxation and limiting SSB consumption in schools.
This review provides an emerging evidence base to support growing recognition among oral health professionals of their dual role in preventing childhood obesity and dental caries by targeting SSB consumption. It also identifies opportunities for oral health professionals to build on initial efforts to more proactively influence future policy and advocacy.
尽管大量研究记录了口腔健康与肥胖之间的联系，但对于口腔健康专业人员和组织在预防儿童肥胖方面所起的作用，尤其是在影响儿童对含糖饮料（SSB）的消费方面，人们了解较少。本综述确定了口腔健康专业人员和组织在影响此类政策及倡导方面所做的努力，同时为利用和扩大现有努力的未来机会提供信息。
对同行评审文献进行了范围综述，并对针对预防肥胖和减少儿童对含糖饮料消费的口腔健康政策及倡导举措进行了基于网络的综述。在确定的30篇独特参考文献中，4篇同行评审文献和7篇非同行评审文献符合入选标准。使用预先确定的标题提取定性和定量数据。
研究结果表明口腔健康专业人员在预防儿童肥胖和减少儿童对含糖饮料的消费方面发挥着重要作用；然而，仅发现了少数国家、州和地方的口腔健康倡导及政策努力，如全国性协会的政策声明、州和地方的教育活动以及临床指南。关于口腔健康专业人员在影响更广泛的社区倡导和政策努力（如汽水税和限制学校内含糖饮料消费）方面的作用，证据有限。
本综述提供了一个新出现的证据基础，以支持口腔健康专业人员日益认识到他们通过针对含糖饮料消费在预防儿童肥胖和龋齿方面的双重作用。它还确定了口腔健康专业人员在基于初步努力更积极地影响未来政策和倡导方面的机会。
