Department of Dental Hygiene, Kyungbok University, Namyangju, Korea.
Caries Res. 2018;52(1-2):71-77. doi: 10.1159/000481410. Epub 2017 Dec 16.
The purpose of this study was to assess the relationship of dental caries with anthropometric outcomes in 4- to 6-year-old children participating in the Korean National Health and Nutrition Examination Survey (KNHANES). The sample size was 1,910 children from the 4th and 5th KNHANES. The caries status was assessed with the decayed and filled teeth index in primary dentition (dft score). We employed height for age, body weight for age, and body mass index for age as outcome variables. Age, gender, region, and income were confounders. Nutritional deficiency as a mediator in the association between dental caries and delayed growth was also examined. A series of logistic regression analyses estimated the magnitude of association between dental caries and unfavorable growth after adjustment of the confounders and the mediator. Those with a high dft score were more likely to be deficient in nutrition (OR 1.77, 95% CI 1.14-2.74). After adjusting for sociodemographic factors and nutritional deficiency, we also found that a high dft score was associated with low weight (OR 1.70, 95% CI 1.15-2.51). The influence of dental caries on delayed growth was found in Korean representative children.
本研究旨在评估参与韩国国家健康和营养检查调查（KNHANES）的 4 至 6 岁儿童的龋齿与人体测量学结果的关系。样本量为来自第 4 和第 5 次 KNHANES 的 1910 名儿童。龋齿状况采用乳牙龋齿充填指数（dft 评分）进行评估。我们将身高年龄、体重年龄和体重指数年龄作为因变量。年龄、性别、地区和收入是混杂因素。还检查了龋齿与生长迟缓之间关联的营养缺乏作为中介因素。一系列逻辑回归分析估计了在调整混杂因素和中介因素后，龋齿与不良生长之间的关联程度。dft 评分高的儿童更有可能缺乏营养（OR 1.77，95%CI 1.14-2.74）。在调整社会人口因素和营养缺乏后，我们还发现，dft 评分高与体重低有关（OR 1.70，95%CI 1.15-2.51）。在韩国代表性儿童中发现了龋齿对生长迟缓的影响。
