Ashour Nisreen Adnan, Ashour Amal Adnan, Basha Sakeena
Dr. Sakeena Basha, Assistant Professor,, Department of Community Dentistry,, Faculty of Dentistry,, Taif University, Taif 21431,, Saudi Arabia, M: +966538418544,
Ann Saudi Med. 2018 Jan-Feb;38(1):28-35. doi: 10.5144/0256-4947.2017.31.12.1515. Epub 2017 Dec 31.
Dental caries and obesity are multifactorial diseases with diet being a common contributory factor.
The main purpose of the present study was to investigate the association between dental caries and obesity among special care female school children in Makkah City, Saudi Arabia.
Analytical cross-sectional study.
Special schools in Makkah City.
Schools were chosen by lottery and female children were ran.domly selected. Dental caries detection was performed according to the World Health Organization criteria. The medical evaluation assessed the body mass index (BMI).
With appropriate sample weighting, relationships between dmft/DMFT (decayed, missing, filled teeth for deciduous and permanent dentition) and obesity were assessed using multilevel logistic regression.
In 275 special care children, the prevalence of dental caries was 56.7 percent. The mean dmft and DMFT scores for the entire study population were 3.9 (4.8) and 3.2 (4.1), respectively. Forty percent of children were mentally retarded, 22.2% presented with deafness, blindness or both, 18.9% presented with Down syndrome and 14.9% were autistic. From the total sample, the mean BMI was 20.2 (2.8). When adjusted for covariates, the logistic regression model showed strong association between caries and obesity (adjusted odds ratio=2.9; 95% CI=1.2-4.9).
This study demonstrated a significant association between caries frequency and overweight/obesity in special care school children.
Since the data was cross-sectional, causal relationships cannot be established and the observed association could be due to other unexplored factors. Because of cultural and ethical consideration, including segregation of gender in Saudi Arabia, only female children were included in the present study, which limited the findings.
龋齿和肥胖是多因素疾病，饮食是常见的促成因素。
本研究的主要目的是调查沙特阿拉伯麦加市特殊护理女童中龋齿与肥胖之间的关联。
分析性横断面研究。
麦加市的特殊学校。
通过抽签选择学校，随机挑选女童。根据世界卫生组织标准进行龋齿检测。医学评估评估体重指数（BMI）。
通过适当的样本加权，使用多水平逻辑回归评估乳牙和恒牙的龋失补牙数（dmft/DMFT）与肥胖之间的关系。
在275名特殊护理儿童中，龋齿患病率为56.7%。整个研究人群的平均dmft和DMFT得分分别为3.9（4.8）和3.2（4.1）。40%的儿童智力发育迟缓，22.2%有耳聋、失明或两者兼有，18.9%患有唐氏综合征，14.9%患有自闭症。在总样本中，平均BMI为20.2（2.8）。在对协变量进行调整后，逻辑回归模型显示龋齿与肥胖之间存在强关联（调整后的优势比=2.9；95%置信区间=1.2 - 4.9）。
本研究表明特殊护理学龄儿童的龋齿发生率与超重/肥胖之间存在显著关联。
由于数据是横断面的，无法建立因果关系，观察到的关联可能归因于其他未探索的因素。出于文化和伦理考虑，包括沙特阿拉伯的性别隔离，本研究仅纳入了女童，这限制了研究结果。
