Patiño-Marín N, Zavala-Alonso N V, Martínez-Castañón G A, Alegría-Torres J A, Medina-Solís C E, Laredo-Naranjo M A, Orellana-Centeno J E, Lemus-Rojero O
Clinical Research Laboratory, Program of Doctorate in Dental Sciences, Autonomous University of San Luis Potosi, San Luis Potosi, Mexico.
Program of Doctorate in Dental Sciences, Autonomous University of San Luis Potosi, San Luis Potosi, Mexico.
Int J Dent Hyg. 2018 Aug;16(3):411-418. doi: 10.1111/idh.12345. Epub 2018 Apr 24.
To determine the association between dental hygiene, gingivitis and overweight or the risk of overweight according to body mass index (BMI).
A cross-sectional study was performed with 1527 preschoolers. The children were divided into 4 groups: (i) absence of visible plaque and normal weight; (ii) absence of visible plaque and risk of overweight or overweight; (iii) presence of visible plaque and normal weight; and (iv) presence of visible plaque and risk of overweight or overweight. The clinical parameters evaluated were as follows: body mass index, degree of urban marginalization, dental caries, the simplified oral hygiene index and gingival status. Bivariate analysis and multivariate binary logistic regression models were used to identify associations between variables.
The highest mean of gingivitis (0.28) was observed in the groups with visible plaque with normal weight and with overweight and risk of overweight. The presence of visible plaque and risk of overweight or overweight were positively associated (P = .0001) with the mean of gingivitis (OR = 8.28, 95% CI = 3.30-19.8). The absence of visible plaque and risk of overweight or overweight (P = .0001) were also positively associated with the presence of gingivitis (OR = 2.44, 95% CI = 0.68-8.06). This is after both models were adjusted by gender and degree of marginalization.
The professionals should develop interdisciplinary approaches to (i) propose appropriate interventions to improve oral health in overweight preschoolers; and (ii) propose interventions to decrease the overweight with the possibility of also reducing its association with gingivitis.
根据体重指数（BMI）确定口腔卫生、牙龈炎与超重或超重风险之间的关联。
对1527名学龄前儿童进行了一项横断面研究。这些儿童被分为4组：（i）无可见牙菌斑且体重正常；（ii）无可见牙菌斑且有超重或超重风险；（iii）有可见牙菌斑且体重正常；以及（iv）有可见牙菌斑且有超重或超重风险。评估的临床参数如下：体重指数、城市边缘化程度、龋齿、简化口腔卫生指数和牙龈状况。采用双变量分析和多变量二元逻辑回归模型来确定变量之间的关联。
在有可见牙菌斑且体重正常以及有超重和超重风险的组中，观察到的牙龈炎平均得分最高（0.28）。有可见牙菌斑以及有超重或超重风险与牙龈炎平均得分呈正相关（P = 0.0001）（比值比[OR] = 8.28，95%置信区间[CI] = 3.30 - 19.8）。无可见牙菌斑以及有超重或超重风险（P = 0.0001）也与牙龈炎的存在呈正相关（OR = 2.44，95% CI = 0.68 - 8.06）。这是在两个模型都根据性别和边缘化程度进行调整之后。
专业人员应制定跨学科方法，（i）提出适当干预措施以改善超重学龄前儿童的口腔健康；以及（ii）提出干预措施以减轻超重，同时有可能减少其与牙龈炎的关联。
