Department of Health Science, Faculty of Sciences, University of York, Heslington, UK.
Research Department of Epidemiology and Public Health, University College London (UCL), London, UK.
Community Dent Oral Epidemiol. 2018 Oct;46(5):449-456. doi: 10.1111/cdoe.12412. Epub 2018 Aug 6.
This study aimed to assess associations between dental caries and anthropometric measures among a sample of children aged 5-9 years in Dhaka, Bangladesh.
A cross-sectional observational study was conducted among 5- to 9-year-old children in Dhaka, Bangladesh. Data were collected from children and their parents attending the Dhaka Dental College Hospital and from three nearby primary schools. The outcome measures were as follows: age and sex adjusted height-z-scores (HAZ), weight-z-scores (WAZ) and BMI-z-scores (BAZ). Multiple linear regressions were used to assess the associations between caries and anthropometric measures, adjusted for maternal education, family income, study setting, birth weight and childhood diseases as potential confounders.
The final sample comprised 788 children, and the overall response rate was 96.7%. The majority (73.2%) had experience of dental caries. The mean dmft + DMFT score was 2.84 (95% CI 2.64, 3.03) and 35.8% experienced dental sepsis. Dental caries and sepsis were negatively associated with HAZ, WAZ and BAZ scores. After adjustment for potential confounders, children with severe levels of caries had lower HAZ scores (coefficient: -0.40; 95% CI -0.69, -0.10), lower WAZ scores (coefficient: -0.59; 95% CI -0.94, -0.24) and lower BAZ scores (coefficient: -0.50; 95% CI -0.87, -0.13) than those who were caries free. Children with moderate levels of caries also had lower WAZ scores (coefficient: -0.43; 95% CI -0.72, -0.15) and lower BAZ scores (coefficient: -0.43; 95% CI -0.72, -0.13) than caries-free children. Children with dental sepsis had lower HAZ (coefficient: -0.23; 95% CI -0.42, -0.03), WAZ (coefficient: -0.33; 95% CI -0.56, -0.10) and BAZ scores (coefficient: -0.29; 95% CI -0.53, -0.05) than dental sepsis-free children.
Dental caries was associated with lower height, weight and BMI among this sample of Bangladeshi children, even after adjusting for age and sex and a number of potential confounders.
本研究旨在评估孟加拉国达卡市 5-9 岁儿童的龋齿与人体测量指标之间的关联。
本横断面观察性研究在孟加拉国达卡市的 5-9 岁儿童中进行。数据来自于在达卡牙科医学院医院就诊的儿童及其父母以及三所附近小学的儿童及其父母。研究的结果指标如下：年龄和性别调整后的身高 Z 分数（HAZ）、体重 Z 分数（WAZ）和 BMI Z 分数（BAZ）。采用多元线性回归评估龋齿与人体测量指标之间的关联，同时调整了母亲的教育程度、家庭收入、研究地点、出生体重和儿童疾病等潜在混杂因素。
最终样本包括 788 名儿童，总体应答率为 96.7%。大多数（73.2%）儿童有龋齿经历。dmft+DMFT 平均得分为 2.84（95%CI 2.64，3.03），35.8%的儿童患有牙周脓肿。龋齿和牙周脓肿与 HAZ、WAZ 和 BAZ 评分呈负相关。在调整了潜在混杂因素后，患有严重龋齿的儿童的 HAZ 评分较低（系数：-0.40；95%CI -0.69，-0.10），WAZ 评分较低（系数：-0.59；95%CI -0.94，-0.24），BAZ 评分较低（系数：-0.50；95%CI -0.87，-0.13），与无龋齿的儿童相比。患有中度龋齿的儿童的 WAZ 评分也较低（系数：-0.43；95%CI -0.72，-0.15）和 BAZ 评分较低（系数：-0.43；95%CI -0.72，-0.13），与无龋齿的儿童相比。患有牙周脓肿的儿童的 HAZ 评分较低（系数：-0.23；95%CI -0.42，-0.03）、WAZ 评分较低（系数：-0.33；95%CI -0.56，-0.10）和 BAZ 评分较低（系数：-0.29；95%CI -0.53，-0.05），与无牙周脓肿的儿童相比。
即使在调整了年龄和性别以及许多潜在混杂因素后，本研究中孟加拉国儿童的龋齿与身高、体重和 BMI 较低有关。
