儿童和青少年龋齿与肥胖之间的关联：一项叙述性综述
Association between Dental Caries and Obesity in Children and Young People: A Narrative Review.
作者信息
Alshihri Abdulmonem A, Rogers Helen J, Alqahtani Mohammed A, Aldossary Mohammed S
机构信息
Department of Prosthodontics and Biomaterials, College of Dentistry, King Saud University, Riyadh, Saudi Arabia.
Division of Pediatric Dentistry, School of Clinical Dentistry, University of Sheffield, Sheffield, UK.
出版信息
Int J Dent. 2019 May 2;2019:9105759. doi: 10.1155/2019/9105759. eCollection 2019.
OBJECTIVES
To explore the association between obesity and dental caries in children and adolescents. Furthermore, to consider the possible reasons behind this relationship.
METHODS
A database search for papers published between January 2015 and May 2018, inclusive, addressing the association between obesity and dental caries was conducted. A review and critical appraisal of all included studies was performed.
RESULTS
Twenty-six studies were included in this review from different populations worldwide. Eight studies assessed the primary dentition, nine studies were conducted on permanent dentition, and remaining nine studies on both dentitions. The results regarding the association between obesity and dental caries were conflicting and inconsistent. Nine studies concluded that there was no relationship between obesity and dental caries. A positive association was reported in five studies, while the inverse association was reported in eleven studies. Studies included in this review had significant variations in methodology and the investigated cofactors. Possible explanations of the controversial association between obesity and dental caries are discussed in this review.
CONCLUSION
Both obesity and dental caries are multifactorial diseases, and their association is far more complex that can be explained by a single common risk factor, presenting evidence for the complexity of this association.
目的
探讨儿童及青少年肥胖与龋齿之间的关联。此外，思考这种关系背后可能的原因。
方法
对2015年1月至2018年5月（含）期间发表的关于肥胖与龋齿关联的论文进行数据库检索。对所有纳入研究进行综述和批判性评价。
结果
本综述纳入了来自全球不同人群的26项研究。8项研究评估乳牙列，9项研究针对恒牙列，其余9项研究涉及两种牙列。关于肥胖与龋齿之间关联的结果相互矛盾且不一致。9项研究得出肥胖与龋齿之间无关联的结论。5项研究报告了正相关，而11项研究报告了负相关。本综述纳入的研究在方法和所调查的协变量方面存在显著差异。本综述讨论了肥胖与龋齿之间存在争议性关联的可能解释。
结论
肥胖和龋齿均为多因素疾病，它们之间的关联远比单一常见风险因素所能解释的更为复杂，这为这种关联的复杂性提供了证据。
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