Ahmad Rathmawati, Rahman Normastura Abd, Hasan Ruhaya, Yaacob Nik Soriani, Ali Siti Hawa
Dental Public Health Unit, School of Dental Sciences, Universiti Sains Malaysia, Kelantan, Malaysia.
Cerebral Palsy Research Cluster, Universiti Sains Malaysia, Kelantan, Malaysia.
Spec Care Dentist. 2020 Jan;40(1):62-70. doi: 10.1111/scd.12436. Epub 2019 Nov 27.
To investigate the oral health and nutritional status of children with cerebral palsy (CP).
Oral health assessment included dental caries and dental plaque maturity scores (DPMS) while the nutritional assessment included children's height-for-age Z-score (HAZ), body mass index-for-age Z-score (BAZ), mid-upper-arm circumference (MUAC), nutrient intake, cariogenic food frequency (CFF) and daily sugar exposure (DSE). Ninety-three CP children were recruited. The prevalence of caries was 81.7% (95% CI: 72.7%-88.3%). The median (IQR) of the DMFT and dft scores were 0.5(4.0) and 3.0(8.0), respectively. Most of the participants had acid-producing plaque (90.3%), severely stunted (81.4%), and 45% were severely thin with acute malnutrition. Intakes of calcium, iron, zinc, vitamin A, vitamin D and total fat were below 77% of the Recommended Nutrient Intakes for Malaysian children (RNI 2017). Nine types of cariogenic foods/drinks were consumed moderately, and DSE indicated that 45% of the children were at moderate risk of dental caries.
Untreated dental caries, severe stunting and thinness were prevalent, and cariogenic foods/drinks were consumed moderately suggesting a moderate risk of caries. Therefore, controlling cariogenic food intake is crucial, but monitoring daily nutrient intake is needed for the optimum growth of children with CP.
调查脑瘫（CP）患儿的口腔健康和营养状况。
口腔健康评估包括龋齿和牙菌斑成熟度评分（DPMS），而营养评估包括儿童年龄别身高Z评分（HAZ）、年龄别体重指数Z评分（BAZ）、上臂中部周长（MUAC）、营养摄入、致龋食物频率（CFF）和每日糖暴露量（DSE）。招募了93名CP患儿。龋齿患病率为81.7%（95%CI：72.7%-88.3%）。DMFT和dft评分的中位数（IQR）分别为0.5（4.0）和3.0（8.0）。大多数参与者有产酸菌斑（90.3%），严重发育迟缓（81.4%），45%严重消瘦且患有急性营养不良。钙、铁、锌、维生素A、维生素D和总脂肪的摄入量低于马来西亚儿童推荐营养素摄入量（RNI，2017）的77%。九种致龋食物/饮料摄入适中，DSE表明45%的儿童有中度龋齿风险。
未经治疗的龋齿、严重发育迟缓和消瘦普遍存在，致龋食物/饮料摄入适中表明有中度龋齿风险。因此，控制致龋食物摄入量至关重要，但为了CP患儿的最佳生长，需要监测每日营养摄入量。
