Dentistry Post-Graduate Program, Federal University of Pelotas, Pelotas, Brazil.
Department of Health and Behavior, Catholic University of Pelotas, Pelotas, Brazil.
J Public Health Dent. 2022 Mar;82(2):186-193. doi: 10.1111/jphd.12449. Epub 2021 Mar 15.
This cross-sectional study aimed to assess eating behavior traits in children with or without dental caries.
A sample of 580 children aged 8 years enrolled in 20 public schools in the city of Pelotas, Brazil were included. Parents/caregivers provided sociodemographic information and answered the Children's Eating Behavior Questionnaire (CEBQ) to assess eating behavior traits. This instrument possesses the subscales: food responsiveness, enjoyment of food, satiety responsiveness, slowness in eating, food fussiness, emotional overeating, emotional undereating, and desire to drink. To assess the presence of decayed, missing or filled teeth (DMFT/dmft), the World Health Organization (WHO) criteria were adopted. WHO criteria were used to evaluate presence of overweight and obesity. Analysis of variance (ANOVA) was used to compare the mean score in each CEBQ subscale according to the different exposure variables. Linear regression was used to assess the association between dental caries and CEBQ subscales means.
Approximately half of the children were male (51.03 percent) and 66.73 percent had low/middle socioeconomic status. The mean DMFT/dmft was 2.41, ranging from 0 to 13, and 63 percent of the children showed DMFT/dmft > 0. After adjustments for potential confounders, children with dental caries showed higher scores on the subscales desire to drink (P = 0.03), and satiety responsiveness (P = 0.04).
The present study showed that some aspects of eating behaviors differ in children with or without caries. Such knowledge adds to the understanding of the multifactorial etiology of caries and may help in the development of nutritional interventions to promote healthy eating behaviors, with benefits for oral health.
本横断面研究旨在评估有或无龋齿的儿童的饮食行为特征。
本研究纳入了巴西佩洛塔斯市 20 所公立学校的 580 名 8 岁儿童。家长/照顾者提供了社会人口统计学信息,并回答了儿童饮食行为问卷(CEBQ),以评估饮食行为特征。该工具具有以下分量表:食物反应性、对食物的享受、饱腹感反应性、进食缓慢、对食物挑剔、情绪性暴食、情绪性少食和渴望饮水。为了评估龋齿的存在(DMFT/dmft),采用了世界卫生组织(WHO)标准。采用 WHO 标准评估超重和肥胖的存在。方差分析(ANOVA)用于比较每个 CEBQ 分量表的平均得分,根据不同的暴露变量。线性回归用于评估龋齿与 CEBQ 分量表平均值之间的关联。
大约一半的儿童为男性(51.03%),66.73%的儿童社会经济地位较低/中等。DMFT/dmft 的平均值为 2.41,范围为 0 到 13,63%的儿童 DMFT/dmft>0。在调整了潜在的混杂因素后,患有龋齿的儿童在渴望饮水(P=0.03)和饱腹感反应性(P=0.04)分量表上的得分较高。
本研究表明,有或无龋齿的儿童在饮食行为的某些方面存在差异。这些知识增加了对龋齿多因素病因的理解,并可能有助于制定促进健康饮食行为的营养干预措施,从而有益于口腔健康。