Tengku H Tengku Nurfarhana Nadirah, Peh Wei Ying, Shoaib Lily Azura, Baharuddin Nor Adinar, Vaithilingam Rathna Devi, Saub Roslan
Department of Paediatric Dentistry and Orthodontics, Faculty of Dentistry, University Malaya, Kuala Lumpur 50350, Malaysia.
Klinik Pergigian Cheras, Jalan Yaacob Latiff, Cheras, Kuala Lumpur 56000, Malaysia.
Children (Basel). 2021 May 22;8(6):435. doi: 10.3390/children8060435.
This study aimed to investigate the association between oral disease burden and oral health related quality of life (OHRQoL) among overweight/obese (OW/OB) and normal weight (NW) Malaysian adolescents. A total of 397 adolescents were involved in the two-year prospective observational cohort study. OHRQOL was measured through a self-administered questionnaire containing the short version of the Malaysian Oral Health Impact Profile (OHIP[M]). Body mass index (BMI) was used for anthropometric measurement. Whilst, decayed, missing, and filled teeth (DMFT) index, Significant Caries Index (SiC), simplified basic periodontal examination (S-BPE), and gingival bleeding index (GBI) were used for clinical assessment tools. Higher dental caries prevalence was observed in the NW group while higher SiC was reported in the OW/OB group. Regardless of the obesity status, the prevalence of gingivitis (BPE code 1 and 2) was high in this study. A reduction of GBI prevalence was observed in the two-year follow-up results with an increased prevalence of OHRQoL impact in the OW/OB group compared to the NW group ( > 0.05). The findings from this study suggested that obesity status did not have influence over the burden of oral diseases and OHRQoL. It offers insights referring to the changes in adolescents' oral diseases burden and OHRQoL.
本研究旨在调查马来西亚超重/肥胖（OW/OB）和正常体重（NW）青少年的口腔疾病负担与口腔健康相关生活质量（OHRQoL）之间的关联。共有397名青少年参与了这项为期两年的前瞻性观察队列研究。OHRQoL通过一份自我管理的问卷进行测量，该问卷包含马来西亚口腔健康影响概况简版（OHIP[M]）。体重指数（BMI）用于人体测量。同时，龋失补牙（DMFT）指数、龋均（SiC）、简化基本牙周检查（S-BPE）和牙龈出血指数（GBI）用作临床评估工具。NW组的龋齿患病率较高，而OW/OB组的SiC较高。无论肥胖状况如何，本研究中牙龈炎（BPE代码1和2）的患病率都很高。在两年的随访结果中，观察到GBI患病率有所降低，与NW组相比，OW/OB组的OHRQoL影响患病率有所增加（>0.05）。本研究结果表明，肥胖状况对口腔疾病负担和OHRQoL没有影响。它为青少年口腔疾病负担和OHRQoL的变化提供了见解。
