The Rowett Institute of Nutrition and Health, University of Aberdeen, Foresterhill, Aberdeen, UK.
Nutrition Department, School of Medicine and Health Sciences, Tecnológico de Monterrey, Col. Ejidos de Huipulco, Tlalpan, Mexico City, Mexico.
Nutr Rev. 2022 May 9;80(6):1694-1710. doi: 10.1093/nutrit/nuab088.
A relationship between obesity and poor oral health has been reported.
To investigate the association between overweight/obesity and oral health in Mexican children and adolescents.
A literature search was conducted of 13 databases and 1 search engine for articles published from 1995 onward.
A total of 18 publications were included. Evidence was inconclusive and varied according to sociodemographic factors or outcome measuring tools. The Decayed, Missing, and Filled Teeth and Filled Teeth Surfaces indices and the decayed extracted filled teeth index outcomes were included in a random effects model meta-analysis. Pooled estimates showed no statistically significant oral health differences (measured via the decayed extracted filled teeth or the Decayed, Missing, and Filled Teeth Surfaces indexes) among body mass index (BMI) categories. However, pooled estimates of 6 studies showed that children with higher BMI had worse oral health in permanent teeth (measured via the Decayed Missing Filled Teeth Index) than children with lower BMI (overall mean difference, -0.42; 95%CI, -0.74, -0.11).
Whether there is an association between poor oral health and high BMI is inconclusive; however, both co-exist among Mexican children. Therefore, health promotion and prevention efforts should address common risk factors and broader risk social determinants shared between noncommunicable diseases.
已有研究报告指出肥胖与口腔健康不良之间存在关联。
调查超重/肥胖与墨西哥儿童和青少年口腔健康之间的关系。
对 13 个数据库和 1 个搜索引擎进行了文献检索，以查找 1995 年以来发表的文章。
共纳入 18 篇文献。证据不确定，且根据社会人口统计学因素或结果测量工具而有所不同。使用随机效应模型荟萃分析纳入了龋齿、缺失和填补的牙齿和填补的牙齿表面指数以及已腐烂拔除的填补牙齿指数的结果。汇总估计表明，体重指数（BMI）类别之间的口腔健康差异（通过已腐烂拔除的填补牙齿或龋齿、缺失和填补的牙齿表面指数来衡量）没有统计学意义。然而，6 项研究的汇总估计表明，与 BMI 较低的儿童相比，BMI 较高的儿童的恒牙口腔健康状况较差（通过龋齿缺失填补牙齿指数来衡量）（总体平均差异，-0.42；95%CI，-0.74，-0.11）。
口腔健康不良与高 BMI 之间是否存在关联尚无定论；然而，在墨西哥儿童中两者同时存在。因此，健康促进和预防措施应针对非传染性疾病共同存在的常见风险因素和更广泛的社会决定因素进行。
