患有和不患有特殊医疗需求的儿童的牙齿侵蚀流行率及其与肥胖的关系。

Dental Erosion Prevalence and Its Association With Obesity Among Children With and Without Special Healthcare Needs.

出版信息

Oral Health Prev Dent. 2021 Nov 5;19:579-586. doi: 10.3290/j.ohpd.b2259007.

DOI:10.3290/j.ohpd.b2259007

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11641516/

Abstract

PURPOSE

Dental erosion and childhood obesity are associated with a common risk factor, soft drink consumption. The present study aims to assess the prevalence of dental erosion and its association with obesity among children with and without special healthcare needs.

MATERIALS AND METHODS

A cross-sectional study was conducted on 1,200 school children (400 children with special needs (CSHN) and 800 children without special needs) in the age group of 6 to 16 years. Dental erosion was diagnosed according to World Health Organization (WHO) criteria. Body mass index (BMI; weight/height in kg/m2) was recorded for each child. The association of dental erosion and obesity was analysed using multivariate logistic regression analysis.

RESULTS

A total of 331 (27.6%) children presented with dental erosion. Dental erosion prevalence among CSHN was 33.5% and among children without special needs was 24.6%. In the final fully adjusted model, children with obesity presented 2.32 times (95%CI 1.17-4.89, P = 0.001) higher odds ratio (OR) of having dental erosion than normal-weight children. Children who consumed soft drinks ≥ 1 time/day and 2-6 times a week presented with an OR of 2.65 (95%CI 1.23-5.21, P = 0.001) times of dental erosion. Children with chronic vomiting and bulimia presented with a 3.27 (95%CI 1.72-6.12, P = 0.001) times higher OR of dental erosion. Children with gastric reflux presented with a 3.21 (95%CI 1.52 - 5.86, P = 0.001) times higher OR of dental erosion.

CONCLUSION

The prevalence of dental erosion was slightly higher for special needs children compared to children without special needs. The study outcome suggests that obesity, chronic vomiting, consumption of soft drinks, and gastric reflux are statistically significantly associated with dental erosion.

摘要

目的

牙酸蚀症和儿童肥胖症与软饮料消费这一共同危险因素有关。本研究旨在评估有和无特殊医疗需求的儿童中牙酸蚀症的流行情况及其与肥胖的关系。

材料和方法

对年龄在 6 至 16 岁的 1200 名在校儿童（400 名有特殊需求的儿童和 800 名无特殊需求的儿童）进行了横断面研究。根据世界卫生组织（WHO）标准诊断牙酸蚀症。记录每个孩子的体重指数（BMI；体重/身高以千克/平方米为单位）。使用多变量逻辑回归分析来分析牙酸蚀症和肥胖之间的关系。

结果

共有 331 名（27.6%）儿童出现牙酸蚀症。有特殊需求的儿童中牙酸蚀症的患病率为 33.5%，无特殊需求的儿童中为 24.6%。在最终完全调整的模型中，肥胖儿童发生牙酸蚀症的比值比（OR）为正常体重儿童的 2.32 倍（95%CI 1.17-4.89，P = 0.001）。每天至少饮用 1 次软饮料和每周饮用 2-6 次软饮料的儿童发生牙酸蚀症的 OR 为 2.65（95%CI 1.23-5.21，P = 0.001）。患有慢性呕吐和贪食症的儿童发生牙酸蚀症的比值比（OR）为 3.27（95%CI 1.72-6.12，P = 0.001）倍。患有胃食管反流的儿童发生牙酸蚀症的 OR 为 3.21（95%CI 1.52-5.86，P = 0.001）倍。