睡眠时喂养（FeAST）量表：评估印度南部幼儿患幼儿早期龋齿的风险
Feeding At Sleep Time (FeAST) Scale: Assessing Risk for Developing Early Childhood Caries in South Indian Toddlers.
作者信息
Ganesh Akila, Muthu M S, Padmanabhan Ramachandran, Nuvvula Sivakumar, Jebaraj Bettina, Mohanraj Rani
机构信息
Department of Public Health Dentistry, Sri Ramachandra Faculty of Dental Sciences.
Centre for Early Childhood Caries Research (CECCRe), Department of Pediatric and Preventive Dentistry, Sri Ramachan- dra Faculty of Dental Sciences, Sri Ramachandra Institute of Higher Education and Research, Adjunct Research Associate, Centre of Medical and Bio-Allied Health Sciences Research, Ajman University, United Arab Emirates.
出版信息
Pediatr Dent. 2022 Mar 15;44(2):99-107.
PURPOSE
The Feeding At Sleep Time (FeAST) scale was developed and validated to assess sleep time feeding practices for children younger than three years. The purpose of this study was to describe the process of scoring and find an optimum clinical cutoff score for early childhood caries (ECC) using receiver operating characteristics (ROC) analysis, thereby enabling researchers and clinicians to assess risk for devel- oping ECC.
METHODS
The FeAST scale was administered to mothers of 527 toddlers, aged 12 to 36 months, attending four outpatient depart- ments. The score was calculated based on subconstructs of combined breast-feeding (CBR) and combined bottle-feeding (CBO), and suitable cutoff points were identified using ROC analysis.
RESULTS
The study established a cutoff score greater than 14 for the CBR construct and a cutoff score greater than 11 for the CBO construct of the FeAST scale to determine a child's risk for developing ECC. The area under the curve (AUC), which measures the overall performance of a scale, has yielded statistically significant values (P<0.001) with fair (0.707) and good (0.788) perform- ance for the CBR and CBO constructs, respectively.
CONCLUSION
The Feeding at Sleep Time scale, based on receiver operating characteristics analysis, can potentially be used by clinicians and researchers to screen toddlers at risk of developing early childhood caries.
目的
开发并验证睡眠时喂养（FeAST）量表，以评估三岁以下儿童的睡眠时喂养习惯。本研究的目的是描述评分过程，并通过受试者操作特征（ROC）分析找到幼儿龋齿（ECC）的最佳临床截断分数，从而使研究人员和临床医生能够评估患ECC的风险。
方法
对在四个门诊部就诊的527名12至36个月大幼儿的母亲进行FeAST量表评估。根据母乳喂养合并（CBR）和奶瓶喂养合并（CBO）的子结构计算分数，并使用ROC分析确定合适的截断点。
结果
该研究确定FeAST量表中CBR结构的截断分数大于14，CBO结构的截断分数大于11，以确定儿童患ECC的风险。曲线下面积（AUC）衡量量表的整体性能，CBR和CBO结构的AUC分别产生了具有统计学意义的值（P<0.001），表现中等（0.707）和良好（0.788）。
结论
基于受试者操作特征分析的睡眠时喂养量表可能被临床医生和研究人员用于筛查有患幼儿龋齿风险的幼儿。
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