年轻肥胖女性口腔健康状况按肥胖分类的横断面研究

Oral health by obesity classification in young obese women - a cross-sectional study.

作者信息

Taghat Negin, Lingström Peter, Mossberg Karin, Fändriks Lars, Eliasson Björn, Östberg Anna-Lena

机构信息

Department of Behavioural and Community Dentistry, Institute of Odontology, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

Department of Cariology, Institute of Odontology, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

出版信息

Acta Odontol Scand. 2022 Nov;80(8):596-604. doi: 10.1080/00016357.2022.2063942. Epub 2022 Jul 24.

DOI:10.1080/00016357.2022.2063942

PMID:35876084

Abstract

OBJECTIVE

To explore oral health by increasing degree of obesity and the influence of modifying factors.

MATERIALS AND METHODS

A cross-sectional design was used. Swedish females ( = 118; 18-35 years) with morbid obesity were recruited from the BAriatric SUbstitution and Nutrition study (BASUN). Body mass index (BMI) was used as continuous and categorized into 35-39.9 kg/m/40-44.9 kg/m/≥45 kg/m. Oral examinations assessed dental caries using the ICDAS system, periodontal status and saliva characteristics. Information on sociodemographics, oral health behaviour and symptoms was collected a questionnaire.

RESULTS

Mean BMI was 42.2 kg/m (SD 4.0; range 35.0-63.7). Significantly higher frequencies of dentine caries ( .001) and total caries ( .046) were found with higher BMI with an increase in total caries by 0.59 tooth surface ( = .025) for each increasing BMI degree. There were consistent associations between obesity and dentine caries for the group with the highest BMI (≥45), adjusted RR 2.08 (95% CI 1.20-3.61), and all stages of caries, adjusted RR 1.41 (95% CI 1.02-1.96). High scores were found for dental plaque (50.2%) and gingivitis (34.5%).

CONCLUSION

Young obese women exhibited poor oral health with higher caries levels by higher BMI. Dental care should adapt the prevention efforts for obese individuals. The trial was prospectively registered on March 03; 2015; NCT03152617.

摘要

目的

探讨肥胖程度增加对口腔健康的影响以及相关调节因素的作用。

材料与方法

采用横断面设计。从肥胖替代与营养研究（BASUN）中招募了患有病态肥胖的瑞典女性（n = 118；18 - 35岁）。体重指数（BMI）作为连续变量，并分为35 - 39.9kg/m²、40 - 44.9kg/m²、≥45kg/m²。口腔检查使用国际龋病检测与评估系统（ICDAS）评估龋齿、牙周状况和唾液特征。通过问卷收集社会人口统计学、口腔健康行为和症状方面的信息。

结果

平均BMI为42.2kg/m²（标准差4.0；范围35.0 - 63.7）。随着BMI升高，牙本质龋（p <.001）和总龋患率（p =.046）显著增加，每增加一个BMI等级，总龋患率增加0.59个牙面（p =.025）。在BMI最高的组（≥45）中，肥胖与牙本质龋之间存在一致的关联，调整后的相对危险度（RR）为2.08（95%可信区间1.20 - 3.61），并且在龋病的各个阶段，调整后的RR为1.41（95%可信区间1.02 - 1.96）。牙菌斑（50.2%）和牙龈炎（34.5%）的得分较高。