Rizzardi Karina Ferreira, Crescente Camila Lopes, Indiani Claudia Maria Dos Santos Pereira, Steiner-Oliveira Carolina, Nobre-Dos-Santos Marinês, Parisotto Thaís Manzano
Laboratory of Clinical and Molecular Microbiology, University São Francisco - USF, Bragança, Brazil.
Pediatric Dentistry, Department of Pediatric Dentistry, Piracicaba Dental School, State University of Campinas - UNICAMP, Piracicaba, Brazil.
Front Nutr. 2022 Aug 10;9:873562. doi: 10.3389/fnut.2022.873562. eCollection 2022.
This brief research report explored the relationship among obesity, anthropometric measurements, and early childhood caries (ECC), in 3-5 years-old children. Three hundred and ninety-one Brazilian preschoolers were given anthropometric examinations for the assessment of general, peripheral, and central adiposity, by the following measures: body mass index (BMI), hip circumference, and waist circumference. Obesity status was determined by BMI according to WHO standards. Parent's age and BMI were assessed by questionnaire, and sucrose exposure was tracked by means of a food diary. For the assessment of ECC, dental examinations were performed according to modified WHO criteria. Also, the presence of dental biofilm in maxillary incisors was detected. A direct association between BMI and ECC was found in the bivariate analysis and the best possibility of logistic regression model showed that hip circumference (HC) values ≥62 centimeters (OR = 1.63 = 0.033) jointly with the presence of dental biofilm (OR = 2.38 = 0.000), children's ages ≥37 months (OR = 5.09 = 0.012), and mothers younger than 35 years (OR = 1.96 = 0.004) were significantly connected with ECC. In conclusion, peripheral adiposity (represented by HC) in young children was in fact associated with ECC. Thus, hip circumference might be a valuable tool for exploring the relationship between caries and obesity in the early years of life.
这份简短的研究报告探讨了3至5岁儿童肥胖、人体测量指标与幼儿龋齿（ECC）之间的关系。对391名巴西学龄前儿童进行了人体测量检查，通过以下指标评估全身、外周和中心肥胖程度：体重指数（BMI）、臀围和腰围。根据世界卫生组织标准，通过BMI确定肥胖状况。通过问卷评估父母的年龄和BMI，并通过食物日记追踪蔗糖摄入量。为评估ECC，根据修改后的世界卫生组织标准进行牙科检查。此外，检测上颌切牙的牙菌斑情况。在双变量分析中发现BMI与ECC之间存在直接关联，逻辑回归模型的最佳可能性显示，臀围（HC）值≥62厘米（OR = 1.63，P = 0.033）、存在牙菌斑（OR = 2.38，P = 0.000）、儿童年龄≥37个月（OR = 5.09，P = 0.012）以及母亲年龄小于35岁（OR = 1.96，P = 0.004）与ECC显著相关。总之，幼儿的外周肥胖（以HC表示）实际上与ECC有关。因此，臀围可能是探索生命早期龋齿与肥胖之间关系的一个有价值的工具。
