饮食习惯对口腔疾病发病率的影响。
Impact of dietary habits on the incidence of oral diseases.
作者信息
Kantorowicz Małgorzata, Olszewska-Czyż Iwona, Lipska Weronika, Kolarzyk Emilia, Chomyszyn-Gajewska Maria, Darczuk Dagmara, Kaczmarzyk Tomasz
机构信息
Department of Periodontology and Oral Medicine, Jagiellonian University Medical College, Kraków, Poland.
Department of Hygiene and Dietetics, Jagiellonian University Medical College, Kraków, Poland.
出版信息
Dent Med Probl. 2022 Oct-Dec;59(4):547-554. doi: 10.17219/dmp/134749.
BACKGROUND
Diet is a factor that can modify the course of caries, dental erosion and periodontal diseases.
OBJECTIVES
The aim of this study was to examine the impact of dietary habits and the anthropometric parameters on oral health.
MATERIAL AND METHODS
50 females and 45 males aged 19-21 years were examined in a cross-sectional study. Oral health was assessed utilizing selected dental indices: approximal plaque index (API), bleeding on probing (BoP), community periodontal index (CPI), and DMFT (D - decayed, M - missing, F - filled, T - teeth). In addition, dental erosion was assessed. Anthropometric measurements included body mass, height, body mass index (BMI), waist circumference, skinfold thickness, fatty and lean body mass, body fat percentage, and total body water. The frequency of consumption of food products was determined with the use of the Questionnaire on Food Products Frequency Intake. Student's t tests, the χ2 tests and Pearson's correlation coefficients were used to analyze the results.
RESULTS
The average DMFT was 9.92, API was 52.97% and BoP was 20.46%. Dental erosion was observed in 44.21% of cases. A total of 11.58% of the study population were classified as CPI 0, 30.53% as CPI 1 and 57.89% as CPI 2. The consumption of crisps and cereal products increased caries (p = 0.003). Dental erosion was associated with the consumption of fruit, vegetables, meat, fish, and alcoholic beverages. The consumption of sugar, sweets and alcoholic beverages increased API and BoP. Caries rarely occurred in people who ate fruit and vegetables on a daily basis. The anthropometric parameters were associated with oral hygiene, gingivitis and body weight disorders (p < 0.05).
CONCLUSIONS
Rational nutrition not only plays a role in the development of general systemic diseases, but also has an effect on oral health. Besides providing instructions on oral hygiene, dentists should also assess the eating habits of their patients.
背景
饮食是一个可以改变龋齿、牙齿侵蚀和牙周疾病病程的因素。
目的
本研究的目的是检验饮食习惯和人体测量参数对口腔健康的影响。
材料与方法
在一项横断面研究中,对50名年龄在19至21岁之间的女性和45名男性进行了检查。利用选定的牙科指数评估口腔健康:邻面菌斑指数(API)、探诊出血(BoP)、社区牙周指数(CPI)和DMFT(D - 龋坏,M - 缺失,F - 充填,T - 牙齿)。此外,还评估了牙齿侵蚀情况。人体测量包括体重、身高、体重指数(BMI)、腰围、皮褶厚度、脂肪和瘦体重、体脂百分比以及全身水含量。使用食品频率摄入问卷确定食品的消费频率。采用学生t检验、χ2检验和皮尔逊相关系数分析结果。
结果
平均DMFT为9.92,API为52.97%,BoP为20.46%。44.21%的病例观察到牙齿侵蚀。共有11.58%的研究人群被分类为CPI 0,30.53%为CPI 1,57.89%为CPI 2。薯片和谷物产品的消费增加了龋齿发生率(p = 0.003)。牙齿侵蚀与水果、蔬菜、肉类、鱼类和酒精饮料的消费有关。糖、糖果和酒精饮料的消费增加了API和BoP。每天食用水果和蔬菜的人很少发生龋齿。人体测量参数与口腔卫生、牙龈炎和体重紊乱有关(p < 0.05)。
结论
合理营养不仅在一般全身性疾病的发生发展中起作用,而且对口腔健康也有影响。除了提供口腔卫生指导外,牙医还应评估患者的饮食习惯。