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营养状况与幼儿龋齿的长期不相容性——呼吁改进围产期和幼儿期的饮食护理及随访。

Long-term incompatibility of nutritional status and early childhood caries-A call to revamp perinatal and early childhood dietary care and follow-up.

作者信息

Sudersanadas Kavita, Al Turki Maha, Basheer Bahija, Philip Winnie, Abdelrahman Ihssan Hassan, Alghofaili Alghaliyah, Almoubayed Amani, Almudaihim Abeer Raad

机构信息

College of Applied Medical Sciences, King Saud Bin Abdulaziz University for Health Sciences (KSAU HS), Riyadh, Saudi Arabia.

King Abdullah International Medical Research Centre, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.

出版信息

AIMS Public Health. 2023 Jun 8;10(3):496-506. doi: 10.3934/publichealth.2023035. eCollection 2023.

DOI:10.3934/publichealth.2023035
PMID:37842267
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10567972/
Abstract

BACKGROUND AND AIM

Dietary pattern and diet quality can influence the incidence of dental caries and can be indicated by decay missing filled (Dmf) scores in the primary dentition. This study aims to find the relationship of nutritional status and oral hygiene practices on Dmf scores of preschool children.

MATERIALS AND METHODS

Semi-structured and self-administered questionnaires, distributed among 60 preschoolers' parents, were used to assess the demographic and diet related data. Anthropometric measurements of the preschoolers were taken following universally accepted protocols. The relationship between dietary supplement consumption and the presence of dental caries was evaluated by chi-square test employing SPSS 22.

RESULTS

The anthropometric measurements among 4-year-old children were on par with the standard values and that of 5-year-olds were below the reference range. All the measurements except head to chest circumference were higher than normal range among 3-year-old subjects. Regular and periodic dental check-ups significantly influenced dental caries prevention (p = 0.030). Statistically, there was no significant association between Dmf scores and thumb-sucking habits (p = 0.568), brushing teeth and usage of tooth floss (p = 0.96), consumption of nutrient supplements (p = 0.744), and BMI (p = 0.564) of the subjects. Furthermore, the correlation between z scores and Dmf scores was found insignificant.

CONCLUSION

Long-term as well as short-term malnutrition initiated 2 years after the start of the pre-schooling. With severity of undernutrition there was a trend to have high Dmf scores.

摘要

背景与目的

饮食模式和饮食质量会影响龋齿发病率,乳牙列的龋失补牙面(Dmf)得分可作为其指标。本研究旨在探究营养状况和口腔卫生习惯与学龄前儿童Dmf得分之间的关系。

材料与方法

向60名学龄前儿童的家长发放半结构化自填式问卷,以评估人口统计学和饮食相关数据。按照普遍接受的方案对学龄前儿童进行人体测量。采用SPSS 22软件,通过卡方检验评估膳食补充剂摄入与龋齿发生之间的关系。

结果

4岁儿童的人体测量指标与标准值相当,5岁儿童的指标低于参考范围。3岁儿童除头胸围外的所有测量指标均高于正常范围。定期进行牙齿检查对预防龋齿有显著影响(p = 0.030)。统计学上,Dmf得分与吮拇指习惯(p = 0.568)、刷牙和使用牙线(p = 0.96)、营养补充剂摄入(p = 0.744)以及受试者的体重指数(p = 0.564)之间均无显著关联。此外,发现z得分与Dmf得分之间的相关性不显著。

结论

学龄前开始2年后出现长期及短期营养不良。随着营养不良严重程度增加,Dmf得分有升高趋势。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a095/10567972/3ba4e8d229f5/publichealth-10-03-035-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a095/10567972/ff05f62ebe07/publichealth-10-03-035-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a095/10567972/3ba4e8d229f5/publichealth-10-03-035-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a095/10567972/ff05f62ebe07/publichealth-10-03-035-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a095/10567972/3ba4e8d229f5/publichealth-10-03-035-g002.jpg

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本文引用的文献

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Consumption of Free Sugar Predicts Nutrient Intake of Saudi Children.
游离糖的摄入量可预测沙特儿童的营养摄入情况。
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