3-5 岁儿童营养不良、幼儿龋病和龋活跃性的相关性研究。

Study on the association between malnutrition, early childhood caries and caries activity among children aged 3-5 years.

机构信息

Department of Pediatric Dentistry, Hospital of Stomatology and Hebei Provincial Key Laboratory of Stomatology, Hebei Medical University, Shijiazhuang, China.

Qingdao Stomatological Hospital, Qingdao University, No.17, Daode County Road, Zhongshan Road Street, Shinan District, Qingdao City, China.

出版信息

BMC Oral Health. 2024 Sep 3;24(1):1035. doi: 10.1186/s12903-024-04802-9.

DOI:10.1186/s12903-024-04802-9

PMID:39227939

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11370079/

Abstract

BACKGROUND

This study aims to investigate the association between malnutrition and early childhood caries (ECC) and caries activity among children aged 3-5 years, in order to provide a theoretical basis for preventing and blocking ECC and improving malnutrition.

METHODS

Children aged 3-5 years from six kindergartens in Zhao Xian, China were enrolled in this study. The decayed, missing, filled teeth (dmft) of all children were examined and recorded. The Cariostat method was used to detect dental caries activity, collect anthropometric data and measure haemoglobin concentration. Parents were asked to complete a questionnaire on the general characteristics and oral health behaviour of the participants. The "Growth Standards for Chinese Children Under 7 Years Old" was used to assess the nutritional status of all participating children. Wilcoxon rank sum test and multivariate logistic regression analysis were used to analyse and evaluate the relationship between ECC, caries activity and malnutrition.

RESULTS

A total of 635 children who met the criteria were included in this study. After adjusting for confounding factors, logistic regression showed that the risk of ECC was significantly increased in underweight children compared with normal children (OR = 5.43, P < 0. 05); compared with normal children, the risk of ECC decreased in overweight and obese children (OR = 0.31, P < 0.001); underweight children had higher caries severity than normal weight children, and the difference was statistically significant (OR = 2.69, P < 0. 05); stunted children had higher caries severity than normal weight children and the difference was statistically significant (OR = 2.28, P < 0.05); underweight was positively associated with caries activity and the association was statistically significant (OR = 2.33, P < 0. 05); stunting was positively associated with caries activity and the association was statistically significant (OR = 2.1, P < 0.05); overweight and obesity were negatively associated with caries activity and the association was statistically significant (OR = 0.61, P < 0.05).

CONCLUSIONS

The risk of ECC among children aged 3-5 years was positively associated with undernutrition and negatively associated with overnutrition. The severity of ECC among children aged 3-5 years was positively associated with undernutrition. The caries activity among children aged 3-5 years was positively associated with undernutrition and negatively associated with overnutrition.

摘要

背景

本研究旨在探讨儿童营养状况与 3-5 岁儿童早期龋（ECC）和龋病活动之间的关系，为预防和阻断 ECC 和改善营养状况提供理论依据。

方法

本研究纳入了中国赵县六所幼儿园的 3-5 岁儿童。对所有儿童的龋齿、缺失、补牙（dmft）进行检查和记录。采用 Cariostat 法检测龋齿活动度，收集人体测量学数据和血红蛋白浓度。家长填写参与者一般特征和口腔健康行为问卷。采用《中国 7 岁以下儿童生长发育参照标准》评估所有参与儿童的营养状况。采用 Wilcoxon 秩和检验和多因素 logistic 回归分析评估 ECC、龋病活动度和营养不良之间的关系。

结果

本研究共纳入 635 名符合条件的儿童。在调整混杂因素后，logistic 回归显示，与正常体重儿童相比，体重不足儿童患 ECC 的风险显著增加（OR=5.43，P<0.05）；与正常体重儿童相比，超重和肥胖儿童患 ECC 的风险降低（OR=0.31，P<0.001）；体重不足儿童的龋病严重程度高于正常体重儿童，差异有统计学意义（OR=2.69，P<0.05）；发育迟缓儿童的龋病严重程度高于正常体重儿童，差异有统计学意义（OR=2.28，P<0.05）；体重不足与龋病活动呈正相关，差异有统计学意义（OR=2.33，P<0.05）；发育迟缓与龋病活动呈正相关，差异有统计学意义（OR=2.1，P<0.05）；超重和肥胖与龋病活动呈负相关，差异有统计学意义（OR=0.61，P<0.05）。