Gökçek Seda Ceren, İlisulu Sabiha Ceren
Private Practice, Çanakkale, Türkiye.
Department of Pediatric Dentistry, Faculty of Dentistry, Altınbaş University, İstanbul, 34147, Türkiye.
BMC Oral Health. 2024 Dec 26;24(1):1551. doi: 10.1186/s12903-024-05296-1.
Eating behavior are a broad category influenced by a various personal, social, cultural, environmental, and economic factors. The objective of this study was to evaluate the oral hygiene status of school-aged children in relation to their eating behavior and healthy eating self-efficacy.
The study was carried out with the participation of 225 children aged 7-9 years. Parents carried out the Children's Eating Behavior Questionnaire (CEBQ) to assess eating behaviors and provided sociodemographic information. Oral examinations of the children were provided according to plaque index (PI), gingival index (GI), simplified oral hygiene index (OHI-S), dmft and DMFT and, the Healthy Eating Self-Efficacy Scale (HESES) was administered to the children. For statistical analysis, a consistent partial least squares structural equation model (PLS-SEM) technique was utilized.
A statistically significant negative correlation was found between the Healthy Eating Self-Efficacy Scale and the PI, GI, OHI-S, dmfs (p < 0.001) and DMFS (p = 0.002). Emotional undereating significantly negatively affected dmfs (p = 0.021), while emotional overeating had a significant positive effect on DMFS (p = 0.036). None of the eating behavior subgroups in children showed a significant relationship with self-efficacy. Additionally, higher self-efficacy (p = 0.001) and food fussiness (p = 0.001) were found in children from high-income families, while emotional overeating (p < 0.001) and desire to drink (p = 0.009) were observed in children from middle-income families.
This study reveals a significant relationship between healthy eating self-efficacy and oral hygiene in children. Higher self-efficacy correlates with better oral health, while emotional eating negatively impacts dental outcomes. Socioeconomic factors also play a role, suggesting that interventions should target self-efficacy and emotional eating to improve both eating behaviors and oral health in school-aged children.
饮食行为是一个广泛的范畴,受到各种个人、社会、文化、环境和经济因素的影响。本研究的目的是评估学龄儿童的口腔卫生状况与其饮食行为和健康饮食自我效能之间的关系。
该研究有225名7至9岁的儿童参与。家长通过儿童饮食行为问卷(CEBQ)评估饮食行为并提供社会人口学信息。根据菌斑指数(PI)、牙龈指数(GI)、简化口腔卫生指数(OHI-S)、乳牙龋失补牙数(dmft)和恒牙龋失补牙数(DMFT)对儿童进行口腔检查,并对儿童进行健康饮食自我效能量表(HESES)测试。统计分析采用一致的偏最小二乘结构方程模型(PLS-SEM)技术。
健康饮食自我效能量表与PI、GI、OHI-S、乳牙龋失补牙面数(dmfs)(p < 0.001)和恒牙龋失补牙面数(DMFS)(p = 0.002)之间存在统计学上显著的负相关。情绪性饮食不足对dmfs有显著的负面影响(p = 0.021),而情绪性饮食过量对DMFS有显著的正面影响(p = 0.036)。儿童的饮食行为亚组均未显示出与自我效能有显著关系。此外,高收入家庭的儿童自我效能较高(p = 0.001)且挑食情况较多(p = 0.001),而中等收入家庭的儿童存在情绪性饮食过量(p < 0.001)和爱喝饮料的情况(p = 0.009)。
本研究揭示了儿童健康饮食自我效能与口腔卫生之间的显著关系。较高的自我效能与更好的口腔健康相关,而情绪化饮食对牙齿健康有负面影响。社会经济因素也起作用,这表明干预措施应针对自我效能和情绪化饮食,以改善学龄儿童的饮食行为和口腔健康。