Lopez Del Valle Lydia M, Nieves-Plaza Mariely, Rivas-Tumanyan Sona, Hanke-Herrero Rosana
Office of the Assistant Dean of Research, Surgical Sciences Department, University of Puerto Rico School of Dental Medine, San Juan, Puerto Rico.
Hispanic Alliance for Clinical and Translational Research, Biostatistics, Epidemiology and Research Design (BERD) Core, School of Medicine, Universidad Central del Caribe, San Juan, Puerto Rico.
Front Dent Med. 2024 Jul 26;5:1391833. doi: 10.3389/fdmed.2024.1391833. eCollection 2024.
Obesity and caries have become increasingly prevalent. As of yet, research results on the relationship between obesity and caries in children and adolescents have been inconclusive. This study aimed to evaluate the association between caries and obesity in adolescents.
This was a cross-sectional study of a convenience sample of 187 Puerto Rican adolescents aged 13-19 years, attending, among them, five high schools. Each participant received dental exams for caries using the criteria of the International Caries Detection and Assessment System (ICDAS), had his or her body mass index (BMI) determined, and took a 19-item risk factor questionnaire. The Significant Caries (SiC) index (for DMFT) was calculated to compare obese and healthy adolescents. Statistical analysis was performed using descriptive and inferential statistics.
Nearly 60% of the sample population was female, with a mean age of 15.7 (±1.25). The mean BMI percentile was 72.24 (±28.78); 48.66% of the participants had a healthy weight, 19.79% were overweight, and 30.48% were obese. Dental caries was observed in 68% of the participants; the mean caries index D3-6MFS was 5.17(±5.92) and the mean D3-6MFT was 3.59 (±3.97). No significant differences were found between caries indexes and obesity status ( > 0.05). The median (p25, p75) SiC index among overweight/obese adolescents was 9.5 (7, 12), whereas for healthy weight/underweight participants was 7 (5, 8) ( < 0.005).
Based on the limited number of participants, no association was found between dental caries (D3-6MFS and D3-6MFT) and obesity (BMI) among adolescents.
肥胖和龋齿已变得越来越普遍。迄今为止，关于儿童和青少年肥胖与龋齿之间关系的研究结果尚无定论。本研究旨在评估青少年龋齿与肥胖之间的关联。
这是一项横断面研究，对187名年龄在13 - 19岁的波多黎各青少年进行便利抽样，他们就读于五所高中。每位参与者按照国际龋齿检测与评估系统（ICDAS）的标准接受龋齿牙科检查，测定其体重指数（BMI），并填写一份包含19个项目的风险因素问卷。计算严重龋齿（SiC）指数（用于DMFT）以比较肥胖和健康的青少年。使用描述性和推断性统计进行统计分析。
样本人群中近60%为女性，平均年龄为15.7岁（±1.25）。平均BMI百分位数为72.24（±28.78）；48.66%的参与者体重正常，19.79%超重，30.48%肥胖。68%的参与者有龋齿；平均龋齿指数D3 - 6MFS为5.17（±5.92），平均D3 - 6MFT为3.59（±3.97）。龋齿指数与肥胖状况之间未发现显著差异（>0.05）。超重/肥胖青少年的SiC指数中位数（p25，p75）为9.5（7，12），而体重正常/体重过轻的参与者为7（5，8）（<0.005）。
基于有限数量参与者，未发现青少年龋齿（D3 - 6MFS和D3 - 6MFT）与肥胖（BMI）之间存在关联。
