沙特阿拉伯吉达市儿科患者体重指数与牙科焦虑症之间的关系：一项横断面研究。

The relationship between Body Mass Index and dental anxiety among pediatric patients in Jeddah, Saudi Arabia: a cross-sectional study.

作者信息

Helal Narmin, Faran Lama Yaseen, Dashash Rana Abdullah, Turkistani Jihan, Tallab Hind Youssuf, Aldosari Fawziah Musaad, Alhafi Somaya Ismail, Sabbagh Heba Jafar

机构信息

Pediatric Dentistry Department, Faculty of Dentistry, King Abdulaziz University, PO Box 80200, Jeddah, 21589, Saudi Arabia.

Faculty of Dentistry, King Abdulaziz University, PO Box 80200, Jeddah, 21589, Saudi Arabia.

出版信息

BMC Oral Health. 2025 Apr 21;25(1):609. doi: 10.1186/s12903-025-05813-w.

DOI:10.1186/s12903-025-05813-w

PMID:40254591

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12010514/

Abstract

BACKGROUND

Studies suggested a relationship between anxiety and Body Mass Index (BMI). However, dental anxiety and BMI was not previously investigated. This cross-sectional study aimed to assess the impact of BMI levels on dental anxiety and behavior among pediatric patients.

METHODS

Children 6-11 years attending four-referral centers in Jeddah, Saudi Arabia and their parents were interrogated. The BMI level scores, child's behavior (Frankel's classification) and dental-anxiety (Abeer Dental Anxiety Scale (ACDAS)) were evaluated.

RESULTS

Out of 952 children participated in this study, 496 (52.1%) had normal BMI, 264 (27.7%) had high BMI (overweight), and 192 (20.2%) had low BMI (underweight). Regression analysis found that overweight was significantly associated with an increased adjusted odds ratio (AOR) of dental anxiety (AOR = 3.018) and uncooperative dental behavior (AOR = 8.714) with p < 0.001. Also, statistically significant increase in the odds ratio (OR) of the child feeling shy in the clinic (P = 0.002; OR:2.113) and parents/operators reporting child behaving scared (P = 0.004; OR:1.985 and p < 0.001; OR:3.03, respectively) when overweight compared to normal-weight.

CONCLUSIONS

This study highlights the impact of overweight on the emotional and behavioral dimensions of the child's dental experience as they significantly increased the probability of dental anxiety and uncooperative behavior by three and eight times, respectively.

摘要

背景

研究表明焦虑与体重指数（BMI）之间存在关联。然而，此前尚未对牙科焦虑与BMI进行过研究。这项横断面研究旨在评估BMI水平对儿科患者牙科焦虑和行为的影响。

方法

对沙特阿拉伯吉达四个转诊中心的6至11岁儿童及其父母进行了询问。评估了BMI水平得分、儿童行为（弗兰克尔分类）和牙科焦虑（阿比尔牙科焦虑量表（ACDAS））。

结果

在参与本研究的952名儿童中，496名（52.1%）BMI正常，264名（27.7%）BMI高（超重），192名（20.2%）BMI低（体重过轻）。回归分析发现，超重与牙科焦虑的调整优势比（AOR）增加（AOR = 3.018）和不合作的牙科行为（AOR = 8.714）显著相关，p < 0.001。此外，与正常体重相比，超重儿童在诊所感到害羞的优势比（OR）有统计学显著增加（P = 0.002；OR：2.113），父母/操作人员报告儿童表现出害怕的优势比（P = 0.004；OR：1.985和p < 0.001；OR：3.03）。