Zhang Hang, Jin Libo, Wang Jun, Xu Haixia
Shaoxing People's Hospital, Shaoxing, Zhejiang Province, P.R. China.
School of Medicine, Shaoxing University, Shaoxing, Zhejiang Province, P.R. China.
Medicine (Baltimore). 2025 Sep 5;104(36):e43045. doi: 10.1097/MD.0000000000043045.
Childhood obesity is an escalating global public health concern with potential long-term implications for various health outcomes, including oral health. While the association between childhood obesity and systemic diseases is well-documented, its specific impact on adult oral health remains underexplored. This study utilized a 2-sample Mendelian randomization approach to explore the causal relationship between childhood obesity and several adult oral health conditions, including gingivitis, chronic periodontitis, dental caries, temporomandibular joint disorder, and malocclusion. Genetic instruments associated with childhood obesity were applied to assess their potential causal effect on these oral health outcomes. The analysis revealed a significant inverse association between childhood obesity and the risk of developing chronic periodontitis (P = .040, odds ratios [OR] = 0.871), temporomandibular joint disorder (P = .002, OR = 0.796), and malocclusion (P = .019, OR = 0.879) in adulthood, suggesting a protective effect. However, no significant associations were found between childhood obesity and gingivitis (P = .799, OR = 0.968) or dental caries (P = .603, OR = 0.970). This study provides novel insights into the relationship between childhood obesity and adult oral health, indicating a complex and potentially protective role of childhood obesity against certain oral health conditions. These findings highlight the importance of a nuanced approach when considering the long-term health implications of childhood obesity in public health strategies.
儿童肥胖是一个日益严重的全球公共卫生问题,对包括口腔健康在内的各种健康结果具有潜在的长期影响。虽然儿童肥胖与全身性疾病之间的关联已有充分记录,但其对成人口腔健康的具体影响仍未得到充分探索。本研究采用两样本孟德尔随机化方法,探讨儿童肥胖与几种成人口腔健康状况之间的因果关系,这些状况包括牙龈炎、慢性牙周炎、龋齿、颞下颌关节紊乱和错牙合畸形。应用与儿童肥胖相关的基因工具来评估它们对这些口腔健康结果的潜在因果效应。分析显示,儿童肥胖与成年后患慢性牙周炎(P = 0.040,比值比[OR] = 0.871)、颞下颌关节紊乱(P = 0.002,OR = 0.796)和错牙合畸形(P = 0.019,OR = 0.879)的风险之间存在显著的负相关,表明具有保护作用。然而,未发现儿童肥胖与牙龈炎(P = 0.799,OR = 0.968)或龋齿(P = 0.603,OR = 0.970)之间存在显著关联。本研究为儿童肥胖与成人口腔健康之间的关系提供了新的见解,表明儿童肥胖对某些口腔健康状况具有复杂且潜在的保护作用。这些发现凸显了在公共卫生策略中考虑儿童肥胖的长期健康影响时采用细致入微方法的重要性。