Underweight in low socioeconomic status preschool children with severe early childhood caries.

Underweight in low socioeconomic status preschool children with severe early childhood caries.
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DOI:
10.4103/0970-4388.86375
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发表时间:
2011-10-01
影响因子:
--
通讯作者:
Nayak, R
Nayak, R
中科院分区:
其他
文献类型:
--
作者:
Gaur, S;Nayak, R

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背景:严重幼儿龋齿(sECC)的患病率在印度等发展中国家很高。它有局部以及全身mappensation.AIMS:本研究评估sECC和它的管理对生长参数和生活质量(QoL)的学龄前儿童从低社会经济地位family.MATERIALS和METHODS的影响:100名学龄前儿童(50与sECC和50无龋齿;平均年龄5.42 ± 0.74岁)从低社会经济地位进行了研究。生活质量;在基线时记录龋齿、拔牙和补牙(def)指数、身高(Ht)、体重(Wt)、头围(HC)、中臂围(MAC)和体重指数(BMI),并在牙齿修复6个月后进行比较。实验组包括患有sECC的儿童,def > 6,并且至少有一个牙髓受累的牙齿,对照组儿童没有DC(def =0)。两组年龄、性别和社会经济地位相匹配。统计分析:使用社会科学统计软件包(SPSS)v.11.0计算机软件进行统计分析。结果:基线测量显示46%的sECC儿童体重低于第3百分位数(体重不足;平均15.49 ± 1.87Kg),低于对照组(平均16.34 ± 1.46Kg)。他们还抱怨疼痛(40%),避免硬食物(24%),注意到体重减轻(18%)和睡眠障碍(12%)。经过6个月的牙科康复,有显着改善他们的体重(P= 0.002)和QoL.CONCLUSIONS:sECC负面影响体重和QoL的儿童。提高家长的认识、教育和促进口腔健康服务可能有助于改善他们的体重和生活质量。
BACKGROUND: The prevalence of severe early childhood caries (sECC) is high in developing nations like India. It has local as well as systemic manifestations.AIMS: This study evaluated the influence of sECC and its management on growth parameters and quality of life (QoL) of preschool children from low socioeconomic status families.MATERIALS AND METHODS: 100 preschool children (50 with sECC and 50 with no dental caries; mean age 5.42 ± 0.74 years) from low socioeconomic status were studied. QoL; Decayed, extracted and filled teeth (def) index; Height (Ht); Weight (Wt); Head circumference (HC); Mid arm circumference (MAC); and, Body Mass Index (BMI) were recorded at baseline and compared after six months of dental rehabilitation. The test group included children with sECC having def > 6 and at least one pulpally involved tooth.The control group children did not have DC (def =0). Both the groups were age, gender and socioeconomic status matched.STATISTICAL ANALYSIS: Statistical analysis was done using Statistical Package for the Social Sciences (SPSS) v.11.0 computer software. Chi-square test, Analysis of Variance (ANOVA), Fisher's exact and paired t tests were performed for comparing the groups at baseline and six month recall visit.RESULTS: Baseline measurements showed that 46% of children with sECC had Wt below 3rd percentile (underweight; mean 15.49 ± 1.87Kg) which was less than the controls (mean Wt 16.34 ± 1.46 kg). They also complained of pain (40%), avoidance of hard food (24%), noticed Wt loss (18%) and sleep disturbances (12%). After 6 months of dental rehabilitation, there was a significant improvement in their Wt (P= 0.002) and QoL.CONCLUSIONS: sECC negatively influenced the Wt and QoL of children. Awareness, education of parents and facilitation of oral health services may help in improving their Wt and QoL.