Association of mastication and factors affecting masticatory function with obesity in adults: a systematic review.

Association of mastication and factors affecting masticatory function with obesity in adults: a systematic review.
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DOI:
10.1186/s12903-018-0525-3
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发表时间:
2018-05-04
期刊:
影响因子:
2.9
通讯作者:
Miura H
Miura H
中科院分区:
医学3区
文献类型:
--
作者:
Tada A;Miura H

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相当数量的成年人患有肥胖症,这是由风险因素咀嚼功能障碍引起的。然而,咀嚼和肥胖之间的联系还没有定论。本系统综述旨在提供有关咀嚼和影响咀嚼功能的因素之间的关联,以及成人肥胖的文献。使用4个电子数据库(PubMed、EMBASE、科克伦图书馆和Web of Science)检索符合以下标准的出版物:2007年至2016年期间发表的,用英语撰写,并评估≥18岁人群中咀嚼与肥胖之间的相关性。根据研究设计、主要结论和两名作者确定的证据强度对纳入的出版物进行分析,这两名作者筛选了所有摘要和全文文章,提取了数据,并使用关键评估工具(关键评估技能计划队列研究检查表)进行了质量评估。共有18篇文章(16篇横断面研究,1篇队列研究和1篇随机对照试验[RCT])符合我们的纳入标准并进行了评价。在16项横断面研究中,有12项研究发现咀嚼后与肥胖有关。一项队列研究表明,肥胖组的牙齿脱落率高于正常体重组。一项随机对照试验表明,咀嚼口香糖8周的干预显著降低了腰围。大多数研究表明,成年人的咀嚼和肥胖之间存在正相关。然而,其中大多数是横断面研究,不足以证明因果关系。进一步的进展需要RCT,特别是需要改善咀嚼和肥胖的干预来证实这种关联。本文的在线版本(10.1186/s12903-018-0525-3)包含补充材料,可供授权用户使用。
A substantial number of adults suffer from obesity, that is caused by the risk factor, masticatory dysfunction. The association between mastication and obesity, however, is inconclusive. This systematic review aims to provide literature regarding the association between mastication and factors affecting masticatory function, and obesity in adults. Four electronic databases (PubMed, EMBASE, Cochrane Library, and Web of Science) were used to search for publications that met the following criteria: published between 2007 and 2016, written in English, and assessed the associations between mastication and obesity among the population aged ≥18 years. The included publications were analyzed based on the study design, main conclusions, and strength of evidence identified by the two authors who screened all the abstracts and full-text articles and, abstracted data, and performed quality assessments by using a critical appraisal tool, the Critical Appraisal Skills Programme Cohort Studies Checklists. A total of 18 articles (16 cross-sectional, 1 cohort studies, and 1 randomized controlled trial [RCT]) met our inclusion criteria and were evaluated. Poorer mastication was associated with obesity in 12 out of 16 cross-sectional studies. One cohort study showed that the obesity group displayed higher tooth loss than the normal weight group. One RCT demonstrated that gum-chewing intervention for 8 weeks significantly decreased waist circumference. Most studies revealed a positive association between mastication and obesity among adults. Nonetheless, most of them are cross-sectional studies, which are insufficient to demonstrate a causal relation. Further advancement requires RCT, especially an intervention of improvement of mastication and obesity needed to confirm this association. The online version of this article (10.1186/s12903-018-0525-3) contains supplementary material, which is available to authorized users.
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