Higher body mass index associated with severe early childhood caries.
Higher body mass index associated with severe early childhood caries.
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DOI：
10.1186/s12887-016-0679-6
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发表时间：
2016-08-20
期刊：
影响因子：
2.4
通讯作者：
Sellers EAC
中科院分区：
文献类型：
--
作者：
Davidson K;Schroth RJ;Levi JA;Yaffe AB;Mittermuller BA;Sellers EAC
严重早期儿童龋病是学龄前儿童的一种侵袭性龋齿，影响生活质量和营养状况。研究的目的是确定体重指数与S-ECC之间是否存在关联。S-ECC的儿童是在全麻下进行预定牙科手术的当天招募的。从社区招募了年龄匹配的无龋齿对照组。所有儿童都参加了一项关于营养和S-幼儿营养合作的更大规模的研究。分析仅限于24个月大的儿童 ≥ 。父母们完成了一份调查问卷，并记录了身高和体重。计算BMI得分、年龄和性别调整后的BMI z得分和百分位数。P值 ≤ 为0.0 5，差异显著。共纳入235名儿童，其中患S龋组14 1名，无龋组94名。平均年龄43.3 ± 12.8个月，男性占50.2%。总体而言，34.4%的参与者超重或肥胖。与无龋组相比，S组儿童超重或肥胖的比例显著增加(p = 0.038)，体重指数z值显著高于无龋组(0.78 ± 1.26vs.0.22 ± 1.36，p = 0.002)。S胆囊癌患者的体重指数百分位数也显著高于对照组(69.0% ± 29.2vs.56.8% ± 31.7，p = 0.003)。多元线性回归分析显示，体重指数z分值与S-ECC和家庭年收入显著独立相关，体重指数百分位数也是如此。在我们的样本中，患有S-ECC的儿童的BMIz-得分显著高于无龋组。
Severe Early Childhood Caries (S-ECC) is an aggressive form of tooth decay in preschool children affecting quality of life and nutritional status. The purpose was to determine whether there is an association between Body Mass Index (BMI) and S-ECC. Children with S-ECC were recruited on the day of their slated dental surgery under general anesthesia. Age-matched, caries-free controls were recruited from the community. All children were participating in a larger study on nutrition and S-ECC. Analysis was restricted to children ≥ 24 months of age. Parents completed a questionnaire and heights and weights were recorded. BMI scores and age and gender adjusted BMI z-scores and percentiles were calculated. A p-value ≤ 0.05 was significant. Two hundred thirty-five children were included (141 with S-ECC and 94 caries-free). The mean age was 43.3 ± 12.8 months and 50.2 % were male. Overall, 34.4 % of participants were overweight or obese. Significantly more children with S-ECC were classified as overweight or obese when compared to caries-free children (p = 0.038) and had significantly higher mean BMI z-scores than caries-free children (0.78 ± 1.26 vs. 0.22 ± 1.36, p = 0.002). Those with S-ECC also had significantly higher BMI percentiles (69.0 % ± 29.2 vs. 56.8 % ± 31.7, p = 0.003). Multiple linear regression analyses revealed that BMI z-scores were significantly and independently associated with S-ECC and annual household income as were BMI percentiles. Children with S-ECC in our sample had significantly higher BMI z-scores than caries-free peers.