Insufficient Sleep and Incidence of Dental Caries in Deciduous Teeth among Children in Japan: A Population-Based Cohort Study
Insufficient Sleep and Incidence of Dental Caries in Deciduous Teeth among Children in Japan: A Population-Based Cohort Study
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DOI：
10.1016/j.jpeds.2018.03.033
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发表时间：
2018-07-01
影响因子：
5.1
通讯作者：
Kawakami, Koji
中科院分区：
文献类型：
--
作者：
Chen, Hongyan;Tanaka, Shiro;Kawakami, Koji
目的探讨是否晚就寝时间和夜间睡眠时间短，在18个月的乳牙龋齿的风险与研究设计人口为基础的队列研究，使用健康检查数据的71 069名儿童出生在科比市，日本，谁是免费的龋齿在18个月的年龄和信息的睡眠变量在18个月的年龄和记录在3岁的牙科检查。通过标准化的家长报告问卷评估睡眠变量，乳牙龋齿的发生率定义为至少有一颗龋齿、缺失或补牙的发生，由合格的牙医在没有X光片的情况下评估。Logistic回归分析用于评估晚睡和睡眠时间短对龋齿的影响，并根据临床和生活方式特征进行调整。3岁时患龋11343例（16.0%）。与21：00之前就寝的儿童相比，晚就寝或不规律就寝的儿童在21：00和22：00就寝时间的aOR分别为1.26（95% CI 1.19-1.33）、1.48（1.38 - 1.58）、1.74（1.58-1.92）、1.90（1.58-2.29）和1.66（1.53-1.81）。分别是23：00，0：00，和不规律的就寝时间。睡眠时间短或不规律的儿童与睡眠时间>= 11小时的儿童相比，aOR为1.30（95% CI 1.15-1.47），1.16（1.09-1.24）、1.11（1.05-1.18）和1.35（1.25-1.46）睡眠时间为8、9、10小时和睡眠时间不规律。晚睡和睡眠时间短都与乳牙患龋的风险增加有关。
Objectives To examine whether late bedtime and short nighttime sleep duration at age 18 months are associated with risk of caries in deciduous teeth.Study design Population-based cohort study using health check-up data of 71 069 children born in Kobe City, Japan, who were free of caries at age 18 months and had information on sleep variables at age 18 months and records of dental examinations at age 3 years. Sleep variables were assessed by standardized parent-reported questionnaires, and the incidence of caries in deciduous teeth was defined as the occurrence of at least 1 decayed, missing, or filled tooth assessed by qualified dentists without radiographs. Logistic regression was used to estimate the effects of late bedtime and short sleep duration on dental caries with adjustment for clinical and lifestyle characteristics.Results Overall. 11 343 (16.0%) cases of caries were observed at age 3 years. aORs for children with late or irregular bedtimes compared with those with bedtimes before 21:00 were 1.26 (95% CI 1.19-1.33), 1.48 (1.381.58), 1.74 (1.58-1.92), 1.90 (1.58-2.29), and 1.66 (1.53-1.81) for bedtimes at 21:00, 22:00. 23:00, 0:00, and irregular bedtime, respectively. aORs for children with short or irregular sleep duration compared with those with sleep duration of >= 11 hours were 1.30 (95% CI 1.15-1.47), 1.16 (1.09-1.24), 1.11 (1.05-1.18), and 1.35 (1.25-1.46) for sleep duration of 8, 9, 10 hours, and irregular sleep duration, respectively.Conclusions In this exploratory study, late bedtime and short sleep duration were both consistently associated with increased risk of caries in deciduous teeth.