Untreated severe dental decay: a neglected determinant of low Body Mass Index in 12-year-old Filipino children.
Untreated severe dental decay: a neglected determinant of low Body Mass Index in 12-year-old Filipino children.
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DOI：
10.1186/1471-2458-11-558
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发表时间：
2011-07-13
影响因子：
4.5
通讯作者：
van Palenstein Helderman W
中科院分区：
文献类型：
--
作者：
Benzian H;Monse B;Heinrich-Weltzien R;Hobdell M;Mulder J;van Palenstein Helderman W
龋齿是世界上最常见的儿童疾病，大多数龋齿仍未得到治疗。在菲律宾，龋齿水平是东南亚地区最高的。小学生发育迟缓和体重不足的发生率很高。本研究旨在调查12岁菲律宾儿童中未经治疗的龋齿与身体质量指数(BMI)之间的关系。数据收集是全国口腔健康调查的一部分，这是一项具有代表性的横断面研究，对1951名11-13岁的学龄儿童进行了研究，采用了基于菲律宾国家统计局人口分类的改进的分层整群抽样设计。根据世界卫生组织标准(1997年)和牙源性感染使用PUFA指数对龋病进行评分。由训练有素的护士进行人体测量。一些社会经济决定因素被列为潜在的混杂因素。患龋率(DMFT+DMFT>；0)为82.3%(95%可信区间：80.6%~84.0%)。患龋率为55.7%(95%CI；53.5%~57.9%)，27.1%(95%CI；25.1%~29.1%)儿童BMI低于正常，1%(95%CI；0.5%~1.4%)BMI高于正常。体重指数与龋齿之间的回归系数达到极显著水平(p<；0.001)。患有牙源性感染(PUFA+PUFA>；0)的儿童与无牙源性感染的儿童相比，体重指数低于正常的风险增加(OR：1.47；95%CI：1.19-1.80)。这是有史以来第一次具有代表性的调查，表明龋齿和BMI之间存在显著的联系，特别是牙源性感染和低于正常BMI之间的联系。提出了一种扩展的假说关联模型，该模型包括龋齿的进展形式，作为儿童发育不良的一个重要的、但在很大程度上被忽视的决定因素。
Dental decay is the most common childhood disease worldwide and most of the decay remains untreated. In the Philippines caries levels are among the highest in the South East Asian region. Elementary school children suffer from high prevalence of stunting and underweight. The present study aimed to investigate the association between untreated dental decay and Body Mass Index (BMI) among 12-year-old Filipino children. Data collection was part of the National Oral Health Survey, a representative cross-sectional study of 1951 11-13-year-old school children using a modified, stratified cluster sampling design based on population classifications of the Philippine National Statistics Office. Caries was scored according to WHO criteria (1997) and odontogenic infections using the PUFA index. Anthropometric measures were performed by trained nurses. Some socio-economic determinants were included as potential confounding factors. The overall prevalence of caries (DMFT + dmft > 0) was 82.3% (95%CI; 80.6%-84.0%). The overall prevalence of odontogenic infections due to caries (PUFA + pufa > 0) was 55.7% (95% CI; 53.5%-57.9%) The BMI of 27.1% (95%CI; 25.1%-29.1%) of children was below normal, 1% (95%CI; 0.5%-1.4%) had a BMI above normal. The regression coefficient between BMI and caries was highly significant (p < 0.001). Children with odontogenic infections (PUFA + pufa > 0) as compared to those without odontogenic infections had an increased risk of a below normal BMI (OR: 1.47; 95% CI: 1.19-1.80). This is the first-ever representative survey showing a significant association between caries and BMI and particularly between odontogenic infections and below normal BMI. An expanded model of hypothesised associations is presented that includes progressed forms of dental decay as a significant, yet largely neglected determinant of poor child development.
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影响因子：
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作者：
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通讯作者：
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影响因子：
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