目的 分析西藏边坝县3~5岁儿童的体重指数(BMI)与龋失补指数(DMFT)之间的关系,为制定儿童牙齿健康的预防措施提供科学依据。方法 2019年5-8月随机抽取昌都市边坝县所辖11个乡镇卫生院登记在册的265例3~5岁儿童,其中男性136例,女性129例。选取经过统一培训的具有执业医师资格的口腔专业儿科医生,使用统一的探针和口镜等检查设备对儿童进行口腔检查并记录龋失补牙数,计算DMFT值。运用校正过的同一身高体重测量仪,对儿童的身高体重在同一时间段内进行测量,计算BMI,采用SPSS 22.0统计软件进行统计分析龋病与BMI之间的关系。结果 不同组间儿童BMI、DMFT比较,差异均有统计学意义(F=14.824,P<0.001;H=33.125,P=0.002)。通过散点图分析显示龋失补指数与BMI呈负相关,Spearman 相关系数结果显示呈中等相关(rs=-0.68,P=0.001),且差异有统计学意义。结论 3~5岁儿童DMFT与BMI关系密切,应定期对儿童的口腔卫生进行检查,提高儿童的生活质量。
Abstract
Objective To investigate the relationship between the body mass index (BMI) and the decayed missing filled teeth (DMFT) of children aged 3 to 5 years in Bianba County, Tibet, so as to provide ideas for the development of preventive measures for children's dental health. Methods A total of 265 children aged 3 to 5 years,including 136 boys and 129 girls, were randomly selected from 11 township hospitals in Bianba County of Changdu city from May to August in 2019. A professional pediatrician who were professionally trained was selected to perform oral examination on the children using a uniform probe and mouthpiece and to record the number of missing teeth and calculate the DMFT index. Using the corrected height and weight measuring instrument, the height and weight of the children were measured in the same period, and the BMI was calculated. Statistical analysis was performed between the caries and BMI using SPSS 22.0 statistical software. Results There were statistically differences in BMI and DMFT of children among skinny,overweight,obese,control groups(F=14.824,P<0.001;H=33.125,P=0.002).The scatter plot analysis and Spearman correlation analysis showed that DMFT was negatively correlated with BMI(rs=-0.68,P=0.001). Conclusions DMFT of 3- to 5-year-old children is closely related to BMI. Oral hygiene of children should be examined regularly to improve their quality of life.
关键词
体重指数 /
龋失补指数 /
儿童龋病
Key words
body mass index /
decayed missing filled teeth /
children caries
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1] Alaluusua S, Malmivirta R. Early plaque accumulation-a sign for caries risk in young children[J].Community Dent Oral, 2015, 22(5PT1):273-276.
[2] 宋秋坤,李智伟,李爱军,等. 平顶山市8岁学龄儿童患龋状况及影响因素分析[J]. 实用预防医学, 2019, 26(1):74-77.
[3] 王兴. 第四次全国口腔健康流行病学调查报告[M]. 北京:人民卫生出版社, 2018:13-18.
[4] Norberg C, Hallström SU, Matsson L, et al. Body mass index (BMI) and dental caries in 5-year-old children from southern Sweden[J].Community Dent Oral,2012, 40(4):315-322.
[5] 李辉,宗心南,季成叶,等. 中国2～18岁儿童青少年超重和肥胖筛查体重指数界值点的研究[J]. 中华流行病学杂志, 2010, 31(6):616-620.
[6] 中华人民共和国卫生部. 儿童健康检查服务技术规范(卫办妇社发[2012]49号)[J]. 中国儿童保健杂志,2012,20(10):956-958.
[7] 王璐璐, 徐培培, 许娟,等. 6～18岁学龄儿童生长发育评价指标综述[J]. 中国学校卫生, 2019, 40(4):627-631.
[8] Berg SWVD, Wijga AH, Rossem LV, et al. Maternal fish consumption during pregnancy and BMI in children from birth up to age 14 years:the PIAMA cohort study[J].Eur J Nutr, 2016, 55(2):1-10.
[9] Fetuga B, Ogunlesi T, Olanrewaju D, et al. Growth in prepubertal Nigerian children is highly dependent on socio-economic status[J].Acta Paediatr, 2013, 102(8):824-831.
[10] Carter PJ, Taylor BJ, WilliamsSM, et al. Longitudinal analysis of sleep in relation to BMI and body fat in children:the FLAME study[J].BMJ, 2011, 342(7809):1247-1247.
[11] Millar L, Rowland B, Nichols M, et al. Relationship between raised BMI and sugar sweetened beverage and high fat food consumption among children[J].Obesity, 2014, 22(5):E96-E103.
[12] Buberneumann M. Prevalence of obesity and extreme obesity in children aged 3-5 years[J].Clin Med Res, 2014, 9(3):167-175.
[13] Hayden C, Bowler JO, Chambers S, et al. Obesity and dental caries in children:a systematic review and meta-analysis[J].Community Dent Oral, 2013, 41(4):289-308.
[14] Duangthip D, Chu CH, Lo CM. A randomized clinical trial on arresting dentine caries in preschool children by topical fluorides-18month results[J].J Dent, 2016, 44:57-63.
[15] Richards D. Best clinical practice guidance for management of early caries lesions in children and young adults:an EAPD policy document[J].Eur J Paediatr Dent, 2016, 17(1):3-12.
[16] Pikramenou V, Dimitraki D, Zoumpoulakis M, et al. Association between dental caries and body mass in preschool children[J].Eur J Paediatr Dent, 2016, 17(3):171-175.
[17] Alkarimi HA, Watt RG, Pikhart H, et al. Impact of treating dental caries on schoolchildren's anthropometric, dental, satisfaction and appetite outcomes:a randomized controlled trial[J]. BMC Public Health,2012, 12(1):1-8.
[18] 杜琴,李月玲,俞明,等.上海市嘉定区民办幼儿园学龄前儿童龋病与生长发育及营养的关系[J].第二军医大学学报,2018,39(6):675-678.
[19] 张稳, 袁晓, 陈书兰,等. 青岛崂山区8岁儿童龋病现状调查及其与BMI关系[J]. 青岛大学医学院学报, 2016,52(3):312-314.
[20] Carey CM. Focus on fluorides:update on the use of fluoride for the prevention of dental caries. [J].J Evid-Based Dent Pr, 2014, 14(Suppl l):95-102.
PDF(488 KB)
