Wieland Elger1,2, Wieland Kiess2,3, Antje Körner2,3,4, Annett Schrock1, Mandy Vogel2, Christian Hirsch1,2. 1. Department of Pediatric Dentistry, University of Leipzig, Leipzig, Germany. 2. LIFE Leipzig Research Center for Civilization Diseases, University of Leipzig, Leipzig, Germany. 3. Department of Women and Child Health, Hospital for Children and Adolescents and Center for Pediatric Research, University of Leipzig, Leipzig, Germany. 4. Integrated Research and Treatment Center Adiposity Diseases, University of Leipzig, Leipzig, Germany.
Abstract
AIM: The aim of the present study was to investigate possible influences of overweight (OW)/obesity on caries in primary dentition. Socioeconomic status (SES) and quality of oral hygiene were also considered. METHODS: In the present study, 1628 children between the ages of 6 months and 9 years were included. In addition to dental examinations regarding the decayed, missing, filled teeth (dmft) index in primary dentition and the evaluation of oral hygiene, the body mass index standard deviation score (BMI SDS) was determined, and SES was recorded. RESULTS: The presence of OW/obesity was associated with higher caries prevalence (P < 0.001). A lower SES and non-optimal oral hygiene were also associated with increased dmft. The Poisson regression also showed a significantly higher risk in the combination of a high SES and OW/obesity (βlow-high = 0.21, P = 0.01). The increase was evident in both good and poor oral hygiene. In contrast, there was no difference between the lower and middle social strata (βlow-medium = 0.03, P = 0.6). With increasing age, the BMI influence decreased (βage: BMI SDS = -0.06, P < 0.001). CONCLUSIONS: BMI, oral hygiene, and SES are important factors in caries prevalence. In the highest social class, however, increased body weight has an adverse effect regardless of oral hygiene.
AIM: The aim of the present study was to investigate possible influences of overweight (OW)/obesity on caries in primary dentition. Socioeconomic status (SES) and quality of oral hygiene were also considered. METHODS: In the present study, 1628 children between the ages of 6 months and 9 years were included. In addition to dental examinations regarding the decayed, missing, filled teeth (dmft) index in primary dentition and the evaluation of oral hygiene, the body mass index standard deviation score (BMI SDS) was determined, and SES was recorded. RESULTS: The presence of OW/obesity was associated with higher caries prevalence (P < 0.001). A lower SES and non-optimal oral hygiene were also associated with increased dmft. The Poisson regression also showed a significantly higher risk in the combination of a high SES and OW/obesity (βlow-high = 0.21, P = 0.01). The increase was evident in both good and poor oral hygiene. In contrast, there was no difference between the lower and middle social strata (βlow-medium = 0.03, P = 0.6). With increasing age, the BMI influence decreased (βage: BMI SDS = -0.06, P < 0.001). CONCLUSIONS: BMI, oral hygiene, and SES are important factors in caries prevalence. In the highest social class, however, increased body weight has an adverse effect regardless of oral hygiene.
Authors: María García-Pola; Agueda González-Díaz; José Manuel García-Martín Journal: Int J Environ Res Public Health Date: 2021-04-13 Impact factor: 3.390
Authors: Jana Schmidt; Mandy Vogel; Tanja Poulain; Wieland Kiess; Christian Hirsch; Dirk Ziebolz; Rainer Haak Journal: Int J Environ Res Public Health Date: 2022-03-02 Impact factor: 3.390