Difficulty with Oral Health Complications in Adolescents with Developmental Disability and Obesity.

IF 2.2 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

JDR Clinical & Translational Research Pub Date : 2023-07-01 DOI:10.1177/23800844221090447

V Bhoopathi, C Wells, F Ramos-Gomez, K A Atchison

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引用次数: 2

Abstract

Introduction: Developmental disabilities (DDs), obesity, and dental caries are highly prevalent health conditions among adolescents. Evidence indicates that a significant proportion of adolescents with DDs are obese, and those with obesity and dental caries share common risk factors.

Objective: In this first-ever US-based cross-sectional national study, we assessed the likelihood of adolescents with DDs and obesity experiencing chronic difficulty with decayed teeth, toothaches, bleeding gums, and eating and swallowing due to a health condition among adolescents with DDs and obesity compared to adolescents with no DDs or obesity.

Methods: For this secondary data analysis study, we used data of 68,942 adolescents aged 10 to 17 y from the 2016 through 2019 National Survey of Children's Health. Weighted descriptive and bivariate analyses were conducted. Four multiple logistic regression models predicting chronic difficulty in the past 12 mo with decayed teeth, toothaches, bleeding gums, and eating and swallowing due to a health condition were conducted, controlling for other variables.

Results: The adjusted odds ratio (aOR) of experiencing chronic difficulty in the past 12 mo for adolescents with no DDs or obesity was significantly lower for decayed teeth (aOR, 0.64; 95% confidence interval [CI], 0.51-0.80; P < 0.0001), toothaches (aOR, 0.43; 95% CI, 0.30-0.60; P < 0.0001), bleeding gums (aOR, 0.48; 95% CI, 0.33-0.70; P < 0.0001), and eating or swallowing due to a health condition (aOR, 0.34; 95% CI, 0.20-0.57; P < 0.0001) compared to adolescents with both DDs and obesity.

Conclusions: Results from this study indicate that DD adolescents with obesity have more/greater impending oral health needs than adolescents with no DDs or obesity.

Knowledge transfer statement: Results of this study highlight the high oral health needs and the chronic difficulty adolescents with developmental disabilities and obesity experience compared to adolescents without developmental disabilities and obesity. Targeted oral health policies and interventions that will promote oral health among this high-risk group are recommended.

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发育障碍和肥胖青少年口腔健康并发症的困难。

发育障碍(dd)、肥胖和龋齿是青少年中非常普遍的健康状况。有证据表明，患有发育障碍的青少年中有很大一部分是肥胖的，而肥胖和龋齿的青少年具有共同的危险因素。目的:在这项首次美国横断面国家研究中，我们评估了患有多动症和肥胖的青少年与没有多动症或肥胖的青少年相比，患有多动症和肥胖的青少年由于健康状况而出现蛀牙、牙痛、牙龈出血、进食和吞咽等慢性困难的可能性。方法:在这项二级数据分析研究中，我们使用了2016年至2019年全国儿童健康调查中68,942名10至17岁青少年的数据。进行加权描述性和双变量分析。在控制其他变量的情况下，对过去12个月内因蛀牙、牙痛、牙龈出血、进食和吞咽引起的慢性困难进行了4个多元logistic回归模型的预测。结果:没有发育障碍或肥胖的青少年在过去12个月内经历慢性困难的调整优势比(aOR)在蛀牙中显著降低(aOR为0.64;95%置信区间[CI]， 0.51-0.80;P < 0.0001)，牙痛(aOR, 0.43;95% ci, 0.30-0.60;P < 0.0001)，牙龈出血(aOR, 0.48;95% ci, 0.33-0.70;P < 0.0001)，以及由于健康状况而进食或吞咽(aOR, 0.34;95% ci, 0.20-0.57;P < 0.0001)，与患有adhd和肥胖的青少年相比。结论:本研究结果表明，患有肥胖的DD青少年比没有DD或肥胖的青少年有更多/更大的迫在眉睫的口腔健康需求。知识转移声明:本研究结果强调，与没有发育障碍和肥胖的青少年相比，患有发育障碍和肥胖的青少年有较高的口腔健康需求和慢性困难。建议采取有针对性的口腔卫生政策和干预措施，促进这一高危群体的口腔健康。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

JDR Clinical & Translational Research DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

6.20

自引率

6.70%

发文量

期刊介绍： JDR Clinical & Translational Research seeks to publish the highest quality research articles on clinical and translational research including all of the dental specialties and implantology. Examples include behavioral sciences, cariology, oral & pharyngeal cancer, disease diagnostics, evidence based health care delivery, human genetics, health services research, periodontal diseases, oral medicine, radiology, and pathology. The JDR Clinical & Translational Research expands on its research content by including high-impact health care and global oral health policy statements and systematic reviews of clinical concepts affecting clinical practice. Unique to the JDR Clinical & Translational Research are advances in clinical and translational medicine articles created to focus on research with an immediate potential to affect clinical therapy outcomes.