Wpływ nadwagi i otyłości na stan zdrowia jamy ustnej dzieci i młodzieży

Katarzyna Deszczyńska, P. Piątkiewicz, R. Górska
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Abstract

Introduction. Improper eating habits among children and adolescents often lead to overweight and obesity. Research indicates that these are risk factors for many diseases, including diseases in the oral cavity. Aim. To analyse the correlations of selected parameters of dental and periodontal health as well as oral hygiene status in overweight and obese children and adolescents versus control group. Material and methods. The study included 120 patients aged 11-18 years, who were classified into a study group with 60 overweight/obese individuals and a control group of 60 individuals with normal body weight based on BMI (Body Mass Index). Each patient underwent anthropometric measurements, such as height (cm), body weight (kg), which were used to calculate BMI (Body Mass Index). Additional measurements were taken of waist circumference (WC) and hip circumference (HC), to obtain the waist-hip ratio (WHR). Clinical examination of the oral cavity included an assessment of dentition (DMF), oral hygiene API (Approximal Plaque Index) and periodontal tissue (PD – Pocket Depth, CAL – Clinical Attachment Level, %BOP – % Bleeding On Probing) and CPITN (The Community Periodontal Index for Treatment Needs). Results. Statistically significant differences were found between patient groups with BMI ≥ 25 and BMI < 25 in the values of the following parameters: DMF p = 0.005, API p < 0.001, %BOP p < 0.001, PD p < 0.001, CPI p < 0.001. Conclusions. Overweight and obese children were found to have have worse parameters of dental and periodontal health as well as oral hygiene status compared to the group with normal weight. Our observations indicate that overweight and obesity may be potential risk factors for periodontal diseases in the study group.
超重和肥胖对儿童和青少年口腔健康的影响
介绍。儿童和青少年不适当的饮食习惯常常导致超重和肥胖。研究表明,这些是许多疾病的危险因素,包括口腔疾病。的目标。分析超重和肥胖儿童和青少年与对照组牙周健康和口腔卫生状况的相关参数。材料和方法。该研究纳入了120名年龄在11-18岁之间的患者,根据体重指数(BMI)将他们分为研究组60名超重/肥胖个体和对照组60名体重正常的个体。每位患者进行了人体测量,如身高(cm)、体重(kg),这些测量用于计算BMI(身体质量指数)。另外测量腰围(WC)和臀围(HC),得到腰臀比(WHR)。口腔的临床检查包括牙列(DMF)、口腔卫生API(近似菌斑指数)和牙周组织(PD -牙袋深度、CAL -临床附着水平、%BOP -探诊出血百分比)和CPITN(社区牙周治疗需求指数)的评估。结果。BMI≥25组与BMI < 25组间DMF p = 0.005, API p < 0.001, %BOP p < 0.001, PD p < 0.001, CPI p < 0.001,差异均有统计学意义。结论。与体重正常的儿童相比,超重和肥胖儿童的牙齿、牙周健康和口腔卫生状况更差。我们的观察表明,超重和肥胖可能是研究组牙周病的潜在危险因素。
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