Association of Physical Activity, Physical Fitness, Dental Caries, and Erosive Tooth Wear in Northern Finland Birth Cohort 1966.

IF 2.9 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Caries Research Pub Date : 2025-03-03 DOI:10.1159/000544974

Eero Blomster, Marja-Liisa Laitala, Maisa Niemelä, Anna-Maiju Leinonen, Tarja Tanner

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引用次数: 0

Abstract

Introduction: Research on the impact of physical activity (PA) and physical fitness on oral health has been limited in scope. The aim of this report was to assess the impact of PA and physical fitness as modifiable factors in dental caries and erosive tooth wear (ETW) among middle-aged individuals in Finland.

Methods: Data were gathered from the North Finland Birth Cohort 1966 (NFBC1966) 46-year follow-up, which included dental clinical examinations conducted by seven calibrated dentists, physical fitness tests, measurements of PA, and measurements of height and weight administered between 2012 and 2014. PA was measured over a 2-week period with a wrist-worn accelerometer and reported as average daily duration of PA (min/day). Physical fitness was assessed by measuring cardiorespiratory fitness via heart rate recovery in a step test using a heart rate monitor and chest belt, and by evaluating back strength with the Biering-Sorensen test. Of the whole cohort, 1,964 cohort members participated in the oral clinical examination, and the regression models were conducted with 1,590 participants. The prevalence of dental caries (ICDAS), DMFT score, and ETW (BEWE), and the results of the PA test and physical fitness tests were categorized and analyzed using cross-tabulations and multivariable logistic regression models. SPSS version 29.0.0.0 was used to calculate 95% confidence intervals (CI), odds ratios (ORs), χ2, and p values.

Results: Poor (OR 1.60, 95% CI: 1.15-2.23) and moderate (OR 1.48, 95% CI: 1.14-1.93) cardiorespiratory fitness and low PA (OR 1.48, 95% CI: 1.07-2.05) were associated with dentine caries in the regression model. The same model indicated that tooth brushing frequency (OR 1.97, 95% CI: 1.21-3.20), ETW (OR 1.30, 95% CI: 1.12-1.49), and male gender (OR 1.22, 95% CI: 1.05-1.43) were associated with increased dentine caries. No statistically significant association was found between PA or physical fitness and ETW.

Conclusion: In the middle-aged Finnish population, high PA and good physical fitness are associated with a lower prevalence of dentine caries. No association between PA or physical fitness and ETW was found. Further research is needed to explore the potential oral health benefits of PA and physical fitness as modifiable factors.

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1966年芬兰北部出生队列中身体活动、身体健康、龋齿和侵蚀性牙齿磨损的关系

体育活动和身体健康对口腔健康影响的研究范围有限。本报告的目的是评估身体活动和身体健康作为芬兰中年人龋齿和腐蚀牙齿磨损的可改变因素的影响。方法收集北芬兰1966年出生队列（NFBC1966） 46年的随访数据，包括7名校准牙医进行的牙科临床检查、体能测试、身体活动（PA）测量以及2012 - 2014年的身高和体重测量。在两周的时间里，用腕带加速度计测量PA，并报告平均每日PA持续时间（分钟/天）。通过心率恢复（HRR）和Biering-Sorensen测试来评估身体健康，通过心率恢复（HRR）的阶跃测试来评估心肺健康。在整个队列中，1964名队列成员参加了口腔临床检查，1590名参与者进行了回归模型。采用交叉表法和多变量logistic回归模型对龋病患病率（ICDAS）、DMFT评分、牙蚀性磨损（BEWE）以及PA测试和体能测试结果进行分类和分析。使用SPSS 29.0.0.0版本计算95%置信区间[CI]、比值比[OR]、𝜒2和p值。结果在回归模型中，较差（OR 1.60, 95% CI 1.15 ~ 2.23）、中度（OR 1.48, 95% CI 1.14 ~ 1.93）和较低的PA （OR 1.48, 95% CI 1.07 ~ 2.05）与牙本质龋相关。同样的模型显示，刷牙频率（OR 1.97, 95% CI 1.21 - 3.20）、侵蚀性牙齿磨损（ETW）（OR 1.30, 95% CI 1.12 - 1.49）和男性性别（OR 1.22, 95% CI 1.05 - 1.43）与牙质龋齿的增加有关。PA或体质与ETW之间无统计学意义的关联。结论在芬兰中年人群中，高强度的体力活动和良好的身体素质与较低的牙本质龋患病率相关。没有发现身体活动或身体健康与ETW之间的联系。需要进一步的研究来探索体育活动和身体健康作为可改变因素的潜在口腔健康益处。

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

Caries Research 医学-牙科与口腔外科

CiteScore

6.30

自引率

7.10%

发文量

审稿时长

6-12 weeks

期刊介绍： ''Caries Research'' publishes epidemiological, clinical and laboratory studies in dental caries, erosion and related dental diseases. Some studies build on the considerable advances already made in caries prevention, e.g. through fluoride application. Some aim to improve understanding of the increasingly important problem of dental erosion and the associated tooth wear process. Others monitor the changing pattern of caries in different populations, explore improved methods of diagnosis or evaluate methods of prevention or treatment. The broad coverage of current research has given the journal an international reputation as an indispensable source for both basic scientists and clinicians engaged in understanding, investigating and preventing dental disease.