Caries and Body Mass Index, What Relation?
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.25754/pjp.2019.13791 |
Resumo: | Introduction: The prevalence of overweight and obesity is increasing in pediatric age and that is traditionally associated with worse oral health. However, in the literature this association is controversial. We intend to characterize the prevalence of overweight, obesity and caries in a pediatric population and check for an association between caries and body mass index. Methods: Retrospective study of children aged 5 years or older, followed in a primary care unit in Lisbon. Demographic data such as age and sex, anthropometric data (height, weight and body mass index with percentile) and presence or absence of caries were analyzed. Results: A sample of 1,398 children with an average age of 9.96 ± 3.39 years at the last visit was obtained, without gender predominance. In relation to the body mass index percentile, 3.1% had < 3, 72.0% between 3-85, 14.7% between 85-97 and 10.2% > 97. Only 730 clinical records referenced oral health, with a caries prevalence of 59.5%. There was a statistically significant association between the body mass index percentile < 3 and caries (p = 0.004; odds ratio 4.27, confidence interval 95% 1.47-12.48) that was independent of age. Discussion: These results reveal that approximately one in four children are overweight or obese and three in five have caries. Body mass index percentiles < 3 are associated with a higher prevalence of caries. It is vital to continue to promote healthy lifestyles in all primary care consultations. |
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Caries and Body Mass Index, What Relation?CÁRIES E ÍNDICE DE MASSA CORPORAL, QUE RELAÇÃO?Original articlesIntroduction: The prevalence of overweight and obesity is increasing in pediatric age and that is traditionally associated with worse oral health. However, in the literature this association is controversial. We intend to characterize the prevalence of overweight, obesity and caries in a pediatric population and check for an association between caries and body mass index. Methods: Retrospective study of children aged 5 years or older, followed in a primary care unit in Lisbon. Demographic data such as age and sex, anthropometric data (height, weight and body mass index with percentile) and presence or absence of caries were analyzed. Results: A sample of 1,398 children with an average age of 9.96 ± 3.39 years at the last visit was obtained, without gender predominance. In relation to the body mass index percentile, 3.1% had < 3, 72.0% between 3-85, 14.7% between 85-97 and 10.2% > 97. Only 730 clinical records referenced oral health, with a caries prevalence of 59.5%. There was a statistically significant association between the body mass index percentile < 3 and caries (p = 0.004; odds ratio 4.27, confidence interval 95% 1.47-12.48) that was independent of age. Discussion: These results reveal that approximately one in four children are overweight or obese and three in five have caries. Body mass index percentiles < 3 are associated with a higher prevalence of caries. It is vital to continue to promote healthy lifestyles in all primary care consultations.Introdução: Nos últimos anos verificou-se um aumento da prevalência de excesso de peso/obesidade (EP/O) em idade pediátrica, aspeto fulcral das consultas de Saúde Infantil (SI). Classicamente, associa-se EP/O a pior saúde oral. Contudo, na literatura esta associação é controversa. Pretende caracterizar-se a prevalência de EP/O e de cáries e verificar se existe associação entre o Índice de Massa Corporal (IMC) e cáries. Métodos: Estudo retrospetivo de crianças seguidas numa USF da capital Portuguesa com idade compreendida entre 2 e 18 anos e com última consulta realizada com ≥ 2 anos de idade. Foram analisados dados demográficos como idade e sexo, dados antropométricos (altura, peso e IMC com respetivo percentil) e a presença ou ausência de cáries. Resultados: Obteve-se uma amostra de 1788 crianças com idade média na consulta de 8,49 ± 4,12 anos, das quais 912 (51%) eram do sexo masculino. Relativamente ao IMC, 3,0% tinha <P3; 73,1% entre P3-P85; 14,9% entre P85-P97 e 9,0% >P97. Apenas 914 crianças tinham referência à saúde oral, com uma prevalência de cáries de 50,8%. Verificou-se associação estatisticamente significativa entre o percentil de IMC e cáries (χ2, p=0,012), com maior prevalência nos extremos do percentil, sobretudo <P3. Não se verificou associação entre sexo e cáries. Discussão: Estes resultados revelam que aproximadamente 1 em cada 4 crianças tem EP/O e 1 em cada 2 tem cáries. A associação entre percentis de IMC e cáries é mais forte no <P3. É fundamental continuar a promoção de estilos de vida saudáveis em todas as consultas de SI.Sociedade Portuguesa de Pediatria2019-04-29info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://doi.org/10.25754/pjp.2019.13791eng2184-44532184-3333Sousa, Sofia CochitoChagas, Joana BritoRamos, JoãoLameiras, MarianaCastro, AlexandraD'Abril, SandraCoutinho, HelenaMartinho, Lucíliainfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-08-03T02:57:50Zoai:ojs.revistas.rcaap.pt:article/13791Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T20:25:28.093557Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Caries and Body Mass Index, What Relation? CÁRIES E ÍNDICE DE MASSA CORPORAL, QUE RELAÇÃO? |
title |
Caries and Body Mass Index, What Relation? |
spellingShingle |
Caries and Body Mass Index, What Relation? Sousa, Sofia Cochito Original articles |
title_short |
Caries and Body Mass Index, What Relation? |
title_full |
Caries and Body Mass Index, What Relation? |
title_fullStr |
Caries and Body Mass Index, What Relation? |
title_full_unstemmed |
Caries and Body Mass Index, What Relation? |
title_sort |
Caries and Body Mass Index, What Relation? |
author |
Sousa, Sofia Cochito |
author_facet |
Sousa, Sofia Cochito Chagas, Joana Brito Ramos, João Lameiras, Mariana Castro, Alexandra D'Abril, Sandra Coutinho, Helena Martinho, Lucília |
author_role |
author |
author2 |
Chagas, Joana Brito Ramos, João Lameiras, Mariana Castro, Alexandra D'Abril, Sandra Coutinho, Helena Martinho, Lucília |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Sousa, Sofia Cochito Chagas, Joana Brito Ramos, João Lameiras, Mariana Castro, Alexandra D'Abril, Sandra Coutinho, Helena Martinho, Lucília |
dc.subject.por.fl_str_mv |
Original articles |
topic |
Original articles |
description |
Introduction: The prevalence of overweight and obesity is increasing in pediatric age and that is traditionally associated with worse oral health. However, in the literature this association is controversial. We intend to characterize the prevalence of overweight, obesity and caries in a pediatric population and check for an association between caries and body mass index. Methods: Retrospective study of children aged 5 years or older, followed in a primary care unit in Lisbon. Demographic data such as age and sex, anthropometric data (height, weight and body mass index with percentile) and presence or absence of caries were analyzed. Results: A sample of 1,398 children with an average age of 9.96 ± 3.39 years at the last visit was obtained, without gender predominance. In relation to the body mass index percentile, 3.1% had < 3, 72.0% between 3-85, 14.7% between 85-97 and 10.2% > 97. Only 730 clinical records referenced oral health, with a caries prevalence of 59.5%. There was a statistically significant association between the body mass index percentile < 3 and caries (p = 0.004; odds ratio 4.27, confidence interval 95% 1.47-12.48) that was independent of age. Discussion: These results reveal that approximately one in four children are overweight or obese and three in five have caries. Body mass index percentiles < 3 are associated with a higher prevalence of caries. It is vital to continue to promote healthy lifestyles in all primary care consultations. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-04-29 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.25754/pjp.2019.13791 |
url |
https://doi.org/10.25754/pjp.2019.13791 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
2184-4453 2184-3333 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Pediatria |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Pediatria |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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