背景:本研究旨在调查营养不良与3-5岁儿童早期龋齿(ECC)和龋齿活动之间的关系,以期为预防和阻断ECC和改善营养不良提供理论依据。
方法:赵县6所幼儿园3-5岁儿童,中国参加了这项研究。腐烂的,失踪,检查并记录所有儿童的填充牙齿(dmft)。Cariostat方法用于检测龋齿活动,收集人体测量数据并测量血红蛋白浓度。要求父母填写有关参与者的一般特征和口腔健康行为的问卷。“中国7岁以下儿童生长标准”用于评估所有参与儿童的营养状况。采用Wilcoxon秩和检验和多因素logistic回归分析,龋齿活动和营养不良。
结果:总共635名符合标准的儿童被纳入本研究。在调整混杂因素后,logistic回归分析显示,与正常儿童相比,低体重儿童发生ECC的风险显著增加(OR=5.43,P<0。05);与正常儿童比拟,超重和肥胖儿童患ECC的风险降低(OR=0.31,P<0.001);体重不足儿童患龋的严重程度高于体重正常儿童,差异有统计学意义(OR=2.69,P<0。05);发育迟缓儿童龋齿严重程度高于正常体重儿童,差异有统计学意义(OR=2.28,P<0.05);体重过轻与龋齿活动呈正相关,差异有统计学意义(OR=2.33,P<0.05)。05);发育迟缓与龋齿活动呈正相关,具有统计学意义(OR=2.1,P<0.05);超重和肥胖与龋齿活动呈负相关,具有统计学意义(OR=0.61,P<0.05)。
结论:3-5岁儿童的ECC风险与营养不良呈正相关,与营养过剩呈负相关。3-5岁儿童的ECC严重程度与营养不良呈正相关。3-5岁儿童的龋齿活动与营养不良呈正相关,与营养过剩呈负相关。
BACKGROUND: This study aims to investigate the association between malnutrition and early childhood caries (ECC) and caries activity among children aged 3-5 years, in order to provide a theoretical basis for preventing and blocking ECC and improving malnutrition.
METHODS: Children aged 3-5 years from six kindergartens in Zhao Xian,
China were enrolled in this study. The decayed, missing, filled teeth (dmft) of all children were examined and recorded. The Cariostat method was used to detect dental caries activity, collect anthropometric data and measure haemoglobin concentration. Parents were asked to complete a questionnaire on the general characteristics and oral health behaviour of the participants. The \"Growth Standards for Chinese Children Under 7 Years Old\" was used to assess the nutritional status of all participating children. Wilcoxon rank sum test and multivariate logistic regression analysis were used to analyse and evaluate the relationship between ECC, caries activity and malnutrition.
RESULTS: A total of 635 children who met the criteria were included in this study. After adjusting for confounding factors, logistic regression showed that the risk of ECC was significantly increased in underweight children compared with normal children (OR = 5.43, P < 0. 05); compared with normal children, the risk of ECC decreased in overweight and obese children (OR = 0.31, P < 0.001); underweight children had higher caries severity than normal weight children, and the difference was statistically significant (OR = 2.69, P < 0. 05); stunted children had higher caries severity than normal weight children and the difference was statistically significant (OR = 2.28, P < 0.05); underweight was positively associated with caries activity and the association was statistically significant (OR = 2.33, P < 0. 05); stunting was positively associated with caries activity and the association was statistically significant (OR = 2.1, P < 0.05); overweight and obesity were negatively associated with caries activity and the association was statistically significant (OR = 0.61, P < 0.05).
CONCLUSIONS: The risk of ECC among children aged 3-5 years was positively associated with undernutrition and negatively associated with overnutrition. The severity of ECC among children aged 3-5 years was positively associated with undernutrition. The caries activity among children aged 3-5 years was positively associated with undernutrition and negatively associated with overnutrition.