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首页> 外文期刊>Journal of Eating Disorders >Diet and behavioral habits related to oral health in eating disorder patients: a matched case-control study
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Diet and behavioral habits related to oral health in eating disorder patients: a matched case-control study

机译：饮食和行为习惯与口腔健康有关的饮食障碍患者：匹配案例对照研究

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Background:Patients suffering from eating disorders (ED) have a substantially increased risk for developing poor oral health. In this regard, dietary habits in combination with obsessive behavior as well as the expression and intensity of the disease are of utmost importance. This study aimed to investigate diet and behavioral habits in patients with ED compared to healthy controls.Methods:All patients who initiated treatment in an ED clinic during 1 year were invited to participate in the study. Sixty-five patients were admitted out of which 54 agreed to participate: 50 women and 4 men, mean age 21.5?years, range 10-50?years. From a public dental health clinic, 54 sex-and age-matched controls where selected. In all participants a comprehensive questionnaire was completed. ED patients were analyzed with respect to their self-perceived disease state: when they felt "relatively good" (ED-good) and "bad" (ED-bad) as well as if they reported vomiting or not.Results:The ED-good patients reported significantly higher intake of caffeine-containing and cola light soft drinks and both study groups reported a lower intake of regularly sweetened carbonated drinks compared to controls. ED-bad reported significantly lower intake of number of meal and sweet intake while both study groups brushed their teeth more frequently than controls. As regards awareness of detrimental dietary intake and the possible risk for oral health complications did not differ between patients and controls except that the ED groups were more aware that vomiting and brushing thereafter could damage their teeth. ED patients went less often to the dentist for regular checkups than controls. Vomiting ED patients differed in several of the parameters related to dietary and other behaviors compared to no vomiting subjects. According to regression analyses and compared to healthy controls, predictive variables for ED-good were: higher intake of caffeine containing drinks (OR 1.34, CI 1.10-1.64) and lower intake of regular soft drinks (OR 0.57, CI 0.35-0.94). For ED-bad, lower frequency intake of lunch meals (OR 0.59, CI 0.39-0.88) and sweet biscuits were predictive (OR 0.15, CI 0.05-0.48).Conclusions:ED patients present a number of dietary and other types of behavior that are potentially harmful for oral health. It is important to retrieve reports on the ED behaviors in both relatively good and bad disease state in order for the medical team to prescribe adequate advice and treatment.? The Author(s). 2020.
机译：背景：患有饮食障碍（ED）的患者具有显影口腔健康状况不佳的风险显着增加。在这方面，饮食习惯与强迫行为组合以及疾病的表达和强度至关重要。本研究旨在调查与健康对照相比患者患者的饮食和行为习性。方法：邀请在1年内在ED诊所进行治疗的所有患者参加该研究。六十五名患者被录取为54人同意参加：50名妇女和4名男子，意思是21.5岁？年，范围为10-50岁。从公共牙科健康诊所，54个性别和年龄匹配的控制选定。在所有参与者中，全面调查问卷完成。 ED患者关于他们的自我感知疾病状态分析：当他们感受到“相对良好”（ED-POSE）和“糟糕的”（ED-BAD）以及他们报告呕吐或没有。结果：ED-良好的患者报告显着提高含咖啡因和可乐轻型软饮料的摄入量显着增加，两种研究组均报告与对照组相比较低的碳酸饮料的摄入量较低。 ED-Bad报告的膳食数量显着降低了膳食数量和甜味的摄入量，而两个研究组比对照组更频繁地刷牙。关于对有害膳食摄入的意识，并且口腔健康并发症的可能风险在患者和对照中没有差异，不同之处在于ED组更加意识到此后呕吐和刷牙可能会损坏牙齿。 ED患者对牙医的常常常常持续，而不是控制。呕吐的ED患者与膳食和其他行为相关的几个参数不同，而没有呕吐受试者。根据回归分析并与健康对照进行比较，ED的预测变量是：含有含咖啡因的预测变量（或1.34，CI 1.10-1.64）和较低摄入常规软饮料（或0.57，CI 0.35-0.94）。对于ED的午餐（或0.59，CI 0.39-0.88）和甜饼干的低频摄入量（或0.15，CI 0.05-0.48）。结论：ED患者呈现了许多膳食和其他类型的行为对口腔健康有可能有害。为了医疗团队开门充分的建议和治疗，检索对患者的ed行为报告是重要的。作者。 2020。

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