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Association between dental hygiene, gingivitis and overweight or the risk of overweight in primary teeth of 4‐ and 5‐year‐old preschoolers in México

机译:牙科卫生,牙龈炎和超重之间的关联或墨西哥4岁学龄前儿童的主要牙齿超重风险

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Abstract Objective To determine the association between dental hygiene, gingivitis and overweight or the risk of overweight according to body mass index ( BMI ). Methods A cross‐sectional study was performed with 1527 preschoolers. The children were divided into 4 groups: (i) absence of visible plaque and normal weight; (ii) absence of visible plaque and risk of overweight or overweight; (iii) presence of visible plaque and normal weight; and (iv) presence of visible plaque and risk of overweight or overweight. The clinical parameters evaluated were as follows: body mass index, degree of urban marginalization, dental caries, the simplified oral hygiene index and gingival status. Bivariate analysis and multivariate binary logistic regression models were used to identify associations between variables. Results The highest mean of gingivitis (0.28) was observed in the groups with visible plaque with normal weight and with overweight and risk of overweight. The presence of visible plaque and risk of overweight or overweight were positively associated ( P ?=?.0001) with the mean of gingivitis ( OR ?=?8.28, 95% CI ?=?3.30‐19.8). The absence of visible plaque and risk of overweight or overweight ( P ?=?.0001) were also positively associated with the presence of gingivitis ( OR ?=?2.44, 95% CI ?=?0.68‐8.06). This is after both models were adjusted by gender and degree of marginalization. Conclusions The professionals should develop interdisciplinary approaches to (i) propose appropriate interventions to improve oral health in overweight preschoolers; and (ii) propose interventions to decrease the overweight with the possibility of also reducing its association with gingivitis.
机译:摘要目的确定牙科卫生,牙龈炎和超重的关联或根据体重指数(BMI)的超重风险。方法采用1527个学龄前儿进行横截面研究。孩子们分为4组:(i)没有可见的斑块和正常重量; (ii)缺乏可见的斑块和超重或超重的风险; (iii)存在可见斑块和正常重量; (iv)存在可见斑块和超重或超重风险。评估的临床参数如下:体重指数,城市边缘化程度,龋齿,简化口腔卫生指数和牙龈地位。双变量分析和多变量二进制逻辑回归模型用于识别变量之间的关联。结果在具有正常重量和超重和超重的超重和超重的斑块中观察到牙龈炎(0.28)的最高平均值。具有牙龈炎的平均值的可见斑块的存在和超重或超重的风险是正相关的(P?=Δ0001)(或?=?8.28,95%CI?= 3.30-19.8)。没有可见的斑块和超重或超重的风险(p?=Δ0001)也与牙龈炎的存在相比(或?= 2.44,95%ci?= 0.68-8.06)。这是两种模型的性别和边缘化程度调整。结论专业人士应制定跨学科方法(i)提出适当干预措施,以改善超重学龄前儿童口头健康; (ii)提出干预措施减少超重,以减少其与牙龈炎的关联的可能性。

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