儿童超重及肥胖与牙周健康状况的相关性调查

›› 2018, Vol. 38 ›› Issue (11): 1015-1019.

儿童超重及肥胖与牙周健康状况的相关性调查

郭雨桐¹,庞波¹,张紫涵¹,张芷莲¹,吕欣蔚¹,牛毓龙²,丁一³,刘程程³

1. 四川大学华西口腔医学院
2. 四川大学生命科学学院，生物资源与生态环境教育部重点实验室
3. 口腔疾病研究国家重点实验室，四川大学华西口腔医院牙周病科

收稿日期:2018-02-28 修回日期:2018-03-27 出版日期:2018-11-28 发布日期:2018-11-30
通讯作者: 刘程程 E-mail:liuchengcheng519@163.com
基金资助:
国家自然科学基金青年科学基金项目;四川省科技厅创新苗子工程资助项目

Study on the association between overweight-obesity and periodontal status in children

Received:2018-02-28 Revised:2018-03-27 Online:2018-11-28 Published:2018-11-30

摘要/Abstract

摘要： ［摘要］目的探究10～11岁儿童超重及肥胖与牙周状况之间的关系。方法纳入成都市198名10～11岁儿童，其中男106名，女92名。检查受试者身高、体重、腰围，计算体质指数(BMI)、记录刷牙习惯和牙周状况。以BMI作为标准纳入超重肥胖组（实验组）98人、正常组（对照组）100人，以腰围为标准纳入超重肥胖组（实验组）94人、正常组（对照组）104人。牙周检查内容包括探诊出血指数(BOP)、可见菌斑指数(VPI)、牙石指数(CI)和探诊深度(PD)。采用χ2检验、t检验、单因素及多因素Logistic回归模型进行分析。结果BMI和腰围标准分组下，实验组的口腔卫生习惯均差于对照组（P＜0.01），BOP、VPI＞0.25人数、CI高于对照组（P＜0.01），出现PD＞3 mm的人数无统计学差异。控制VPI＞0.25、口腔卫生习惯不良作为混杂因素，BMI标准的超重/肥胖是BOP>0.25的危险因素(OR=1.911，95% CI 1.02~3.58)，腰围标准的超重/肥胖是BOP>0.25（OR=1.78，95% CI 1.28~3.39）和出现牙石（OR=1.88，95% CI 1.03~3.58）的危险因素。结论 10～11岁儿童中全身性肥胖与BOP相关，腹型肥胖与BOP和出现牙石均存在关联。

关键词: 儿童, 超重/肥胖, 牙周状况, 体质指数 , 腰围

Abstract: Objective　To analyze the association between periodontal status and overweight-obesity in children aged 10 to 11. Methods　198 children aged 10 to 11 of both gender (106 males and 92 females) in Chengdu were included in this case-control study. Subjects answered a questionnaire about their habits of brushing teeth. Anthropometric examinations of height, weight, waist circumference and clinical examination of bleeding on probing (BOP), visible plaque index (VPI), calculus index (CI) and probing depth (PD) were carried out. Body mass index (BMI) was further calculated. Under the BMI standard , 98 and 100 were respectively included in the overweight and obesity group (test group) and normal group (control group), while under the waist circumference standard , 94 and 104 were included in the test group and control group.χ2 test, t test, bivariate and multivariate logistic regression model were used to analyze data. Results Under both standards, the test group showed worse oral hygiene status (P＜0.01), higher BOP, larger population of VPI>0.25 and CI (P＜0.01) than the control group .No statistically significant difference was found between groups regarding PD＞3mm. In multivariate logistic regression analysis, keeping VPI＞0.25 and poor oral hygiene as confounding factors, overweight-obesity under the BMI standard was a risk factor of BOP＞0.25(OR=1.911,95%CI 1.02-3.58), while overweight-obesity under the waist circumference standard was a risk factor of both BOP＞0.25 (OR=1.78,95%CI 1.28-3.39) and occurrence of calculus (OR=1.88, 95%CI 1.03-3.58). Conclusion In children aged 10 to 11, systemic obesity is associated with BOP and abdominal obesity is associated with both BOP and occurrence of calculus.

Key words: Children, Overweight/Obesity, Periodontal status, Body mass index, Waist circumference

郭雨桐庞波张紫涵张芷莲吕欣蔚牛毓龙丁一刘程程. 儿童超重及肥胖与牙周健康状况的相关性调查[J]. , 2018, 38(11): 1015-1019.

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