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      Caries experience and its association with weight status among 8-year-old children in Qingdao, China

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          Abstract

          Objectives:

          Childhood obesity/underweight status and caries are both important public health problems. This study aims to investigate the caries status and its association with body weight in 8-year-old children in Qingdao, China.

          Materials and Methods:

          We initiated a cross-sectional investigation on 744 children aged 8 years during the Oral Health Survey in 2012. Dental caries assessments were carried out and weight status was recorded accordingly. The resulting caries status including caries prevalence, dmft (deciduous dentition), and (dmft + DMFT) (mixed dentition), as well as BMI indices were analyzed for comparison and correlation.

          Results:

          The prevalence of dental caries among the 744 children aged 8 years participating in this survey was 86.3%. The caries status represented by dmft (deciduous dentition) and (dmft + DMFT) (mixed dentition) values was 4.31 and 4.85, respectively, and the restoration rate was extremely low, which was no more than 3.0%. Significant difference was found in dmft/(dmft + DMFT) values between different BMI groups, and underweight individuals were found to have the highest dmft/(dmft + DMFT) value. An inverse relationship between body BMI and dmft/(dmft + DMFT) index was identified based on Pearson's correlation.

          Conclusions:

          A severe state of caries disease was revealed in 8-year-old children in the Chinese city of Qingdao, for whom urgent dental intervention and treatment were needed. Furthermore, underweight individuals were found with the most severe caries experience, indicating caries may affect the development and growth of the afflicted children. Thus, more emphasis should be placed on improving their dental health, with caries prevention being given the priority.

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          Most cited references28

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          2000 CDC Growth Charts for the United States: methods and development.

          This report provides detailed information on how the 2000 Centers for Disease Control and Prevention (CDC) growth charts for the United States were developed, expanding upon the report that accompanied the initial release of the charts in 2000. The growth charts were developed with data from five national health examination surveys and limited supplemental data. Smoothed percentile curves were developed in two stages. In the first stage, selected empirical percentiles were smoothed with a variety of parametric and nonparametric procedures. In the second stage, parameters were created to obtain the final curves, additional percentiles and z-scores. The revised charts were evaluated using statistical and graphical measures. The 1977 National Center for Health Statistics (NCHS) growth charts were revised for infants (birth to 36 months) and older children (2 to 20 years). New body mass index-for-age (BMI-for-age) charts were created. Use of national data improved the transition from the infant charts to those for older children. The evaluation of the charts found no large or systematic differences between the smoothed percentiles and the empirical data. The 2000 CDC growth charts were developed with improved data and statistical procedures. Health care providers now have an instrument for growth screening that better represents the racial-ethnic diversity and combination of breast- and formula-feeding in the United States. It is recommended that these charts replace the 1977 NCHS charts when assessing the size and growth patterns of infants, children, and adolescents.
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            Dietary recommendations for children and adolescents: a guide for practitioners: consensus statement from the American Heart Association.

            Since the American Heart Association last presented nutrition guidelines for children, significant changes have occurred in the prevalence of cardiovascular risk factors and nutrition behaviors in children. Overweight has increased, whereas saturated fat and cholesterol intake have decreased, at least as percentage of total caloric intake. Better understanding of children's cardiovascular risk status and current diet is available from national survey data. New research on the efficacy of diet intervention in children has been published. Also, increasing attention has been paid to the importance of nutrition early in life, including the fetal milieu. This scientific statement summarizes current available information on cardiovascular nutrition in children and makes recommendations for both primordial and primary prevention of cardiovascular disease beginning at a young age.
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              Early childhood caries and quality of life: child and parent perspectives.

              The purpose of this study was to investigate the effects of early childhood caries (ECC) on children's oral health-related quality of life (QOL) before and 4 weeks after its treatment, as assessed by the children themselves as well as by their parents/guardians. This study had a longitudinal intervention design. Sixty-nine children diagnosed with ECC and 43 children without caries (combined children's mean age=50.4 months; range=22 to 70 months) and their parents/guardians responded to face-to-face administered surveys before a dental treatment was started (baseline assessment). Thirty-seven children with ECC completed dental rehabilitation. Four weeks after the treatment was completed, these 37 children as well as their parents/guardians responded to a second survey (follow-up assessment). The results show that children with ECC have significantly lower oral health-related QOL than children without ECC as assessed both by the children and the parents/guardians at baseline. The children with ECC who received dental treatment had a significantly improved oral health-related QOL at the follow-up assessment when compared with their baseline measurement as measured both with the children's self-ratings of oral health-related QOL and the parents'/guardians' perception of their child's oral health-related QOL. ECC and its treatment affect children's oral health-related QOL in a significant way. Oral health-related QOL can be assessed validly and reliably both in self-reports from children as young as 36 months of age as well as by asking parents/guardians about their perceptions of their child's oral health-related QOL.
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                Author and article information

                Journal
                J Int Soc Prev Community Dent
                J Int Soc Prev Community Dent
                JISPCD
                Journal of International Society of Preventive & Community Dentistry
                Medknow Publications & Media Pvt Ltd (India )
                2231-0762
                2250-1002
                Jan-Feb 2015
                : 5
                : 1
                : 52-58
                Affiliations
                [1]Oral Research Center, Qingdao Municipal Hospital, Qingdao, Shandong, China
                [1 ]Department of Stomatology, General Hospital of Ningxia Medical University, Yinchuan, Ningxia, China
                Author notes
                corresponding author (email: < yangf82@ 123456sina.com >) Dr. Exiang Guo, 5# Donghai Road, Oral Research Center, Qingdao Municipal Hospital, Qingdao, Shandong - 266 011, China.
                Article
                JISPCD-5-52
                10.4103/2231-0762.151978
                4355851
                25767768
                2dd8fbd6-2219-44fd-a750-8567cd33bd51
                Copyright: © Journal of International Society of Preventive and Community Dentistry

                This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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                Categories
                Original Article

                caries,cross-sectional survey,epidemic survey,obesity,weight

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