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      Association between Dental Caries and Body Mass Index-For-Age among 6-11-Year-Old Children in Isfahan in 2007

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          Abstract

          Background and aims

          Childhood obesity has been associated with high refined sugar intake. The relationship between sucrose intake and development of dental caries has been established. The aim of this study was to determine the association between age-specific body mass index (BMI-for-age) and dental caries in children.

          Materials and methods

          In this cross-sectional study a total of 1003 children were screened. Weight, height, BMI-for-age and dental caries of 633 (317 boys, 316 girls) 6-11-year-old children were clinically examined for dental caries using the World Health Organization criteria by a dentist on a dental chair. Decayed and filled teeth (DFT/dft) indices were used. BMI-for-age and dental caries were analyzed with multiple linear regression, chi-square, and t-tests using SPSS computer software.

          Results

          The findings showed that 16% of the children had a normal weight, 16.9% were at risk of overweight, and 67.1% were overweight. In the normal weight, at risk of overweight, and overweight groups, the mean ± SE for DFT were 0.34 ± 0.08, 1.23 ± 0.13 and 0.73 ± 0.05, respectively; and 2.01 ± 0.19, 2.76 ± 0.18 and 2.59 ± 0.13 respectively, for dft. Multiple linear regression showed that there was no statistically significant association between BMI-for-age and DFT (R = 0.06) and dft (R = 0.07) indices. 27.7%, 14% and 37.2% of children with normal weight, at risk of overweight and with overweight were caries free, respectively. There was statistically significant association between BMI-for-age and being caries free (p = 0.0001).

          Conclusion

          There was no association between BMI-for-age and DFT/dft indices. In addition, a high prevalence of at risk of overweight and overweight was seen among 6-11-year-old children in Isafahan, Iran.

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          Most cited references24

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          Obesity and associated modifiable environmental factors in Iranian adolescents: Isfahan Healthy Heart Program - Heart Health Promotion from Childhood.

          To evaluate the prevalence of overweight and obesity among Iranian adolescents and their relationship with modifiable environmental factors. The subjects of the present study were 1000 girls and 1000 boys, aged between 11 and 18 years selected by multistage random sampling, their parents (n = 2000) and their school staff (n = 500 subjects) in urban and rural areas of two provinces in Iran. Data concerning body mass index (BMI), nutrition and the physical activity of the subjects were analyzed by SPSSV10/Win software. The prevalence of 85th percentile 95th percentile in girls was significantly higher than boys (10.7 +/- 1.1 and 2.9 +/- 0.1%vs 7.4 +/- 0.9 and 1.9 +/- 0.1%, respectively; P 85th percentile was more prevalent in families with an average income than in high-income families (9.3 +/- 1.7 vs 7.2 +/- 1.4%, respectively; P 0.05), but the percentage of energy derived from carbo-hydrates was significantly higher in the former group compared with the latter (69.4 vs 63.2%, respectively; P < 0.05). Regular extracurricular sports activities were significantly lower and the time spent watching tele-vision was significantly higher in overweight or obese than non-obese subjects (time spent watching telelvision: 300 +/- 20 vs 240 +/- 30 min/day, P < 0.05). A significant linear association was shown between the frequency of consumption of rice, bread, pasta, fast foods and fat/salty snacks and BMI (beta = 0.05-0.06; P < 0.05). A significant correlation was shown between BMI percentiles and serum triglyceride, high-density lipoprotein-cholesterol and systolic blood pressure (Pearson's r = 0.38, -0.32 and 0.47, respectively). Enhanced efforts to prevent and control overweight from childhood is a critical national priority, even in developing countries. To be successful, social, cultural and economic influences should be considered.
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            Obesity and dental caries--A systematic review.

            The purpose of this paper was to undertake a systematic review about the relationship between obesity in childhood, adolescence and/or adulthood and the prevalence of dental caries. The authors searched Bireme, Medline, ISI, Cochrane Library and the internet for papers from 1984-2004. The main search terms were 'obesity' and 'dental caries'. The inclusion criteria were studies that defined obesity (body mass index) and dental caries (total number of decayed, and filled teeth - DFT/DFS/dft/dfs) in their subjects. The following were excluded from this paper: articles on reviews, dietary guidelines, policy statements, papers related to oral health and nutrition deficiency--underweight, and with no relation between obesity and dental caries prevalence or dental health problems. No systematic review has focused on correlating obesity and caries and only three stud ies had high levels of evidence. Only one study with high level of evidence showed direct association between obesity and dental caries. In view of the findings, further well-designed randomised studies are needed to demonstrate the relationship between dental caries and obesity.
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              Relationship between high weight and caries frequency in German elementary school children.

              Most industrialized countries experienced a change in dietary habits within the last 10 years. Growing obesity may result in an increased incidence of metabolic diseases as well as in a higher caries frequency. In an interdisciplinary study, 842 elementary school children (414 girls and 428 boys, age: 6-11 years; elementary grades 1-4) we examined. The dental examination included the determination of caries frequency (DF-T-/ df-t-values) and the medical evaluation assessed the pupils general health (i.e. the height and body weight; body mass index). The study showed that 33.7% of all school children had no decayed or filled teeth (38% of the girls, 30% of the boys). 73.9% of all pupils were within the normal weight range (74.3% of the boys, 73.4% of the girls), 12.9% of the children were overweight (12.4% of the boys, 13.5% of the girls), and 13.2% were even obese (13.3% of the boys, 13% of the girls). 35.5% of the pupils with normal weight had healthy teeth, whereas the number dropped to 27.5% in children that were overweight, and to 29.7% in the obese children. The caries prevalence (DF-T-, df-t-values) also showed a significant association to weight (Fisher-Test, p = 0.022 for df-t-distribution and p = 0.011 for DF-T-distributions). Children with normal weight were found to have average df-t-values of 2.09 (DF-T: 0.57), overweight children an average df-t-value of 2.48 (DF-T-value: 0.91), and obese children showed 3.3 (DF-T.value:0.88). Since this study showed an association between an increase of dental caries and high weight in elementary school children, the importance of nutrition with respect to high weight should be considered in future preventive programs, in addition to oral hygiene measures.
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                Author and article information

                Journal
                J Dent Res Dent Clin Dent Prospects
                J Dent Res Dent Clin Dent Prospects
                Journal of Dental Research, Dental Clinics, Dental Prospects
                Journal of Dental Research, Dental Clinics, Dental Prospects
                Tabriz University of Medical Sciences
                2008-210X
                2008-2118
                Autumn 2007
                20 December 2007
                : 1
                : 3
                : 119-124
                Affiliations
                1Assistant professor, Deptartment of Operative Dentistry, Dental School, Rafsanjan University of Medical Sciences, Iran
                2Dentist, Private Practice, Rafsanjan, Iran
                Author notes
                [* ]Corresponding Author: mostafasadeghi@ 123456yahoo.com
                Article
                10.5681/joddd.2007.021
                3529887
                23277846
                6e323d6a-06b9-4129-8ea2-5692d7a12296
                Copyright @ 2007
                History
                : 1 December 2007
                : 19 December 2007
                Categories
                Original Article

                Dentistry
                iran,dental caries,body mass index,child
                Dentistry
                iran, dental caries, body mass index, child

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