Volume 21 Issue 12
Dec.  2023
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SUN Taolan, YAN Xinmiao, LU Yuhang, TAN Xin, WANG Zhuo, LI Miaojing. Correlation between caries and body mass index and waist circumference in children aged 11 to 13 in Sichuan Province[J]. Chinese Journal of General Practice, 2023, 21(12): 2128-2132. doi: 10.16766/j.cnki.issn.1674-4152.003306
Citation: SUN Taolan, YAN Xinmiao, LU Yuhang, TAN Xin, WANG Zhuo, LI Miaojing. Correlation between caries and body mass index and waist circumference in children aged 11 to 13 in Sichuan Province[J]. Chinese Journal of General Practice, 2023, 21(12): 2128-2132. doi: 10.16766/j.cnki.issn.1674-4152.003306

Correlation between caries and body mass index and waist circumference in children aged 11 to 13 in Sichuan Province

doi: 10.16766/j.cnki.issn.1674-4152.003306
Funds:

 20PJ122

  • Received Date: 2023-07-11
    Available Online: 2024-01-29
  •   Objective  To investigate the prevalence of dental caries and obesity in children aged 11-13 years in Sichuan Province, and to explore the relationship between dental caries and body mass index and waist circumference, in order to provide a reference for formulating intervention strategies for childhood obesity and dental caries.  Methods  From May 2021 to March 2022, a total of 5 992 permanent resident children aged 11-13 years in 8 cities in Sichuan Province were examined by questionnaire, physical examination and dental caries examination, and their height and weight were measured to calculate their body mass index. Study participants were classified as emaciated, normal, overweight or obese according to the 2014 comprehensive assessment criteria for the developmental status of children and adolescents. Waist circumference was measured and recorded to determine whether central obesity was diagnosed according to the high waist circumference screening threshold recommended by the National Health Commission in 2018. Spearman correlation analysis was used to examine the relationship between body mass index, waist circumference and caries loss and the supplementation index. Unconditional logistic regression analysis was used to analyze the relationship between overweight, central obesity and dental caries.  Results  The prevalence of caries was 36.75% (2 202), overweight 20.64% (1 237) and central obesity 14.85% (890). Spearman correlation analysis showed that both body mass index and waist circumference were negatively correlated with the caries loss index (all P < 0.001). After adjustment for confounders, multivariate logistic regression analysis showed that compared with overweight OR obese children, children with normal body mass index (OR=1.363, 95% CI: 1.187-1.565) and those with wasting (OR=1.652, 95% CI: 1.309-2.085) had a higher risk of dental caries. Compared to children with central obesity, children with normal waist circumference had a higher risk of dental caries (OR=1.385, 95% CI: 1.186-1.618). Compared to children who were neither overweight nor centrally obese, the risk of dental caries was reduced in overweight obese children alone and in overweight obese children with central obesity.  Conclusion  The prevalence of dental caries in children aged 11-13 years in Sichuan Province is high, and oral intervention measures should be further strengthened. Body mass index and waist circumference were negatively correlated with dental caries in children. Overweight or obesity and central obesity reduced the risk of caries in children.

     

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