Effect of body weight and behavioural factors on caries severity in Mexican rural and urban adolescents

Lara-Capi, Cynthia; Cagetti, Maria Grazia; Cocco, Fabio; Lingström, Peter; Garcı́a-Godoy, F; Campus, Guglielmo

doi:10.1111/idj.12351

Cited by 13 publications

(32 citation statements)

References 25 publications

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“…Such detailed information aids in the management of the patient's dental health and decision‐making regarding selection of the appropriate treatment methods . Our results showed no difference in the maximum ICDAS code recorded per child between the NW and OW groups ( P > .05), corroborating the results from a similar study on Mexican adolescent subjects . The NW group, however, showed a higher prevalence of extensive carious lesions (ICDAS 5‐6) and the OW group exhibited a higher prevalence of initial carious lesions (ICDAS 1‐2).…”

Section: Discussionsupporting

confidence: 88%

“…Studies using the DMF index in Germany and Iran have shown a positive association between dental caries and obesity in children aged 6‐11 years . Conversely, studies using WHO criteria or ICDAS demonstrated no association between obesity and caries in children/adolescents aged 6‐12 years. Differences in methodology, such as experimental design, population and sample size, socioeconomic status, gender, educational level, occupation of the parents, lifestyle, dental caries index, BMI classification, physical activity, dietary habits, use of fluoride and oral hygiene, should be considered in attempting to explain the conflicting data.…”

Section: Discussionmentioning

confidence: 99%

“…It should be pointed out that the use of different ICDAS thresholds may influence diagnostic accuracy. To our knowledge, some studies addressed the association between obesity and dental caries assessed by ICDAS criteria measured as enamel caries (ICDAS 1‐3) and dentin caries (ICDAS 4‐6) or ICDAS codes 1‐6/4‐6 …”

Section: Discussionmentioning

confidence: 99%

“…Yet, the use of validated criteria seems to improve the accuracy of visual inspection . The International Caries Detection and Assessment System (ICDAS) aims the detection of the different stages of caries severity and is suitable for overweight/obese children …”

Section: Introductionmentioning

confidence: 99%

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Overweight/obese children are associated with lower caries experience than normal‐weight children/adolescents

Guaré

Santos

Novaes

et al. 2019

Int J Paed Dentistry

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Aim To compare (a) enamel carious (EC) and dentin carious (DC) lesions and (b) caries risk, between normal‐weight (NW) and overweight/obese (OW) children/adolescents. Design In this cross‐sectional study, 91 participants aged 6‐12 years were classified according to the body mass index (BMI): NW (n = 50) and OW (n = 41). Caries experience was evaluated using the International Caries Detection and Assessment System (ICDAS) with two thresholds: “EC/DC” (ICDAS 1‐3/4‐6) and “DC” (ICDAS 4‐6). Caries risk was determined by the Caries Management by Risk Assessment (CAMBRA) system. A logistic regression analysis was performed to determine the association among OW, caries thresholds, and caries risk. Results Caries experience was similar for both groups at the “EC/DC” threshold (P = .477) and higher for the NW group at the “DC” threshold (P = .009). For CAMBRA, caries risk classification was similar for both groups (P = .082). The logistic regression showed the OW group was less likely to exhibit radiographically visible proximal carious lesions (odds ratio [OR] of 0.330, P = .019), thick biofilm visible on the tooth surface (OR = 0.360, P = .019), high caries risk (OR = 0.367, P = .039), and moderate‐to‐high caries levels (OR = 0.190, P = .022). Conclusion OW children/adolescents had lower caries experience, at both ICDAS thresholds, and lower caries risk, compared to NW children/adolescents.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Overweight/obese children are associated with lower caries experience than normal‐weight children/adolescents

Guaré

Santos

Novaes

et al. 2019

Int J Paed Dentistry

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“…An ad hoc questionnaire was build-up to assess general health, eating habits, oral hygiene and the self-perception of oral conditions, based on previous surveys [12][13][14][15]. Direct face to face interviews were conducted with at least one parent of the children under the age of 12, while older children were asked to answer a self-administered questionnaire.…”

Section: Methodsmentioning

confidence: 99%

Life-conditions and anthropometric variables as risk factors for caries in children in Ladakh: A cross- sectional survey.

Cagetti

Cocco

Calzavara

et al. 2020

Preprint

Self Cite

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Backgrounds The aim of this survey was to evaluate the severity of dental caries among Ladakh children and its association with anthropometric and background variables. Methods This cross‐sectional epidemiological survey was conducted on Ladakh schoolchildren divided into four age groups (<6, ≥6<11, ≥11≤14 and >14 years of age). A total of 1474 schoolchildren (607 males 41.18% and 867 females 58.82%) were examined. Actual dental caries prevalence (dt/DT) and gingival bleeding were recorded by four calibrated examiners. An ad hoc questionnaire evaluated general health, eating habits, oral hygiene and the self-perception of oral conditions. Height, weight, waist circumference, heart-rate and oxygen-saturation were also collected. Responses to questionnaire items were treated as categorical or ordinal variables. Relation between children’s caries data, gingival bleeding, gender, Body Mass Index (BMI) following the International Obesity Task Force, waist circumference and questionnaire items were assessed using the Kruskal–Wallis test. Conditional ordinal logistic regression was used to analyse associations among caries severity, gender, BMI, waist circumference, oxygen saturation and questionnaire. A forward stepwise logistic regression procedure was also assessed to estimate the ORs of gingival bleeding prevalence and the covariates derived from examination or questionnaire. Results Caries was almost ubiquitarian with only 10.04% of caries-free children (dt/DT=0). Caries severity, in both primary and permanent dentitions was statistically significantly related to gender, waist circumference, BMI, oral hygiene frequency and self-reported chewing problems (p<0.01 in both dentitions). An increasing relative risk for caries in permanent dentition compared to caries-free subjects was observed in children with a low BMI (RRR=1.67, 95% CI=1.54/2.83 for subjects with 1-3 caries lesions and RRR=1.52, 95% CI=1.36/1.74 for subjects with more than 3 caries lesions); also children with reduced waist circumference had a higher relative risk to have 1-3 caries lesions (RRR=2.16, 95% CI=1.84 / 2.53) and an even higher risk to have more than 3 caries lesions (RRR=4.22, 95% CI=3.33 / 5.34). Conclusion A significant impact of untreated caries lesions was observed; low BMI values and reduced waist circumference showed to be the main caries risk predictors. Preventive and intervention programmes should be implemented to improve children's oral health living in Ladakh.

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A preliminary study on health impacts of Mexican mercury mining workers in a context of precarious employment

Saldaña-Villanueva

Pérez‐Vázquez

Ávila-García

et al. 2022

Journal of Trace Elements in Medicine and Biology

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Effect of body weight and behavioural factors on caries severity in Mexican rural and urban adolescents

Abstract: Overweight was not associated with caries severity in the overall population, but it became a statistically significant risk indicator in adolescents living in the rural area.

Cited by 13 publications

References 25 publications

Overweight/obese children are associated with lower caries experience than normal‐weight children/adolescents

Overweight/obese children are associated with lower caries experience than normal‐weight children/adolescents

Life-conditions and anthropometric variables as risk factors for caries in children in Ladakh: A cross- sectional survey.

A preliminary study on health impacts of Mexican mercury mining workers in a context of precarious employment

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