World Journal of Dentistry

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VOLUME 12 , ISSUE 1 ( January-February, 2021 ) > List of Articles

ORIGINAL RESEARCH

Association between Oral Health and Body Mass Index among Schoolchildren

Fehim Haliti, Ardiana Murtezani, Bernard Tahirbegolli, Dafina Dobërdoli, Arbnore Batalli-Këpuska

Keywords : Caries, Obesity, Oral health, Physical activity, Schoolchildren

Citation Information : Haliti F, Murtezani A, Tahirbegolli B, Dobërdoli D, Batalli-Këpuska A. Association between Oral Health and Body Mass Index among Schoolchildren. World J Dent 2021; 12 (1):84-88.

DOI: 10.5005/jp-journals-10015-1781

License: CC BY-NC 4.0

Published Online: 00-02-2021

Copyright Statement:  Copyright © 2021; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim and objective: This study aimed to investigate the association of oral health by body mass index (BMI) among schoolchildren of Kosovo. Materials and methods: A comparative-descriptive study was conducted using a sample of 270 children of age group 12–14 years, of both genders, who were selected from various schools along with Kosovo. A questionnaire was used to obtain information on children\'s demographic characteristics, oral hygiene practices, and dietary habits. Their parental education levels, family incomes, and leisure time activities were also obtained by questionnaire at recruitment. Clinical outcomes were assessed according to the Decayed/Missing/Filled Teeth (DMFT) index and the oral hygiene index-simplified (OHI-S). Adjusted for age, gender, height, and weight, BMI-age percentiles were calculated using the BMI Percentile Calculator for Child and Teen, and children were classified as underweight, normal, overweight, and obese considering age and sex. In the statistical analysis, differences between categorical variables were tested with the Chi-square test (χ2) and contingency tables. Results: Caries was present in 47.4% of children. A maximum number of caries affected children belonged to the healthy weight and obesity group, followed by overweight, and the least number was underweight (p < 0.003). We found a significant difference between DMFT (p < 0.02) and OHI-S values (p < 0.002) and BMI-age percentiles subgroups. Conclusion: The results show a difference in outcomes between DMFT and OHI-S values among BMI-age percentiles subgroups in schoolchildren. Children aged 12 years, from the obese category, had more cases with higher DMFT (significant difference p < 0.003), and also more cases with the high OHI-S value were detected among children from the obesity subgroup (p < 0.002). Clinical significance: Obesity, oral health, and dental caries have common risk determinants and require a comprehensive multidisciplinary approach to children by both medical and dental healthcare professionals.


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  1. Mathus-Vliegen EM, Nikkel D, Brand HS. Oral aspects of obesity. Int Dent J 2007;57(4):249–256. DOI: 10.1111/j.1875-595X.2007.tb00128.x.
  2. Anand N, Suresh M, Chandrasekaran SC. Effect of obesity and lifestyle on the oral health of pre adolescent children. J Clin Diagnos Res: JCDR 2014;8(2):196. DOI: 10.7860/JCDR/2014/6694.4058.
  3. Robinson TN. Television viewing and childhood obesity. Pediatr Clin North Am 2001;48(4):1017–1025. DOI: 10.1016/S0031-3955(05)70354-0.
  4. Canning P, Courage ML, Frizzell LM, et al. Obesity in a provincial population of Canadian preschool children: differences between 1984 and 1997 birth cohorts. Int J Pediat Obes 2007;2(1):51–57. DOI: 10.1080/17477160601124613.
  5. Gunjalli G, Kumar KN, Jain SK, et al. Total salivary anti-oxidant levels, dental development and oral health status in childhood obesity. J Int Oral Health: JIOH 2014;6(4):63.
  6. Omar OM, Metwali NE, Elsedfy ZB, et al. Life-style and body mass index, implication for oral health in a group of Egyptian children. Cairo Dent J Part (II) 2007;183:192.
  7. Medina-Escobedo M, Villanueva-Jorge S, González-Hoil D, et al. Crystalluria due to calcium oxalate and uric acid, its relationship with pH, calciuria and uricosuria. Biochemistry 2005;30(2):47–52.
  8. Kantovitz KR, Pascon FM, Rontani RM, et al. Obesity and dental caries--a systematic review. Oral Health Prev Dent 2006;4(2):137–144.
  9. Milgrom P, Riedy CA, Weinstein P, et al. Dental caries and its relationship to bacterial infection, hypoplasia, diet, and oral hygiene in 6-to 36-month-old children. Commun Dent Oral Epidemiol 2000;28(4):295–306. DOI: 10.1034/j.1600-0528.2000.280408.x.
  10. de Anselmo-Peres K, de Magallanes-Bastos J, Dias-de Oliveira Latorre M. Caries severity in children and relationship with social and behavioral aspects. Rev Saúde Pública 2000;34(4):402–408. DOI: 10.1590/S0034-89102000000400014.
  11. Centers for Disease Control and Prevention, U.S. Department of Health and Human Services. National Center for Health Statistics Clinical Growth Charts. Atlanta (GA): Centers for Disease Control and Prevention, U.S. Department of Health and Human Services; 2006.
  12. World Health Organization. Oral health survey–-basic methods. 4th ed., Geneva, Switzerland: WHO; 1997.
  13. Simplified Oral Hygiene Index | OHI-S - Oral Health Database, Malmö University, 1964.
  14. Yao Y, Ren X, Song X, et al. The relationship between dental caries and obesity among primary school children aged 5 to 14 years. Nutr Hosp 2014;30(1):60–65.
  15. Cheng Y, Liao Y, Chen D, et al. Prevalence of dental caries and its association with body mass index among school-age children in Shenzhen, China. BMC Oral Health 2019;19(1):270. DOI: 10.1186/s12903-019-0950-y.
  16. Almerich-Torres T, Bellot-Arcís C, Almerich-Silla JM. Relationship between caries, body mass index and social class in Spanish children. Gac Sanit 2017;31(6):499–504. DOI: 10.1016/j.gaceta.2016.09.005.
  17. Goodarzi A, Heidarnia A, Tavafian S, et al. Association between dental caries and body mass index-for-age among 10-12-year-old female students in Tehran. Int J Prevent Med 2019;10(1):28. DOI: 10.4103/ijpvm.IJPVM_528_18.
  18. Bhayat A, Ahmad MS, Fadel HT, Association between body mass index, diet and dental caries in Grade 6 boys in Medina, Saudi Arabia.
  19. Campus G, Lumbau A, Lai S, et al. Socio–economic and behavioural factors related to caries in twelve–year–old sardinian children. Caries Res 2001;35(6):427–434. DOI: 10.1159/000047486.
  20. Köksal E, Tekçiçek M, Yalçın SS, et al. Association between anthropometric measurements and dental caries in Turkish school children. Cent Eur J Public Health 2011;19(3):147. DOI: 10.21101/cejph.a3648.
  21. Gupta P, Gupta N, Singh HP. Prevalence of dental caries in relation to body mass index, daily sugar intake, and oral hygiene status in 12-year-old school children in Mathura city: a pilot study. Int J Pediatr 2014;2014:921823. DOI: 10.1155/2014/921823.
  22. Moreira PV, Rosenblatt A, Severo AM. Prevalence of dental caries in obese and normal-weight Brazilian adolescents attending state and private schools. Commun Dent Health 2006;23(4):251.
  23. Willershausen B, Moschos D, Azrak B, et al. Correlation between oral health and body mass index (BMI) in 2071 primary school pupils. Eur J Med Res 2007;12(7):295.
  24. Willershausen B, Haas G, Krummenauer F, et al. Relationship between high weight and caries frequency in German elementary school children. Eur J Med Res 2004;9:400–404.
  25. Sánchez-Pérez L, Irigoyen M, Zepeda M. Dental caries, tooth eruption timing and obesity: a longitudinal study in a group of Mexican schoolchildren. Acta Odontol Scand 2010;68(1):57–64. DOI: 10.3109/00016350903449367.
  26. Halder S, Kaul R, Angrish P, et al. Association between obesity and oral health status in schoolchildren: a survey in five districts of West Bengal, India. Int J Clin Pediat Dentis 2018;11(3):233. DOI: 10.5005/jp-journals-10005-1517.
  27. Pinto A, Kim S, Wadenya R, et al. Is there an association between weight and dental caries among pediatric patients in an urban dental school? A correlation study. J Dent Educat 2007;71(11):1435–1440. DOI: 10.1002/j.0022-0337.2007.71.11.tb04414.x.
  28. Fernandez MR, Goettems ML, Demarco FF, et al. Is obesity associated to dental caries in Brazilian schoolchildren? Brazil Oral Res 2017;31(0):e83. DOI: 10.1590/1807-3107bor-2017.vol31.0083.
  29. Macek MD, Mitola DJ. Exploring the association between overweight and dental caries among US children. Pediat Dentis 2006;28(4):375–380.
  30. Tripathi S, Kiran K, Kamala BK. Relationship between obesity and dental caries in children-a preliminary study. J Int Oral Health 2010;2(4):65–72.
  31. Gerdin EW, Angbratt M, Aronsson K, et al. Dental caries and body mass index by socio-economic status in Swedish children. Commun Dentis Oral Epidemiol 2008;36(5):459–465. DOI: 10.1111/j.1600-0528.2007.00421.x.
  32. Alm A, Fåhraeus C, Wendt LK, et al. Body adiposity status in teenagers and snacking habits in early childhood in relation to approximal caries at 15 years of age. Int J Paediat Dentis 2008;18(3):189–196. DOI: 10.1111/j.1365-263X.2007.00906.x.
  33. Feese M, Franklin F, Murdock M, et al. Prevalence of obesity in children in Alabama and Texas participating in social programs. JAMA 2003;289(14):1780–1781. DOI: 10.1001/jama.289.14.1780-b.
  34. Larsson B, Johansson I, Weinehall L, et al. Cardiovascular disease risk factors and dental caries in adolescents: effect of a preventive program in Northern Sweden (the Norsjö project). Acta Paediatr 1997;86(1):63–71. DOI: 10.1111/j.1651-2227.1997.tb08834.x.
  35. Ravishankar TL, Malik A, Tirth A, et al. Association of dental caries and obesity with television viewing practices among school children of Moradabad city. J Clin Diagn Res 2016;4(124):2376-0311.
  36. Auad SM, Waterhouse PJ, Nunn JH, et al. Dental caries and its association with sociodemographics, erosion, and diet in schoolchildren from southeast Brazil. Pediat Dentis 2009;31(3):229–235.
  37. Touger-Decker R, Mobley CC. Position of the american dietetic association: oral health and nutrition. J Am Diete Associat 2007;107(8):1418–1428. DOI: 10.1016/j.jada.2007.06.003.
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