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Untreated severe dental decay: a neglected determinant of low Body Mass Index in 12-year-old Filipino children

BACKGROUND: Dental decay is the most common childhood disease worldwide and most of the decay remains untreated. In the Philippines caries levels are among the highest in the South East Asian region. Elementary school children suffer from high prevalence of stunting and underweight. The present stud...

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Autores principales: Benzian, Habib, Monse, Bella, Heinrich-Weltzien, Roswitha, Hobdell, Martin, Mulder, Jan, van Palenstein Helderman, Wim
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3160376/
https://www.ncbi.nlm.nih.gov/pubmed/21752286
http://dx.doi.org/10.1186/1471-2458-11-558
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author Benzian, Habib
Monse, Bella
Heinrich-Weltzien, Roswitha
Hobdell, Martin
Mulder, Jan
van Palenstein Helderman, Wim
author_facet Benzian, Habib
Monse, Bella
Heinrich-Weltzien, Roswitha
Hobdell, Martin
Mulder, Jan
van Palenstein Helderman, Wim
author_sort Benzian, Habib
collection PubMed
description BACKGROUND: Dental decay is the most common childhood disease worldwide and most of the decay remains untreated. In the Philippines caries levels are among the highest in the South East Asian region. Elementary school children suffer from high prevalence of stunting and underweight. The present study aimed to investigate the association between untreated dental decay and Body Mass Index (BMI) among 12-year-old Filipino children. METHODS: Data collection was part of the National Oral Health Survey, a representative cross-sectional study of 1951 11-13-year-old school children using a modified, stratified cluster sampling design based on population classifications of the Philippine National Statistics Office. Caries was scored according to WHO criteria (1997) and odontogenic infections using the PUFA index. Anthropometric measures were performed by trained nurses. Some socio-economic determinants were included as potential confounding factors. RESULTS: The overall prevalence of caries (DMFT + dmft > 0) was 82.3% (95%CI; 80.6%-84.0%). The overall prevalence of odontogenic infections due to caries (PUFA + pufa > 0) was 55.7% (95% CI; 53.5%-57.9%) The BMI of 27.1% (95%CI; 25.1%-29.1%) of children was below normal, 1% (95%CI; 0.5%-1.4%) had a BMI above normal. The regression coefficient between BMI and caries was highly significant (p < 0.001). Children with odontogenic infections (PUFA + pufa > 0) as compared to those without odontogenic infections had an increased risk of a below normal BMI (OR: 1.47; 95% CI: 1.19-1.80). CONCLUSIONS: This is the first-ever representative survey showing a significant association between caries and BMI and particularly between odontogenic infections and below normal BMI. An expanded model of hypothesised associations is presented that includes progressed forms of dental decay as a significant, yet largely neglected determinant of poor child development.
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spelling pubmed-31603762011-08-24 Untreated severe dental decay: a neglected determinant of low Body Mass Index in 12-year-old Filipino children Benzian, Habib Monse, Bella Heinrich-Weltzien, Roswitha Hobdell, Martin Mulder, Jan van Palenstein Helderman, Wim BMC Public Health Research Article BACKGROUND: Dental decay is the most common childhood disease worldwide and most of the decay remains untreated. In the Philippines caries levels are among the highest in the South East Asian region. Elementary school children suffer from high prevalence of stunting and underweight. The present study aimed to investigate the association between untreated dental decay and Body Mass Index (BMI) among 12-year-old Filipino children. METHODS: Data collection was part of the National Oral Health Survey, a representative cross-sectional study of 1951 11-13-year-old school children using a modified, stratified cluster sampling design based on population classifications of the Philippine National Statistics Office. Caries was scored according to WHO criteria (1997) and odontogenic infections using the PUFA index. Anthropometric measures were performed by trained nurses. Some socio-economic determinants were included as potential confounding factors. RESULTS: The overall prevalence of caries (DMFT + dmft > 0) was 82.3% (95%CI; 80.6%-84.0%). The overall prevalence of odontogenic infections due to caries (PUFA + pufa > 0) was 55.7% (95% CI; 53.5%-57.9%) The BMI of 27.1% (95%CI; 25.1%-29.1%) of children was below normal, 1% (95%CI; 0.5%-1.4%) had a BMI above normal. The regression coefficient between BMI and caries was highly significant (p < 0.001). Children with odontogenic infections (PUFA + pufa > 0) as compared to those without odontogenic infections had an increased risk of a below normal BMI (OR: 1.47; 95% CI: 1.19-1.80). CONCLUSIONS: This is the first-ever representative survey showing a significant association between caries and BMI and particularly between odontogenic infections and below normal BMI. An expanded model of hypothesised associations is presented that includes progressed forms of dental decay as a significant, yet largely neglected determinant of poor child development. BioMed Central 2011-07-13 /pmc/articles/PMC3160376/ /pubmed/21752286 http://dx.doi.org/10.1186/1471-2458-11-558 Text en Copyright ©2011 Benzian et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Benzian, Habib
Monse, Bella
Heinrich-Weltzien, Roswitha
Hobdell, Martin
Mulder, Jan
van Palenstein Helderman, Wim
Untreated severe dental decay: a neglected determinant of low Body Mass Index in 12-year-old Filipino children
title Untreated severe dental decay: a neglected determinant of low Body Mass Index in 12-year-old Filipino children
title_full Untreated severe dental decay: a neglected determinant of low Body Mass Index in 12-year-old Filipino children
title_fullStr Untreated severe dental decay: a neglected determinant of low Body Mass Index in 12-year-old Filipino children
title_full_unstemmed Untreated severe dental decay: a neglected determinant of low Body Mass Index in 12-year-old Filipino children
title_short Untreated severe dental decay: a neglected determinant of low Body Mass Index in 12-year-old Filipino children
title_sort untreated severe dental decay: a neglected determinant of low body mass index in 12-year-old filipino children
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3160376/
https://www.ncbi.nlm.nih.gov/pubmed/21752286
http://dx.doi.org/10.1186/1471-2458-11-558
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