بررسي رابطه پوسيدگي هاي شديد دنداني در دوران كودكي (S-ECC) با شاخص توده بدن (BMI) در كودكان 2-4 ساله مهدكودك هاي سطح شهر تهران

Relationship between Sever Early Childhood Caries and BMI in 2-4-Year-Old Children in Tehran Kindergartens

سابقه و هدف: پوسيدگي هاي زودرس و شديد دندان در دوران كودكي (S-ECC) يكي از مشكلات مرتبط با سلامت دهان و دندان كودكان مي باشد. مطالعه حاضر با هدف تعيين رابطه پوسيدگي هاي شديد دنداني در دوران كودكي (S-ECC) با شاخص توده بدني (BMI) در كودكان 4- 2 ساله مهدكودك هاي شهر تهران در سال تحصيلي 90- 1389 انجام شد. مواد و روش ها: در اين تحقيق مورد- شاهدي، 300 كودك مبتلا به S-ECC و 300 كودك سالم به عنوان گروه شاهد به صورت نمونه هاي تصادفي متوالي از مهدكودك هاي شهر تهران انتخاب و ازطريق پرسشنامه ومعاينه بررسي شدند. متغيرهاي دموگرافيك، وزن، قد، نوع تغذيه، مصرف شير و چگونگي آن به همراه شاخص BMI در آنان تعيين و شيوع پوسيدگي S-ECC بر حسب متغيرهاي مختلف به دست آمد. داده هاي تحقيق با آزمون هاي chi-square و آناليز logistic regression از نظر آماري بررسي شد. يافته ها: متغير جنس و نوع تغذيه در 2 سال اول زندگي، چگونگي مصرف شير و داشتن عادت هاي غذايي خاص بر بروز يا عدم ابتلا كودكان به S-ECC تاثير داشته است(0/05

Background and purpose: Severe early childhood caries (S-ECC) are amongst the major problems of oral health in children. The purpose of this study was to determine any relationship between S-ECC and body mass index (BMI) in children (2-4 years of age). Materials and methods: In this case-control study, 300 S-EEC infected and 300 S-ECC free children were randomly selected from Tehran kindergartens. Data was collected by examinations and demographic data, different variables including height, weight, BMI, nutrition type, milk consumption were recorded in a checklist. Data were subjected to Chi-square and Logistic regression tests. Results: Gender and nutrition type in the first two years of life, milk consumption and having special eating habits were significantly associated with developing S-ECC (p-value<0/05). Breast feeding and formula feeding were reported in 40.5% of boys and 51.2% of girls, respectively. The boys (71.9%) and girls (80.4%) used dietary supplements and 70.6% of boys and 72.4% of girls consumed sweet snacks. The subjects were similar in terms of weight, age and height while the DMFT index in girls was higher than that in males (p<0.05). The BMI values were not significantly different between the two groups (p<0.05). Conclusion: No significant relationship was noted between body mass index and severe early child hood caries.