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Published in: BMC Oral Health 1/2019

Open Access 01-12-2019 | Malnutrition | Research article

Prevalence of dental caries and its association with body mass index among school-age children in Shenzhen, China

Authors: Yi-hong Cheng, Yi Liao, Ding-yan Chen, Yun Wang, Yu Wu

Published in: BMC Oral Health | Issue 1/2019

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Abstract

Background

Dental caries and overweight/obesity are health problems with shared risk factors, but the relationships between caries and BMI need to be further explored. The objective was to evaluate the current status of dental caries and the association between dental caries and Body Mass Index (BMI) among primary and secondary school students in Shenzhen, China, during the 2016–2017 academic year.

Methods

A population-based, cross-sectional study that enrolled a total of 1,196,004 students was conducted in Shenzhen. Physical and dental examinations were given to all primary and secondary school students by certified physicians and dentists following the national specification for student health examinations, and dental caries was diagnosed using WHO criteria. Descriptive analysis was applied to assess current oral health status and a multifactorial, logistic regression model was employed to evaluate the relationship between dental caries and obesity.

Results

A total of 1,196,004 students participated in the census. Mean age of the participants was 10.3 years, ranging from 6 to 20 years. The prevalence of dental caries was 41.15% in the present study, which was higher among girls (42.88%) than that in boys (39.77%) with a p-value of < 0.001. Students in public schools showed a significantly lower (p < 0.001) caries prevalence (37.36%) compared with those in private schools (47.96%). The caries restoration rate of students in Shenzhen was only 10.30%, which means only one out of ten students with caries received restorations. The mean dmft and DMFT scores were 0.97 and 0.33, respectively. More girls (10.96%) had their teeth filled than boys (9.78%). The restoration rate was higher (p < 0.001) in public schools (11.73%) than in private ones (8.35%). Children who were overweight or obese had a lower risk of experiencing caries compared to those who were within a normal weight (OR = 0.74/0.64). Caries was inversely associated with BMI among primary and secondary school students in Shenzhen.

Conclusions

The prevalence of dental caries among primary and secondary school children was found to be related to sex, type of schools, region, and BMI. Further studies and more government support are required to confirm the findings of this study and to address current oral health problems.
Literature
2.
go back to reference Du MQ, et al. Dental caries status and its associated factors among 3- to 5-year-old children in China: a National Survey. Chin J Dent Res. 2018;21(3):167–79.PubMed Du MQ, et al. Dental caries status and its associated factors among 3- to 5-year-old children in China: a National Survey. Chin J Dent Res. 2018;21(3):167–79.PubMed
3.
go back to reference Quan JK, et al. Permanent teeth caries status of 12- to 15-year-olds in China: findings from the 4th National Oral Health Survey. Chin J Dent Res. 2018;21(3):181–93.PubMed Quan JK, et al. Permanent teeth caries status of 12- to 15-year-olds in China: findings from the 4th National Oral Health Survey. Chin J Dent Res. 2018;21(3):181–93.PubMed
5.
go back to reference Cao XH, et al. Study on the current situation of dental caries among primary and secondary school students in Chongqing. Chin J Public Health. 2010;26(1):28–30. Cao XH, et al. Study on the current situation of dental caries among primary and secondary school students in Chongqing. Chin J Public Health. 2010;26(1):28–30.
6.
go back to reference Liu JH, et al. Association of dental caries in children with body mass index. Chinese J Stomatol. 2017;11(1):36–40. Liu JH, et al. Association of dental caries in children with body mass index. Chinese J Stomatol. 2017;11(1):36–40.
7.
go back to reference Ding L. Prevalence of permanent teeth caries among primary and secondary school students in Suzhou in 2015. Chinese J Child Health Care. 2015;25(6):621–4. Ding L. Prevalence of permanent teeth caries among primary and secondary school students in Suzhou in 2015. Chinese J Child Health Care. 2015;25(6):621–4.
8.
go back to reference Petersen PE. The world Oral health report 2003: continuous improvement of oral health in the 21st century--the approach of the WHO global Oral health Programme. Community Dent Oral Epidemiol. 2003;31(Suppl 1):3–23.PubMedCrossRef Petersen PE. The world Oral health report 2003: continuous improvement of oral health in the 21st century--the approach of the WHO global Oral health Programme. Community Dent Oral Epidemiol. 2003;31(Suppl 1):3–23.PubMedCrossRef
9.
go back to reference Diet, nutrition and the prevention of chronic diseases. World Health Organ Tech Rep Ser. 2003:916 Diet, nutrition and the prevention of chronic diseases. World Health Organ Tech Rep Ser. 2003:916
10.
11.
go back to reference Hooley M, et al. Body mass index and dental caries in children and adolescents: a systematic review of literature published 2004 to 2011. Syst Rev. 2012;1:57.PubMedPubMedCentralCrossRef Hooley M, et al. Body mass index and dental caries in children and adolescents: a systematic review of literature published 2004 to 2011. Syst Rev. 2012;1:57.PubMedPubMedCentralCrossRef
12.
go back to reference Marshall TA, et al. Dental caries and childhood obesity: roles of diet and socioeconomic status. Community Dent Oral Epidemiol. 2007;35(6):449–58.PubMedCrossRef Marshall TA, et al. Dental caries and childhood obesity: roles of diet and socioeconomic status. Community Dent Oral Epidemiol. 2007;35(6):449–58.PubMedCrossRef
13.
go back to reference Tramini P, et al. Association between caries experience and body mass index in 12-year-old French children. Caries Res. 2009;43(6):468–73.PubMedCrossRef Tramini P, et al. Association between caries experience and body mass index in 12-year-old French children. Caries Res. 2009;43(6):468–73.PubMedCrossRef
14.
go back to reference Cinar AB, Murtomaa H. Interrelation between obesity, oral health and life-style factors among Turkish school children. Clin Oral Investig. 2011;15(2):177–84.PubMedCrossRef Cinar AB, Murtomaa H. Interrelation between obesity, oral health and life-style factors among Turkish school children. Clin Oral Investig. 2011;15(2):177–84.PubMedCrossRef
15.
go back to reference Sanchez-Perez L, Irigoyen ME, 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.PubMedCrossRef Sanchez-Perez L, Irigoyen ME, 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.PubMedCrossRef
16.
go back to reference Shenzhen Statistics Burea and NBS Survey Office in Shenzhen. Shenzhen Statistical Yearbook 2017. Vol. 12. Beijing: China Statistics Press; 2017. p. 4. Shenzhen Statistics Burea and NBS Survey Office in Shenzhen. Shenzhen Statistical Yearbook 2017. Vol. 12. Beijing: China Statistics Press; 2017. p. 4.
17.
go back to reference Ji CY. Prevalence of dental caries and caries degree among primary and secondary school students in China. Chinese J School Health. 2008;29(2):114–7. Ji CY. Prevalence of dental caries and caries degree among primary and secondary school students in China. Chinese J School Health. 2008;29(2):114–7.
18.
go back to reference Ministry of Education of the People’s Republic of China. National investigation on students’ physical constitution and health status in 2014. Beijing: Minstry of Education; 2014. Ministry of Education of the People’s Republic of China. National investigation on students’ physical constitution and health status in 2014. Beijing: Minstry of Education; 2014.
19.
go back to reference Group of China Obesity Task Force. Body mass index reference norm for screening overweight and obesity in Chinese children and adolescents. Chinese J Epidemiol. 2004;25(2):97–102. Group of China Obesity Task Force. Body mass index reference norm for screening overweight and obesity in Chinese children and adolescents. Chinese J Epidemiol. 2004;25(2):97–102.
20.
go back to reference Qi XQ. Third National Oral Health Epidemiologic Survey Report. Beijing: People’s Medcial Publishing House; 2008. Qi XQ. Third National Oral Health Epidemiologic Survey Report. Beijing: People’s Medcial Publishing House; 2008.
21.
go back to reference World Health Organization. World Health Organization: Oral health global indicators for 2000. Geneva: World Health Organization; 1988. World Health Organization. World Health Organization: Oral health global indicators for 2000. Geneva: World Health Organization; 1988.
22.
go back to reference Joshi N, et al. Prevalence, severity and related factors of dental caries in school going children of Vadodara city - an epidemiological study. J Int Oral Health. 2013;5(4):35–9.PubMedPubMedCentral Joshi N, et al. Prevalence, severity and related factors of dental caries in school going children of Vadodara city - an epidemiological study. J Int Oral Health. 2013;5(4):35–9.PubMedPubMedCentral
23.
go back to reference Prasai Dixit L, et al. Dental caries prevalence, oral health knowledge and practice among indigenous Chepang school children of Nepal. BMC Oral Health. 2013;13:20.PubMedPubMedCentralCrossRef Prasai Dixit L, et al. Dental caries prevalence, oral health knowledge and practice among indigenous Chepang school children of Nepal. BMC Oral Health. 2013;13:20.PubMedPubMedCentralCrossRef
24.
go back to reference Petersen PE, et al. The global burden of oral diseases and risks to oral health. Bull World Health Organ. 2005;83(9):661–9.PubMedPubMedCentral Petersen PE, et al. The global burden of oral diseases and risks to oral health. Bull World Health Organ. 2005;83(9):661–9.PubMedPubMedCentral
25.
go back to reference Japan Society of School Health. Movements towards School Health. Tokyo: Japan Society of School Health; 2003. Japan Society of School Health. Movements towards School Health. Tokyo: Japan Society of School Health; 2003.
26.
go back to reference Jokovic A, Locker D, Guyatt G. What do children's global ratings of oral health and well-being measure? Community Dent Oral Epidemiol. 2005;33(3):205–11.PubMedCrossRef Jokovic A, Locker D, Guyatt G. What do children's global ratings of oral health and well-being measure? Community Dent Oral Epidemiol. 2005;33(3):205–11.PubMedCrossRef
27.
go back to reference Zhang ZX. Children’s dental caries. Adolesc Health. 2016;24:40–1. Zhang ZX. Children’s dental caries. Adolesc Health. 2016;24:40–1.
28.
go back to reference Lopez R, Baelum V. Gender differences in tooth loss among Chilean adolescents: socio-economic and behavioral correlates. Acta Odontol Scand. 2006;64(3):169–76.PubMedCrossRef Lopez R, Baelum V. Gender differences in tooth loss among Chilean adolescents: socio-economic and behavioral correlates. Acta Odontol Scand. 2006;64(3):169–76.PubMedCrossRef
29.
go back to reference Dong YH, Ruan Q, Liu XH. Prevalence of dental caries among primary and secondary school students in Guangxi province in 2010. Chinese J Child Health Care. 2014;22(11):1221–3. Dong YH, Ruan Q, Liu XH. Prevalence of dental caries among primary and secondary school students in Guangxi province in 2010. Chinese J Child Health Care. 2014;22(11):1221–3.
30.
go back to reference Huang X, et al. Investigation and analysis of snack consumption of junior middle school students in Changning District, Shanghai. Health Educ Health Promot. 2019;14(3):232–4. Huang X, et al. Investigation and analysis of snack consumption of junior middle school students in Changning District, Shanghai. Health Educ Health Promot. 2019;14(3):232–4.
31.
go back to reference Baume LJ. Report on a dental survey among the school population of French Polynesia. Population surveyed and numbers of teeth present. Arch Oral Biol. 1968;13(7):787–802.PubMedCrossRef Baume LJ. Report on a dental survey among the school population of French Polynesia. Population surveyed and numbers of teeth present. Arch Oral Biol. 1968;13(7):787–802.PubMedCrossRef
33.
go back to reference Gerdin EW, et al. Dental caries and body mass index by socio-economic status in Swedish children. Community Dent Oral Epidemiol. 2008;36(5):459–65.PubMedCrossRef Gerdin EW, et al. Dental caries and body mass index by socio-economic status in Swedish children. Community Dent Oral Epidemiol. 2008;36(5):459–65.PubMedCrossRef
34.
go back to reference Ludwig DS, Peterson KE, Gortmaker SL. Relation between consumption of sugar-sweetened drinks and childhood obesity: a prospective, observational analysis. Lancet. 2001;357(9255):505–8.PubMedCrossRef Ludwig DS, Peterson KE, Gortmaker SL. Relation between consumption of sugar-sweetened drinks and childhood obesity: a prospective, observational analysis. Lancet. 2001;357(9255):505–8.PubMedCrossRef
35.
go back to reference Qadri G, et al. Overweight and dental caries: the association among German children. Int J Paediatr Dent. 2015;25(3):174–82.PubMedCrossRef Qadri G, et al. Overweight and dental caries: the association among German children. Int J Paediatr Dent. 2015;25(3):174–82.PubMedCrossRef
36.
go back to reference Hayden C, et al. Obesity and dental caries in children: a systematic review and meta-analysis. Community Dent Oral Epidemiol. 2013;41(4):289–308.PubMedCrossRef Hayden C, et al. Obesity and dental caries in children: a systematic review and meta-analysis. Community Dent Oral Epidemiol. 2013;41(4):289–308.PubMedCrossRef
37.
go back to reference Sadeghi M, Alizadeh F. Association between dental caries and body mass index-for-age among 6-11-year-old children in Isfahan in 2007. J Dent Res Dent Clin Dent Prospects. 2007;1(3):119–24.PubMedPubMedCentral Sadeghi M, Alizadeh F. Association between dental caries and body mass index-for-age among 6-11-year-old children in Isfahan in 2007. J Dent Res Dent Clin Dent Prospects. 2007;1(3):119–24.PubMedPubMedCentral
38.
go back to reference Liang JJ, et al. Dental caries is negatively correlated with body mass index among 7-9 years old children in Guangzhou, China. BMC Public Health. 2016;16:638.PubMedPubMedCentralCrossRef Liang JJ, et al. Dental caries is negatively correlated with body mass index among 7-9 years old children in Guangzhou, China. BMC Public Health. 2016;16:638.PubMedPubMedCentralCrossRef
39.
go back to reference Kopycka-Kedzierawski DT, et al. Caries status and overweight in 2- to 18-year-old US children: findings from national surveys. Community Dent Oral Epidemiol. 2008;36(2):157–67.PubMedCrossRef Kopycka-Kedzierawski DT, et al. Caries status and overweight in 2- to 18-year-old US children: findings from national surveys. Community Dent Oral Epidemiol. 2008;36(2):157–67.PubMedCrossRef
40.
go back to reference Macek MD, Mitola DJ. Exploring the association between overweight and dental caries among US children. Pediatr Dent. 2006;28(4):375–80.PubMed Macek MD, Mitola DJ. Exploring the association between overweight and dental caries among US children. Pediatr Dent. 2006;28(4):375–80.PubMed
41.
42.
go back to reference Oliveira LB, Sheiham A, Bonecker M. Exploring the association of dental caries with social factors and nutritional status in Brazilian preschool children. Eur J Oral Sci. 2008;116(1):37–43.PubMedCrossRef Oliveira LB, Sheiham A, Bonecker M. Exploring the association of dental caries with social factors and nutritional status in Brazilian preschool children. Eur J Oral Sci. 2008;116(1):37–43.PubMedCrossRef
43.
go back to reference Reyes-Perez E, et al. Effect of early childhood protein-energy malnutrition on permanent dentition dental caries. J Public Health Dent. 2014;74(3):181–7.PubMedCrossRef Reyes-Perez E, et al. Effect of early childhood protein-energy malnutrition on permanent dentition dental caries. J Public Health Dent. 2014;74(3):181–7.PubMedCrossRef
Metadata
Title
Prevalence of dental caries and its association with body mass index among school-age children in Shenzhen, China
Authors
Yi-hong Cheng
Yi Liao
Ding-yan Chen
Yun Wang
Yu Wu
Publication date
01-12-2019
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2019
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-019-0950-y

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