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Association between body mass index and dental health in 1,290 children of elementary schools in a German city

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Abstract

The aim of the present study was to investigate the association between caries frequency and body mass index (BMI) in German elementary school children. A total of 1,290 elementary school children (648 boys, 642 girls) were examined. The dental examination included the determination of caries frequency (DF-T/df-t values). The medical evaluation assessed the pupils’ general health and BMI. The study showed that 3.6% of the children were underweight, 74.8% had a normal weight, 11.9% were overweight, and 9.7% were obese. Underweight children showed natural healthy teeth in 44.7%, those with normal weight in 40.7%, whereas children with high weight and obese children showed natural healthy teeth in 30.5% and 31.7%, respectively. A significant association between high weight and caries frequency in the first dentition (p = 0.0067) and in the permanent dentition (p = 0.0002) could be observed. The association remains statistically significant after adjusting for age. The number of natural healthy teeth decreased with age (p = 0.001) and BMI (p = 0.0061) and was different between girls and boys (p = 0.0334). This study demonstrated a significant association between caries frequency and weight in school children. In future preventive programs, the importance of nutrition should not only be emphasized with respect to general diseases but also with regard to carious lesions.

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References

  1. Arbeitsgemeinschaft Adipositas im Kindes-und Jugendalter der Deutschen Adipositas Gesellschaft, Leitlinien vom 04.10.2002

  2. Chen W, Chen P, Chen SC, Shih WT, Hu HC (1998) Lack of association between obesity and dental caries in three-year old children. Zhonghua Minguo Xiaoer Keyi Xuehui Zazhi 38:109–111

    Google Scholar 

  3. Danielzik S, Langnäse K, Mast M, Spetmann C, Müller MJ (2002) Impact of parental BMI on the manifestation of overweight 5–7 year old children. Eur J Nutr 41:132–138

    Article  PubMed  Google Scholar 

  4. De Spiegelaere M, Dramaix M, Hennert P (1998) The influence of socioeconomic status on the incidence and evolution of obesity during early adolescence. Int J Obes 22:268–274

    Article  Google Scholar 

  5. Dietz WH, Robinson TN (1998) Use of the body mass index (BMI) as a measure of overweight in children and adolescents. J Pediatr 132:191–193

    Article  PubMed  Google Scholar 

  6. Fiscella K (1999) Is lower income associated with greater biopsychosocial morbidity? Implications for physicians working with underserved patients. J Fam Pract 48:372–377

    PubMed  Google Scholar 

  7. Flegal KM, Troiano RP (2000) Changes in the distribution of body mass index of adults and children in the US population. Int J Obes Relat Metab Disord 24:807–818

    Article  PubMed  Google Scholar 

  8. Fontaine KR, Bartlett SJ (2000) Access and use of medical care among obese persons. Obes Res 8:403–406

    Article  PubMed  Google Scholar 

  9. Freedman DS, Khan LK, Dietz WH, Srinivasan SR, Berebson GS (2001) Relationship of childhood obesity to coronary heart disease risk factors in adulthood: the Bogalusa heart Study. Pediatrics 108:712–718

    Article  PubMed  Google Scholar 

  10. Hollister MC, Weintraub JA (1993) The association of oral status with systemic health, quality of life, and economic productivity. J Dent Educ 57:901–911

    PubMed  Google Scholar 

  11. Heude B, Lafay L, Borys JM (2003) Time trend in high, weight, and obesity prevalence in school children from Northern France, 1992–2000. Diabetes Metab 29:235–240

    Article  PubMed  Google Scholar 

  12. Janssen IJ, Craig WM, Boyce WF, Pickett W (2004) Associations between overweight and obesity with bullying behaviours in school-aged children. Pediatrics 113:1187–1194

    Article  PubMed  Google Scholar 

  13. Kalies H, Lenz J, von Kries R (2002) Prevalence of overweight and obesity and trends in body mass index in German pre-school children, 1982–1997. Int J Obes Relat Metab Disord 26:1211–1217

    Article  PubMed  Google Scholar 

  14. Klein H, Palmer CE, Knutson JW (1938) Studies in dental caries. I. Dental status and dental needs of elementary school children. Public Health Rep 53:751

    Google Scholar 

  15. Klumbiene J, Petkeviciene J, Heasoja V, Prättäla R, Kasmel A (2004) Sociodemographic and health behaviour factors associated with obesity in adult populations in Estonia, Finland and Lithuania. Eur J Public Health 14:390–394

    Article  PubMed  Google Scholar 

  16. Kromeyer-Hauschild Jaeger U (1998) Growth studies in Jena, Germany: changes in body size and subcutaneous fat distribution between 1975 and 1995. Am J Human Biol 10:579–587

    Article  Google Scholar 

  17. Locker D (1988) Measuring oral health: a conceptual framework. Community Dent Health 5:3–18

    PubMed  Google Scholar 

  18. Marcenes W, Steele JG, Sheiham A, Walls AWG (2003) The relationship between dental status, food selection, nutrient intake, nutritional status, and body mass index in older people. Cad Saúde Pública, Rio de Janeiro 19:809–916

    Google Scholar 

  19. Mokdad AH, Ford ES, Bowman BA (2003) Prevalence of obesity, diabetes, and obesity-related health risk factors. JAMA 289:76–79

    Article  PubMed  Google Scholar 

  20. Ogden CL, Flegal KM, Carroll MD, Johnson CL (2002) Prevalence and trends in overweight among US children and adolescents 1999–2000. JAMA 288:1728–1732

    Article  PubMed  Google Scholar 

  21. Pearce MJ, Boergers J, Prinstein MJ (2002) Adolescent obesity, overt and relational peer victimization, and romantic relationships. Obes Res 10:386–393

    PubMed  Google Scholar 

  22. Pieper K (2005) Epidemiologische Begleituntersuchung zur Gruppenprophylaxe 2004. Dtsch Arbeitsgemeinschaft für Jugendzahnpflege e. V, Bonn

  23. Reisine ST, Locker D (1995) Social, psychological and economic impacts of oral conditions and treatments. In: Cohen LK, Gift HC (eds) Disease prevention and oral health promotion. Socio-dental sciences in action. Munksgaard, Copenhagen, pp 33–71

    Google Scholar 

  24. Sinha R, Fisch G, Teague B (2002) Prevalence of impaired glucose tolerance among children and adolescents with marked obesity. N Engl J Med 246:802–810

    Article  Google Scholar 

  25. Tremblay MS, Katzmarzyk PT, Willms JD (2002) Temporal trends in overweight and obesity in Canada, 1981–1996. Int J Obes Relat Metab Disord 26:538–543

    Article  PubMed  Google Scholar 

  26. Troiano RP, Flegal KM, Kuczmarski RJ, Campbell SM, Johnson CL (1995) Overweight prevalence and trends for children and adolescents: the National Health and Nutrition Examination Surveys, 1963–1991. Arch Pediatr Adolesc Med 149:1085–1901

    PubMed  Google Scholar 

  27. Turrell G, Western JS, Najman JM (1994) The measurement of social class in health research: problems and prospects. In: Waddell C, Petersen AR (eds) Just health: inequality in illness, care and prevention. Churchill Livingstone, Melbourne, pp 87–103

    Google Scholar 

  28. Twetman S, Garcia-Godoy F, Goepferd SJ (2000) Infant oral health. Dent Clin North Am 44:487

    PubMed  Google Scholar 

  29. Wang Z, Patterson CM, Hills AP (2002) Association between overweight or obesity and household income and parental body mass index in Australian youth. Analysis of the Australian National Nutrition Survey, 1995. Asia Pac J Clin Nutr 11:200–205

    Article  PubMed  Google Scholar 

  30. Whitaker R, Wright JA, Pape MS, Seidel KD, Dietz WH (1997) Predicting obesity in young adulthood from childhood and parental obesity. N Engl J Med 337:869–873

    Article  PubMed  Google Scholar 

  31. WHO (2000) Obesity-preventing and managing the global epidemic. Report of a WHO consulting on obesity. WHO Technical Report Series 894

  32. Zayat EN, Fontaine KR, Cheskin LJ (1999) Use of preventive health care services by patients with obesity. Obes Res 7:223–226

    PubMed  Google Scholar 

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Correspondence to Brita Willerhausen.

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Willerhausen, B., Blettner, M., Kasaj, A. et al. Association between body mass index and dental health in 1,290 children of elementary schools in a German city. Clin Oral Invest 11, 195–200 (2007). https://doi.org/10.1007/s00784-007-0103-6

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  • DOI: https://doi.org/10.1007/s00784-007-0103-6

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