青少年口腔卫生问题与肥胖的关系

Study on the relationship between oral hygiene status and obesity in adolescents

目的调查某高职院校学生群体口腔卫生问题现况、肥胖分布情况,并分析口腔卫生问题与肥胖关系。方法对南京某高职院校2 489名14~22岁青少年学生进行普查,收集学生的一般资料,包括年龄、性别等;体格检查包括身高、体重、血压,同时通过问卷调查收集口腔卫生习惯等信息。结果超重检出率为11.6%,肥胖率为3.1%,体重不足率为2.2%;随着年龄增加,超重和肥胖患病率逐渐下降;超重、肥胖与龋齿之间无统计学关联性（均有P〉0.05）;低体重组最近2周牙龈出血者比例高于正常及以上体重者,差异有统计学意义（2=5.60,P=0.021）。结论青少年肥胖和低体重检出率比较高,呈现双重的营养不良。超重、肥胖与龋齿之间无统计学关联性,而低体重青少年比正常体重及超重肥胖者呈现更高的牙龈出血倾向。

Objective To investigate the status of oral hygiene and obesity prevalence and their relationship in college students. Methods Census method was used and 2 489 adolescents aged from 14 to 22 were surveyed. Age,gender, oral hygiene habits and self-reported history of hygiene disorders were collected by questionnaire. Physical examination was processed and height,weight and blood pressure were measured. Results The prevalence rates of overweight,obesity and low weight were 11. 6%,3. 1% and 2. 2% respectively. The prevalence rates of overweight and obesity were significantly decreased with age increasing. There was no statistical correlation between overweight,obesity and caries（ all P 0. 05）. Students with low weight presented higher rate of self-reported gingival bleeding during the last two weeks than that with normal weight,overweight and obesity（ 2= 5. 60,P = 0. 021）. Conclusions The adolescent population presented a relatively high prevalence rate of obesity and low weight and that suggest double malnutrition existed. Low weight was significantly correlated with gingival bleeding whereas there was no statistical correlation between body mass status and dental caries.