Assessment of the association between overweight/obesity and traumatic dental injury among Brazilian schoolchildren.

The aim of this study was to evaluate the association between overweight/obesity and the occurrence of traumatic dental injury among schoolchildren aged 7 to 14 years. A cross-sectional study was carried out involving 590 students at public schools in the city of Campina Grande, Brazil. The classification proposed by O'Brien (1994) was used for the diagnosis of traumatic dental injury. Overweight/obesity was determined based on the body mass index. Clinical examinations were performed by two examiners who had undergone a calibration exercise (Kappa statistics of 0.87 and 0.90 for intra-examiner and inter-examiner, respectively). Data analysis involved the chi-square test and Fisher's exact test with a 5% level of significance. Traumatic dental injury was less prevalent among the schoolchildren with overweight/obesity than those without this condition (8.7% and 13.3%, respectively). When the sample was stratified by gender and age, traumatic dental injury was also more prevalent among schoolchildren without overweight/obesity. When the sample was stratified based on ethnicity, prevalence rates were similar between those with and without overweight/obesity. In the overall sample, no significant association was found between overweight/obesity and traumatic dental injury (p = 0.253). Overweight/obesity among schoolchildren aged 7 to 14 years was not associated with traumatic dental injury in this study. The analysis of physical activity may be important to gain a better understanding of this finding.

Assessment of the association between overweight/obesity and traumatic dental injury among Brazilian schoolchildren

The aim of this study was to evaluate the association betweenoverweight/obesity and the occurrence of traumatic dentalinjury among schoolchildren aged 7 to 14 years. A cross-sectionalstudy was carried out involving 590 students at publicschools in the city of Campina Grande, Brazil. The classificationproposed by O’Brien (1994) was used for the diagnosis oftraumatic dental injury. Overweight/obesity was determinedbased on the body mass index. Clinical examinations were performedby two examiners who had undergone a calibrationexercise (Kappa statistics of 0.87 and 0.90 for intra-examinerand inter-examiner, respectively). Data analysis involved thechi-square test and Fisher’s exact test with a 5% level of significance.Traumatic dental injury was less prevalent among theschoolchildren with overweight/obesity than those without thiscondition (8.7% and 13.3%, respectively). When the sample wasstratified by gender and age, traumatic dental injury was alsomore prevalent among schoolchildren without overweight/obesity.When the sample was stratified based on ethnicity,prevalence rates were similar between those with and withoutoverweight/obesity. In the overall sample, no significant associationwas found between overweight/obesity and traumaticdental injury (p = 0.253). Overweight/obesity among schoolchildrenaged 7 to 14 years was not associated with traumaticdental injury in this study. The analysis of physical activity maybe important to gain a better understanding of this finding...

O objetivo do presente estudo foi avaliar a associação entre osobrepeso/obesidade e a ocorrência do trauma dentário entreescolares de 7 a 14 anos de idade. Caracterizou-se como um estudotransversal realizado com 590 escolares de escolas públicasde Campina Grande, Brasil. Utilizou-se como critério de diagnósticopara traumatismo dentário a classificação proposta porO’Brien (1994) e para sobrepeso/obesidade o índice IMC. Osexames clínicos foram feitos por dois examinadores previamentecalibrados (Kappa intra e inter de 0,87 e 0,90, respectivamente).Os testes estatísticos utilizados foram Qui-quadrado e exato deFisher (significância de 5%). Os indivíduos sem sobrepeso/obesidadeapresentaram mais lesões de trauma dentário que aquelescom sobrepeso/obesidade (13,3% vs 8,7%). Quando estratificadaa amostra em relação ao sexo, idade e grupo étnico, otraumatismo dentário foi mais prevalente entre crianças/adolescentessem sobrepeso/obesidade, com exceção do grupo étnico,que apresentaram prevalências similares. No grupo total não foiobservada associação entre sobrepeso/obesidade e trauma dentário(p=0,253). A presença de sobrepeso/obesidade em escolaresde 7 a 14 anos não foi associada ao traumatismo dentário. Aanálise da atividade física pode ser um fator importante paramelhor elucidar a temática...

Malocclusion and quality of life in Brazilian preschoolers.

The aim of the present study was to assess the impact of malocclusion on oral health-related quality of life (OHRQoL) among preschool children and their families. This study involved 732 preschoolers. Parents/caregivers filled out the Brazilian version of the Early Childhood Oral Health Impact Scale (B-ECOHIS) and a questionnaire addressing sociodemographic data. Overbite, overjet, and crossbite were recorded during the clinical examination. Bivariate and multiple Poisson regression analyses were performed and prevalence ratio (PR) were calculated (α = 5%). The prevalence of negative impact from malocclusion on OHRQoL was 27.6% among the children and 22.3% among the families. Mother's schooling (PR = 1.37; 95% CI: 1.10-1.70), parent's/caregiver's assessment of child's oral health (PR = 2.07; 95% CI: 1.60-2.58), history of toothache (PR = 3.84; 95% CI: 2.34-6.30), and visits to the dentist (PR = 0.59; 95% CI: 0.37-0.94) remained significantly associated with OHRQoL in the final model for the children, whereas parent's/caregiver's assessment of child's oral health (PR = 2.32; 95% CI: 1.71-3.14) and history of toothache (PR = 2.28; 95% CI: 1.69-3.09) remained significantly associated with OHRQoL for the families. Malocclusion was not associated with a negative impact on OHRQoL. In contrast, parents'/caregivers' perceptions regarding the oral health of their children and a history of toothache were predictors of a negative impact on the OHRQoL.

Assessment of the association between overweight/obesity and traumatic dental injury among Brazilian schoolchildren. / Assessment of the association between overweight/obesity and traumatic dental injury among Brazilian schoolchildren.

The aim of this study was to evaluate the association between overweight/obesity and the occurrence of traumatic dental injury among schoolchildren aged 7 to 14 years. A cross-sectional study was carried out involving 590 students at public schools in the city of Campina Grande, Brazil. The classification proposed by OBrien (1994) was used for the diagnosis of traumatic dental injury. Overweight/obesity was determined based on the body mass index. Clinical examinations were performed by two examiners who had undergone a calibration exercise (Kappa statistics of 0.87 and 0.90 for intra-examiner and inter-examiner, respectively). Data analysis involved the chi-square test and Fishers exact test with a 5

level of significance. Traumatic dental injury was less prevalent among the schoolchildren with overweight/obesity than those without this condition (8.7

and 13.3

, respectively). When the sample was stratified by gender and age, traumatic dental injury was also more prevalent among schoolchildren without overweight/obesity. When the sample was stratified based on ethnicity, prevalence rates were similar between those with and without overweight/obesity. In the overall sample, no significant association was found between overweight/obesity and traumatic dental injury (p = 0.253). Overweight/obesity among schoolchildren aged 7 to 14 years was not associated with traumatic dental injury in this study. The analysis of physical activity may be important to gain a better understanding of this finding.

Factors associated with early weaning at a Child-Friendly Healthcare Initiative Hospitall / Fatores associados ao desmame precoce em Hospital Amigo da Criança

PURPOSE: Considering the benefits of breastfeeding on children's health, the aim of the present study was to determine factors associated with early weaning among children at a Child-Friendly Healthcare Initiative (CFHI) children's hospital in the city of Campina Grande, state of Paraíba, Brazil. METHODS: An analytical, cross-sectional study was carried out involving 800 mothers of children between 0 and 24 months of age at the Elpídio de Almeida Health Institute. A semi-structured questionnaire was administered and contained questions on socio-demographic characteristics, eating habits and nonnutritive sucking habits. The chi-square test and Fisher's exact test were employed for statistical analysis. A multivariate analysis was performed with variables that achieved a P-value < 0.25 in the bivariate analysis. RESULTS: The prevalence of early weaning was 13.5%. In the bivariate analysis, the factors associated with early weaning were income (P=0.001), child's birth weight (P=0.016), bottle feeding (P=0.003) and pacifier use (P<0.001). In the multivariate analysis, pacifier use remained significantly associated with early weaning (OR: 3.23; 95% CI: 1.871 to 5.591; P<0.001). CONCLUSION: Pacifier use was associated with early weaning, even when mothers were advised to avoid this habit.

OBJETIVO: Considerando os benefícios da amamentação para a saúde da criança, o objetivo do presente estudo foi determinar os fatores associados com o desmame precoce entre as crianças em um Hospital Amigo da Criança na cidade de Campina Grande, estado da Paraíba, Brasil. METODOLOGIA: Um estudo analítico e transversal foi realizado com 800 mães de crianças entre 0 e 24 meses de idade, no Elpídio de Almeida Instituto de Saúde. Um questionário semi-estruturado foi aplicado, contendo perguntas sobre características sócio-demográficas, hábitos alimentares e hábitos de sucção não nutritiva. O teste do qui-quadrado e teste exato de Fisher foram empregados na análise estatística. A análise multivariada foi realizada com as variáveis tendo atingido um valor de P<0,25 na análise bivariada. RESULTADOS: A prevalência de desmame precoce foi de 13,5%. Na análise bivariada, os fatores associados com o desmame precoce foram: renda (P=0,001), peso de nascimento da criança (P=0,016), uso de mamadeira (P=0,003) e uso de chupeta (P<0,001). Na análise multivariada, o uso de chupeta permaneceu significativamente associada com o desmame precoce (OR: 3,23 IC 95%: 1,871-5,591, P<0,001). CONCLUSÃO: O uso de chupeta foi associado com o desmame precoce, mesmo quando as mães foram aconselhadas a evitar esse hábito.