| 施妍昕,董 倩,吴 颖,朱 婧,余 念.南京市玄武区3～5岁儿童龋病的影响因素分析及对生长发育和营养素摄入的影响[J].,2023,(9):1676-1680 |
| 南京市玄武区3～5岁儿童龋病的影响因素分析及对生长发育和营养素摄入的影响 |
| Analysis on the Influencing Factors of Dental Caries in Children Aged 3 ~ 5 Years Old in Xuanwu District of Nanjing and Their Effects on Growth Development and Nutrient Intake |
| 投稿时间：2022-10-10 修订日期：2022-10-30 |
| DOI：10.13241/j.cnki.pmb.2023.09.015 |
| 中文关键词: 南京市 玄武区 儿童 龋病 影响因素 生长发育 营养 |
| 英文关键词: Nanjing Xuanwu District Children Dental caries Influencing factors Growth development Nutrient |
| 基金项目:2021年南京市医学科技发展项目（YKK20155）；江苏省自然科学基金面上项目（BK20150089） |
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| 中文摘要: |
| 摘要 目的：对南京市玄武区3～5岁儿童患龋病进行流行病学调查，并分析患龋病的影响因素，及其对生长发育和营养素摄入的影响。方法：2020年3月~2022年2月期间，采用多阶段分层等容量随机抽样方法，随机抽取南京市玄武区6所幼儿园，共抽取792名3～5岁儿童，实际完成调查788人，响应率99.49%。记录南京市玄武区3～5岁儿童龋病发生情况，根据有无龋病发生分为龋病组（n=361）和无龋病组（n=427）。应用单因素和多因素Logistic回归性分析南京市玄武区3～5岁儿童龋病发生的影响因素。并观察龋病发生对儿童生长发育和营养素摄入的影响。结果：788例3～5岁儿童中，检查出存在龋病361人，发病率为45.81%。单因素分析显示，南京市玄武区3～5岁儿童龋病发生与年龄、喂养方式、糖摄入频次、睡前食用甜点、刷牙次数、开始刷牙年龄、家长口腔健康知识水平有关（P<0.05）。多因素Logistic回归性分析结果显示：年龄为5岁、喂养方式为全母乳、糖摄入频次为≥2次/d、睡前食用甜点是南京市玄武区3～5岁儿童龋病发生的危险因素（P<0.05），而家长口腔健康知识水平较高是南京市玄武区3～5岁儿童龋病发生的保护因素（P<0.05）。无龋病组的身高、体重、胸围、肺活量均大于龋病组（P<0.05）。龋病组的能量、蛋白质、脂肪、钙、铁、锌、维生素C、叶酸低于无龋病组（P<0.05）。结论：南京市玄武区3～5岁儿童龋病的发病率较高，龋病对生长发育和营养素摄入均有一定的影响，而年龄、喂养方式、糖摄入频次、睡前食用甜点、家长口腔健康知识水平均是龋病发生的影响因素。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the prevalence of dental caries in children aged 3～5 years in Xuanwu District of Nanjing, and to analyze the influencing factors of dental caries and its effects on growth development and nutrient intake. Methods: From March 2020 to February 2022, 6 kindergartens in Xuanwu District of Nanjing were randomly selected by using the multi-stage stratified equal capacity random sampling method and the sampling method based on childcare institutions. A total of 792 children aged 3～5 years were sampled, and 788 people actually completed the survey, with a response rate of 99.49%. The incidence of dental caries in children aged 3～5 years in Xuanwu District of Nanjing was recorded. They were divided into dental caries group (n=361) and non-dental caries group (n=427) according to the occurrence of dental caries. The influencing factors of dental caries in children aged 3～5 years in Xuanwu District of Nanjing were analyzed by univariate and multivariate Logistic regression. And the effect of caries on children's growth development and nutrition intake were observed. Results: Among 788 children aged 3～5 years, 361 were found to have dental caries, and the incidence rate was 45.81%. Univariate analysis showed that the incidence of dental caries in children aged 3～5 years in Xuanwu District of Nanjing was related to age, feeding mode, sugar intake frequency, dessert consumption before bedtime, tooth brushing times, age at the beginning of tooth brushing, and oral health knowledge level of parents (P<0.05). The results of multivariate Logistic regression analysis showed that age of 5 years, feeding mode of whole breast milk, sugar intake frequency≥2 times/d, and dessert consumption before bedtime were the risk factors for the occurrence of dental caries in children aged 3～5 years in Xuanwu District of Nanjing (P<0.05), while the higher oral health knowledge level of parents was the protective factor for the occurrence of dental caries in children aged 3～5 years in Xuanwu District of Nanjing (P<0.05). The height, weight, chest circumference and vital capacity of the non-dental caries group were higher than those of the dental caries group (P<0.05). The energy, protein, fat, calcium, iron, zinc, vitamin C and folic acid of the dental caries group were lower than those of the non-dental caries group (P<0.05). Conclusion: The incidence of dental caries in children aged 3～5 years in Xuanwu District of Nanjing is high. Dental caries has a certain impact on growth development and nutrient intake, while age, feeding mode, sugar intake frequency,dessert consumption before bedtime and oral health knowledge level of parents are all influencing factors. |
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