Structural Relationships between Asthma and Dental Caries in Children: A Birth Cohort Study in Southern Brazil.

IF 2.9 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Caries Research Pub Date : 2024-01-01 Epub Date: 2024-01-09 DOI:10.1159/000535953

Bernardo A Agostini, Rafael Sarkis-Onofre, Fernanda R Ortiz, Marcos B Correa, Marco A Peres, Karen G Peres, Iná S Santos, Alícia Matijasevich, Fernando C L F Barros, Flávio F Demarco

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Abstract

Introduction: There is an inconclusive causal association between asthma symptoms and dental caries in the primary dentition. This study aimed to investigate, using SEM (structural equation modeling), a possible causal relation between asthma and dental caries in the primary dentition.

Methods: Using data from the 2004 Pelotas Birth Cohort Study, a sub-sample of 1,303 individuals was selected. Dental caries was clinically evaluated at 5 years old based on decayed, missing, and filled tooth (dmft) index criteria. Asthma-related symptoms (wheezing and shortness of breath) at 1- and 4-year-olds composed a latent variable and were the main exposures to caries occurrence. SEM was used to identify possible direct, indirect, and mediated effects of asthma in primary dentition dental caries.

Results: The general prevalence of caries at age 5 was 1.95 (SD: 3.56). When comparing the dmft values for children with asthma symptoms and those without, they presented similar values in both periods where asthma symptoms were evaluated (1- and 4-year-old). SEM analysis showed that asthma was neither directly nor indirectly related to dental caries.

Conclusion: Asthma, using a latent variable constructed based on asthma symptoms, showed no causal effect on dental caries occurrence in the primary dentition.

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儿童哮喘与龋齿之间的结构关系：巴西南部出生队列研究。

哮喘症状与基牙龋齿之间的关系尚无定论。本研究旨在利用 2004 年佩洛塔斯出生队列研究（Pelotas Birth Cohort Study）的数据，使用 SEM（结构方程模型）研究哮喘与基牙龋齿之间可能存在的因果关系。研究选取了 1303 人作为子样本。根据 dmft 标准对 5 岁儿童的龋齿情况进行了临床评估。1 岁和 4 岁时的哮喘相关症状（喘息和气短）构成了一个潜变量，是龋齿发生的主要暴露因素。SEM 被用来确定哮喘对初级牙龋齿可能产生的直接、间接和中介影响。5 岁儿童的总体龋齿患病率为 1.95（sd：3.56）。将有哮喘症状和无哮喘症状儿童的 dmft 值进行比较后发现，在评估哮喘症状的两个时期（1 岁和 4 岁），两者的 dmft 值相似。SEM 分析表明，哮喘与龋齿既没有直接关系，也没有间接关系。根据哮喘症状构建的潜变量显示，哮喘与乳牙龋齿的发生没有因果关系。

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来源期刊

Caries Research 医学-牙科与口腔外科

CiteScore

6.30

自引率

7.10%

发文量

审稿时长

6-12 weeks

期刊介绍： ''Caries Research'' publishes epidemiological, clinical and laboratory studies in dental caries, erosion and related dental diseases. Some studies build on the considerable advances already made in caries prevention, e.g. through fluoride application. Some aim to improve understanding of the increasingly important problem of dental erosion and the associated tooth wear process. Others monitor the changing pattern of caries in different populations, explore improved methods of diagnosis or evaluate methods of prevention or treatment. The broad coverage of current research has given the journal an international reputation as an indispensable source for both basic scientists and clinicians engaged in understanding, investigating and preventing dental disease.