Analysis of relationship between caries index and stunting in preschool children in Indonesia

Arsad Arsad, Muhammad Tahir, Akmal Hidayah, Fadli Fadli
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Abstract

A condition known as stunting results from a persistently low nutritional intake during the first 1000 days of life. It is characterized by a height based on age that is less than two standard deviations from the World Health Organization's (WHO) median standard. There are two categories for stunting: short (Z Score -2 SD) and very short (Z Score -3 SD). Stunting results in a number of oral health issues, including delayed milk tooth eruption, atrophy of the developing salivary glands, reduced salivary flow, and an elevated risk of dental caries. The aim of this research is to analyze the relationship between the caries index and stunting in preschool children (3-6 years) in Indonesia. This research is a cross-sectional study with a sample of 98 children taken randomly in Sidenreng Rappang Regency, Indonesia. Determination of nutritional status based on anthropometric measurements, such as height and weight measurements based on age groups. The Decay Missing Filled-Teeth (DMF-T) examination is conducted by looking at teeth that are decayed, filled and missing. Furthermore, the severity of dental caries is categorized into low (DMF-T 0-2.6), medium (DMF-T 2.7-4.4), and high (DMF-T > 4.5) with data analyzed using the chi-square test. The results of measuring nutritional status showed that 78 children (79.6%) experienced stunting. There are 17 children (17.34%) with DMF-T scores in the low category, 7 children (7,114%) in the medium category, and 26 children (26.53%) in the high category. The results of bivariate analysis show p = 0.000 so that there is a significant relationship between stunting and the severity of dental caries in preschool children in Sidenreng Rappang Regency. It is necessary to increase health promotion efforts related to stunting and dental health through health education activities that involve the role of parents in choosing food intake and maintaining the cleanliness of children's teeth and mouths.  
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印度尼西亚学龄前儿童龋齿指数与发育迟缓之间的关系分析
发育迟缓是出生后 1000 天内营养摄入量持续偏低的结果。其特征是,根据年龄计算的身高与世界卫生组织(WHO)的中位数标准相差不到两个标准差。发育迟缓分为两类:矮小(Z Score -2 SD)和非常矮小(Z Score -3 SD)。发育迟缓会导致一系列口腔健康问题,包括乳牙萌出延迟、发育中的唾液腺萎缩、唾液流量减少以及龋齿风险升高。本研究旨在分析印度尼西亚学龄前儿童(3-6 岁)龋齿指数与发育迟缓之间的关系。本研究是一项横断面研究,在印度尼西亚 Sidenreng Rappang 地区随机抽取了 98 名儿童作为样本。根据人体测量数据确定营养状况,如根据年龄组测量身高和体重。蛀牙缺失牙(DMF-T)检查是通过观察蛀牙、填充牙和缺失牙来进行的。此外,龋齿的严重程度分为低(DMF-T 0-2.6)、中(DMF-T 2.7-4.4)和高(DMF-T > 4.5),数据采用卡方检验进行分析。营养状况测量结果显示,78 名儿童(79.6%)发育迟缓。有 17 名儿童(17.34%)的 DMF-T 分数属于低等,7 名儿童(7114%)属于中等,26 名儿童(26.53%)属于高等。双变量分析结果显示 p = 0.000,因此 Sidenreng Rappang 地区学龄前儿童发育迟缓与龋齿严重程度之间存在显著关系。有必要通过健康教育活动,让家长在选择食物摄入量和保持儿童牙齿和口腔清洁方面发挥作用,从而加大与发育迟缓和牙齿健康有关的健康宣传力度。
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