青少年食源性体质型肥胖的口腔状况

M. Skrypnyk, T. Petrushanko, T. Kryvoruchko, K. Neporada
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引用次数: 1

摘要

肥胖患病率显著增加,尤其是在年轻人中,这是由特定的生活方式、食物质量和饮食行为造成的。肥胖会导致大量的合并症,如动脉高压、心脏病、关节炎和其他疾病。我们对154例18-21岁的年轻患者(均为乌克兰口腔医学院学生)进行了口腔标准临床检查。经确定,体重指数bb10 ~ 30 kg/cm2的患者中,大多数家庭遗传加重,66.2%的肥胖学生父母一方为肥胖,32.43%的患者父母双方均为肥胖,与体重指数正常和超重的人相比,这一比例显著升高。牙周病的发病率很高,约为74%,龋齿的发病率在年轻人中为97.4%,尽管接受检查的病人是医科学生,年龄和队伍不同。在BMI为bbb30 kg/cm2的患者中,全身性牙龈炎和牙周炎的患病率是BMI正常个体的3倍。各检查组的口腔卫生指标均较差,但BMI正常组的口腔卫生指标略低于超重和肥胖组。在肥胖人群中,牙龈炎症变化的患病率更高:所有人的牙周组织都有轻度病变。第二度肥胖患者的牙龈炎症过程最为剧烈。根据研究结果,存在一级和二级肥胖应被视为引发牙周组织疾病的危险因素。对于体重指数为bbb30 kg/cm2的牙周病患者,应采取炎症性和炎症性营养不良性牙周病的二级预防措施;对于肥胖背景下无牙周病的患者,应采取一级预防措施。
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CONDITIONS OF THE ORAL CAVITY STATUS IN YOUTH WITH ALIMENTARY-CONSTITUTIONAL FORM OF OBESITY
Obesity prevalence has significantly increased especially in young adults, which is caused by a particular lifestyle, food quality and dietary behavior. Obesity leads to development of huge array of comorbid conditions such as arterial hypertonia, heart stroke, arthritis and other diseases. We conducted standard clinical examination of oral cavity of 154 young patients (18-21 years old) – all of them were students of Ukrainian Medical Stomatological Academy. It has been determined that the majority of patients with BMI >30 kg/cm2 have aggravated family heredity, in 66,2% cases one parent of obese students had obesity and 32,43% patients have both parents with obesity that is significantly higher compared with persons with normal BMI and overweight. There was a high prevalence of periodontal diseases about 74% and carious lesions of teeth - 97.4% among young people despite the age and contingent of examined patients - medical students. In patients with BMI >30 kg/cm2 prevalence of generalized forms of gingivitis and periodontitis was by three times higher compared with individuals with normal BMI. The values of oral hygienic indexes were poor in all examined groups, but their values were slightly lower in patients with normal BMI than in those with overweight and obesity. The prevalence of inflammatory changes in gums was higher in persons with obesity: all of them had a mild degree of lesions in periodontal tissues. Inflammatory processes in the gums were the most intense in patients with the second degree of obesity. According to the results of the study, the presence of the first and the second degree of obesity should be considered as a risk factor triggering periodontal tissues diseases. For persons with BMI >30 kg/cm2 with periodontal disease measures for the secondary prevention of inflammatory and inflammatory dystrophic periodontal diseases should be carried out and in persons without periodontal disease on the background of obesity measures primary prevention should be done.
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