超重对口腔状况及口腔液生化参数的影响

Q4 Medicine Stomatologiya Pub Date : 2023-01-01 DOI:10.17116/stomat202310202116
O V Shevchenko
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引用次数: 0

摘要

目的:通过对青少年和成人患者的人体测量学和生物阻抗分析数据的研究,确定超重对牙齿状况的影响,以提高对牙病的诊断和治疗的有效性。材料与方法:研究对象为60名15-18岁的青少年,其中28人体重超标,32人体重正常。参与研究的52例年龄在30-50岁的成年患者均超重(体重指数>25 kg/m2),并患有慢性全身性牙周炎。采用DMF和PMA指数、siless - loe和Stallard卫生指数、mulleman出血指数、Green-Vermillion牙垢指数评估所有患者的牙齿状况。测定口服液的生化指标:丙二醛、弹性酶、脲酶、过氧化氢酶和溶菌酶活性。这些青少年接受了人体测量学研究,测定了身体质量指数。成年患者进行身体组成生物阻抗分析,确定体内脂肪代谢的主要指标:体重指数、脂肪质量(kg)、脂肪组织比例(%)和细胞外液质量(kg)。结果:研究表明,不同年龄的患者体重超重会使其牙齿状况和口腔液生化指标恶化。结论:在牙科患者的检查中纳入人体测量学研究,确定身体质量指数和身体成分的生物阻抗分析,将有助于制定预防牙科疾病的个人方案,实施个性化的方法来提供医疗和预防保健。
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[The effect of overweight on the dental status and biochemical parameters of the oral fluid].

Objective: To increase the effectiveness of the diagnosis and treatment of dental diseases, based on the study of anthropometric and bioimpedance analysis data in adolescents and adult patients to identify the effect of overweight on dental status.

Material and methods: The study involved 60 adolescents aged 15-18 years, 28 of whom were overweight, and 32 with normal body weight. All 52 adult patients aged 30-50 years who participated in the study were overweight (body mass index >25 kg/m2) and had chronic generalized periodontitis. In all patients dental status was assessed by DMF and PMA index, Silness-Loe and Stallard hygienic indices, Muleman bleeding index, Green-Vermillion tartar index. Biochemical parameters of the oral fluid were also evaluated: malondialdehyde, elastase, urease, catalase and lysozyme activity. The adolescents underwent an anthropometric study with the determination of body mass index. Adult patients underwent bioimpedance analysis of body composition to determine the main indicators of fat metabolism in the body: body mass index, fat mass (kg), the proportion of adipose tissue (%) and the mass of extracellular fluid (kg).

Results: The study showed that overweight in patients of different ages worsens their dental status and biochemical parameters of oral fluid.

Conclusion: The inclusion of an anthropometric study with the determination of body mass index and bioimpedance analysis of body composition in the examination of dental patients will allow the development of individual programs for the prevention of dental diseases, implementing a personalized approach to the provision of medical and preventive care.

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来源期刊
Stomatologiya
Stomatologiya Medicine-Medicine (all)
CiteScore
0.40
自引率
0.00%
发文量
93
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