Obesity and oral health in Mexican children and adolescents: systematic review and meta-analysis.

Magaly Aceves-Martins, Naara L Godina-Flores, Yareni Yunuen Gutierrez-Gómez, Derek Richards, Lizet López-Cruz, Marcela García-Botello, Carlos Francisco Moreno-García

Journal: Nutrition reviews 2022;80(6):1694-1710

PMID: 34664672

Abstract

CONTEXT

A relationship between obesity and poor oral health has been reported.

OBJECTIVE

To investigate the association between overweight/obesity and oral health in Mexican children and adolescents.

DATA SOURCES

A literature search was conducted of 13 databases and 1 search engine for articles published from 1995 onward.

DATA ANALYSIS

A total of 18 publications were included. Evidence was inconclusive and varied according to sociodemographic factors or outcome measuring tools. The Decayed, Missing, and Filled Teeth and Filled Teeth Surfaces indices and the decayed extracted filled teeth index outcomes were included in a random effects model meta-analysis. Pooled estimates showed no statistically significant oral health differences (measured via the decayed extracted filled teeth or the Decayed, Missing, and Filled Teeth Surfaces indexes) among body mass index (BMI) categories. However, pooled estimates of 6 studies showed that children with higher BMI had worse oral health in permanent teeth (measured via the Decayed Missing Filled Teeth Index) than children with lower BMI (overall mean difference, -0.42; 95%CI, -0.74, -0.11).

CONCLUSION

Whether there is an association between poor oral health and high BMI is inconclusive; however, both co-exist among Mexican children. Therefore, health promotion and prevention efforts should address common risk factors and broader risk social determinants shared between noncommunicable diseases.

© The Author(s) 2021. Published by Oxford University Press on behalf of the International Life Sciences Institute.

Address: The Rowett Institute of Nutrition and Health, University of Aberdeen, Foresterhill, Aberdeen, UK.; Nutrition Department, School of Medicine and Health Sciences, Tecnológico de Monterrey, Col. Ejidos de Huipulco, Tlalpan, Mexico City, Mexico.; School of Dentistry, University of Dundee, Park Place, Dundee, UK.; Universidad Europea del Atlantico, Parque Científico y Tecnologico de Cantabria, Santander, Cantabria, Spain.; Universidad de Monterrey, Nuevo León, Mexico.; School of Computing, Robert Gordon University, Garthdee House, Aberdeen, Scotland, UK.
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