This study aimed to investigate associations between psychosocial factors, obesity, and oral
health in a study population of 10- to 18-year-old adolescents who participated in the LIFE Child
study. Psychosocial information (socioeconomic status (SES) based on parents’ education, occupation
and household income, Strengths and Difficulties Questionnaire (SDQ), health-related quality of life)
and physical activity behavior were obtained. Nutritional status was classified based on age- and
sex-adjusted body mass index into underweight, overweight, normal weight and obese. Clinical
dental examinations were performed and scored with respect to caries experience (CE), oral hygiene
(OH), and periodontal status (periodontal health score: PERIO-S). Age-adjusted regression analysis
under the assumption of a double Poisson distribution was performed with and without adjusting for
SES (α = 5%). A total of 1158 study participants (590 girls, 568 boys; mean age 13.2 ± 2.3 years) were
included (17.2% were classified as obese). CE was 20% higher for moderate and 60% higher for low
SES compared to high SES (p < 0.05). PERIO-S was 10% higher for moderate and 30% higher for low
compared to high SES (p < 0.05). Poor OH was associated with higher CE (Ratio R = 2.3, p < 0.0001)
and PERIO-S (R = 3.1, p < 0.0001). Physical activity in a sports club was associated with lower CE-S
and PERIO-S (R = 0.85, p < 0.001). Obesity was associated with increased CE (R = 1.3, p < 0.001)
compared to normal weight. For low but not high SES, more reported difficulties were associated
with higher CE. In conclusion, low SES, poor OH, and obesity are associated with unfavorable oral
health conditions, whereas physical activity and high SES are potentially protective.
| Identifer | oai:union.ndltd.org:DRESDEN/oai:qucosa:de:qucosa:85957 |
| Date | 12 June 2023 |
| Creators | Schmidt, Jana, Vogel, Mandy, Poulain, Tanja, Kiess, Wieland, Hirsch, Christian, Ziebolz, Dirk, Haak, Rainer |
| Publisher | MDPI |
| Source Sets | Hochschulschriftenserver (HSSS) der SLUB Dresden |
| Language | English |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, doc-type:article, info:eu-repo/semantics/article, doc-type:Text |
| Rights | info:eu-repo/semantics/openAccess |
| Relation | 2905 |
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