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巴西儿童的低出生体重和 Bruxism:一个前性队列研究
Erika Bárbara Abreu Fonseca Thomaz1,2, Elisa Miranda Costa1,3, Érica Martins Valois2
1Department of Public Health, Federal University of Maranhão, São Luís, Maranhão, Brazil.
Journal of oral rehabilitation
|September 24, 2025
概括
低出生体重 (LBW) 是童年牛乳的危险因素,独立于母乳养和乳头使用. 较短的纯母乳养 (EBF) 和软管使用也直接增加了儿童的乳风险.
科学领域:
- 儿科牙科 儿科牙科
- 口腔健康研究研究 口腔健康研究
- 发育儿科 发育儿科
背景情况:
- 童年布鲁克斯症是多因素的,受社会经济地位,心理因素和生活方式的影响.
- 围产因子,特别是低出生体重 (LBW) 与儿童乳头发之间的联系需要进一步调查.
- 早期识别布鲁克斯风险因素对于及时干预和预防策略至关重要.
研究的目的:
- 调查LBW对童年 Bruxism 的影响.
- 评估6个月的纯母乳养 (EBF),乳头使用和心理健康在LBW-布鲁克斯主义关系中的调解作用.
- 在对LBW和布鲁克斯主义的分析中调整社会经济地位 (SES).
主要方法:
- 一项前性队列研究涉及673名巴西儿童,从出生到7-9岁.
- 从产后的医疗记录中收集的LBW (定义为<2500g) 数据.
- 通过父母/监护人的牙磨牙或牙报告来评估 Bruxism;使用结构方程建模分析.
主要成果:
- 在LBW中,显著的总量 (SC=0.199,p=0.045) 和直接效应 (SC=0.207,p=0.037) 对童年 Bruxism.
- 纯母乳养 (EBF) 显示了直接影响 (SC=-0.190,p=0.043) 和间接影响通过使用乳头 (SC=0.082,p=0.028) 介导的乳头.
- 整体模型构造显示出足够和显著的结果 (SC > 0.3,p < 0.001).
结论:
- LBW被确定为童年布鲁克斯症的潜在风险因素,这种关系无法通过EBF,软管使用或心理健康来解释.
- 较短的EBF持续时间和持续的乳头使用是学校儿童布鲁克斯症的直接风险因素.
- 预防策略应强调产前护理,促进6个月的EBF,并阻止吸乳器的使用.
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