儿童缺铁性贫血和牙损伤之间的关联:系统的雨元分析
Mohammed Taib Fatih1, Mohammed Khalid Mahmood2, Yad Mariwan Mohammed Ali3
1Department of Dentistry, Komar University of Science and Technology, Sulaymaniyah, Iraq.
概括
患有缺铁性贫血 (IDA) 的儿童患牙损伤的可能性是牙损伤的三倍以上. 这一系统性审查强调了IDA与儿科患者牙损伤风险增加之间的显著关联.
科学领域:
- 儿科健康 儿科健康
- 营养缺乏症 营养缺乏症
- 口腔健康 口腔健康
背景情况:
- 牙腐烂和缺铁性贫血 (IDA) 是严重的公共卫生问题,特别是在儿童发育.
- 新出现的证据表明,IDA与牙损的流行之间存在潜在联系.
研究的目的:
- 系统地评估儿童和青少年缺铁性贫血和牙损伤之间的关联.
- 进行现有元分析的总体元分析,以综合当前的证据.
主要方法:
- 针对2025年1月之前发表的研究,对符合PRISMA的数据库 (PubMed,Scopus,Web of Science,Google Scholar) 进行了全面的搜索.
- 包括重点关注儿童和青少年 (<18岁) 的元分析. 统计措施包括几率比率 (OR) 和平均差异 (MD) 与95%置信区间 (CI).
- 使用I2和Cochran的Q测试评估异质性,使用Egger的测试评估出版偏差,使用AMSTAR 2评估研究质量,使用GRADE评估证据确定性.
主要成果:
- 五个元分析被纳入了审查.
- 患有IDA的儿童患有牙损伤的可能性超过三倍 (OR = 3.64,95% CI:2.45至5.40).
- 综合分析表明,脏儿童的血清费里和血红蛋白水平趋于降低,尽管在统计学上并不显著. 在患有虫的儿童中,MCV水平也呈现出较低值的非显著趋势.
结论:
- 与非贫血儿童相比,贫血儿童的牙损伤明显更为普遍.
- 关于IDA和牙腐烂之间的关联的证据的总体确定性很低,需要进一步调查.
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