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身体质量指数与牙损伤严重程度之间的关联:成年人的系统性审查和元分析

Yan Hua¹, Feiruo Hong², Yuxin Xu¹

¹Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Zhejiang Key Laboratory of Oral Biomedical, Hangzhou, China.

International dental journal

|November 20, 2025

概括

体重过重与成年人牙损伤负担的增加有关. 这项定量综合强调了更高的BMI与增加的腐烂,缺失和填充牙 (DMFT) 分数之间的关联.

科学领域:

口腔卫生流行病学口腔卫生流行病学
公共卫生营养公共卫生营养

背景情况:

身体质量指数 (BMI) 和成人牙损伤之间的关系仍在争论中.
之前的元分析主要使用二分化的脏病发病率数据.
需要使用连续虫指数进行定量合成.

研究的目的:

量化合成BMI与成人牙损伤负担之间的关联.
利用来自平均DMFT (腐烂,缺失和填充的牙) 和DT (腐烂的牙) 指数的连续数据.
为了探索除了简单的病发病率之外的关系.

主要方法:

在PubMed,Embase,CINAHL和Web of Science数据库中进行系统搜索.
包括12项观察性研究,包括85,975名成年参与者.
使用随机效应模型和证据确定性的GRADE框架对DMFT/DT得分进行集体分析.

主要成果:

肥胖的成年人与正常体重的个人相比,表现出更高的DMFT分数 (WMD: 1.75).
对于超重/肥胖组合 (WMD:1.28) 观察到一个显著的关联.
在高收入国家,在超重和综合超重/肥胖类别中发现了对DT的显著关联.

结论:

过重的体重在定量上与成年人累积牙损伤负担的增加有关.
异质性和证据确定性低,受国民收入的影响,需要谨慎的解释.
口腔健康应纳入肥胖管理策略,认识到疾病严重程度的增加.

关键词:

大人的成年人.体重指数 (Body Mass Index) 是一个指数.牙腐烂是一种牙腐烂.肥胖问题肥胖问题系统性审查系统性审查

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