Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Övervikt/fetma hos barn, ungdomar och unga vuxna i relation till vikt, viktutveckling och kariesförekomst.
Jönköping University, School of Health Science, HHJ. Oral health.
2012 (Swedish)Licentiate thesis, comprehensive summary (Other academic)
Abstract [sv]

Fetma är en av världens snabbast växande sjukdomar och karies är fortfarande en vanlig sjukdom hos barn och ungdomar. Syftet med denna licentiatavhandling har varit att:

  1. beskriva frekvensen av övervikt och fetma från födseln till tjugo års ålder.
  2. analysera vikt och viktutvecklingen från födseln till vuxen ålder.
  3. undersöka prevalens av approximal karies hos femtonåringar i förhållande till deras åldersspecifika BMI (isoBMI).
  4. undersöka tidiga mellanmålsvanor och karies vid femton års ålder.

I studien ingick 671 barn följda från 1 till 20 års ålder. Studien har en populationsbaserad longitudinell design och analyserna baserar sig på uppgifter från barnhälsovårds (BHV) -, skolhälsovårds (SHV)- och folktandvårdsjournaler (FTV) från fyra distrikt i Jönköpings kommun. Längd, vikt och födelsediagnoser är inhämtade från BHV- journaler. Från SHV journaler inhämtades längd och viktuppgifter vid 15 år och från FTV journaler inhämtades uppgifter om kariesförekomst vid 15 och 20 års ålder. Dessutom inhämtades data från intervjuer och frågeformulär, som samlats in då barnen var 1 och 3 år gamla. Studien visade att det finns ett samband mellan övervikt/fetma vid 20 års ålder och övervikt/fetma vid 5½ och 15 års ålder. Emellertid var 70 % av dem som hade övervikt/fetma vid 20 år normalviktiga vid 5½ år och 47 % av dem med övervikt/fetma var normalviktiga vid 15 års ålder.

Studien visade också att tonåringar med övervikt och fetma hade en signifikant högre prevalens av approximal karies än de som var normalviktiga. Vidare påvisades ett samband mellan förtäring av kariesriskprodukter vid 1 och 3 år och kariesförekomst vid 15 år. Det framkom inget samband mellan födelsevikt och senare övervikt/fetma vid 20 års ålder. Studien visade inte heller något tydligt mönster av viktutvecklingen från tidig barndom till ung vuxen. Ett barn kunde t ex ha övervikt vid ett mättillfälle för att vid nästa mättillfälle vara normalviktig och sedan överviktig igen. Framtida preventionsprogram för att förebygga både fetma och karies bör samordnas mellan de olika hälsoprofessionerna. Med tanke på att minst hälften av individer som utvecklar övervikt/ fetma till 20 års ålder rekryterades efter 15 års ålder bör denna tonårsgrupp ges särskild uppmärksamhet och nya former för prevention och behandling behöver utvecklas. För barn i förskoleåldern bör primär prevention riktas till hela populationen.

Abstract [en]

Obesity is one of the most rapid growing illnesses and dental caries is still a common illness by children and youth. The aims of this licentiate thesis were:

  1. describe frequency of overweight and obesity from birth to twenty years of age.
  2. analyze weight and weight development from birth to adult age.
  3. examine prevalence of approximal dental caries by teenagers fifteen years of age comparing to their age-specific BMI (isoBMI).
  4. examine early snacking habits and dental caries at the age of fifteen.

The investigations have a population based longitudinal design and the analyses are based on data from 671 children followed from birth to 20 years of age. Information about weight and height were collected from health records at child health centers and school health care. At 20 years of age, weight and height measurements were performed by one of the authors. Data were also selected from caries examinations, interviews and questionnaires when the children were 1 and 3 years of age and from the children’s bitewing radiographs at 15 years of age. The result showed an association between overweight/obesity at 20 years and overweight/obesity at 5½ and 15 years. However, 70% of those who were overweight/obese at 20 years were of normal weight at 5½ years and 47% at 15 years. The majority of those who were overweight/obese at 20 years of age were recruited after 5.5 years of age and half of them in their late teens.

Another finding was that overweight and obese adolescents had more approximal caries than normal-weight adolescents. Furthermore, consumption of snacking products and soft drinks at an early age appears to be associated with caries at 15 years of age. There was no connection found between birth weight and later overweight/obesity at 20 years of age. The study could not demonstrate any distinct patterns of the weight development from early childhood to young adult. A child could, for example, have overweight/obesity at one measurement, have normal weight at the next and then again have overweight/obesity at the third measurement. Because dental caries and overweight/obesity have common determinants further prevention measures should include strategies to prevent and reduce both overweight/obesity and dental caries in the young population.

During the preschool period, the entire population should be the target of primary prevention from overweight/obesity, while, in the case of teenagers, prevention strategies should be developed for the whole population and treatment strategies for teenagers with established overweight/obesity.

Place, publisher, year, edition, pages
Jönköping: School of Health Sciences , 2012. , 52 p.
Series
Hälsohögskolans avhandlingsserie, ISSN 1654-3602 ; 27
Keyword [en]
children, youth, overweight, obesity, weight development, body mass index, isoBMI, caries risk products, caries.
Keyword [sv]
barn, ungdomar, övervikt, fetma, viktutveckling, body mass index, isoBMI, karies risk produkter, karies
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:hj:diva-19880ISBN: 978-91-85835-26-3 (print)OAI: oai:DiVA.org:hj-19880DiVA: diva2:571941
Available from: 2012-11-26 Created: 2012-11-26 Last updated: 2012-11-26Bibliographically approved
List of papers
1. Overweight and obesity in twenty-year-old Swedes in relation to birthweight and weight development during childhood
Open this publication in new window or tab >>Overweight and obesity in twenty-year-old Swedes in relation to birthweight and weight development during childhood
Show others...
2012 (English)In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 101, no 6, 637-42 p.Article in journal (Refereed) Published
Abstract [en]

AIM: To describe the frequency of overweight and obesity from birth to 20 years of age and analyse weight at 20 years of age in relation to weight and weight development during early childhood and adolescence.

METHODS: A longitudinal, population-based study, which followed 496 children from birth to 20 years of age. Information about weight and height was collected from health records at child health centres and school health care. At 20 years of age, weight and height measurements were taken by one of the authors.

RESULTS: At 20 years of age, 124 (25%) of the youth were obese or overweight. Of these youths, 60% had normal weight at 5.5 years. Of the teenagers who were overweight/obese at 15 years, 79% remained overweight/obese at 20 years of age. Out of the 124 overweight/obese at 20, 47% had normal weight at 15 years. [Corrections added after online publication on April 18, 2012: 'Out of the 124 obese at 20' has been changed to 'Out of the 124 overweight/obese at 20']. No relation was found between rapid weight gain during preschool age and overweight and obesity in 20-year-olds.

CONCLUSIONS: The majority of those who were overweight/obese at 20 years of age were recruited after 5.5 years of age, and half of them in their late teens. Thus, during the preschool period, the entire population should be the target of primary prevention from overweight/obesity and, in the case of teenagers, prevention strategies should be developed for the whole population as well as treatment strategies for teenagers with established overweight/obesity.

Keyword
Children, Obesity, Overweight, Weight Gain, Youth
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hj:diva-19879 (URN)10.1111/j.1651-2227.2012.02623.x (DOI)22320837 (PubMedID)
Available from: 2012-11-26 Created: 2012-11-26 Last updated: 2017-12-07Bibliographically approved
2. Body adiposity status in teenagers and snacking habits in early childhood in relation to approximal caries at 15 years of age
Open this publication in new window or tab >>Body adiposity status in teenagers and snacking habits in early childhood in relation to approximal caries at 15 years of age
Show others...
2008 (English)In: International Journal of Paediatric Dentistry, ISSN 0960-7439, E-ISSN 1365-263X, Vol. 18, no 3, 189-196 p.Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: The prevalence of overweight and obesity in children is steadily increasing in many countries. Dental caries and obesity are both multifactorial diseases and are associated with dietary habits.

OBJECTIVE: The purpose of this study was to investigate the relationship between body weight status in adolescents and snacking habits in early childhood to approximal caries prevalence at 15 years of age.

METHODS: This study is part of a series of surveys of oral health in children followed from the ages of 1 year to 15 years. Body adiposity status was estimated at 13.5-16.4 years using the International Obesity Task Force cut-off values [age-specific body mass index (isoBMI)]. Information about snacking habits in early childhood was collected from interviews conducted at 1 year and 3 years. Approximal caries information was obtained from bitewing radiographs at 15 years. Data related to isoBMI and approximal caries were available in 402 teenagers.

RESULT: Adolescents with isoBMI > or = 25 (n = 64) had an approximal caries prevalence that was a mean of 1.6 times higher than those with isoBMI < 25 (n = 338) (4.64 vs. 2.94; P = 0.014). Furthermore, children's snacking habits at an early age were associated with approximal caries at 15 years.

CONCLUSION: Overweight and obese adolescents had more approximal caries than normal-weight individuals. Moreover, the frequent consumption of snacking products during early childhood appears to be a risk indicator for caries at 15 years. Future preventive programmes should therefore include, on a multidisciplinary level, strategies to prevent and reduce both obesity and dental caries at an early age.

National Category
Dentistry
Identifiers
urn:nbn:se:hj:diva-6959 (URN)10.1111/j.1365-263X.2007.00906.x (DOI)18328046 (PubMedID)
Available from: 2008-12-09 Created: 2008-12-09 Last updated: 2017-11-28Bibliographically approved

Open Access in DiVA

fulltext(1095 kB)1040 downloads
File information
File name FULLTEXT01.pdfFile size 1095 kBChecksum SHA-512
f1b65a9b10b35c7da386c69c4e9a3e69408889ef10fae8641a9042ad92a3d48b784d6f7baed874e343e668e0b480835bc556264d3117e9267359584b7f654670
Type fulltextMimetype application/pdf

By organisation
HHJ. Oral health
Medical and Health Sciences

Search outside of DiVA

GoogleGoogle Scholar
Total: 1040 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

isbn
urn-nbn

Altmetric score

isbn
urn-nbn
Total: 554 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf