ABSTRACT
ABSTRACT: The prevalence of erosive tooth wear and obesity are high in psychiatric patients and soft drink consumption is a common risk factor associated with both diseases. This study aimed to assess the association between soft drink consumption, gastric reflux, erosive tooth wear, and obesity among resident patients at the Psychiatric Hospital, Taif, Saudi Arabia.This descriptive, cross-sectional study included 223 adult psychiatric inpatients (126 male, 97 female) with a mean age of 42.3âyears (± 2.2). Dental erosion detection was performed according to World Health Organization criteria. The medical evaluation included assessment of the body mass index (BMI). With appropriate sample weighting, relationships between erosive tooth wear, gastric reflux, and obesity were assessed using multivariable logistic regression.Ninety eight patients (43.9%) presented with erosive tooth wear. The mean BMI for the entire study population was 27.7â±â6.3âkg/m2. Regression analysis showed a strong association between erosive tooth wear and chronic vomiting or bulimia (adjusted odds ratio = 2.11; 95% confidence interval [CI]â=â1.98-5.07, Pâ<â.001), gastric reflux (adjusted odds ratioâ=â2.13; 95% CIâ=â1.34-6.23, Pâ<â.001), consumption of soft drinks (adjusted odds ratio = 2.14; 95% CIâ=â1.03-6.08, Pâ<â.001), and schizophrenia and delusional disorders (adjusted odds ratio = 2.07; 95% CIâ=â1.98-5.08, Pâ<â.001).This study demonstrates a significant association between erosive tooth wear prevalence and chronic vomiting or bulimia, consumption of soft drinks, and gastric reflux among resident patients at psychiatric hospital.
Subject(s)
Gastroesophageal Reflux , Tooth Erosion , Tooth Wear , Adult , Cross-Sectional Studies , Female , Gastroesophageal Reflux/complications , Gastroesophageal Reflux/etiology , Humans , Male , Obesity/complications , Obesity/epidemiology , Tooth Erosion/complications , Tooth Erosion/etiologyABSTRACT
BACKGROUND: Patients with psychiatric illness are more prone to develop obesity and dental caries due to general self-negligence associated with psychiatric illness and side effect of various medications used in psychiatry. OBJECTIVE: Assess the association between dental caries status and obesity among resident patients. DESIGN: Descriptive, cross-sectional. SETTING: Mental health hospital. PATIENTS AND METHODS: A sample of psychiatric in-patients was recruited. Dental caries detection was performed according to the World Health Organization criteria and body mass index (BMI) was measured. Relationships were assessed using multivariable logistic regression. MAIN OUTCOME MEASURES: Relationships between decayed, missing and filled teeth (DMFT) and obesity. SAMPLE SIZE: 223. RESULTS: The sample included 126 males and 97 female with a mean (SD) age of 42.3 (2.2) years. The prevalence of dental caries was 92.6%. The mean (SD) DMFT score was 5.2 (4.2). Twenty-seven percent were schizophrenic, 21.9% had mental retardation and 19.7% had bipolar mood disorder. The mean (SD) BMI was 27.7 (6.3) kg/m2. One hundred twenty-three (55.2%) of in-patients were classified as normal weight, 47 (21.1%) as overweight, and 45 (20.2%) as obese. The logistic regression model showed a strong association between caries and obesity/overweight (adjusted odds ratios=2.7; 95% CI=1.4 - 4.3, P<.001). CONCLUSION: The present study demonstrated a significant association between the frequency of caries and obesity/overweight among resident patients at a psychiatric hospital. LIMITATIONS: Since the data were cross-sectional, causal relationships cannot be established and the observed association could be due to other unexplored factors. CONFLICT OF INTEREST: None.
