Objective: To evaluate the relationship between nutritional status and dental caries in Brazilian female adolescents with and without behavioral risk for eating disorders. Material and Methods: Cross-sectional study involving 60 girls, 15 to18 years old, randomly selected from public and private schools. Risk behavior for eating disorder was assessed by the Bulimic Investigatory Test of Edinburgh, anthropometric measurements were taken to calculate the body mass index, dental examinations were performed to verify the caries experience and a questionnaire to collect sociodemographic data was applied. Data were analyzed descriptively and analytically using the Statistical Package for the Social Sciences 18.0 software. The level of statistical significance was set at 5%, with a 95% confidence interval. Results: Most of the girls studied in public school (75,0%), had no partner (95,0%) and had a monthly family income above the minimum wage (63,3%). The prevalence of dental caries was high (86.7%). The most used practice for weight loss was the act of purge (18.3%). There was no statistically significant association between dental caries and Body Mass Index (p=0,655), however, it was observed that adolescents with high Body Mass Index had a higher risk for Eating Disorders (p<0,05). Conclusion: The nutritional status was not associated with dental caries, however the monitoring of girls with high Body Mass Indexis important due to the increased risk of eating disorders.
Objective: To analyze the risk behavior for bulimia among female adolescents from public and private high schools. Methods: A cross-sectional study with a random sample of 850 female students aged 15-18 years was carried out in a city in northeastern Brazil, using the Bulimic Investigatory Test of Edinburgh (BITE) to assess the risk behavior for bulimia. Data were analyzed using the Statistical Package for the Social Sciences (SPSS) software and the Pearson’s chi-square , Fisher’s exact and robust Poisson regression tests, adopting the significance level of 5%. Results: Less than half of the sample (42.0%) showed standards of dietary risk and weight control practices; in 1.4% of the sample, bulimia signs were already installed. Fear of gaining weight was reported by 62.8% of the subjects. Risk practices were lower among students from public schools; (Odds Ratio - OR - 0.82; confidence interval of 95% - 95%CI - 0.69-0.97). Among restrictive practices, fasting for a whole day was the most applied (29.9% of the students). Among individuals who were at risk situation, almost half believed to have normal eating habits (prevalence ratio - PR - 0.42; 95%CI 0.36-0.49). Individuals who consider their eating habits normal, who are afraid of gaining weight, those who seek emotional comfort in food and follow strict diets had higher risk for bulimia (p<0.05). Conclusions: The number of female adolescent students with risk behavior practices for bulimia is high, and the frequency of those unaware of this situation is also very high. Risk situations emerge as a collective health problem, and individuals from private schools were more likely to be in this situation.
The aim of this study was to evaluate whether there is an association between risk behavior for eating disorders (EDs) and dental erosion and caries. A controlled cross-sectional study was conducted in Brazil, involving 850 randomly selected female adolescents. After evaluating risk behavior for eating disorders through the Bulimic Investigatory Test of Edinburgh, 12 adolescents were identified with severe risk behavior for EDs and matched to 48 adolescents without such risk. Dental examinations, anthropometric measurements, and eating habits and oral hygiene were performed. Adolescents with high severity eating disorder condition were not more likely to show dental caries (p = 0.329; OR = 2.2, 95% CI: 0.35–13.72) or dental erosion (p = 0.590; OR = 2.33; 95% CI: 0.56–9.70). Adolescents with high body mass index (BMI) were five times more likely to have high severity eating disorder condition (p = 0.031; OR = 5.1; 95% CI: 1.61–23.07). Therefore, high severity risk behavior for EDs was not significantly associated with dental caries and dental erosion. However, high BMI was a risk factor for developing eating disorders and should be an alert for individuals with this condition.
Objective: To evaluate the impact on the quality of working life of Brazilian police officers with Temporomandibular Disorders (TMD). Materials and Methods: The sample consisted of 52 subjects and information was collected through the WHOQOL-BREF questionnaire and the Fonseca Anamnesis Index to evaluate the level of temporomandibular disorder (TMD), followed by clinical examination to determine the experience of dental caries, by means of the DMFT index. Descriptive and inferential statistical analysis (chi-square test) was performed through the Statistical Package for the Social Sciences software. The significance level was 5%. Results: The sample was predominantly composed of males (94.2%) with a mean age of 39.4 years (±9.4) and mean service length of 17.3 years (±11.0). The mean DMFT index value was 15.6 (±6.1), especially the "filled" component, whose mean was 12.1 (±5.4). The presence of TMD was found in 67.3% of the sample, of predominating mild degree (91.4%). Quality of working life (QWL) was classified as unsatisfactory/ neutral by 57.7% of participants. There was a statistically significant association between QWL and presence of TMD (p<0.05); however, there was no association between DMFT index and the presence of TMD (p>0.05). Conclusion: Although military police officers presented a high mean DMFT index value, there was highest prevalence of the "filled" component, evidencing a past experience of caries and evidencing that this population has access to oral health services. The occurrence of TMD was high, predominating the mild degree, and there was an association with QWL.
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