Objectives: The purpose of this study is to identify the associated factors with subjective oral symptoms experience of obesity adolescents. Methods: The study subjects were targeting 8,139 obesity adolescents and 55,601 non-Obesity adolescents who completed 2016 Korean Youth Risk Behavior Web-based...
Objectives: The purpose of this study is to identify the associated factors with subjective oral symptoms experience of obesity adolescents. Methods: The study subjects were targeting 8,139 obesity adolescents and 55,601 non-Obesity adolescents who completed 2016 Korean Youth Risk Behavior Web-based survey. Dependent variables were subjective oral symptoms experiences of fracture teeth, pain, throbbing pain, periodontal pain & bleeding, mucosal disease and bad breath. Independent variables were demographic characteristics of the subjects, oral health behaviors, health behaviors and eating habits. Results: Obesity adolescents were 12.8% with 61.9% subjective oral symptoms experience. Regarding the related factors of subjective oral symptoms experience of obesity adolescents, the factors were identified to be significantly higher in high school (OR=1.72) compared to middle school, learning achievement was higher in middle (OR=1.09) and lower (OR=1.31) compared to high, economic status was higher in lower (OR=1.09) compared to high, sealant experience (OR=1.10) and scaling experiences (OR=1.12) responded no were higher compared to responded yes, smoking experiences responded yes(OR=1.08) were higher compared to responded no, sweet drink (OR=1.14) and fastfood (OR=1.13) consumption were higher in consumption compared to non-consumption and females (OR=0.46) were higher than males. Oral symptoms experience were lower that father and mother's level of education were under high school graduation (OR=0.86) compared to unknown, economic status was in case of middle (OR=0.93) compared to high, tooth brushing was lower in under 1 time (OR=0.76), 2 times (OR=0.61) compared to more than 3 times, vigorous physical activities responded no (OR=0.75) were lower, compared to yes, vegetable consumption was lower in non-consumption (OR=0.68) compared to consumption. Conclusions: Subjective oral symptoms experiences were identified higher in obesity adolescents than non-obesity adolescents. It would be useful to use the results of this study to reduce oral symptoms and necessary to develop a program system considering characteristics of obesity adolescents.
Objectives: The purpose of this study is to identify the associated factors with subjective oral symptoms experience of obesity adolescents. Methods: The study subjects were targeting 8,139 obesity adolescents and 55,601 non-Obesity adolescents who completed 2016 Korean Youth Risk Behavior Web-based survey. Dependent variables were subjective oral symptoms experiences of fracture teeth, pain, throbbing pain, periodontal pain & bleeding, mucosal disease and bad breath. Independent variables were demographic characteristics of the subjects, oral health behaviors, health behaviors and eating habits. Results: Obesity adolescents were 12.8% with 61.9% subjective oral symptoms experience. Regarding the related factors of subjective oral symptoms experience of obesity adolescents, the factors were identified to be significantly higher in high school (OR=1.72) compared to middle school, learning achievement was higher in middle (OR=1.09) and lower (OR=1.31) compared to high, economic status was higher in lower (OR=1.09) compared to high, sealant experience (OR=1.10) and scaling experiences (OR=1.12) responded no were higher compared to responded yes, smoking experiences responded yes(OR=1.08) were higher compared to responded no, sweet drink (OR=1.14) and fastfood (OR=1.13) consumption were higher in consumption compared to non-consumption and females (OR=0.46) were higher than males. Oral symptoms experience were lower that father and mother's level of education were under high school graduation (OR=0.86) compared to unknown, economic status was in case of middle (OR=0.93) compared to high, tooth brushing was lower in under 1 time (OR=0.76), 2 times (OR=0.61) compared to more than 3 times, vigorous physical activities responded no (OR=0.75) were lower, compared to yes, vegetable consumption was lower in non-consumption (OR=0.68) compared to consumption. Conclusions: Subjective oral symptoms experiences were identified higher in obesity adolescents than non-obesity adolescents. It would be useful to use the results of this study to reduce oral symptoms and necessary to develop a program system considering characteristics of obesity adolescents.
본 연구는 우리나라 모든 청소년 대상으로 조사한 청소년건강행태 온라인조사[14]의 결과를 토대로 비만 청소년들의 구강건강행태와 치아통증, 잇몸출혈, 구취, 점막질환 등의 주관적 구강증상경험실태와 그에 미치는 요인을 알아보고자 한다.
제안 방법
이 연구의 종속변수는 치아가 깨지거나 부러짐, 차갑거나 뜨거운 음료 혹은 음식을 마시거나 먹을 때 치아가 아픔, 치아가 쑤시고 욱신거리고 아픔, 잇몸이 아프거나 피가 남, 혀 또는 입 안쪽 뺨이 욱신거리며 아픔, 불쾌한 입 냄새의 구강증상 중 하나라도 경험한 경우 있다, 경험한 적이 없으면 없다로 주관적 구강증상 경험을 구분하였다. 독립변수는 일반적 특성, 구강건강행태, 건강행태 및 식습관으로 구성하였다.
이 연구의 종속변수는 치아가 깨지거나 부러짐, 차갑거나 뜨거운 음료 혹은 음식을 마시거나 먹을 때 치아가 아픔, 치아가 쑤시고 욱신거리고 아픔, 잇몸이 아프거나 피가 남, 혀 또는 입 안쪽 뺨이 욱신거리며 아픔, 불쾌한 입 냄새의 구강증상 중 하나라도 경험한 경우 있다, 경험한 적이 없으면 없다로 주관적 구강증상 경험을 구분하였다. 독립변수는 일반적 특성, 구강건강행태, 건강행태 및 식습관으로 구성하였다.
대상 데이터
표본추출은 800개교로 67,983명이였고, 표본학급 학생 중에서 장기결석, 특수아동, 문자해독장애 학생은 제외되고, 총 798개교, 65,528명이 조사에 참여하였다. 이중 BMI (Body mass index)를 구하기 위한 체중과 신장에 무 응답자 1,788명을 제외하고, 비 비만군 55,601명(87.2%), 비만군 8,139(12.8%)명을 대상으로 하였다.
데이터처리
0 통계프로그램을 이용하여 청소년 건강행태 온라인조사[14]의 표본설계를 적용해서 복합표본분석방법으로 분석하고, 층화변수는 층화(strata), 변수는 집락(cluster), 가중치변수는 가중치(w)로 하여 계획파일을 작성하였다. 비 비만군과 비만군 청소년과 일반적 특성, 구강건강행태, 건강행태 및 식습관의 관련성을 알아보기 위해 교차분석을 실시하였고, 주관적 구강증상경험과 관련요인을 알아보기 위해 종속변수를 주관적 구강증상경험이 있는 경우와 없는 경우로 분류하여 로지스틱 회귀분석을 시행하였다. 통계적 유의수준은 0.
성능/효과
결론적으로 주관적 구강증상경험이 비 비만보다 비만의 청소년들이 더 높았다. 본 연구에서 비만 청소년들의 주관적 구강증상경험에 미치는 요인을 바탕으로 비만 청소년들의 특성을 고려한 구강건강증진을 위한 프로그램 체계가 필요할 것으로 사료된다.
후속연구
본 연구의 제한점으로는 비만군과 비 비만군을 분류하기 위한 체중 및 신장과 구강상태를 실제 검사하지 못하고 설문조사로 확인된 결과이므로 한계를 갖고, 비만과 구강증상과의 관련성을 각각 하나씩 보지 못하였다. 그럼에도 불고하고 본 연구는 비만의 연구에서 잘 다뤄지지 않았던 청소년만을 대상으로 연구했다는 것과 우리나라 청소년을 대상으로 조사한 청소년건강행태 온라인 조사[14]의 원시자료를 이용하여 우리나라 비만 청소년과 주관적 구강증상경험과의 관계를 살펴보았다는데큰 의의가 있다.
질의응답
핵심어
질문
논문에서 추출한 답변
비만군의 청소년을 대상으로 주관적 구강증상경험에 미치는 요인을 알아보기 위한 본 연구의 결론은 무엇인가?
결론적으로 주관적 구강증상경험이 비 비만보다 비만의 청소년들이 더 높았다. 본 연구에서 비만 청소년들의 주관적 구강증상경험에 미치는 요인을 바탕으로 비만 청소년들의 특성을 고려한 구강건강증진을 위한 프로그램 체계가 필요할 것으로 사료된다.
청소년 비만이 증가되는 요인은 무엇인가?
물론, 비만은 여러 연령층에서 문제가 되고 있지만 청소년의 경우 입시로 인해 신체활동 및 운동 부족, 잦은 간식과 인스턴트 음식 섭취 등으로 인해 많은 청소년들의 비만이 증가되고[3], 국민건강통계[4]에 따르면 청소년의 비만 유병률은 2009년부터 2014년까지 5년 동안 약 28.8% 증가되어 청소년 비만이 사회적인 관심으로 집중되고 있다.
비만과 치주질환의 관련성을 나타내는 연구는 무엇이 있는가?
또한 비만은 전신질환뿐만 아니라 구강질병 중 우리나라 대표적 구강상병인 치아우식증과 치주질환과의 관련성도 보고되고 있다[7,8]. 구강질병 중 치주질환의 경우 성인을 대상으로 한 연구[8]에서는 체질량지수 및 허리둘레가 증가할수록 치주질환의 위험도도 증가하였고, 국민건강영양조사의 자료를 이용한 연구[9]에서는 비만과 치주질환의 높은 관련성이 있다고 보고하였다. 또한 Mohammad 등[10]은 특히 18-34세의 젊은 사람들에게 비만일 경우 치주질환의 잠재적 위험이 크다고 보고하였다.
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