Association between body mass index and dental caries in the Kingdom of Saudi Arabia: Systematic review

Objective: The Kingdom of Saudi Arabia (KSA) has one of the highest prevalence of both obesity and dental caries. To date, there has not been any documented evidence linking these two factors. Therefore, the objective was to conduct a systematic review of published studies that have analysed the ass...

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Main Authors: Yosef Faraj Amer Alshehri, Joon Soo Park, Estie Kruger, Marc Tennant
Format: Article
Language:English
Published: Springer 2020-05-01
Series:Saudi Dental Journal
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1013905219308806
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author Yosef Faraj Amer Alshehri
Joon Soo Park
Estie Kruger
Marc Tennant
author_facet Yosef Faraj Amer Alshehri
Joon Soo Park
Estie Kruger
Marc Tennant
author_sort Yosef Faraj Amer Alshehri
collection DOAJ
description Objective: The Kingdom of Saudi Arabia (KSA) has one of the highest prevalence of both obesity and dental caries. To date, there has not been any documented evidence linking these two factors. Therefore, the objective was to conduct a systematic review of published studies that have analysed the association between body mass index and dental caries in the KSA for both children and adults. Methods: A systematic database search [PubMed, EMBASE, Web of Science, CINAHL and Cochrane Library] was conducted following the PRISMA guidelines. The inclusion criteria were observational studies, with no limit on the publication date. Search terms included: dental caries, obesity, overweight, body mass index, BMI ‘AND’ Saudi Arabia. The independent variable was body mass index (BMI), and the primary outcome measure was dental caries prevalence and severity. Results: From 951 search results, 935 citations were identified and excluded. Of the 16 potentially eligible studies, two citations were excluded, because the studies did not meet the inclusion criteria. This left fourteen studies meeting the criteria to be included in this systematic review. Ten studies outlined children, and four studies assessed adults. For children, two studies resulted in a positive association between high BMI and caries, six studies resulted in a negative association, and two studies had a non-significant association. For adults, two studies resulted in a positive association between high BMI and dental caries, and two studies had a non-significant association. These were rated as having low to moderate risk of bias. Conclusion: As a result of this equivocal outcome within the systematic review, body mass index and dental caries present as a complex association. Further long-term studies are required to translate the findings into clinical practice.
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spelling doaj-art-88e5876363ac48d6b3b3cbb7d3bc04482025-08-20T03:52:02ZengSpringerSaudi Dental Journal1013-90522020-05-0132417118010.1016/j.sdentj.2019.11.002Association between body mass index and dental caries in the Kingdom of Saudi Arabia: Systematic reviewYosef Faraj Amer Alshehri0Joon Soo Park1Estie Kruger2Marc Tennant3School of Human Sciences, The University of Western Australia, Nedlands, Australia; Ministry of Health, Riyadh, Saudi ArabiaInternational Research Collaborative, Oral Health and Equity, School of Human Sciences, The University of Western Australia, Nedlands, Australia; Corresponding author at: International Research Collaborative – Oral Health and Equity, School of Human Sciences, The University of Western Australia, 35 Stirling Highway, Crawley, 6009 WA, Australia.International Research Collaborative, Oral Health and Equity, School of Human Sciences, The University of Western Australia, Nedlands, AustraliaInternational Research Collaborative, Oral Health and Equity, School of Human Sciences, The University of Western Australia, Nedlands, AustraliaObjective: The Kingdom of Saudi Arabia (KSA) has one of the highest prevalence of both obesity and dental caries. To date, there has not been any documented evidence linking these two factors. Therefore, the objective was to conduct a systematic review of published studies that have analysed the association between body mass index and dental caries in the KSA for both children and adults. Methods: A systematic database search [PubMed, EMBASE, Web of Science, CINAHL and Cochrane Library] was conducted following the PRISMA guidelines. The inclusion criteria were observational studies, with no limit on the publication date. Search terms included: dental caries, obesity, overweight, body mass index, BMI ‘AND’ Saudi Arabia. The independent variable was body mass index (BMI), and the primary outcome measure was dental caries prevalence and severity. Results: From 951 search results, 935 citations were identified and excluded. Of the 16 potentially eligible studies, two citations were excluded, because the studies did not meet the inclusion criteria. This left fourteen studies meeting the criteria to be included in this systematic review. Ten studies outlined children, and four studies assessed adults. For children, two studies resulted in a positive association between high BMI and caries, six studies resulted in a negative association, and two studies had a non-significant association. For adults, two studies resulted in a positive association between high BMI and dental caries, and two studies had a non-significant association. These were rated as having low to moderate risk of bias. Conclusion: As a result of this equivocal outcome within the systematic review, body mass index and dental caries present as a complex association. Further long-term studies are required to translate the findings into clinical practice.http://www.sciencedirect.com/science/article/pii/S1013905219308806Dental cariesKingdom of Saudi ArabiaBody mass index
spellingShingle Yosef Faraj Amer Alshehri
Joon Soo Park
Estie Kruger
Marc Tennant
Association between body mass index and dental caries in the Kingdom of Saudi Arabia: Systematic review
Saudi Dental Journal
Dental caries
Kingdom of Saudi Arabia
Body mass index
title Association between body mass index and dental caries in the Kingdom of Saudi Arabia: Systematic review
title_full Association between body mass index and dental caries in the Kingdom of Saudi Arabia: Systematic review
title_fullStr Association between body mass index and dental caries in the Kingdom of Saudi Arabia: Systematic review
title_full_unstemmed Association between body mass index and dental caries in the Kingdom of Saudi Arabia: Systematic review
title_short Association between body mass index and dental caries in the Kingdom of Saudi Arabia: Systematic review
title_sort association between body mass index and dental caries in the kingdom of saudi arabia systematic review
topic Dental caries
Kingdom of Saudi Arabia
Body mass index
url http://www.sciencedirect.com/science/article/pii/S1013905219308806
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