喻艳琴,张秀秀,田薇,李福成,吴昌学,张婷,官志忠,何燕
YU Yanqin,ZHANG Xiuxiu,TIAN Wei,LI Fucheng,WU Changxue,ZHANG Ting,GUAN Zhizhong,HE Yan

• 1:贵州医科大学地方病与少数民族性疾病教育部重点实验室
• 2:贵州省医学分子生物学重点实验室
• 3:贵州医科大学
• 4:六盘水市疾病预防控制中心

摘要(Abstract)：

目的:分析贵州省西部燃煤型地氟病区成年人氟斑牙及人体质量指数(BMI)分布状况及关系。方法:对贵州省毕节市、六盘水市1 395名成年人进行问卷调查,采用中华人民共和国卫生部《成人体重判定》WS/T428-2013推荐标准判断成年人的BMI等级(分为体重过低、正常、超重和肥胖),按照Dean氏分类法对成年人的氟斑牙进行分度;将被检人群分为6个年龄段,分析氟斑牙、BMI等级的性别分布特点及二者的关系。结果:调查人群氟斑牙总检出率为84.59%,6个年龄组氟斑牙检出率随着年龄的增加呈上升趋势(χ~2=36.031,P<0.001),29～岁组和59～岁组男性氟斑牙检出率高于女性(P<0.05);调查人群体重过低、正常、超重及肥胖总检出率分别为7.17%、65.59%、20.07%及7.17%,6个年龄组间BMI等级分布差异有统计学意义(χ~2=38.665,P<0.05),男女间BMI等级分布差异有高度统计学意义(P<0.01),主要表现为29～岁、39～岁、49～及59～岁年龄组(P<0.05);调查人群中氟斑牙组与正常牙组间BMI等级分布差异有高度统计学意义(P<0.01),主要表现为29～岁和49～岁组(P<0.001)。结论:贵州省西部地氟病区氟斑牙检出率随着年龄的增加呈上升趋势,年龄、性别及氟中毒可能是影响该地区成年人BMI等级分布的因素。
Objective:To investigate the distribution of dental fluorosis and body mass index(BMI) of adults and the relationship between the two in coal-burning endemic fluorosis areas in western Guizhou province. Methods: A questionnaire survey was conducted among 1 395 adults in Bijie City and Liupanshui City in Guizhou Province. The BMI grades of adults(underweight, normal weight, overweight and obesity) were based on WS/T428-2013 recommended standard in Adult Weight Determination, published by Ministry of Health of PRC. The dental fluorosis of adults was graded according to the Dean's classification. The subjects were divided into 6 age groups. The gender distribution characteristics of dental fluorosis and BMI grades and the relationship between them were analyzed. Results: The total detection rate of dental fluorosis was 84.59%. The detection rate of dental fluorosis increased with the increase of age(χ~2 trend=36.031,P<0.001). The detection rate of dental fluorosis in 29-year-old and 59-year-old male groups was higher than that of female groups(P<0.05). The detection rate of underweight, normal weight, overweight and obesity was 7.17%, 65.59%, 20.07% and 7.17% respectively. There was significant difference in BMI grade distribution among the 6 age groups(χ~2=38.665,P<0.05). The difference of BMI grade distribution between male and female was statistically significant(P<0.01), and the main manifestations were in the 29-year-old, 39-year-old, 49-year-old and 59-year-old age groups(P<0.05). There was significant difference in the distribution of BMI between dental fluorosis group and normal tooth group(P<0.001), and the main manifestations were found in the 29-year-old and 49-year-old age groups(P<0.01). Conclusion: The detection rate of dental fluorosis increased with age in the western areas of Guizhou Province. Age, gender and fluorosis may be the factors affecting the distribution of BMI grades of adults in this area.

关键词(KeyWords)： 成年人;体质量指数;超重;肥胖症;地氟病;氟斑牙
adult;Body Mass Index;overweight;obesity;endemic fluorosis;dental fluorosis

Abstract:

Keywords:

基金项目(Foundation): 国家自然科学基金项目(31560306,U1812403);; 贵州省科技计划项目[黔科合支撑(2019)2807]

作者(Author): 喻艳琴,张秀秀,田薇,李福成,吴昌学,张婷,官志忠,何燕
YU Yanqin,ZHANG Xiuxiu,TIAN Wei,LI Fucheng,WU Changxue,ZHANG Ting,GUAN Zhizhong,HE Yan

DOI: 10.19367/j.cnki.1000-2707.2020.01.002

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