期刊文献+

中国母乳喂养与学龄儿童乳牙龋齿关系meta分析 被引量:18

Relationship between breastfeeding and dental caries in school children in China: a meta analysis
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摘要 目的综合评价母乳喂养对学龄儿童龋齿的影响作用,为龋齿早期预防提供科学依据。方法系统检索中国生物医学文献数据库(CBM)、中国知网(CNKI)、维普(VIP)和万方数据库中1996—2015年发表的有关喂养方式与儿童龋齿文章,采用Stata 11.0软件进行meta分析。结果共纳入符合标准文献20篇,17篇为横断面研究,3篇为病例对照研究,样本总量为18 707例;与非母乳喂养组比较,母乳喂养降低儿童龋齿的发病风险(OR=0.581,95%CI=0.433~0.779,P〈0.001);亚组分析结果没有明显降低异质性,并且显示只有在2005年之前发表、非核心期刊、横断面研究、汉族、龋齿未参考WHO诊断标准、北方地区人群的研究中,母乳喂养可降低儿童龋齿的患病率;敏感性分析结果显示,所有纳入文献稳定性较好;所纳入文献不存在发表偏倚。结论母乳喂养对学龄儿童龋齿发生有明显保护作用,因此要提倡母乳喂养。 Objective To evaluate the influence of breastfeeding on dental caries in Chinese school children and to provide evidences for the prevention of dental caries. Methods Articles on feeding methods,dental caries and their relationship published between 1996 through 2015 were systematically retrieved via Chinese Biomedical Database( CBM),Chinese National Knowledge Infrastructure( CNKI),VIP Database,and Wanfang Data; Stata11. 0 software was adopted in meta analysis. Results Totally 20 qualified researches( 17 cross-sectional and 3 case-control studies) were retrieved,with a sample size of 18 707. Compared with artificial feeding,breastfeeding reduced the prevalence of dental caries( odds ratio[OR] = 0. 581,95% confidence interval[95% CI]: 0. 433- 0. 779; P〈0. 001). The results of subgroup analysis showed no significantly reduced heterogeneity and revealed the anti-dental caries effect of breastfeeding in school children only for the cross-sectional studies among Han children in northern China and published before 2005 in non-core journals; in addition,the studies did not adopt the criterion for diagnosis of dental caries recommended by World Health Organization. The results of sensitivity analysis demonstrated that all studies retrieved were good in stability and no publication bias was identified. Conclusion The protective effect of breastfeeding on dental caries is obvious,suggesting breastfeeding should be advocated.
作者 王艳 崔玲玲 赵林远 张晓欢 田亚兰 李文杰 WANG Yan;CUI Ling-ling;ZHAO Lin-yuan ( Department of Nutrition and Food Hygiene, College of Public Health, Zhengzhou University, Zhengzhou, Henan Province 450001, China)
出处 《中国公共卫生》 CAS CSCD 北大核心 2016年第2期243-247,共5页 Chinese Journal of Public Health
基金 国家自然科学基金(81172716)志谢感谢李文杰教授和崔玲玲老师指导,感谢赵林远给予的建议和帮助,感谢张晓欢和田亚兰同学在数据核查时给予的帮助
关键词 母乳喂养 喂养方式 龋齿 蛀牙 口腔疾病 breastfeeding feeding pattern dental caries tooth decay oral disease
作者简介 王艳(1991-),女,山东菏泽人,硕士在读,研究方向:营养与相关疾病。 通讯作者:李文杰,E—mail:1wj@zzu.edu.cn
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