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Background <p>Studies suggested a relationship between anxiety and Body Mass Index (BMI). However, dental anxiety and BMI was not previously investigated. This cross-sectional study aimed to assess the impact of BMI levels on dental anxiety and behavior among pediatric patients.</p> Methods <p>Children 6–11 years attending four-referral centers in Jeddah, Saudi Arabia and their parents were interrogated. The BMI level scores, child’s behavior (Frankel’s classification) and dental-anxiety (Abeer Dental Anxiety Scale (ACDAS)) were evaluated.</p> Results <p>Out of 952 children participated in this study, 496 (52.1%) had normal BMI, 264 (27.7%) had high BMI (overweight), and 192 (20.2%) had low BMI (underweight). Regression analysis found that overweight was significantly associated with an increased adjusted odds ratio (AOR) of dental anxiety (AOR = 3.018) and uncooperative dental behavior (AOR = 8.714) with <i>p</i> &lt; 0.001. Also, statistically significant increase in the odds ratio (OR) of the child feeling shy in the clinic (<i>P</i> = 0.002; OR:2.113) and parents/operators reporting child behaving scared (<i>P</i> = 0.004; OR:1.985 and <i>p</i> &lt; 0.001; OR:3.03, respectively) when overweight compared to normal-weight.</p> Conclusions <p>This study highlights the impact of overweight on the emotional and behavioral dimensions of the child’s dental experience as they significantly increased the probability of dental anxiety and uncooperative behavior by three and eight times, respectively.</p>

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The relationship between Body Mass Index and dental anxiety among pediatric patients in Jeddah, Saudi Arabia: a cross-sectional study

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年4月21日

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  • Narmin Helal,
  • Lama Yaseen Faran,
  • Rana Abdullah Dashash,
  • Jihan Turkistani,
  • Hind Youssuf Tallab,
  • Fawziah Musaad Aldosari,
  • Somaya Ismail Alhafi,
  • Heba Jafar Sabbagh

摘要

Background

Studies suggested a relationship between anxiety and Body Mass Index (BMI). However, dental anxiety and BMI was not previously investigated. This cross-sectional study aimed to assess the impact of BMI levels on dental anxiety and behavior among pediatric patients.

Methods

Children 6–11 years attending four-referral centers in Jeddah, Saudi Arabia and their parents were interrogated. The BMI level scores, child’s behavior (Frankel’s classification) and dental-anxiety (Abeer Dental Anxiety Scale (ACDAS)) were evaluated.

Results

Out of 952 children participated in this study, 496 (52.1%) had normal BMI, 264 (27.7%) had high BMI (overweight), and 192 (20.2%) had low BMI (underweight). Regression analysis found that overweight was significantly associated with an increased adjusted odds ratio (AOR) of dental anxiety (AOR = 3.018) and uncooperative dental behavior (AOR = 8.714) with p < 0.001. Also, statistically significant increase in the odds ratio (OR) of the child feeling shy in the clinic (P = 0.002; OR:2.113) and parents/operators reporting child behaving scared (P = 0.004; OR:1.985 and p < 0.001; OR:3.03, respectively) when overweight compared to normal-weight.

Conclusions

This study highlights the impact of overweight on the emotional and behavioral dimensions of the child’s dental experience as they significantly increased the probability of dental anxiety and uncooperative behavior by three and eight times, respectively.