Title Povezanost između preventivnog ponašanja sa svrhom zaštite oralnog zdravlja i zdravih životnih navika u populaciji Dalmacije Title (english) The connection between preventive behavior aimed at protecting oral health and healthy lifestyle habits in the population of Dalmatia Author Robert Badrov Mentor Ivana Kolčić (mentor)Committee member Livia Cigić (predsjednik povjerenstva) Committee member Antonija Tadin (član povjerenstva)Committee member Ivan Galić (član povjerenstva)Granter University of Split Defense date and country 2019, Croatia Scientific / art field, BIOMEDICINE AND HEALTHCARE Scientific / art field, BIOMEDICINE AND HEALTHCARE Abstract Cilj istraživanja: Cilj istraživanja bio je istražiti postoji li povezanost između odlaska na preventivni stomatološki pregled i načina prehrane i razine tjelesne aktivnosti u općoj populaciji grada Splita i otoka Korčule.
Materijali i metode: Presječno istraživanje obuhvatilo je ukupno 1215 ispitanika, jedan dio su činili stanovnici Splita (N=230), a drugi dio stanovnici naselja Blato i Vela Luka s otoka Korčule (N=985) tijekom razdoblja od rujna 2013. do travnja 2014. godine.
Podatci su prikupljeni korištenjem opsežnog upitnika o socio-demografskim osobinama i životnim navikama koji su ispitanici ispunjavali sami, dijela upitnika s anamnestičkim pitanjima koji su ispunjavali zdravstveni djelatnici educirani za prikupljanje podataka te izravnim mjerenjem antropometrijskih pokazatelja i krvnog tlaka te uzimanjem krvi natašte za biokemijsku analizu. Od niza pitanja o životnim navikama, u ovom istraživanju smo uzeli u obzir navike pušenja, prehrambene navike, konzumaciju alkohola i razinu tjelesne aktivnosti. Prehrambene navike smo ispitali pomoću ljestvice za procjenu mediteranske prehrane (engl. Mediterranean Diet Serving Score, MDSS). Razinu tjelesne aktivnosti ispitanici su procjenjivali odvojeno za radni/aktivni dana i za slobodni dio dana, pri čemu su mogli odgovoriti kako je njihova prosječna tjelesna aktivnost sjedeća, lagana, umjerena ili teška.
U analizi podataka korišten je hi-kvadrat test, Mann-Whitney U test i logistička regresija. Granična vrijednost za statističku značajnost je postavljena na P<0,05.
Rezultati: Ispitanici koji su otišli na preventivni pregled u posljednje dvije godine bili su u prosjeku mlađi (P<0,001), obrazovaniji (P<0,001) i boljeg materijalnog statusa (P=0,047) u odnosu prema onima koji nisu bili na preventivnom stomatološkom pregledu dok razlika prema spolu između ispitanika koji su bili na pregledu i onih koji nisu nije zabilježena. Također, nije pronađena razlika u razini tjelesne aktivnosti (P=0,369), konzumaciji alkohola (P=0,617) niti u prevalenciji mediteranske prehrane (P=0,609) između ispitanika koji su bili na pregledu i onih koji nisu bili na pregledu. Odlazak na preventivni stomatološki pregled, nije bio povezan s pridržavanjem obrasca mediteranske prehrane kao ni s višom razinom tjelesne aktivnosti. S druge strane, odlazak na preventivni stomatološki pregled bio je povezan s odlaskom na opći preventivni pregled i skontrolom glukoze u krvi.
Zaključak: U ovom istraživanju pokazali smo da je odlazak na preventivni stomatološki pregled tijekom posljednje dvije godine bio je povezan i s drugim oblicima preventivnog zdravstvenog ponašanja ispitanika. Potrebno je uložiti napor u promoviranju mediteranske prehrane i povećanja razine tjelesne aktivnosti kao zdravog načina života. Redoviti odlasci na preventivne preglede, kako opće tako i stomatološke, trebali bi postati pravilo, a ne iznimka jer pravovremeno prepoznavanje rizika i rana dijagnoza znatno smanjuju troškove liječenja i pridonose povećanju uspjeha liječenja ukoliko liječenje bude potrebno. Napuštanje štetnih navika i promoviranje zdravih životnih navika, napose kroz zdravu prehranu i povećanje tjelesne aktivnosti, zajedno s preventivnim pregledima su pravi put za dostizanje ideala zdrave populacije.
Abstract (english) Objective: The aim of this study was to examine wheter there is an association between uptake of the preventive dental examination and dietary habits and physical activity in general population from the City of Split and the Island of Korčula.
Materials and methods: A cross - sectional study included 1215 subjects, residents from Split (N=230) and residents from Blato and Vela Luka settlements on the island of Korčula (N=985) during the period between September 2013 and April 2014. Data were collected using a self-administrated comprehensive questionnaire on socio-demographic traits and lifestyle habits, and a part of questionnaire on anamnestic dana, which was completed by health professionals trained to collect data. We also measured anthropometric indicators and blood pressure and we took fasting a blood sample for biochemical analysis. From a series of questions about lifestyle habits, in this study we considered smoking, eating habits, alcohol consumption and physical activity levels. We have tested eating habits using Mediterranean Diet Serving Score (MDSS). Respondents assessed the level od physical activity separately for working/active days and for free part of the day, whereby they could answer that their average physical activity was sedentary, light, moderate or severe. The chi-square test, the Mann-Whitney U test and the logistic regression were used in the data analysis. The cut-off value for statistical significance was set at P<0.05.
Results: Respondents who had a preventive dental examination in the last two years were on average younger (P<0.001), more more educated (P<0.001) and had better material status (P=0.047) compared to those who didn't have preventive dental examination, while the difference according to the gender was not recorded. Also, no difference was found in the level of physical activity (P=0.369), alcohol consumption (P=0617), or the prevalence of Mediterranean diet (P=0.609) between subjects who were examined and those who weren't examined. Going on a preventive dental examination was not associated with adherence to the Mediterranean diet pattern or with higher level of physical activity. On the other hand, going on a preventive dental examination was associated with going on a general health check-up and blood glucose control.
Conclussion: In this study, we have shown that attending a prevantive dental examination in the last two years was associated with other forms of preventive health behaviors. Further efforts are needed to promote the Mediterranean diet and to increase the level of physical activity, which are the foundations of a healthy lifestyle. Regular preventive examinations, general ones as well as the dental ones, should become the rule, not the exception, because timely diagnosis can significantly reduce the cost of the treatment and increase the succes of treatment itself. Eliminating unhealthy habits and promoting healthy lifestyle habits, especially through healthy eating and increasing physical activity, along with preventative examinations are the right way to reach the ideal of a healthy population.
Keywords
Oralno zdravlje
Oralna higijena
Oralne manifestacije
Preventivna stomatologija
Mediteranska prehrana
Vježba
Keywords (english)
Oral Health
Oral Hygiene
Oral Manifestations
Preventive Dentistry
Diet Mediterranean
Exercise
Language croatian URN:NBN urn:nbn:hr:171:976338 Study programme Title: Dental Medicine Type of resource Text File origin Born digital Access conditions Open access Terms of use Created on 2020-06-04 11:24:40
