Abstract
Oral disorders and eating disorders affect everyone, however,these will be more frequent in vulnerable populations suchas native communities. Aim: Determining the body massindex and the prevalence of dental caries and its clinicalconsequences in native Peruvian communities. Methods:Observational, correlational, cross-sectional study. The sampleconsisted of 169 adults from the native communities selectedfor convenience, meeting inclusion and exclusion criteria.Nutritional status was evaluated through the body mass index,to quantify the experience of dental caries, the DMTF index wasused, the severity was quantified by the significance index ofdental caries, and its clinical consequences when not beingtreated by the PUFA index. The evaluation was carried out innatural light by calibrated observers. The data were analyzedin the STATA v 14 program using frequency distribution tablesand figures, to determine the association, the Pearson’scorrelation coefficient was used. Results: The majority ofresidents had an adequate weight for their height 71 (41.01%),followed by low weight 64 (37.87%), overweight 29 (17.16%)and obesity 5 (2.96% ). The prevalence of dental caries was100% (DMTF = 13.23; SIC = 19.01), of which 68.04% had clinicalconsequences, no association was found between: BMI andDMTF (p = 0.557) BMI and PUFA-index (0.485). Conclusions:No association was found between the body mass index anddental caries and its clinical consequences.
Highlights
Indigenous communities are culturally different societies and communities, presenting diverse religions, traditions, languages and histories, being a vulnerable population, in addition, it represents around 5% of the world population, of which 15% live in poverty[1,2]; in addition to having the worst health indicators compared to urban populations[3].These inequalities and inequities may stem from globalization, poverty and marginalization, as well as barriers to accessing medical care[4].The diverse native communities constitute a high percentage of the population with food insecurity
Nutritional status was evaluated through the body mass index, to quantify the experience of dental caries, the DMTF index was used, the severity was quantified by the significance index of dental caries, and its clinical consequences when not being treated by the PUFA index
Our study found that most of the inhabitants had an adequate body mass index, in agreement with what was reported by De Souza-Filho et al.18 [BMI] in Mura indigenous people of the Amazon region of Brazil, Romero et al.19 [BMI] in residents of five native Ashaninka Peruvian communities and with Davison et al.20 [BMI] in young indigenous adults from the north from Australia[21]
Summary
The diverse native communities constitute a high percentage of the population with food insecurity. Malnutrition, overweight or obesity has increased in this type of population, which can be related to the high consumption of carbohydrates, especially those in the form of sugars, increasing the risk of developing dental caries, this is caused by limited access to quality food, or due to the unavailability of rural stores where healthy products are sold[5,6]. Peru is no stranger to this reality, according to the Peruvian Ministry of Health (MINSA) 90.4% of Peruvians have dental caries and 85% suffer from periodontal diseases[8,9], being this reality more frequent and acute in vulnerable populations such as indigenous communities[10]
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