Physiologic signs during dental treatment in overweight vs normal weight children.

Abstract:

PURPOSE:This study compared physiologic effects of position change on overweight (OW) and normal-weight (NW) children during a preventive appointment. METHODS:A cross-sectional, case-controlled design assigned a convenience sample to either overweight (>85th percentile) or normal-weight groups (25th to 85th percentile) by body mass index (BMI). A trained examiner measured blood pressure (BP), heart rate (HR), oxygen saturation (SpO2), and 5 pulmonary functions in preoperative, upright seated, supine, and postoperative upright seated positions. Anxiety was measured using the Corah Dental Anxiety Scale. RESULTS:NW and OW groups' anxiety scores did not differ (P=.69). Mean BMIs were 20.1 and 39.7 for NW and OW subjects, respectively. Overall, BP between groups was not different (P=.051), although systolic BP for OW subjects tended to be higher. Systolic and diastolic BP dropped for both groups with supine positioning (P< or =.001). During this change, HR did not change for NW, but dropped for OW subjects (P=.001). SpO2 was significantly different between groups following position change, but not within each group. Forced vital capacity and forced expiratory volume were higher in the OW group (P< or =.01), but 2 peak expiratory measures (PEF and PEF25-75 were not (P=.05). CONCLUSION:Heart rate and oxygen saturation respond differently to positional changes in overweight patients.

journal_name

Pediatr Dent

journal_title

Pediatric dentistry

authors

Hoge C,Oueis H,Casamassimo PS,Rashid R,Prior S

subject

Has Abstract

pub_date

2008-11-01 00:00:00

pages

522-9

issue

6

eissn

0164-1263

issn

1942-5473

journal_volume

30

pub_type

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