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Obesity and oral health in Mexican children and adolescents: systematic review and meta-analysis.

Aceves-Martins, Magaly; Godina-Flores, Naara L.; Gutierrez-G�mez, Yareni Yunuen; Richards, Derek; L�pez-Cruz, Lizet; Garc�a-Botello, Marcela; Moreno-Garcia, Carlos Francisco


Magaly Aceves-Martins

Naara L. Godina-Flores

Yareni Yunuen Gutierrez-G�mez

Derek Richards

Lizet L�pez-Cruz

Marcela Garc�a-Botello


Context: A relationship between obesity and poor oral health has been reported. Objective: To investigate the association between overweight/obesity and oral health in Mexican children and adolescents. Data Sources: A literature search was conducted of 13 databases and 1 search engine for articles published from 1995 onward. Data Analysis: A total of 18 publications were included. Evidence was inconclusive and varied according to sociodemographic factors or outcome measuring tools. The Decayed, Missing, and Filled Teeth and Filled Teeth Surfaces indices and the decayed extracted filled teeth index outcomes were included in a random effects model meta-analysis. Pooled estimates showed no statistically significant oral health differences (measured via the decayed extracted filled teeth or the Decayed, Missing, and Filled Teeth Surfaces indexes) among body mass index (BMI) categories. However, pooled estimates of 6 studies showed that children with higher BMI had worse oral health in permanent teeth (measured via the Decayed Missing Filled Teeth Index) than children with lower BMI (overall mean difference, -0.42; 95%CI, -0.74, -0.11). Conclusion: Whether there is an association between poor oral health and high BMI is inconclusive; however, both co-exist among Mexican children. Therefore, health promotion and prevention efforts should address common risk factors and broader risk social determinants shared between noncommunicable diseases.


ACEVES-MARTINS, M., GODINA-FLORES, N.L., GUTIERREZ-GÓMEZ, Y.Y., RICHARDS, D., LÓPEZ-CRUZ, L., GARCÍA-BOTELLO, M. and MORENO-GARCÍA, C.F. 2021. Obesity and oral health in Mexican children and adolescents: systematic review and meta-analysis. Nutrition reviews [online], 80(6), pages 1694-1710. Available from:

Journal Article Type Article
Acceptance Date Oct 19, 2021
Online Publication Date May 5, 2022
Publication Date Jun 30, 2022
Deposit Date Oct 20, 2021
Publicly Available Date Oct 25, 2021
Journal Nutrition Reviews
Print ISSN 0029-6643
Electronic ISSN 1753-4887
Publisher Oxford University Press
Peer Reviewed Peer Reviewed
Volume 80
Issue 6
Pages 1694-1710
Keywords Adolescents; Caries; Children; Obesity; Oral health; Mexico
Public URL
Additional Information The accompanying file for this output contains supplementary material (Appendix S1, Supplementary figure 1-5 and PRISMA checklist) and can be found at the end of the main text.


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