Physical activity, BMI and oral health behaviour among adolescents: Finnish School Health Promotion Study

Jorma I. Virtanen (Lead / Corresponding author), Tuija Muikku, Toni Similä, Ayse B. Cinar, Vesa Pohjola

    Research output: Contribution to journalArticle

    1 Citation (Scopus)

    Abstract

    Background: To assess associations between oral health behaviour and physical activity and related factors among adolescents.

    Methods: The study population (n = 76 529) consisted of a representative sample of 16- to 18-year-old Finnish adolescents (boys: 37 211, girls: 39 318). An anonymous, confidential and voluntary classroom-administered questionnaire included questions about tooth brushing frequency, physical activity, BMI and eating habits. Moderate-to-vigorous physical activity (MVPA) was used to assess the adolescents' physical activity. The chi-square test and multiple binary logistic regression were used for statistical analyses. Adjusted odds ratios (OR) and their 95% confidence intervals (CI) were calculated for MVPA, BMI, breakfast, smoking and socioeconomic factors as parents' education and school type.

    Results: The prevalence of twice daily tooth brushing was highest among adolescents reporting 4 hours or more of MVPA (51-77%). Obese and smoking adolescents exercised less often than normal weighted and non-smokers. Girls brushed their teeth twice daily significantly more often than boys (P < 0.001), and high-school students brushed their teeth significantly more often than vocational school students (P < 0.001). Logistic regression models showed that obesity (OR = 2.14, 95% CI 1.92-2.37) and irregular breakfast eating (OR = 2.35, 95% CI 2.19-2.52) among boys, and obesity (OR = 2.81, 95% CI 2.48-3.17), physical inactivity (OR = 1.89, 95% CI 1.78-2.00) and irregular breakfast eating (OR = 1.91, 95% CI 1.79-2.04) among girls were strong predictors for poor tooth brushing.

    Conclusion: Physically active adolescents had better oral health behaviour than less active adolescents. Obesity and smoking were associated with infrequent tooth brushing.

    Original languageEnglish
    Pages (from-to)296-302
    Number of pages7
    JournalEuropean Journal of Public Health
    Volume29
    Issue number2
    Early online date24 Sep 2018
    DOIs
    Publication statusPublished - Apr 2019

    Fingerprint

    School Health Services
    Health Behavior
    Oral Health
    Tooth
    Exercise
    Odds Ratio
    Confidence Intervals
    Breakfast
    Obesity
    Logistic Models
    Smoking
    Eating
    Students
    Feeding Behavior
    Chi-Square Distribution
    Parents
    Education
    Population

    Cite this

    Virtanen, Jorma I. ; Muikku, Tuija ; Similä, Toni ; Cinar, Ayse B. ; Pohjola, Vesa. / Physical activity, BMI and oral health behaviour among adolescents : Finnish School Health Promotion Study. In: European Journal of Public Health. 2019 ; Vol. 29, No. 2. pp. 296-302.
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    title = "Physical activity, BMI and oral health behaviour among adolescents: Finnish School Health Promotion Study",
    abstract = "Background: To assess associations between oral health behaviour and physical activity and related factors among adolescents.Methods: The study population (n = 76 529) consisted of a representative sample of 16- to 18-year-old Finnish adolescents (boys: 37 211, girls: 39 318). An anonymous, confidential and voluntary classroom-administered questionnaire included questions about tooth brushing frequency, physical activity, BMI and eating habits. Moderate-to-vigorous physical activity (MVPA) was used to assess the adolescents' physical activity. The chi-square test and multiple binary logistic regression were used for statistical analyses. Adjusted odds ratios (OR) and their 95{\%} confidence intervals (CI) were calculated for MVPA, BMI, breakfast, smoking and socioeconomic factors as parents' education and school type.Results: The prevalence of twice daily tooth brushing was highest among adolescents reporting 4 hours or more of MVPA (51-77{\%}). Obese and smoking adolescents exercised less often than normal weighted and non-smokers. Girls brushed their teeth twice daily significantly more often than boys (P < 0.001), and high-school students brushed their teeth significantly more often than vocational school students (P < 0.001). Logistic regression models showed that obesity (OR = 2.14, 95{\%} CI 1.92-2.37) and irregular breakfast eating (OR = 2.35, 95{\%} CI 2.19-2.52) among boys, and obesity (OR = 2.81, 95{\%} CI 2.48-3.17), physical inactivity (OR = 1.89, 95{\%} CI 1.78-2.00) and irregular breakfast eating (OR = 1.91, 95{\%} CI 1.79-2.04) among girls were strong predictors for poor tooth brushing.Conclusion: Physically active adolescents had better oral health behaviour than less active adolescents. Obesity and smoking were associated with infrequent tooth brushing.",
    author = "Virtanen, {Jorma I.} and Tuija Muikku and Toni Simil{\"a} and Cinar, {Ayse B.} and Vesa Pohjola",
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    Physical activity, BMI and oral health behaviour among adolescents : Finnish School Health Promotion Study. / Virtanen, Jorma I. (Lead / Corresponding author); Muikku, Tuija; Similä, Toni; Cinar, Ayse B.; Pohjola, Vesa.

    In: European Journal of Public Health, Vol. 29, No. 2, 04.2019, p. 296-302.

    Research output: Contribution to journalArticle

    TY - JOUR

    T1 - Physical activity, BMI and oral health behaviour among adolescents

    T2 - Finnish School Health Promotion Study

    AU - Virtanen, Jorma I.

    AU - Muikku, Tuija

    AU - Similä, Toni

    AU - Cinar, Ayse B.

    AU - Pohjola, Vesa

    PY - 2019/4

    Y1 - 2019/4

    N2 - Background: To assess associations between oral health behaviour and physical activity and related factors among adolescents.Methods: The study population (n = 76 529) consisted of a representative sample of 16- to 18-year-old Finnish adolescents (boys: 37 211, girls: 39 318). An anonymous, confidential and voluntary classroom-administered questionnaire included questions about tooth brushing frequency, physical activity, BMI and eating habits. Moderate-to-vigorous physical activity (MVPA) was used to assess the adolescents' physical activity. The chi-square test and multiple binary logistic regression were used for statistical analyses. Adjusted odds ratios (OR) and their 95% confidence intervals (CI) were calculated for MVPA, BMI, breakfast, smoking and socioeconomic factors as parents' education and school type.Results: The prevalence of twice daily tooth brushing was highest among adolescents reporting 4 hours or more of MVPA (51-77%). Obese and smoking adolescents exercised less often than normal weighted and non-smokers. Girls brushed their teeth twice daily significantly more often than boys (P < 0.001), and high-school students brushed their teeth significantly more often than vocational school students (P < 0.001). Logistic regression models showed that obesity (OR = 2.14, 95% CI 1.92-2.37) and irregular breakfast eating (OR = 2.35, 95% CI 2.19-2.52) among boys, and obesity (OR = 2.81, 95% CI 2.48-3.17), physical inactivity (OR = 1.89, 95% CI 1.78-2.00) and irregular breakfast eating (OR = 1.91, 95% CI 1.79-2.04) among girls were strong predictors for poor tooth brushing.Conclusion: Physically active adolescents had better oral health behaviour than less active adolescents. Obesity and smoking were associated with infrequent tooth brushing.

    AB - Background: To assess associations between oral health behaviour and physical activity and related factors among adolescents.Methods: The study population (n = 76 529) consisted of a representative sample of 16- to 18-year-old Finnish adolescents (boys: 37 211, girls: 39 318). An anonymous, confidential and voluntary classroom-administered questionnaire included questions about tooth brushing frequency, physical activity, BMI and eating habits. Moderate-to-vigorous physical activity (MVPA) was used to assess the adolescents' physical activity. The chi-square test and multiple binary logistic regression were used for statistical analyses. Adjusted odds ratios (OR) and their 95% confidence intervals (CI) were calculated for MVPA, BMI, breakfast, smoking and socioeconomic factors as parents' education and school type.Results: The prevalence of twice daily tooth brushing was highest among adolescents reporting 4 hours or more of MVPA (51-77%). Obese and smoking adolescents exercised less often than normal weighted and non-smokers. Girls brushed their teeth twice daily significantly more often than boys (P < 0.001), and high-school students brushed their teeth significantly more often than vocational school students (P < 0.001). Logistic regression models showed that obesity (OR = 2.14, 95% CI 1.92-2.37) and irregular breakfast eating (OR = 2.35, 95% CI 2.19-2.52) among boys, and obesity (OR = 2.81, 95% CI 2.48-3.17), physical inactivity (OR = 1.89, 95% CI 1.78-2.00) and irregular breakfast eating (OR = 1.91, 95% CI 1.79-2.04) among girls were strong predictors for poor tooth brushing.Conclusion: Physically active adolescents had better oral health behaviour than less active adolescents. Obesity and smoking were associated with infrequent tooth brushing.

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    U2 - 10.1093/eurpub/cky193

    DO - 10.1093/eurpub/cky193

    M3 - Article

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    VL - 29

    SP - 296

    EP - 302

    JO - European Journal of Public Health

    JF - European Journal of Public Health

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