Pre-doctoral dental students' knowledge, training, perceptions, and attitudes regarding obesity and treatments: A survey study.
dental education
obesity medicine
oral health
Journal
Journal of dental education
ISSN: 1930-7837
Titre abrégé: J Dent Educ
Pays: United States
ID NLM: 8000150
Informations de publication
Date de publication:
15 Feb 2024
15 Feb 2024
Historique:
revised:
03
01
2024
received:
21
06
2023
accepted:
17
01
2024
medline:
15
2
2024
pubmed:
15
2
2024
entrez:
15
2
2024
Statut:
aheadofprint
Résumé
The aims of this study were to assess first-year predoctoral dental students' knowledge, training, perceptions, and attitudes on obesity and to compare knowledge, perceptions, and attitudes before and after attending an educational presentation. A presentation explaining the impact of obesity and its treatments on oral health was developed and presented to first-year predoctoral dental students (D1's) in the Doctor of Dental Medicine program. Before ("pre") and after ("post") the presentation, attending students were given the opportunity to take an anonymous and voluntary survey. Questions on the survey covered topics on knowledge, training, perceptions, and attitudes about obesity. Thirty-four of the 213 students in the course (response rate = 16.0%) attended the presentation and completed both the pre- and post-surveys. Most participating students reported receiving 0-5 h of education on obesity since starting their dental education. Regarding pre-survey answers to knowledge-based items, the percentage of students answering, "strongly agree" (representing the greatest knowledge level) ranged from 5.9% to 61.8% across items. Significant improvements from pre- to post-survey were observed for all knowledge-based items except a statement that obesity is associated with serious medical conditions. Significant improvements were also found for perception-based items asking about accommodations for patients and the importance of assessing dietary habits. Additionally, at post-survey, students reported significantly less discomfort asking about dietary habits and weight loss medications. Dental curricula policy makers and developers should consider the incorporation of obesity and its treatments, with nutrition experts teaching the content.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2024 American Dental Education Association.
Références
Division of Nutrition, Physical Activity, and Obesity, National Center for Chronic Disease Prevention and Health Promotion. Adult Obesity Facts. Accessed October 16, 2023. https://www.cdc.gov/obesity/data/adult.html
National Center for Health Statistics. National health and nutrition examination survey 2017-March 2020 prepandemic data files-development of files and prevalence estimates for selected health outcomes. National Health Statistics Report. Accessed October 16, 2023. https://www.cdc.gov/nchs/data/nhsr/nhsr158-508.pdf
National Center for Health Statistics. Prevalence of Obesity and Severe Obesity Among Adults: United States, 2017-2018. Accessed October 16, 2023. https://www.cdc.gov/nchs/data/databriefs/db360-h.pdf
Piche ME, Tchernof A, Despres JP. Obesity phenotypes, diabetes, and cardiovascular diseases. Circ Res. 2020;126(11):1477-1500. doi:10.1161/CIRCRESAHA.120.316101
Pamuk F, Kantarci A. Inflammation as a link between periodontal disease and obesity. Periodontol 2000. 2022;90(1):186-196. doi:10.1111/prd.12457
Al-Zahrani MS, Bissada NF, Borawskit EA. Obesity and periodontal disease in young, middle-aged, and older adults. J Periodontol. 2003;74(5):610-615. doi:10.1902/jop.2003.74.5.610
Huang Z, Willett WC, Manson JE, et al. Body weight, weight change, and risk for hypertension in women. Ann Intern Med. 1998;128(2):81-88. doi:10.7326/0003-4819-128-2-199801150-00001
Liccardo D, Cannavo A, Spagnuolo G, et al. Periodontal disease: a risk factor for diabetes and cardiovascular disease. Int J Mol Sci. 2019;20(6):1414. doi:10.3390/ijms20061414
Harvard University T.H. Chan School of Public Health. Obesity Consequences-Economic Costs. Accessed October 16, 2023. https://www.hsph.harvard.edu/obesity-prevention-source/obesity-consequences/economic/
Cawley J, Biener A, Meyerhoefer C, et al. Direct medical costs of obesity in the United States and the most populous states. J Manag Care Spec Pharm. 2021;27(3):354-366. doi:10.18553/jmcp.2021.20410
Alam BF, Abbasi N, Hussain T, Khan MA, Chaudhary MAG, Ijaz F. Relationship of BMI with the diet, physical activity and oral hygiene practices amongst the dental students. BMC Oral Health. 2022;22(1):311. doi:10.1186/s12903-022-02318-8
Malik Z, Holden ACL, Sohn W, Williams K. A disability-based exploration of psychosocial barriers and enablers to accessing dental services for people with clinically severe obesity: a qualitative study. Clin Obes. 2021;11(2):e12429. doi:10.1111/cob.12429
Chacon GE, Viehweg TL, Ganzberg SI. Management of the obese patient undergoing office-based oral and maxillofacial surgery procedures. J Oral Maxillofac Surg. 2004;62(1):88-93. doi:10.1016/j.joms.2003.07.004
Marcott S, Dewan K, Kwan M, Baik F, Lee YJ, Sirjani D. Where dysphagia begins: polypharmacy and xerostomia. Fed Pract. 2020;37(5):234-241.
Thomson WM, Ferguson CA, Janssens BE, Kerse NM, Ting GS, Smith MB. Xerostomia and polypharmacy among dependent older New Zealanders: a national survey. Age Ageing. 2021;50(1):248-251. doi:10.1093/ageing/afaa099
da Silva Azevedo ML, Silva NR, da Costa Cunha Mafra CA, et al. Oral health implications of bariatric surgery in morbidly obese patients: an integrative review. Obes Surg. 2020;30(4):1574-1579. doi:10.1007/s11695-019-04334-0
van Leeuwen SC, Nienhuijs SW, Pijpe J. Oral health-related quality of life before and after bariatric surgery. Ned Tijdschr Tandheelkd. 2022;129(5):239-246. doi:10.5177/ntvt.2022.05.22006
Vuong L, Chang SH, Wan F, et al. National trends and outcomes in adolescents undergoing bariatric surgery. J Am Coll Surg. 2022;235(2):186-194. doi:10.1097/XCS.0000000000000234
Magliocca KR, Jabero MF, Alto DL, Magliocca JF. Knowledge, beliefs, and attitudes of dental and dental hygiene students toward obesity. J Dent Educ. 2005;69(12):1332-1339.
Yuan JC, Lee DJ, Afshari FS, Galang MT, Sukotjo C. Dentistry and obesity: a review and current status in U.S. predoctoral dental education. J Dent Educ. 2012;76(9):1129-1136.
Marshall A, Loescher A, Marshman Z. A scoping review of the implications of adult obesity in the delivery and acceptance of dental care. Br Dent J. 2016;221(5):251-255. doi:10.1038/sj.bdj.2016.644
Larson EL, Ferng YH, Wong-McLoughlin J, Wang S. Retention and protocol adherence of Hispanic volunteers in a longitudinal trial. Am J Health Behav. 2009;33(4):435-444. doi:10.5993/ajhb.33.4.9
Fincham JE. Response rates and responsiveness for surveys, standards, and the journal. Am J Pharm Educ. 2008;72(2):43. doi:10.5688/aj720243
Magnuson B, Jain S, Roomian T, Pagni S, Tran DT, Finkelman MD. Conducting surveys in dental education research: guidelines and reminders. J Dent Educ. 2020;84(3):283-289. doi:10.21815/JDE.019.180
Grimm P. Social desirability bias. In: Sheth J, Malhotra N, eds. Wiley International Encyclopedia of Marketing. Hoboken, NJ: John Wiley & Sons; 2010. doi:10.1002/9781444316568.wiem02057
Chan D. So why ask me? Are self-report data really that bad? Statistical and Methodological Myths and Urban Legends: Doctrine, Verity and Fable in the Organizational and Social Sciences. Routledge/Taylor & Francis Group; 2009:309-336.