scholarly journals The Evaluation of Dental Anxiety in Primary School Children: A Cross-Sectional Study from Romania

Children ◽  
2020 ◽  
Vol 7 (10) ◽  
pp. 158
Author(s):  
Ramona Vlad ◽  
Anca Maria Pop ◽  
Peter Olah ◽  
Monica Monea
Keyword(s):  
Salivary Cortisol ◽  
Negative Impact ◽  
Dental Anxiety ◽  
Cross Sectional Study ◽  
Current Data ◽  
Primary School Children ◽  
Cross Sectional ◽  
Exact Test ◽  
Salivary Cortisol Level ◽  
Cortisol Levels

Current data report that high levels of dental anxiety in children have a negative impact on oral health. The aim of this study was to measure dental anxiety, based on the Abeer Children Dental Anxiety Scale (ACDAS) used as a self-reported measure and to correlate its values with the salivary cortisol levels. The study was conducted in 2019 and included 389 children aged 6–9 years old; evaluation of dental anxiety and saliva sampling were performed. The influence of gender on the presence of dental anxiety was analyzed using Fisher’s exact test, the salivary cortisol level was compared between anxious and non-anxious children and was further correlated with the ACDAS score (p < 0.05). Girls had higher odds of experiencing dental anxiety (odds ratio: 1.533, p = 0.041). Salivary cortisol levels were higher in anxious compared to non-anxious children (median 1.251 vs. 1.091 ng/mL, p < 0.001) and showed a positive moderate correlation with the ACDAS score (r = 0.411, p < 0.001). Children aged 6–9 years have a high prevalence of dental anxiety, with girls being more susceptible to this condition. Salivary cortisol levels are higher in anxious children and correlate positively with the ACDAS score, proving that ACDAS can be used for the detection of dental anxiety.

scholarly journals Diurnal Salivary Cortisol in Sarcopenic Postmenopausal Women: The OsteoLaus Cohort

2021 ◽  
Author(s):  
Elena Gonzalez Rodriguez ◽  
Pedro Marques-Vidal ◽  
Bérengère Aubry-Rozier ◽  
Georgios Papadakis ◽  
Martin Preisig ◽  
...  
Keyword(s):  
Postmenopausal Women ◽  
Salivary Cortisol ◽  
Population Based ◽  
Cross Sectional Study ◽  
Body Composition Assessment ◽  
Cross Sectional ◽  
X Ray ◽  
Free Cortisol ◽  
Cortisol Levels ◽  
The Relationship

AbstractSarcopenia, similar to hypercortisolism, is characterized by loss of muscle mass and strength. Cortisol circadian rhythm changes with aging (blunted late-day nadir values) were suggested to contribute to this decline. We aimed to explore the relationship between diurnal salivary cortisol values and sarcopenia diagnosis and its components in postmenopausal women. This is a cross-sectional study within the OsteoLaus population-based cohort in Lausanne (Switzerland). Participants had a body composition assessment by dual X-ray absorptiometry (DXA), a grip strength (GS) measure, and salivary cortisol measures (at awakening, 30 min thereafter, 11 AM (sc-11AM) and 8 PM (sc-8PM)). Associations between salivary cortisol and sarcopenia diagnosed by six different criteria (based on appendicular lean mass (ALM) assessed by DXA, and muscle strength by GS), and its components, were analyzed. 471 women aged > 50 years (63.0 ± 7.5) were included. Various definitions identified different participants as sarcopenic, who consistently presented higher salivary cortisol at 11 AM and/or 8 PM. There were no associations between salivary cortisol levels and ALM measures, either absolute or after correction to height squared (ALM index) or body mass index. GS was inversely correlated to sc-11AM (r = − 0.153, p < 0.001) and sc-8PM (r = − 0.118, p = 0.002). Each 10 nmol/l increase of sc-11AM, respectively sc-8PM, was associated with a GS decrease of 1.758 (SE 0.472) kg, respectively 2.929 (SE 1.115) kg. In postmenopausal women, sarcopenia is associated with higher salivary cortisol levels at 11 AM and 8 PM. An increase of daily free cortisol levels in the physiological range could participate to sarcopenia development by decreasing muscle function in postmenopausal women.

Cortisol secretion pattern in overweight/obese and normal-weight infants: a cross-sectional study

2020 ◽  
Vol 33 (2) ◽  
pp. 241-246
Author(s):  
Ana Cristina Resende Camargos ◽  
Pedro Henrique Scheidt Figueiredo ◽  
Sueli Ferreira da Fonseca ◽  
Mariana Aguiar de Matos ◽  
Katherine Simone Caires Oliveira ◽  
...  
Keyword(s):  
Salivary Cortisol ◽  
Area Under The Curve ◽  
Cross Sectional Study ◽  
Normal Weight ◽  
Control Group ◽  
Cortisol Secretion ◽  
Cross Sectional ◽  
Increased Risk ◽  
Highly Sensitive ◽  
Cortisol Levels

AbstractBackgroundThe salivary circadian diurnal cortisol plays an important role in growth and development. Inappropriate levels may induce changes associated with an increased risk of obesity later in life. It is unknown if there are differences in cortisol secretion pattern between overweight/obese infants when compared with theirs peers in infancy. Thus, this study aimed to compare the salivary cortisol secretion pattern in overweight/obese and normal-weight infants.MethodsThirty-three (overweight/obese = 17 and normal weight = 16) infants between 6 and 24 months of age had saliva samples collected upon awakening (T1), 30 min after waking (T2), at 12:00 am or before the baby’s meal (T3), and prior to bedtime (T4). Highly sensitive enzyme immunoassays were used for cortisol analyses.ResultsSalivary cortisol levels were similar between the groups: T1 (p = 0.22; 95% confidence interval [CI]: −5.65, 1.37), T2 (p = 0.24; 95% CI: −8.23, 2.17), T3 (p = 0.95; 95% CI: −3.16, 2.96), and T4 (p = 0.81; 95% CI: −1.39, 1.08); and no differences were observed between area under the curve (AUC) (p = 0.80; 95% CI: −4.58–13.66). The cortisol level reduced in T4 (95% CI: 1.35–2.96) compared to T1 (95% CI: 5.15–8.49) and T2 in the overweight/obese group (p < 0.001; 95% CI: 6.02–11.04). In the normal-weight group, the cortisol reduced in T3 (95% CI: 2.86–8.18) compared to T1 (95% CI: 5.64–12.28) and decreased until T4 (p = 0.001; 95% CI: 1.25–3.37).ConclusionsThe overweight/obese infant group presented a different pattern of cortisol secretion, although cortisol levels did not differ between the control group.

scholarly journals Blunted Diurnal Cortisol Pattern Is Associated With Frailty: A Cross-Sectional Study of 745 Participants Aged 65 to 90 Years

2014 ◽  
Vol 99 (3) ◽  
pp. E464-E468 ◽  
Author(s):  
Hamimatunnisa Johar ◽  
Rebecca T. Emeny ◽  
Martin Bidlingmaier ◽  
Martin Reincke ◽  
Barbara Thorand ◽  
...  
Keyword(s):  
Salivary Cortisol ◽  
Population Based ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Cortisol Reactivity ◽  
Diurnal Cortisol ◽  
Frailty Status ◽  
Increased Risk ◽  
Cortisol Levels ◽  
Study Participants

Background: The role of neuroendocrine alterations in the etiology of frailty syndrome is still poorly understood. Hypothalamic-pituitary-adrenal axis dysregulation is a plausible candidate pathway contributing to frailty. Thus, we sought to examine the associations of diurnal cortisol secretion with frailty in older adults. Methods: A cross-sectional analysis was conducted among 745 study participants (age 65–90 years, mean age 75.1 years) of the population-based KORA Age study. Associations between salivary cortisol measures at awakening (morning 1 [M1]), 30 minutes after awakening (M2), and evening (E) and frailty criteria were determined. Results: Lower cortisol levels in the first morning sample (M1) (P = .18) and M2 (P = .14) and increased E levels (P = .004) were observed in prefrail (35.17%, n = 262) and frail (3.36%, n = 25) individuals, in a dose-response manner. Frailty was strongly associated with smaller ratios of morning to evening levels; M1 to E ratio (P = .02) and M2 to E ratio (P = .003). Higher evening cortisol levels were associated with a 24% increased risk of a prefrail state (odds ratio, 1.22; 95% confidence interval, 1.03–1.44). A smaller morning to evening ratio was associated with an increased risk of low grip strength (1.42, 1.09–1.86) and gait speed (1.31, 1.02–1.68). Conclusion: Frailty status is associated with blunted cortisol reactivity as demonstrated by lower morning and higher evening salivary cortisol levels.

scholarly journals Toxic stress, health and nutrition among Brazilian children in shelters

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Adriana César da Silveira ◽  
Álvaro Jorge Madeiro Leite ◽  
Poliana Coelho Cabral ◽  
Ariclécio Cunha de Oliveira ◽  
Keciany Alves de Oliveira ◽  
...  
Keyword(s):  
Dental Caries ◽  
Negative Impact ◽  
Cross Sectional Study ◽  
Hypothalamic Pituitary Adrenal Axis ◽  
Toxic Stress ◽  
Cross Sectional ◽  
Hypothalamic Pituitary Adrenal ◽  
Adrenal Axis ◽  
Cortisol Levels ◽  
Pituitary Adrenal Axis

Abstract Background Living in a shelter is an adverse experience that generates toxic stress. This situation can cause the dysregulation of the hypothalamic-pituitary-adrenal axis and exert a negative impact on health.The aim of the present study was to determine the association between toxic stress and social, clinical and nutritional characteristics in children at welfare institutions in a city of northeastern of Brazil. Methods An analytical, cross-sectional study was conducted with male and female children up to 60 months of age who live in shelters. Hair cortisol was used for the assessment of stress (immunoassay). The anthropometric data collected were height for age, body mass index for age, arm circumference for age, and head circumference for age (expressed in z-scores). We also evaluated food intake using markers proposed by the Brazilian Dietary and Nutritional Vigilance Surveillance System as well as the occurrence of dental caries and anemia. Results Sixty-three children one to 60 months of age participated in the present study. Asthma was the most frequent disease (11.1%). The prevalence of short stature, anemia and dental caries in the sample was 22.2, 22.2 and 9.4%, respectively. Cortisol levels ranged from 0.93 pg/mg to 391.29 pg/mg (median: 6.17 pg/mg). Higher cortisol levels were found in children with illnesses (p = 0.012) and those who had been hospitalized after being admitted to the institutions (p = 0.001). Conclusions The majority of children had unhealthy eating behavior. The cortisol concentrations found in the present study were suggestive of dysregulation of the hypothalamic-pituitary-adrenal axis. Hypercortisolism was associated with illness and hospitalization.

scholarly journals Estimation of serum cortisol levels and its correlation with salivary cortisol levels in coronary artery disease patients with and without periodontitis: a cross sectional study

2017 ◽  
Vol 5 (5) ◽  
pp. 1930 ◽  
Author(s):  
Ria Susan George ◽  
Nandini Manjunath ◽  
Manjunath B. V. ◽  
Kishore Bhat
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Salivary Cortisol ◽  
Fibrous Tissue ◽  
Cross Sectional Study ◽  
Myocardial Oxygen Demand ◽  
Sectional Study ◽  
Cross Sectional ◽  
Cortisol Levels ◽  
Artery Disease

Background: Atherosclerosis refers to combination of changes in the intima of arteries, consisting of focal accumulation of lipids, complex carbohydrates, blood and blood products, fibrous tissue, calcium deposits and associated medical changes. Ischemic heart disease (IHD) refers to a group of closely related syndromes that is caused by an imbalance between myocardial oxygen demand and blood supply.Methods: A cross-sectional study was conducted on 63 patients, aged 30-65 years, with known coronary artery disease. Estimation of serum and salivary cortisol levels were assessed with specific ELISA kit for cortisol (R&D Systems) and their comparison was performed in patients with and without periodontitis. Statistical analysis was done using Mann-Whitney U test and Pearson Correlation test.Results: The clinical parameters showed statistically significant association (p<0.001) between coronary artery disease and periodontitis and comparative levels of serum and salivary cortisol displayed varying degrees of positive correlation.Conclusions:Saliva along with serum has great potential as a diagnostic fluid and it showed good correlation with cortisol levels in coronary artery disease patients with and without periodontitis. 

scholarly journals Child behavior during the social distancing in the COVID-19 pandemic

2021 ◽  
Vol 74 (suppl 1) ◽  
Author(s):  
Eny Dórea Paiva ◽  
Luciana Rodrigues da Silva ◽  
Maria Estela Diniz Machado ◽  
Rosane Cordeiro Burla de Aguiar ◽  
Karina Rangel da Silva Garcia ◽  
...  
Keyword(s):  
Child Behavior ◽  
Negative Impact ◽  
Cross Sectional Study ◽  
Categorical Variables ◽  
Cross Sectional ◽  
Learning Stage ◽  
Exact Test ◽  
Social Distancing ◽  
The Social ◽  
The Face

ABSTRACT Objective: To describe the daily activities performed by children from 6 to 12 years of age incomplete and analyze children’s behavior during social distancing in the face of the COVID-19 pandemic. Methods: Cross-sectional study with children in a learning stage living in Brazil. The data were collected via online form. Fisher’s exact test was applied to analyze the association of categorical variables with child behavior; when significant, it was used the odds ratio. It was considered results considered statistically significant those presenting values of p < 0.05. Results: Data from 530 children were analyzed: 50.3% female, 71.3% from the Southeast Region, 73% in fulltime social distancing, 52% presented anxiety, which was significantly associated with changes in sleep and appetite. Conclusion: The results indicate the need for parents/caretakers to stimulate moments for the child to express themselves, not minimizing their feelings and providing emotional support to mitigate the negative impact of these feelings on the child’s mental and physical health.

Dental Arch Width in Children and Relationship to their Oral Habits

2019 ◽  
pp. 6-11
Author(s):  
Kohinur Akther ◽  
Md Zakir Hossain
Keyword(s):  
School Children ◽  
Cross Sectional Study ◽  
Primary School Children ◽  
Dental Arch ◽  
Sectional Study ◽  
Cross Sectional ◽  
Oral Habits ◽  
Arch Width ◽  
Bangladeshi Population ◽  
Dental Arch Width

Aim: Objectives: To analyze variations in dental arch width in relation to oral habits.   Materials and Methods : Cross sectional  study was carried out Department of Orthodontics & Dentofacial Orthopedics of Dhaka Dental College & Hospital, Dhaka with a total number of 600 primary school children of 3-6 years ages of Bangladeshi population. Results: This study was a cross sectional study conducted among the 600 children with 3-6 years old prima- ry school children of Bangladeshi population. According to present study, bottle feeding causes significant reduction in maxillary intercanine width and mouth breathers show significant reduction of both arches. Conclusion: It was observed that the children who had used a bottle had a significant reduction in maxillary intercanine width. Breathing through mouth appeared to be associated with a reduction in the size of both arches. This was more significant in the maxillary intercanine , mandibular  intercanine and mandibular molar widths. Therefore to prevent malocclusions, the public should be informed of the harm caused by certain oral habits, the benefits of breast-feeding, and the need to correct bad habits at early life. Ban J Orthod & Dentofac Orthop, April 2016; Vol-7 (1-2), P.6-11

scholarly journals SARS-CoV-2: Vaccine Hesitancy among Underrepresented Racial and Ethnic Groups with HIV in Miami, Florida

2021 ◽  
Author(s):  
Deborah L Jones ◽  
Ana S Salazar ◽  
Violeta J Rodriguez ◽  
Raymond R Balise ◽  
Claudia Uribe Starita ◽  
...  
Keyword(s):  
Race And Ethnicity ◽  
Cross Sectional Study ◽  
Vaccine Uptake ◽  
Vaccine Hesitancy ◽  
Baseline Survey ◽  
Advisory Group ◽  
Medical Mistrust ◽  
Cross Sectional ◽  
Exact Test ◽  
Novel Coronavirus

Abstract Background SARS-CoV-2 and HIV disproportionally affect underrepresented ethnoracial groups in the US. Medical mistrust and vaccine hesitancy will likely impact acceptability of SARS-CoV-2 vaccines. This study examined SARS-CoV-2 vaccine hesitancy among underrepresented ethnoracial groups with HIV and identified factors that may reduce vaccine uptake. Methods We conducted a cross-sectional study of adults ≥18 years with HIV residing in Miami, FL. Participants were invited to participate in the ACTION (A Comprehensive Translational Initiative on Novel Coronavirus) cohort study. A baseline survey was administered from April-August 2020 and followed by a COVID-19 vaccine hesitancy survey from August-November 2020. The COVID-19 vaccine hesitancy survey was adapted from the Strategic Advisory Group Experts survey. Comparisons by race and ethnicity were performed using the Freedman-Haltmann extension of Fisher’s exact test Results A total of 94 participants were enrolled, mean age 54.4 years, 52% female, 60% Black non-Latinx, and 40% non-Black Latinx. Black non-Latinx participants were less likely to agree that vaccinations are important for health when compared to non-Black Latinx (67.8% vs 92.1%, p=0.009), less likely to agree that vaccines are effective in preventing disease (67.8% vs 84.2%, p=0.029), less likely to believe that vaccine information is reliable and trustworthy (35.7% vs 71.1%, p=0.002), and less likely to believe vaccines were unnecessary because COVID-19 would disappear soon (11% vs 21%, p=0.049). Conclusion Medical mistrust, vaccine hesitancy and negative sentiments about SARS-CoV-2 vaccines are prevalent among underrepresented ethnoracial groups with HIV, particularly Black non-Latinx. Targeted strategies to increase vaccine uptake in this population are warranted.

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