{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T09:33:38Z","timestamp":1771493618211,"version":"3.50.1"},"reference-count":43,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2014,3,10]],"date-time":"2014-03-10T00:00:00Z","timestamp":1394409600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Wellcome Trust"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dental Traumatology"],"published-print":{"date-parts":[[2014,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To systematically review epidemiological articles assessing traumatic dental injuries (<jats:styled-content style=\"fixed-case\">TDI<\/jats:styled-content>) rates according to the physical activity habits and nutritional status.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A search was conducted using PubMed, <jats:styled-content style=\"fixed-case\">ISI<\/jats:styled-content>, Scopus, Sci<jats:styled-content style=\"fixed-case\">ELO<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\"> LILACS<\/jats:styled-content>, and gray literature in Brazilian Theses Databank. We searched for dental trauma, traumatic dental injuries, tooth injuries, tooth fractures, physical activity, motor activity, exercise, sedentary lifestyle, sports, obesity, body mass index (<jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content>), overweight, and fatness. Databases were searched in duplicate from their earliest records until 2012. Additional studies were identified by searching bibliographies of the articles. Two reviewers performed data extraction and analyzed study procedural quality using the Newcastle\u2013Ottawa scale. <jats:styled-content style=\"fixed-case\">PRISMA<\/jats:styled-content> guidelines for reporting systematic reviews were followed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We found 1159 articles, of whom 14 reports involving 13 studies were selected. One article was a birth cohort, one had a case\u2013control design, and the others were cross\u2010sectional. The quality of evidence varied across the studies and was high (9) in 3. Eleven of the studies included assessed influence of nutritional status: five show a positive association between dental trauma and overweight and six do not show any association. Regarding physical activity level, five studies assessed its effect on trauma occurrence: two detected that physical activity acts as a protective factor and two that physical active increases the risk of dental injuries, and one showed no differences in <jats:styled-content style=\"fixed-case\">TDI<\/jats:styled-content> occurrence. Physical activity estimated from questionnaires and <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content> were the most frequently used measures, but methodological differences prevent the comparison of results.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The results suggest that no truly causal relationship exists between dental trauma and physical activity and nutritional status. Due to the relatively low level of evidence currently present, studies with more robust design, for example, prospective cohort should address this question, especially in view of the epidemic of obesity.<\/jats:p><\/jats:sec>","DOI":"10.1111\/edt.12102","type":"journal-article","created":{"date-parts":[[2014,3,10]],"date-time":"2014-03-10T06:43:57Z","timestamp":1394433837000},"page":"251-258","source":"Crossref","is-referenced-by-count":19,"title":["Nutritional status and physical activity level as risk factor for traumatic dental injuries occurrence: a systematic review"],"prefix":"10.1111","volume":"30","author":[{"given":"Mar\u00edlia Le\u00e3o","family":"Goettems","sequence":"first","affiliation":[{"name":"Department of Social and Preventive Dentistry Post\u2010Graduate Program in Dentistry Federal University of Pelotas Pelotas Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helena Silveira","family":"Schuch","sequence":"additional","affiliation":[{"name":"Department of Restorative Dentistry Post\u2010Graduate Program in Dentistry Federal University of Pelotas Pelotas Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pedro Curi","family":"Hallal","sequence":"additional","affiliation":[{"name":"Post\u2010Graduate Program in Epidemiology Post\u2010Graduate Program in Physical Education Federal University of Pelotas Pelotas Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dione Dias","family":"Torriani","sequence":"additional","affiliation":[{"name":"Department of Social and Preventive Dentistry Post\u2010Graduate Program in Dentistry Federal University of Pelotas Pelotas Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fl\u00e1vio Fernando","family":"Demarco","sequence":"additional","affiliation":[{"name":"Department of Restorative Dentistry Post\u2010Graduate Program in Dentistry Post\u2010Graduate Program in Epidemiology Federal University of Pelotas Pelotas Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,3,10]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"96","article-title":"Hidden consequences of dental trauma: the social and psychological effects","volume":"31","author":"Lee JY","year":"2009","journal-title":"Pediatr Dent"},{"key":"e_1_2_7_3_1","volume-title":"Textbook and color atlas of traumatic injuries to the teeth","author":"Andreasen JO","year":"2007"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajodo.2004.06.032"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-9657.2006.00359.x"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-4469.2004.00234.x"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1752-7325.2010.00190.x"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/edt.12003"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-9657.2005.00409.x"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF03404023"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2005.03.013"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.12816\/0003090"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-9657.1997.tb00057.x"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.1.6063.756"},{"key":"e_1_2_7_15_1","first-page":"727","article-title":"Energy expenditure in early infancy and later body fatness","volume":"15","author":"Davies P","year":"1991","journal-title":"Int J Obes"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-9657.2002.00122.x"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-9657.2008.00685.x"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-9657.2009.00827.x"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-9657.2001.170505.x"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1000097"},{"key":"e_1_2_7_21_1","unstructured":"WellsGA SheaB O'ConnellD PetersonJ WelchV LososMet\u00a0al.The Newcastle\u2010Ottawa Scale (NOS) for assessing the quality of nonrandomized studies in meta\u2010analyses. 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