{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:03:42Z","timestamp":1760144622846,"version":"build-2065373602"},"reference-count":55,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2024,5,8]],"date-time":"2024-05-08T00:00:00Z","timestamp":1715126400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Institutional Fund Projects at King Abdulaziz University","award":["553-165-1441"],"award-info":[{"award-number":["553-165-1441"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Children"],"abstract":"<jats:p>Saudi Vision 2030 was launched in 2016. Obesity and dental caries are both highly prevalent in Saudi adolescents and have been targeted by the Vision\u2019s health initiatives. The aim is to assess their prevalence in adolescents during the first decade since the launch of the Vision. This cross-sectional study was conducted in Jeddah, Saudi Arabia using a stratified sample of 571 high school students, with an average age of 16.7 (0.6). Their height and weight were measured, and their body mass index (BMI) was calculated. The decayed, missed, and filled scores (DMFTs) were recorded after an oral examination. Non-parametric tests were used to assess the associations of DMFT with BMI, sex, and school type; and its predictors were assessed. One-third of males were overweight\/obese compared with 22% of females. Males exhibited higher DMFTs than females. DMFTs were higher among public school students than among their private school counterparts. No significant association was observed between DMFT and BMI. Sex and school type were significant predictors of DMFT. The prevalence of obesity has slowly decreased in adolescents, but the prevalence of dental caries has not. There was no significant relationship between these conditions. Saudi Vision 2030\u2019s current preventive\/educational initiatives may be more effective in combating obesity than dental caries.<\/jats:p>","DOI":"10.3390\/children11050563","type":"journal-article","created":{"date-parts":[[2024,5,8]],"date-time":"2024-05-08T12:27:11Z","timestamp":1715171231000},"page":"563","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Prevalence of Obesity and Dental Caries in High School Adolescents during the First Decade of Saudi Vision 2030: A Cross-Sectional Study"],"prefix":"10.3390","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1371-913X","authenticated-orcid":false,"given":"Deema J.","family":"Farsi","sequence":"first","affiliation":[{"name":"Department of Pediatric Dentistry, Faculty of Dentistry, King Abdulaziz University, Jeddah 21589, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nada J.","family":"Farsi","sequence":"additional","affiliation":[{"name":"Department of Dental Public Health, Faculty of Dentistry, King Abdulaziz University, Jeddah 21589, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3593-3025","authenticated-orcid":false,"given":"Heba M.","family":"Elkhodary","sequence":"additional","affiliation":[{"name":"Department of Pediatric Dentistry, Faculty of Dentistry, King Abdulaziz University, Jeddah 21589, Saudi Arabia"},{"name":"Department of Pedodontics and Oral Health, Faculty of Dental Medicine for Girls, Alazhar University, Cairo 11651, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Logain K.","family":"Alattas","sequence":"additional","affiliation":[{"name":"Department of Pediatric Dentistry, Tufts University, Boston, MA 02111, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-9806-0192","authenticated-orcid":false,"given":"Ali B.","family":"Alshaikh","sequence":"additional","affiliation":[{"name":"Saudi Board of Pediatric Dentistry, Riyadh Elm University, Riyadh 12611, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Najat M.","family":"Farsi","sequence":"additional","affiliation":[{"name":"Department of Pediatric Dentistry, Faculty of Dentistry, King Abdulaziz University, Jeddah 21589, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,5,8]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1016\/S0140-6736(19)31146-8","article-title":"Oral diseases: A global public health challenge","volume":"394","author":"Peres","year":"2019","journal-title":"Lancet"},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Di Cesare, M., Sori\u0107, M., Bovet, P., Miranda, J.J., Bhutta, Z., Stevens, G.A., Laxmaiah, A., Kengne, A.-P., and Bentham, J. (2019). The epidemiological burden of obesity in childhood: A worldwide epidemic requiring urgent action. BMC Med., 17, [published Online First: 20191125].","DOI":"10.1186\/s12916-019-1449-8"},{"key":"ref_3","unstructured":"World Health Organization (2024, March 05). Oral Health. Secondary Oral Health. Available online: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/oral-health."},{"key":"ref_4","unstructured":"World Health Organization (2024, March 05). Obesity and Overweight. Secondary Obesity and Overweight. Available online: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/obesity-and-overweight#:~:text=The%20prevalence%20of%20overweight%20and,19%25%20of%20boys%20were%20overweight."},{"key":"ref_5","first-page":"59","article-title":"Childhood dental caries and childhood obesity. Different problems with overlapping causes","volume":"25","author":"Spiegel","year":"2012","journal-title":"Am. J. Dent."},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"Mohajeri, A., Berg, G., Watts, A., Cheever, V.J., and Hung, M. (2024). Obesity and Dental Caries in School Children. J. Clin. Med., 13.","DOI":"10.3390\/jcm13030860"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"229","DOI":"10.4103\/sjg.SJG_617_18","article-title":"Overweight and obesity among Saudi children and adolescents: Where do we stand today?","volume":"25","author":"Bashir","year":"2019","journal-title":"Saudi J. Gastroenterol."},{"key":"ref_8","unstructured":"Saudi Ministry of Health (2024, February 11). Dental Caries: Facts and Guidelines. Secondary Dental Caries: Facts and Guidelines, Available online: https:\/\/www.moh.gov.sa\/en\/awarenessplateform\/OralHealth\/Pages\/DentalCaries.aspx."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"7132681","DOI":"10.1155\/2022\/7132681","article-title":"Prevalence of Caries among School Children in Saudi Arabia: A Meta-Analysis","volume":"2022","author":"Adam","year":"2022","journal-title":"Adv. Prev. Med."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1186\/s13643-017-0610-8","article-title":"The relationship between childhood body weight and dental caries experience: An umbrella systematic review protocol","volume":"6","author":"Carson","year":"2017","journal-title":"Syst. Rev."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"444","DOI":"10.1177\/0379572119848287","article-title":"Global Patterns of Adolescent Fruit, Vegetable, Carbonated Soft Drink, and Fast-Food Consumption: A Meta-Analysis of Global School-Based Student Health Surveys","volume":"40","author":"Beal","year":"2019","journal-title":"Food Nutr. Bull."},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Pitchika, V., Standl, M., Harris, C., Thiering, E., Hickel, R., Heinrich, J., and K\u00fchnisch, J. (2020). Association of sugar-sweetened drinks with caries in 10- and 15-year-olds. BMC Oral Health, 20, [published Online First: 20200319].","DOI":"10.1186\/s12903-020-01068-9"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"13075","DOI":"10.1038\/s41598-022-14668-y","article-title":"Metagenomic analysis reveals associations between salivary microbiota and body composition in early childhood","volume":"12","author":"Coker","year":"2022","journal-title":"Sci. Rep."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"114","DOI":"10.5144\/0256-4947.2017.114","article-title":"The prevalence of overweight\/obesity in high school adolescents in Jeddah and the association of obesity association with dental caries","volume":"37","author":"Farsi","year":"2017","journal-title":"Ann. Saudi Med."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1387","DOI":"10.15537\/smj.2016.12.15904","article-title":"Prevalence of obesity in elementary school children and its association with dental caries","volume":"37","author":"Farsi","year":"2016","journal-title":"Saudi Med. J."},{"key":"ref_16","unstructured":"(2024, March 08). Saudi Vision 2030. Vision 2030, Kingdom of Saudi Arabia. Secondary Vision 2030, Kingdom of Saudi Arabia 2016, Available online: https:\/\/vision2030.gov.sa\/en."},{"key":"ref_17","unstructured":"(2024, March 08). Saudi Vision 2030. Healthcare Sector Transformation Program. Secondary Healthcare Sector Transformation Program 2016, Available online: https:\/\/www.vision2030.gov.sa\/en\/vision-2030\/vrp\/health-sector-transformation-program\/."},{"key":"ref_18","unstructured":"(2024, March 08). Saudi Vision 2030. Quality of Life Program. Secondary Quality of Life Program 2016, Available online: https:\/\/www.vision2030.gov.sa\/en\/vision-2030\/vrp\/quality-of-life-program\/."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"22","DOI":"10.4103\/sjo.sjo_5_17","article-title":"RASHAKA Program: A collaborative initiative between Ministry of Health and Ministry of Education to control childhood obesity in Saudi Arabia","volume":"5","author":"Alahmed","year":"2017","journal-title":"Saudi J. Obes."},{"key":"ref_20","unstructured":"(2024, March 08). Saudi Sports For All Federation. Who We Are. Secondary Who We Are. Available online: https:\/\/sportsforall.com.sa\/about-us\/#who-we-are."},{"key":"ref_21","unstructured":"(2024, March 08). Saudi Ministry of Health. National Initiative \u201cPrevent Tooth Caries\u201d. Secondary National Initiative \u201cPrevent Tooth Caries\u201d 2018, Available online: https:\/\/www.moh.gov.sa\/Ministry\/Projects\/tooth-decay\/Pages\/default.aspx."},{"key":"ref_22","unstructured":"Petersen, P.E., and Baez Ramon, J. (2013). World Health Organization. Oral Health Surveys: Basic Methods, World Health Organization. [5th ed.]."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"342","DOI":"10.4103\/0256-4947.55162","article-title":"Body mass index in Saudi Arabian children and adolescents: A national reference and comparison with international standards","volume":"29","author":"Foster","year":"2009","journal-title":"Ann. Saudi Med."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"S164","DOI":"10.1542\/peds.2007-2329C","article-title":"Expert committee recommendations regarding the prevention, assessment, and treatment of child and adolescent overweight and obesity: Summary report","volume":"120","author":"Barlow","year":"2007","journal-title":"Pediatrics"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1111\/ijpo.12150","article-title":"Changes in pediatric waist circumference percentiles despite reported pediatric weight stabilization in the United States","volume":"12","author":"Brown","year":"2017","journal-title":"Pediatr. Obes."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"97","DOI":"10.3109\/17477160903111722","article-title":"Utility of waist circumference percentile for risk evaluation in obese children","volume":"5","author":"Bassali","year":"2010","journal-title":"Int. J. Pediatr. Obes."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"652","DOI":"10.1177\/0009922814557784","article-title":"Waist circumference to height ratio in children and adolescents","volume":"54","author":"Mehta","year":"2015","journal-title":"Clin. Pediatr."},{"key":"ref_28","doi-asserted-by":"crossref","unstructured":"Safaei, M., Sundararajan, E.A., Driss, M., Boulila, W., and Shapi\u2019I, A. (2021). A systematic literature review on obesity: Understanding the causes & consequences of obesity and reviewing various machine learning approaches used to predict obesity. Comput. Biol. Med., 136.","DOI":"10.1016\/j.compbiomed.2021.104754"},{"key":"ref_29","doi-asserted-by":"crossref","unstructured":"Zhai, L., Dong, Y., Bai, Y., Wei, W., and Jia, L. (2017). Trends in obesity, overweight, and malnutrition among children and adolescents in Shenyang, China in 2010 and 2014: A multiple cross-sectional study. BMC Public Health, 17, [published Online First: 20170202].","DOI":"10.1186\/s12889-017-4072-7"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"1037","DOI":"10.1001\/jamapediatrics.2022.2052","article-title":"Trends in Obesity Prevalence Among Children and Adolescents Aged 2 to 19 Years in the US From 2011 to 2020","volume":"176","author":"Hu","year":"2022","journal-title":"JAMA Pediatr."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"e29800","DOI":"10.1097\/MD.0000000000029800","article-title":"What is the current status of childhood obesity in Saudi Arabia?: Evidence from 20,000 cases in the Eastern Province: A cross-sectional study","volume":"101","author":"Albaker","year":"2022","journal-title":"Medicine"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"19","DOI":"10.4103\/sjmms.sjmms_417_22","article-title":"Prevalence of Obesity among Children and Adolescents in Saudi Arabia: A Multicenter Population-Based Study","volume":"11","author":"Alghnam","year":"2023","journal-title":"Saudi J. Med. Med. Sci."},{"key":"ref_33","first-page":"e30015","article-title":"Prevalence and Associated Risk Factors of Childhood Obesity in the Eastern Province of Saudi Arabia","volume":"14","author":"Almaqhawi","year":"2022","journal-title":"Cureus"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"566","DOI":"10.1038\/sj.ejcn.1601573","article-title":"Waist circumference as a predictor of cardiovascular and metabolic risk factors in obese girls","volume":"57","author":"Maffeis","year":"2003","journal-title":"Eur. J. Clin. Nutr."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1016\/j.arcped.2019.12.007","article-title":"Relationship between pediatric adiposity and cardiovascular risk factors in Saudi children and adolescents","volume":"27","author":"Alissa","year":"2020","journal-title":"Arch. Pediatr."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1016\/j.jpeds.2007.09.021","article-title":"Waist-to-height ratio, a useful index to identify high metabolic risk in overweight children","volume":"152","author":"Maffeis","year":"2008","journal-title":"J. Pediatr."},{"key":"ref_37","first-page":"634","article-title":"Prevalence of overweight, obesity, and abdominal obesity among urban Saudi adolescents: Gender and regional variations","volume":"32","author":"Abahussain","year":"2014","journal-title":"J. Health Popul. Nutr."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1016\/j.psychres.2016.12.003","article-title":"Body image and adolescence: A behavioral impairment model","volume":"248","author":"Perpina","year":"2017","journal-title":"Psychiatry Res."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.bodyim.2018.11.002","article-title":"The effects of active social media engagement with peers on body image in young women","volume":"28","author":"Hogue","year":"2019","journal-title":"Body Image"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"e4187","DOI":"10.1210\/clinem\/dgac484","article-title":"A Shifting Relationship between Sex Hormone-Binding Globulin and Total Testosterone Across Puberty in Boys","volume":"107","author":"Liao","year":"2022","journal-title":"J. Clin. Endocrinol. Metab."},{"key":"ref_41","unstructured":"American Academy of Pediatric Dentistry (2024, March 05). Policy on Early Childhood Caries: Consequences and Preventive Strategies. Secondary Policy on Early Childhood Caries: Consequences and Preventive Strategies 2021. Available online: https:\/\/www.aapd.org\/research\/oral-health-policies--recommendations\/early-childhood-caries-classifications-consequences-and-preventive-strategies\/."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1186\/s13005-020-00237-z","article-title":"Dental caries in primary and permanent teeth in children\u2019s worldwide, 1995 to 2019: A systematic review and meta-analysis","volume":"16","author":"Kazeminia","year":"2020","journal-title":"Head Face Med."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/j.sdentj.2012.10.002","article-title":"A systematic review of population-based dental caries studies among children in Saudi Arabia","volume":"25","year":"2013","journal-title":"Saudi Dent. J."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"15579883211016361","DOI":"10.1177\/15579883211016361","article-title":"Men and Oral Health: A Review of Sex and Gender Differences","volume":"15","author":"Lipsky","year":"2021","journal-title":"Am. J. Mens. Health"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"463","DOI":"10.26502\/aimr.0131","article-title":"Does Gender Contribute to Any Differences in Caries and Periodontal Status in UK Children?","volume":"5","author":"Papadaki","year":"2022","journal-title":"Arch. Intern. Med. Res."},{"key":"ref_46","doi-asserted-by":"crossref","unstructured":"Abe, M., Mitani, A., Hoshi, K., and Yanagimoto, S. (2020). Large Gender Gap in Oral Hygiene Behavior and Its Impact on Gingival Health in Late Adolescence. Int. J. Environ. Res. Public Health, 17.","DOI":"10.3390\/ijerph17124394"},{"key":"ref_47","unstructured":"(2022). Improving Access to Oral Healthcare: Adopted by the FDI General Assembly: 27\u201329 September 2021, Sydney, Australia. Int. Dent. J., 72, 2\u20133."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"e180010","DOI":"10.1590\/1980-549720180010.supl.1","article-title":"Soft drink consumption and body mass index in Brazilian adolescents: National Adolescent Student Health Survey","volume":"21","author":"Chaves","year":"2018","journal-title":"Rev. Bras. Epidemiol."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"981","DOI":"10.14740\/jocmr2958w","article-title":"Association between Dental Caries and Body Mass Index in Schoolchildren Aged between 14 and 16 Years in Riyadh, Saudi Arabia","volume":"9","author":"Alghamdi","year":"2017","journal-title":"J. Clin. Med. Res."},{"key":"ref_50","first-page":"8811974","article-title":"Relationship between Obesity and Dental Caries in Saudi Male Adolescents","volume":"2020","author":"Nazir","year":"2020","journal-title":"Int. J. Dent."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"233","DOI":"10.5005\/jp-journals-10005-1517","article-title":"Association between Obesity and Oral Health Status in Schoolchildren: A Survey in Five Districts of West Bengal, India","volume":"11","author":"Halder","year":"2018","journal-title":"Int. J. Clin. Pediatr. Dent."},{"key":"ref_52","first-page":"758","article-title":"Association between BMI and Dental Caries among School Children and Adolescents in Jiangsu Province, China","volume":"30","author":"Li","year":"2017","journal-title":"Biomed. Environ. Sci."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1111\/jphd.12244","article-title":"A longitudinal study of the relationship between dental caries and obesity in late childhood and adolescence","volume":"78","author":"Whitehead","year":"2018","journal-title":"J. Public. Health Dent."},{"key":"ref_54","doi-asserted-by":"crossref","unstructured":"Sanchez-Perez, L., Saenz-Martinez, L.P., Molina-Frechero, N., Irigoyen-Camacho, M.E., Zepeda-Zepeda, M., and Acosta-Gio, E. (2021). Body Mass Index and Dental Caries, a Five-Year Follow-Up Study in Mexican Children. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph18147417"},{"key":"ref_55","unstructured":"Population Pyramid (2024, March 19). Saudi Arabia 2020. Secondary Saudi Arabia 2020. Available online: https:\/\/www.populationpyramid.net\/saudi-arabia\/2020\/."}],"container-title":["Children"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2227-9067\/11\/5\/563\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T14:41:36Z","timestamp":1760107296000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2227-9067\/11\/5\/563"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,8]]},"references-count":55,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2024,5]]}},"alternative-id":["children11050563"],"URL":"https:\/\/doi.org\/10.3390\/children11050563","relation":{},"ISSN":["2227-9067"],"issn-type":[{"type":"electronic","value":"2227-9067"}],"subject":[],"published":{"date-parts":[[2024,5,8]]}}}