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Titre : | Beverage Intakes and Toothbrushing During Childhood Are Associated With Caries at Age 17 Years (2021) |
Auteurs : | Teresa A. Marshall ; Alexandra M. Curtis ; Joseph E. Cavanaugh ; John J. Warren ; Steven M. Levy |
Type de document : | Article |
Dans : | Journal of the academy of nutrition and dietetics (Vol. 121, n° 2, February 2021) |
Article en page(s) : | p. 242-252 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Boissons ; Caries dentaires ; Eau ; Edulcorant ; Fluorures ; Jus de fruits et de légumes |
Résumé : |
Background
Sugar-sweetened beverages (SSBs) have been associated with childhood caries; however, associations among lifelong beverage intakes and adolescent caries have received less attention. Objective To investigate associations between beverage intakes during childhood and adolescence and caries experience at 17 years of age, while adjusting for fluoride intakes and toothbrushing. Design Descriptive model analyses were conducted on data collected from a longitudinal birth cohort study. Participants/setting Participants included Iowa Fluoride Study members (n = 318) recruited at birth between 1992 and 1995 with at least 6 beverage questionnaires completed from ages 1 to 17 years and a caries examination at age 17. Exposure Predictors included mean daily milk, juice (100% juice and juice drinks before age 9), SSB (including juice drinks after age 9), and water/sugar-free beverage (SFB) intakes; daily fluoride intakes; and daily toothbrushing frequencies for ages 1 to 17. Main outcome measures The outcome was dental caries count at age 17, adjusted for the number of scored tooth surfaces (decayed and filled surfaces attack rate [DFSAR]). Statistical analyses performed Univariable generalized linear models were fit for each predictor and the outcome DFSAR. Multivariable models assessed combined effects of beverage types, fluoride variables, toothbrushing, sex, and baseline socioeconomic status. Results Based on multivariable models, each 8 oz of additional daily juice and water/SFB decreased expected DFSAR by 53% (95% confidence interval [CI]: 17%-73%) and 29% (95% CI: 7%-46%), respectively, and 8 additional oz SSBs increased expected DFSAR by 42% (95% CI: 5%-92%), after adjustment for other beverage intakes, toothbrushing, total fluoride intake excluding SSB fluoride (non-SSB total fluoride), sex, and baseline socioeconomic status. Each additional daily toothbrushing event decreased expected DFSAR by 43% (95% CI: 14%-62%) after adjustment for beverage intakes, non-SSB total fluoride intake, sex, and baseline SES. Conclusions Higher juice and water/SFB intakes and more toothbrushing were associated with lower caries at age 17, while higher SSB intakes were associated with higher caries. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267220312296 |