Sugar-sweetened beverages and dental caries in adults: A 4-year prospective study
Sugar-sweetened beverages and dental caries in adults: A 4-year prospective study
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DOI：
10.1016/j.jdent.2014.04.011
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发表时间：
2014-08-01
影响因子：
4.4
通讯作者：
Suominen, Anna L.
中科院分区：
文献类型：
--
作者：
Bernabe, Eduardo;Vehkalahti, Miira M.;Suominen, Anna L.
目的：探讨含糖饮料（SSB）的饮用频率与4年内成人龋齿增加的关系。第二个目标是探讨SSB消费频率与龋齿增加之间的关系是否因社会人口特征和含氟牙膏的使用而变化。方法：对参加2000年健康调查和芬兰成人口腔健康随访研究的939名有牙成年人的数据进行分析。在基线时，参与者提供了关于人口特征、教育和牙科行为的信息，包括关于SSB消费频率的两个问题。使用基线和随访临床口腔检查数据计算4年DMFT净增量。在负二项回归模型中检验其相关性，并在主效应模型中加入性别、年龄、教育程度和氟牙膏使用与SSB消费的双向交互作用，检验其调节作用。结果：SBS消费频率与4年DMFT净增量呈正相关，无论参与者的社会人口统计学和行为特征如何。每天饮用1-2和3+ SSB的成年人与不饮用SSB的人相比，DMFT净增量分别增加31%（发病率比：1.31;95%CI: 1.02-1.67）和33% （IRR: 1.33; 95%CI: 1.03-1.72）。4个双向交互项均无显著性差异（p < 0.05）。结论：成人食用SSB频率与龋齿增加之间存在剂量效应关系。这种关联在社会人口特征中是一致的，更重要的是，氟牙膏的使用。临床意义：成年人每天饮用含糖饮料会增加患龋齿的风险。(C) 2014 Elsevier Ltd.版权所有。
Objectives: To explore the association between frequency of consumption of sugar-sweetened beverages (SSB) and caries increment over 4 years in adults. A second objective was to explore whether the association between frequency of SSB consumption and caries increment varied by socio-demographic characteristics and use of fluoride toothpaste.Methods: Data from 939 dentate adults who participated in both the Health 2000 Survey and the Follow-Up Study of Finnish Adults' Oral Health were analysed. At baseline, participants provided information on demographic characteristics, education and dental behaviours, including two questions on frequency of SSB consumption. The 4-year net DMFT increment was calculated using data from baseline and follow-up clinical oral examinations. The association was tested in negative binomial regression models and the moderating role of sex, age, education and use of fluoride toothpaste was examined by adding their two-way interaction with SSB consumption to the main effects model.Results: A positive association was found between frequency of SBS consumption and 4-year net DMFT increment, regardless of participants' socio-demographic and behavioural characteristics. Adults drinking 1-2 and 3+ SSB daily had, respectively, 31% (Incidence Rate Ratio: 1.31; 95%CI: 1.02-1.67) and 33% (IRR: 1.33; 95%CI; 1.03-1.72) greater net DMFT increments than those not drinking any SSB. None of the four two-way interaction terms was significant (all p > 0.05).Conclusion: There seems to be a dose response relationship between frequency of SSB consumption and caries increment in adults. That association was consistent across socio-demographic characteristics, and more importantly, use of fluoride toothpaste.Clinical significance: Drinking sugar-sweetened beverages on a daily basis is related to greater caries risk in adults. (C) 2014 Elsevier Ltd. All rights reserved.