THE EFFECTS OF SUGARS INTAKE AND FREQUENCY OF INGESTION ON DENTAL-CARIES INCREMENT IN A 3-YEAR LONGITUDINAL-STUDY
THE EFFECTS OF SUGARS INTAKE AND FREQUENCY OF INGESTION ON DENTAL-CARIES INCREMENT IN A 3-YEAR LONGITUDINAL-STUDY
复制标题
DOI：
10.1177/00220345880670111201
复制
发表时间：
1988-11-01
影响因子：
7.6
通讯作者：
WEINTRAUB, JA
中科院分区：
文献类型：
--
作者：
BURT, BA;EKLUND, SA;WEINTRAUB, JA
对一组最初年龄在11-15岁的儿童进行了为期三年的纵向研究，这些儿童居住在密歇根州中南部的非氟化农村社区。这份报告分析了龋齿增加和所有来源的糖的消费之间的关系，看看是否接受的关系已经改变了龋齿在美国的下降。有499名儿童提供了三次或三次以上的24小时饮食回忆访谈，并在基线和三年后接受了牙科检查。3年平均龋增量为2.91DMFS，81%的新龋损位于窝沟面。所有来源的糖消费量男性平均每天156克，女性平均每天127克，每人每年平均52公斤。糖占男孩和女孩总热量摄入的四分之一，平均每天进食次数为4.3次。儿童谁消耗了较高比例的总能量摄入的糖有较高的增量邻面龋，虽然有小的关系，坑裂龋。每日进食次数的平均数与龋齿增量无关，两餐之间摄入的含糖零食（定义为含糖15%或更多的傻瓜）的平均数也与龋齿增量无关，但两餐之间摄入的糖的平均数与近似龋齿增量有关。当儿童被归类为高龋增量与无龋增量相比，倾向于更频繁的零食被认为是在高龋儿童。在龋齿普遍下降的年龄，得出的结论是，较高的平均每日糖消费量，以及较高的餐间糖消费量，仍然是儿童易患邻面龋齿的危险因素。然而，两餐之间进食含糖食物的总体频率和频率与邻面龋增量的相关性都很差。窝沟龋可能与糖消耗的任何方面无关。
A three-year longitudinal study was carried out with a group of children, initially aged 11-15, residing in non-fluoridated rural communities in south-central Michigan. This report analyses the relation between caries increment and consumption of sugars from all sources to see if accepted relationships have changed with the caries decline in the United States. There were 499 children who provided three or more 24-hour dietary recall interviews, and who received dental examinations at baseline and after three years. Caries increment averaged 2.91 DMFS over the three years, with 81% of new lesions on pit-and-fissure surfaces. Consumption of sugars from all sources averaged 156 g per day for males and 127 g per day for females, an average of 52 kg per person per year. Sugars constituted one-quarter of total caloric intake for both boys and girls, and the average number of eating occasions per day was 4.3. Children who consumed a higher proportion of their total energy intake as sugars had a higher increment of approximal caries, though there was little relation to pit-and-fissure caries. The average number of daily eating occasions was not related to caries increment, nor was the average number of sugary snacks (defined as fools with 15% or more of sugars) consumed between meals, but the average consumption of between-meal sugars was related to the approximal caries increment. When children were categorized by high caries increment compared with no caries increment, a tendency toward more frequent snacks was seen in the high-caries children. In an age of generally declining caries, it was concluded that higher average daily consumption of sugars, and higher between-meal consumption of sugars, was still a risk factor for children susceptible to approximal caries. Overall frequency of eating and frequency of ingestion of sugary foods between meals, however, were both poorly related to approximal caries increment. Pit-and-fissure caries could not be related to any aspect of sugars consumption.