Development of a pediatric cariogenicity index.

Development of a pediatric cariogenicity index.
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DOI:
10.1111/jphd.12009
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发表时间:
2013
影响因子:
2.3
通讯作者:
Must, Aviva
Must, Aviva
中科院分区:
医学4区
文献类型:
--
作者:
Evans, E. Whitney;Hayes, Catherine;Palmer, Carole A.;Bermudez, Odilia I.;Naumova, Elena N.;Cohen, Steven A.;Must, Aviva

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本研究旨在开发食物和液体致龋指数,并使用来自患有和不患有重度幼儿龋齿(S-ECC)的儿童研究的饮食数据初步测试其效用,重度幼儿龋齿定义为3+光滑表面龋损,包括至少一颗牙髓受累牙齿。数据收集在一个低收入学龄前儿童组成的454名儿童与S-ECC和429名无龋儿童在儿科牙科诊所在华盛顿,DC,哥伦布,OH和辛辛那提,OH的照顾不同的队列。致龋指数用于对食物频率问卷(FFQ)和24小时回忆(24 HR)的饮食数据进行评分。两组之间的平均食物致龋性评分无统计学显著差异。与无龋儿童相比,S-ECC组的液体致龋性评分更高(24 HR:5.28 vs 4.66,p<0.001; FFQ:5.03 vs 4.38,p<0.001)。食物致龋性评分不能区分有和无S-ECC的患者,而液体致龋性评分确实区分了两组(24小时回忆:OR:1.2; 95% CI:1.1,1.3; FFQ:1.7; 95% CI 1.4,2.0)。液体致龋性评分也与龋损数量相关。液体致龋指数在研究和临床环境中有潜力提供液体致龋评分,并帮助快速识别儿童饮食中可改变的风险因素。需要进一步的研究来测试其在临床和公共卫生环境中的效用。
This study was designed to develop food and liquid cariogenicity indices and to preliminarily test their utility using dietary data from a study of children with and without severe early childhood caries (S-ECC), defined as 3+ smooth surface carious lesions, including at least one pulpally involved tooth. Data were collected in a diverse cohort of low-income pre-school aged children made up of 454 children with S-ECC and 429 caries-free children who presented for care at pediatric dental clinics in Washington, DC, Columbus, OH and Cincinnati, OH. The cariogenicity indices were used to score dietary data from a Food Frequency Questionnaire (FFQ) and a 24-hour recall (24HR). There were no statistically significant differences in mean food cariogenicity scores between groups. The liquid cariogenicity score was higher in the S-ECC group as compared to caries-free children (24HR: 5.28 versus 4.66, respectively, p<0.001; FFQ: 5.03 versus 4.38, p<0.001). The food cariogenicity score did not discriminate between those with and without S-ECC, while the liquid cariogenicity score did differentiate between the two groups (24-hour recall: OR: 1.2; 95% CI: 1.1, 1.3; FFQ: 1.7; 95% CI 1.4, 2.0). The liquid cariogenicity score was also associated with number of carious lesions. The liquid cariogenicity index has potential in research and clinical settings to provide a liquid cariogenicity score and help quickly identify modifiable risk factors within a child’s diet. Further research is needed to test its utility in clinical and public health settings.
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发表时间: 2012-10-01
影响因子: 4.8
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期刊: NUTRITION RESEARCH
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发表时间: 1988-11-01
影响因子: 7.6
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DOI: 10.1111/j.1752-7325.2008.00116.x
发表时间: 2009
影响因子: 2.3
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通讯作者: Kressin NR