Sugar before bed: a simple dietary risk factor for caries experience
Sugar before bed: a simple dietary risk factor for caries experience
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DOI：
10.1922/cdh_3926goodwin06
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发表时间：
2017-03-01
影响因子：
1.7
通讯作者：
Pretty, I. A.
中科院分区：
文献类型：
--
作者：
Goodwin, M.;Patel, D. K.;Pretty, I. A.
临床护理路径重新强调龋病风险评估以及预测和预防进一步疾病的能力。由于饮食被认为是龋齿发展的关键因素，饮食习惯所构成的龋齿风险水平，如摄取游离糖的频率和时间，受到了质疑。目的：找出可靠、简便的膳食危险因素，为龋病防治提供经验。研究设计：采用方便样本的横断面观察性研究，数据来自临床检查、问卷调查和24小时饮食回忆访谈。参与者：来自英国大曼彻斯特和泰恩河畔纽卡斯尔综合学校的128名年龄在11-12岁之间的受试者。结果指标：两餐间摄入的游离糖。睡前和总游离糖消耗量的百分比由营养师领导的饮食评估进行评估。D4-6MFT由临床检查产生，龋病阈值为ICDAS分期4。结果：分析表明，当专门观察进入牙本质的龋齿时，龋齿体验没有显著差异，称为龋齿组(在D4-6MFT时分裂)，在高和低剥夺之间，在每餐之间摄入游离糖和游离糖(%)。空洞组和无空洞组睡前1小时内的游离糖摄入量差异有统计学意义(p=0.002)。Logistic回归分析显示，睡前摄入游离糖的优势比为2.4(95%可信区间1.3，4.4)。结论：研究表明，睡前摄入游离糖可能是青少年龋齿形成牙本质的重要危险因素。
Clinical care pathways have placed renewed emphasis on caries risk assessment and the ability to predict and prevent further disease. With diet considered a key factor in the development of caries, the level of caries risk posed by dietary habits, such as the frequency of intake and timing of free sugars is questioned. Objective: To identify reliable and simple dietary risk factors for caries experience. Research Design: A cross-sectional observational study of a convenience sample with data gained from clinical examinations, questionnaire and a 24 hour dietary-recall interview. Participants: 128 subjects aged 11-12 from comprehensive schools in Greater Manchester and Newcastle-upon-Tyne, UK. Outcome measures: free sugars consumed between meals. before bed and total % of total free sugars consumed were assessed from dietary assessments led by a dietitian. D4-6MFT was generated with a caries threshold of ICDAS stage 4 from clinical examinations. Results: Analysis revealed no significant differences in caries experience when looking specifically at caries into dentine, referred to as the cavity group (split at D4-6MFT), between high and low deprivation, consumption of free sugars between meals and free sugars (%). The consumption of free sugars within the hour before bed revealed a statistically significant difference between the cavity/no cavity groups (p=0.002). Logistic regression analysis on the cavity/no cavity groups revealed an odds ratio of 2.4 (95%CI 1.3,4.4) for free sugars consumption before bedtime. Conclusions: The study suggests that the consumption of free sugars before bedtime may be an important risk factor for adolescent caries into dentine experience.