SUGAR CONSUMPTION AND DENTAL-CARIES - EVIDENCE FROM 90 COUNTRIES

SUGAR CONSUMPTION AND DENTAL-CARIES - EVIDENCE FROM 90 COUNTRIES
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DOI:
10.1038/sj.bdj.4808437
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发表时间:
1994-04-23
影响因子:
2.6
通讯作者:
WALKER, ARP
WALKER, ARP
中科院分区:
医学4区
文献类型:
--
作者:
WOODWARD, M;WALKER, ARP

文献摘要

被引文献

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对90个国家12岁儿童龋齿和总人口糖消费量的数据进行了审查。对于整个数据集,DMFT得分倾向于随着糖的消耗而上升。DMFT的对数与糖的线性关系的斜率为0.021/kg/年/人(P < 0.0001),可解释DMFT变异的28%。相比之下,当分别分析来自29个工业化国家的数据时,没有证据表明糖与龋齿的关系;线性回归线的斜率估计为-0.013,与零没有显著差异。后一结果与西方国家糖消耗量和龋齿发生之间缺乏强有力关系的大量证据一致。这些结果表明,除了糖,其他因素,如饮食的其他方面,暴露于氟化物和遗传效应,必须考虑到当试图解释龋齿患病率的变化,并提出建议龋齿控制。
An examination is made of data on dental caries amongst 12-year-old children and sugar consumption of the total population for 90 countries. For the whole data set, DMFT score tends to rise with sugar consumption. The linear relationship between the logarithm of DMFT and sugar is estimated to have a slope of 0.021 per kg/year per head of population (P < 0.0001), and accounts for 28% of the variation in DMFT. In contrast, when data from 29 industrialised nations are analysed separately, there is no evidence of a sugar-caries relationship; the slope of the linear regression line is estimated to be -0.013, not significantly different from zero. This latter result is in agreement with the considerable evidence of a lack of strong relationship between the amount of sugar consumed and caries occurrence in Western countries. These results suggest that, in addition to sugar, other factors, such as other aspects of diet, exposure to fluoride and genetic effects, must be taken into account when seeking to explain variations in caries prevalence, and when making recommendations for caries control.