Dietary patterns related to caries in a low-income adult population
Dietary patterns related to caries in a low-income adult population
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DOI：
10.1159/000095645
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发表时间：
2006-01-01
期刊：
影响因子：
4.2
通讯作者：
Ismail, Amid I.
中科院分区：
文献类型：
--
作者：
Burt, Brian A.;Kolker, Justine L.;Ismail, Amid I.
本研究的目的是研究一组低收入的非裔美国成年人的饮食模式和龋齿经历之间的关系。参与者是密歇根州底特律的居民，家庭收入低于联邦规定的贫困水平的250% （n = 1,021）。饮食史由训练有素的采访者通过与成年参与者面对面访谈获得，使用Block 98.2 (R)食物频率问卷。根据ICDAS标准（国际龋齿检测和评估系统）测量龋病。有200份饮食记录的数据被判定无效；这些参与者被从饮食分析中省略，留下n = 821。因子分析确定了液体和固体食物消耗的模式，并将结果因子得分用作多变量线性回归的协变量。龋齿是广泛的，1021名参与者中有82.3% （n = 839）至少有一个空化病变。近四分之三的成年参与者超重或肥胖。这些人有严重的龋齿，口腔卫生差，饮食中糖和脂肪含量高，水果和蔬菜含量低。除了自来水，所有年龄段的成年人最常消费的食物是软饮料；糖中19%的能量来自软饮料。在双变量分析和回归模型中，软饮料消费的频率和牙龈菌斑沉积的存在与龋齿显著相关。如果不改善社会和自然环境，促进口腔健康的干预措施就不太可能成功。版权所有(c) 2006 S. Karger AG，巴塞尔
The aim of this study was to examine the relationship between dietary patterns and caries experience in a representative group of low-income African-American adults. Participants were residents of Detroit, Michigan, with household incomes below 250% of the federally-established poverty level (n = 1,021). Dietary histories were obtained by trained interviewers in face-to-face interviews with the adult participants, using the Block 98.2 (R) food frequency questionnaire. Caries was measured by the ICDAS criteria (International Caries Detection and Assessment System). There were 200 dietary records whose data were judged to be invalid; these participants were omitted from the dietary analyses to leave n = 821. Factor analysis identified patterns of liquid and solid food consumption, and the resulting factor scores were used as covariates in multivariable linear regression. Caries was extensive, with 82.3% of the 1,021 participants (n = 839) having at least one cavitated lesion. Nearly three quarters of the adult participants were overweight or obese. This population had severe caries, poor oral hygiene, and diets that are high in sugars and fats and low in fruits and vegetables. Apart from tap water, the most frequently consumed food item by adults of all ages was soft drinks; 19% of all energy from sugar came from soft drinks alone. In both the bivariate analyses and in the regression model, frequency of soft drink consumption and the presence of gingival plaque deposits were significantly associated with caries. Interventions to promote oral health are unlikely to be successful without improvements in the social and physical environment. Copyright (c) 2006 S. Karger AG, Basel