Importance of Healthy Eating for Oral Health Promotion in School-aged Children

本研究的目的是找出日本对下一代学龄前和学龄儿童进行食品和营养教育的有效和具体的程序。从本分析中得出的与龋齿经历相关的因素是“不吃早餐”（OR: 2.05）、“睡前吃零食”（OR: 1.46）、“患有牙龈炎”（OR: 0.80）、“检测变形链球菌”（OR: 1.62）和“乳酸菌”（OR: 1.63）。研究显示，22.3%的儿童有生活方式相关疾病的风险因素。多元logistic回归分析显示，儿童与生活方式相关疾病、不吃早餐（OR: 2.05）、不喜欢运动（OR: 2.07）和高唾液MS水平（OR: 1.75）之间存在显著相关。食物接受反应低的相关因素为不吃早餐（OR: 3.235）、健康行为知识（OR: 1.55-1.98）、唾液分泌率（OR: 1.74）、错牙合（OR: 1.51）。本研究表明，唾液中MS的计数可能是学龄儿童糖和脂肪摄入的生物标志物。此外，除了唾液中的MS水平外，饮食习惯也可用于筛查龋齿高危儿童。因此，我们认为，为了预防与生活方式有关的疾病和龋齿，现在日本学龄儿童在学校接受食品和营养教育是很重要的。

The purpose of this study was to find out effective and concrete procedures for Food and Nutrition Education in Japan for the next-generation of pre-and school-age children from The associated factors associated with dental caries experience from this analysis were "not eating breakfast"(OR : 2.05), "eating snacks before going to bed"(OR : 1.46), "having gingivitis"(OR : 0.80), and "detection of S. mutans"(OR : 1.62), and "lactobacilli"(OR : 1.63).The study revealed that 22.3% of the children had risk factors for lifestyle-related diseases. Multiple logistic regression analysis showed that there was a significant association between the children with risk factors for lifestyle-related diseases, non-breakfast eaters(OR : 2.05), not like to exercise,(OR : 2.07), and high levels MS in saliva(OR : 1.75).The associated factors with low food acceptance response were non-breakfast eaters(OR : 3.235), knowledge of health behavior(OR : 1.55-1.98), secretion rate saliva(OR : 1.74), malocclusion(OR : 1.51).This study demonstrated that count of MS in saliva is possible biomarkers for sugar and fat intake of school children. Moreover, not only MS level in saliva, but also eating habits can be utilized for screening children who have high risk of caries. We therefore believe that it is important for Japanese school children nowadays to have education in food and nutrition in the school order to prevent lifestyle-related diseases and dental caries.