Marques A P, Messer L B
School of Dental Science, University of Melbourne, Victoria, Australia.
Pediatr Dent. 1992 Sep-Oct;14(5):314-21.
An extensive literature has assessed the influence of diet on dental caries, but to date dietary influences on caries of the primary dentition have not been studied widely. This study examined the role of specific nutrients in the caries experience of preschool children. A total of 628 children ages 2 to 6 years received a dental examination, parent interview, and a seven-day diet diary. The diary was completed adequately for 269 children (43%). The average daily intakes of 15 nutrients were computed and compared with recommended dietary allowances (RDA); total sugar consumption and Ca/P ratio were calculated. Each child's gender, age, fluoride history, previous dental experience, and nutrient intakes were examined as independent variables. Stepwise logistic regression showed the combination of categories most predictive of caries was older age, suboptimal fluoride consumption, and recall dental visit. No association was apparent between dental caries and the intake of specific nutrients, total sugar consumption, or Ca/P ratio.
大量文献评估了饮食对龋齿的影响，但迄今为止，饮食对乳牙龋齿的影响尚未得到广泛研究。本研究探讨了特定营养素在学龄前儿童龋齿经历中的作用。共有628名2至6岁的儿童接受了牙科检查、家长访谈和为期七天的饮食日记记录。269名儿童（43%）充分完成了饮食日记。计算了15种营养素的平均每日摄入量，并与推荐膳食摄入量（RDA）进行比较；计算了总糖消耗量和钙/磷比值。将每个孩子的性别、年龄、氟化物摄入史、既往牙科治疗经历和营养素摄入量作为自变量进行研究。逐步逻辑回归分析表明，最能预测龋齿的因素组合是年龄较大、氟化物摄入不足和回忆起曾看牙医。龋齿与特定营养素的摄入量、总糖消耗量或钙/磷比值之间没有明显关联。
