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学龄前儿童饮食摄入与龋齿的关系。

Relationship between dietary intake and dental caries in preschool children.

机构信息

Department of Early Childhood Development and Education, Chaoyang University of Technology, Taichung, Taiwan.

出版信息

Int J Vitam Nutr Res. 2010 Jun;80(3):205-15. doi: 10.1024/0300-9831/a000022.

Abstract

This study assessed the relationship between intake of nutrients and dental caries in preschool children. One hundred and eighty-two children aged three to six years were recruited from nine day care centers in central Taiwan. These children had an oral health examination, and their parents or guardians answered a questionnaire. Each child's intake of nutrients was estimated using the 24-hour dietary recall and food frequency questionnaire data. Logistic regression analysis was applied to assess the associations between dental caries and intake of each nutrient or food group, with adjustment for potential confounders. The prevalence of dental caries was 73 % and increased with age. Not being a first-born and having more between-meal snacks were associated with increased caries risk. After controlling for other important factors, vitamin A intake was significantly associated with fewer dental caries (deft, decayed, indicated for extraction, and filled primary teeth: ≥ 4 vs. < 4), with an odds ratio of 0.97 (95 % confidence interval: 0.94 - 0.99) for an 100-μg increase in vitamin A intake. There was no significant association between dental caries and energy, macronutrient intake, and Ca/P ratio, respectively. Vegetable intake was also significantly associated with lower dental caries score.

摘要

本研究评估了学龄前儿童的营养摄入与龋齿之间的关系。从台湾中部的 9 家日托中心招募了 182 名 3 至 6 岁的儿童。这些儿童接受了口腔健康检查,其父母或监护人回答了一份问卷。根据 24 小时膳食回顾和食物频率问卷数据来估计每个孩子的营养摄入量。应用逻辑回归分析来评估龋齿与每种营养素或食物组摄入量之间的关联,并调整潜在的混杂因素。龋齿的患病率为 73%,且随年龄增长而增加。非第一胎和更多的两餐之间零食与龋齿风险增加有关。在控制其他重要因素后,维生素 A 摄入与较少的龋齿显著相关(dmft,龋失补牙面数:≥ 4 与 < 4),维生素 A 摄入每增加 100μg,比值比为 0.97(95%置信区间:0.94-0.99)。能量、宏量营养素摄入和 Ca/P 比值与龋齿之间无显著关联。蔬菜摄入也与较低的龋齿评分显著相关。

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