Lachapelle D, Couture C, Brodeur J M, Sévigny J
Ecole de médecine dentaire, Université Laval, Sainte-Foy, Québec, Canada.
Can J Public Health. 1990 Sep-Oct;81(5):370-5.
This study investigates the association of dietary quality with dental caries increment of 11-year-old children. A 3-day dietary record including one weekend day was completed by the subjects and their parents. The nutritional quality was evaluated using a quality index based on the eating frequency of foods recommended in food guides and divided into 8 levels. The frequency of consumption of sugary foods, liquid and solid, at and between meals was also calculated. Two oral examinations 20 months apart were made in 1983-85; each time, the quality of oral hygiene was determined by using the simplified oral hygiene was determined by using the simplified oral hygiene index of Greene and Vermillon. the dental caries increment between the two examinations was evaluated using the DMFS index. When the subjects were distributed into 3 groups according to their nutritional quality index, the mean dental caries increment had a tendency to decrease as the nutritional quality increased for the total sample as well as for boys and girls considered separately; however, the analysis of variance did not reveal any differences of statistical significance. No association was established for children in this study between frequency of consumption of sugary foods and caries increment. No association was observed between nutritional quality and oral hygiene nor between the mother's education and the children's frequency of consumption of sugary foods. Thus, in our study, children with the highest dental caries increment are not necessarily the ones having a diet of poor nutritional quality nor the ones consuming sugary foods more frequently.
本研究调查了饮食质量与11岁儿童龋齿增量之间的关联。受试者及其父母完成了一份包括一个周末日的3天饮食记录。根据食物指南中推荐食物的食用频率，使用质量指数对营养质量进行评估，并分为8个等级。还计算了餐时及餐间含糖食物（液体和固体）的食用频率。在1983 - 1985年期间进行了两次间隔20个月的口腔检查；每次使用格林和弗米隆简化口腔卫生指数来确定口腔卫生质量。两次检查之间的龋齿增量使用DMFS指数进行评估。当根据营养质量指数将受试者分为3组时，总体样本以及分别考虑的男孩和女孩中，随着营养质量的提高，平均龋齿增量有下降的趋势；然而，方差分析未显示出任何具有统计学意义的差异。本研究未发现儿童食用含糖食物的频率与龋齿增量之间存在关联。未观察到营养质量与口腔卫生之间以及母亲的教育程度与儿童食用含糖食物的频率之间存在关联。因此，在我们的研究中，龋齿增量最高的儿童不一定是营养质量差的饮食者，也不一定是更频繁食用含糖食物的儿童。
