Dhanu G, Shiny R, Havale R, Shrutha S P
Department of Pedodontics and Preventive Dentistry, AME Dental College and Hospital, Raichur, Karnataka, India.
J Indian Soc Pedod Prev Dent. 2017 Jul-Sep;35(3):198-202. doi: 10.4103/JISPPD.JISPPD_309_16.
Dental fluorosis is considered as a serious public health problem in India. Water is usually the major source of fluoride exposure, but this is not the case always as exposure to local factors like diet can be important in some situations. Earlier studies have shown that jowar (a millet) consumption interacts with fluoride in the body and elevate fluorosis.
To determine the association between jowar consumption and severity of dental fluorosis.
Hundred schoolgoing children of 10-14 years old was selected by random sampling from Wadloor village. Dental fluorosis was measured in children by Thylstrup-Fejerskov index (1988). Twenty-four hours diet recall method was used to know the exposure to jowar of the children. A pretested questionnaire was given to mother or caretaker to record the jowar consumption. Spot urine samples of children were collected in plastic containers (20 ml) and brought to the laboratory in icebox. Ion selective electrode method was used to measure the fluoride level in urine samples of children.
On comparison of the quantity of jowar and fluorosis using Pearson Chi-square test, difference among variable was found out to be statistically significant (P = 0.013, P < 0.05). On comparison of quantity jowar consumption and urinary fluoride level using Pearson Chi-square test, the difference among variable was found statistically significant (P < 0.001).
Jowar consuming population was positively associated with severity of dental fluorosis.
在印度,氟斑牙被视为一个严重的公共卫生问题。水通常是氟暴露的主要来源,但情况并非总是如此,因为在某些情况下,饮食等局部因素的暴露可能很重要。早期研究表明,食用高粱(一种小米)会与体内的氟相互作用并加重氟斑牙。
确定食用高粱与氟斑牙严重程度之间的关联。
通过随机抽样从瓦德洛尔村选取了100名10 - 14岁的在校儿童。采用蒂尔斯楚普 - 费耶斯科夫指数(1988年)对儿童的氟斑牙进行测量。使用24小时饮食回顾法了解儿童高粱的摄入量。向母亲或监护人发放一份经过预测试的问卷,以记录高粱的食用情况。用塑料容器(20毫升)收集儿童的即时尿样,并放在冰盒中带到实验室。采用离子选择电极法测量儿童尿样中的氟含量。
使用Pearson卡方检验比较高粱摄入量与氟斑牙情况,发现变量之间的差异具有统计学意义(P = 0.013,P < 0.05)。使用Pearson卡方检验比较高粱食用量与尿氟水平,发现变量之间的差异具有统计学意义(P < 0.001)。
食用高粱的人群与氟斑牙的严重程度呈正相关。