Priyadarshini Pragyna, Gurunathan Deepa
Department of Pediatric and Preventive Dentistry, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, 162, Poonamallee High Road, Chennai, Tamil Nadu, India.
J Family Med Prim Care. 2020 Feb 28;9(2):985-991. doi: 10.4103/jfmpc.jfmpc_851_19. eCollection 2020 Feb.
"Early Childhood Caries"(ECC) is a serious global oral health problem affecting children of 71 months of age or younger. ECC has a multifactorial model of causation and diet imparts an intricately specific effect.
The study aims to determine the protective and harmful role of different dietary consumption in the causation of ECC in South Indian children, assessed by the Healthy Eating Index-2005 (HEI-2005).
A pilot study of cross-sectional analytical study design was conducted in a dental college and hospitals in India.
Hundred healthy South Indian children of 3-6 years age were screened for dental caries by the ICDAS II criteria, dmf/dmfs and pufa index. Participants were divided into three groups according to their caries status such as [Group 1:caries-free, group 2:ECC, group 3:severe ECC (S-ECC)]. Questionnaires were collected with demographic details, 24 h previous dietary record, and a subsequent 3-day chart of dietary consumption. Accordingly, the HEI-2005 score was calculated for each participant. Descriptive statistics was used for analysis of sociodemographic data, Kruskal-Wallis test for multivariate analysis, and for interpreting the total effect of HEI on study groups, logistic regression analysis was used.
Caries experience in South Indian children demonstrated a significant association with age. Caries-free children showed significantly higher association with darkgreen/orange vegetables/legumes, milk, and calories from SoFAAS (solid fat, alcohol, and added sugars) than the other groups.
The study findings illustrated a prominent protective role played by specific components of the HEI-2005, as healthy dietary intake against dental caries in South Indian children.
“幼儿龋齿”（ECC）是一个严重的全球口腔健康问题，影响71个月及以下的儿童。ECC有一个多因素病因模型，饮食具有复杂的特定影响。
本研究旨在通过2005年健康饮食指数（HEI - 2005）评估不同饮食摄入在南印度儿童ECC病因中的保护和有害作用。
在印度的一所牙科学院和医院进行了一项横断面分析研究设计的试点研究。
根据ICDAS II标准、dmf/dmfs和多不饱和脂肪酸指数，对100名3 - 6岁的健康南印度儿童进行龋齿筛查。参与者根据龋齿状况分为三组，即[第1组：无龋，第2组：ECC，第3组：重度ECC（S - ECC）]。收集了包含人口统计学细节、前24小时饮食记录以及随后3天饮食消费图表的问卷。据此，计算每位参与者的HEI - 2005得分。描述性统计用于分析社会人口统计学数据，Kruskal - Wallis检验用于多变量分析，为解释HEI对研究组的总体影响，使用了逻辑回归分析。
南印度儿童的龋齿经历与年龄存在显著关联。无龋儿童与深绿色/橙色蔬菜/豆类、牛奶以及来自SoFAAS（固体脂肪、酒精和添加糖）的热量的关联显著高于其他组。
研究结果表明，HEI - 2005的特定成分在南印度儿童预防龋齿方面发挥了显著的保护作用，即健康的饮食摄入。
