饮食饮料对美国儿童龋齿的影响：聚类分析。

The effect of diet drinks on caries among US children: Cluster analysis.

出版信息

J Am Dent Assoc. 2020 Jul;151(7):502-509. doi: 10.1016/j.adaj.2020.03.013.

DOI:10.1016/j.adaj.2020.03.013

Abstract

BACKGROUND

The effect of sugared beverages on dental caries has been widely studied in dental literature. A major limitation of these studies was examining the beverages as a single source. To overcome this limitation, a few studies used cluster analysis to group people into similar beverage consumption patterns. These studies did not differentiate between sugared beverages and diet drinks. Therefore the aim of this study is to examine the effect of consuming diet drinks on dental caries among US children by using cluster analysis.

METHODS

In this cross-sectional study, the authors analyzed the dietary data of children aged 3 through 10 years, using 2 24-hour recall interviews in the 2011-2014 National Health and Nutrition Examination Survey data. Cluster analysis has been used to overcome the limitations of examining the beverages as a single source. Clusters were identified based on the R statistic and the local peak of pseudo-F statistics. Survey procedure and sample weights were used to account for the complex National Health and Nutrition Examination Survey sampling design.

RESULTS

Six beverage consumption clusters were identified: high soda, high 100% juice, high juice drinks, high diet drinks, high milk, and high water. Regression analysis showed that the high soda cluster had a tendency to increase caries risk (odds ratio [OR], 1.69, 95% confidence interval [CI], 0.9 to 3.1), while the high diet drinks cluster had neutral effect compared with the high water cluster (OR, 0.94, 95% CI, 0.5 to 1.8).

CONCLUSIONS

The results of this study suggest that diet drinks have no adverse effect on teeth among US children. Additional well-designed longitudinal studies should be conducted to establish the effect of diet drinks on caries when consumed during childhood.

PRACTICAL IMPLICATIONS

Although this study did not show an association between caries and diet drinks, dental practitioners should be cautious about recommending these drinks, as they have been linked to systemic diseases. In addition, the American Academy of Pediatrics and National Academy of Medicine do not recommend that children consume these beverages.

摘要

背景

含糖饮料对龋齿的影响在牙科文献中已有广泛研究。这些研究的一个主要局限性是将饮料作为单一来源进行研究。为了克服这一局限性，一些研究使用聚类分析将人群分为相似的饮料消费模式。这些研究没有区分含糖饮料和无糖饮料。因此，本研究旨在使用聚类分析来研究无糖饮料对美国儿童龋齿的影响。

方法

在这项横断面研究中，作者使用 2011-2014 年全国健康与营养调查数据中的 2 次 24 小时回顾性访谈，分析了 3 至 10 岁儿童的饮食数据。聚类分析克服了将饮料作为单一来源进行研究的局限性。基于 R 统计量和伪 F 统计量的局部峰值识别聚类。调查程序和样本权重用于考虑复杂的全国健康与营养调查抽样设计。

结果

确定了六个饮料消费聚类：高苏打水、高 100%果汁、高果汁饮料、高无糖饮料、高牛奶和高水。回归分析显示，高苏打水聚类有增加龋齿风险的趋势（比值比[OR]，1.69，95%置信区间[CI]，0.9 至 3.1），而高无糖饮料聚类与高水聚类相比具有中性效应（OR，0.94，95%CI，0.5 至 1.8）。