Chen X, Wang Y Y, Sun X Y, Hu X Y, Zhu F F, Sun Y
College and Hospital of Stomatology, Anhui Medical University, Key Laboratory of Oral Diseases Research of Anhui Province, Hefei 230032, China.
Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, Key Laboratory of Population Health Across Life Cycle, Ministry of Education, Hefei 230032, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2020 Aug 10;41(8):1308-1312. doi: 10.3760/cma.j.cn112338-20190826-00627.
To explore the prospective association between consumption pattern of sugar-sweetened beverages and childhood periodontal health. This study was based on a 4-year longitudinal cohort of children from Bengbu, Anhui province. Pattern of sugar-sweetened beverages was determined by group-based trajectory modeling (GBTM) through annual child-reported questionnaire. Association between sugar-sweetened beverages pattern with plague index and gingivitis was explored through multivariate linear and logistic regression. A total of 997 children including 418 boys and 579 girls were included in this study, with an average age of (11.00±0.70) years at the final wave. Four consumption patterns on sugar-sweetened beverages were identified by GBTM: persistent low group (80.70%), gradually decreasing group (12.40%), decreasing after increasing group (2.20%) and gradually increasing group (4.70%). Compared with the persistent low group (1.08±0.70), the Plague index among gradually increasing group (1.73±0.80) was significantly higher (=4.00, <0.001). The prevalence of gingivitis was significantly higher among children in the gradually increasing group (12.80%) than that in the persistent low group (3.00%) ((2)=12.40, <0.001). After controlling for related confounders, results suggested that Plague index increased by 0.58 (95%: 0.27-0.89) and 0.38 (95%: 0.03-0.73) in the gradually increasing group and "decreasing follow the increase" group, respectively when compared with the persistent low group. The risk for gingivitis was 4.42 times (95%: 1.65-12.20, =0.003) higher in the gradually increasing group. Our data suggested that children with higher sugar-sweetened beverages consumption during the transition period from childhood to adolescence were under higher risk for periodontal diseases.
探讨含糖饮料消费模式与儿童期牙周健康之间的前瞻性关联。本研究基于对安徽省蚌埠市儿童进行的一项为期4年的纵向队列研究。通过年度儿童自填问卷，采用基于群组的轨迹模型（GBTM）确定含糖饮料的消费模式。通过多变量线性和逻辑回归探讨含糖饮料消费模式与菌斑指数和牙龈炎之间的关联。本研究共纳入997名儿童，其中男孩418名，女孩579名，末次随访时平均年龄为（11.00±0.70）岁。GBTM确定了四种含糖饮料消费模式：持续低消费组（80.70%）、逐渐减少组（12.40%）、先增后减组（2.20%）和逐渐增加组（4.70%）。与持续低消费组（1.08±0.70）相比，逐渐增加组的菌斑指数（1.73±0.80）显著更高（t = 4.00，P < 0.001）。逐渐增加组儿童的牙龈炎患病率（12.80%）显著高于持续低消费组（3.00%）（χ² = 12.40，P < 0.001）。在控制相关混杂因素后，结果表明，与持续低消费组相比，逐渐增加组和“先增后减”组的菌斑指数分别增加了0.58（95%置信区间：0.27 - 0.89）和0.38（95%置信区间：0.03 - 0.73）。逐渐增加组患牙龈炎的风险高4.42倍（95%置信区间：1.65 - 12.20，P = 0.003）。我们的数据表明，在从儿童期到青春期的过渡阶段，含糖饮料消费量较高的儿童患牙周疾病的风险更高。
