Naorungroj Supawadee
Department of Conservative Dentistry, Prince of Songkla University, Hat Yai, Thailand.
Common Oral Diseases and Oral Epidemiology Research Center, Prince of Songkla University, Hat Yai, Thailand.
J Int Soc Prev Community Dent. 2020 Aug 6;10(4):394-401. doi: 10.4103/jispcd.JISPCD_249_20. eCollection 2020 Jul-Aug.
This study investigated whether the habit of consuming sugary snacks was independently associated with the loss of permanent teeth.
Eight hundred ninety-seven adults aged 35-65 from four communities in the lower regions of Southern Thailand completed a structured questionnaire interview and dental examinations. The independent variable was frequency of sweet snack consumption between meals in the previous week and coded as: never (0 days), occasionally (1-4 days), frequently (≥5 days). The outcome was the number of permanent teeth (1-19 vs. ≥20 teeth). Multivariate logistic regression was used to examine the adjusted associations between sugary snack consumption and the number of retained teeth. Odds ratio (OR) and 95% confidence intervals (CI) were calculated.
Approximately 23% of participants retained fewer than 20 permanent teeth. Approximately 30% of participants reported sugary snack intake most days. Fewer teeth were positively associated with high-frequency sugary snack consumption, older age, Muslim, ≤ 6 years of education, universal healthcare, infrequent tooth brushing, smoking, and alcohol consumption, but not sugar-sweetened beverages. After adjusting for sociodemographic characteristics and other potential confounders, the odds of having fewer teeth were higher among participants who frequently consumed sugary snacks (OR = 2.03, 95% CI = 1.21-3.39), but was not significantly different from those who occasionally consumed sugary snacks (OR = 0.93; 95% CI = 0.58-1.50) compared to nonsugary snack consumers.
In this study, habitual sugary snack intake was associated with fewer teeth among middle-aged Thai adults. To improve oral health and prevent further tooth loss, efforts to reduce sugary snack consumption would be needed.
本研究调查了食用含糖零食的习惯是否与恒牙缺失独立相关。
来自泰国南部低地四个社区的897名35 - 65岁成年人完成了结构化问卷调查和牙科检查。自变量是前一周餐间食用甜零食的频率，编码为：从不（0天）、偶尔（1 - 4天）、频繁（≥5天）。结果是恒牙数量（1 - 19颗与≥20颗牙齿）。采用多因素逻辑回归分析来检验含糖零食消费与留存牙齿数量之间的校正关联。计算比值比（OR）和95%置信区间（CI）。
约23%的参与者留存的恒牙少于20颗。约30%的参与者报告大多数日子都摄入含糖零食。牙齿数量减少与高频含糖零食消费、年龄较大、穆斯林、受教育年限≤6年、享受全民医保、刷牙不频繁、吸烟和饮酒呈正相关，但与含糖饮料无关。在调整了社会人口学特征和其他潜在混杂因素后，频繁食用含糖零食的参与者牙齿数量较少的几率更高（OR = 2.03，95% CI = 1.21 - 3.39），但与偶尔食用含糖零食的参与者相比无显著差异（OR = 0.93；95% CI = 0.58 - 1.50），而非含糖零食消费者。
在本研究中，泰国中年成年人习惯性摄入含糖零食与牙齿数量减少有关。为改善口腔健康并预防进一步的牙齿缺失，需要努力减少含糖零食的消费。
