ECU School of Dental Medicine, East Carolina University, Greenville, North Carolina, USA.
Brody School of Medicine, East Carolina University, Greenville, North Carolina, USA.
Community Dent Oral Epidemiol. 2022 Dec;50(6):579-588. doi: 10.1111/cdoe.12725. Epub 2021 Dec 23.
To assess the association between sugar from sugar-sweetened beverages (SSBs) and untreated decay in permanent teeth and calculate the cost burden of sugar from SSBs on untreated decay in US adults.
Cross-sectional data from the 2013-2014 and 2015-2016 cycles of the National Health and Nutrition Examination Survey (NHANES) were analysed in 2020 (n = 9001 adults aged ≥20). Multivariable analyses assessed sugar intake from SSB consumption with the presence of untreated decay in permanent teeth and number of untreated decayed teeth. Population attributable risk was used to estimate the cost burden arising from SSBs on untreated decay in US adults.
One fourth (25.1%) of US adults had untreated dental decay, and higher prevalence was observed among those with low income, low education and race/ethnicity of non-Hispanic Black. Overall, 53% of adults reported no intake of SSBs. For the remaining 47%, the median 24-h intake was 46.8 g of sugar from SSBs. The adjusted prevalence ratio (PR) for untreated decay was 1.3 (95% confidence interval [CI] 1.1-1.5) for consumption of 46.8 g or more of sugar from SSBs compared to those reporting no sugar from SSBs. Number of untreated decayed teeth increased with sugar intake from SSBs from lowest to highest tertile: 0.1, (p = .35); 0.4, (p = .006); and 0.6, (p < .001). The cost burden of untreated decay attributable to SSBs in US adults is estimated conservatively at $1.6 billion USD.
Community level interventions directed at sugar from SSBs are justified to address disparities in the burden of untreated dental decay.
评估含糖饮料（SSB）中的糖与恒牙未治疗龋齿之间的关联，并计算 SSB 中的糖对美国成年人未治疗龋齿的成本负担。
2020 年对 2013-2014 年和 2015-2016 年全国健康和营养调查（NHANES）的横断面数据进行了分析（n=9001 名年龄≥20 岁的成年人）。多变量分析评估了 SSB 消费中糖的摄入量与恒牙未治疗龋齿的存在以及未治疗龋齿的数量之间的关系。使用人群归因风险来估计 SSB 对美国成年人未治疗龋齿的成本负担。
四分之一（25.1%）的美国成年人患有未治疗的牙齿蛀蚀，收入较低、教育程度较低和非西班牙裔黑人种族/民族的人患病率较高。总体而言，53%的成年人报告没有摄入 SSB。对于其余的 47%，24 小时内 SSB 中糖的中位数摄入量为 46.8g。与不报告 SSB 中糖的成年人相比，摄入 46.8 克或更多 SSB 中的糖的未治疗龋齿的调整后患病率比（PR）为 1.3（95%置信区间[CI] 1.1-1.5）。未治疗龋齿的数量随着 SSB 中糖的摄入量从最低到最高三分位而增加：0.1（p=0.35）；0.4（p=0.006）；和 0.6（p<0.001）。SSB 中糖导致的美国成年人未治疗龋齿的成本负担保守估计为 16 亿美元。
针对 SSB 中糖的社区层面干预措施是合理的，可以解决未治疗龋齿负担方面的差异。
