Persson L A, Holm A K, Arvidsson S, Samuelson G
Swed Dent J. 1985;9(5):201-6.
The aim of the study was to compare dietary habits in children at the age of 12 months with the caries status at the age of 3. In 312 children, residing in 3 different parts of Sweden, a dietary study was carried out at 12 mo. of age, and in 275 (88%) a caries examination was performed at the age of 3. At 12 months of age, higher education of the mother was positively correlated with consumption of bread, vegetables, fruit and meat and negatively with frequency of sucrose-rich foods. At the age of 3, caries was diagnosed in 16% of the children. The prevalence of cavities was related to the level of education of the mother in all 3 areas, cavities being most numerous in children whose mother had received a shorter education. A discriminant analysis showed that the equation discriminating the two a priori defined groups, one with and one without caries at the age of 3, contained a number of sucrose-rich foods. The 3-year-old children with caries had generally consumed cakes, butter, bread and sweet soups more frequently at the age of 12 months than the children in the non-caries group. The analysis thus indicated that - on the group level at least - a dietary pattern, which may be casually linked with future dental caries development, was already established at the age of 12 months. Dietary counselling, when the child is 12-18 mo. of age and based upon information about the dietary habits of the child could thus be of value to prevent caries in the preschool child.
该研究的目的是比较12个月大儿童的饮食习惯与3岁时的龋齿状况。在居住于瑞典3个不同地区的312名儿童中，在其12个月大时开展了一项饮食研究，其中275名儿童（88%）在3岁时接受了龋齿检查。在12个月大时，母亲受教育程度较高与面包、蔬菜、水果和肉类的摄入量呈正相关，与富含蔗糖食物的食用频率呈负相关。3岁时，16%的儿童被诊断出患有龋齿。在所有3个地区，龋齿患病率都与母亲的教育水平有关，母亲受教育时间较短的儿童龋齿数量最多。判别分析表明，区分两个预先定义组（一组3岁时有龋齿，一组无龋齿）的方程包含一些富含蔗糖的食物。患有龋齿的3岁儿童在12个月大时通常比无龋齿组的儿童更频繁地食用蛋糕、黄油、面包和甜汤。因此，该分析表明，至少在群体层面上，一种可能与未来龋齿发展存在因果联系的饮食模式在12个月大时就已经形成。因此，在孩子12至18个月大时，基于孩子饮食习惯信息进行饮食咨询，可能对预防学龄前儿童龋齿有帮助。
