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母亲产前维生素D状况与其子女早期儿童龋的关系:一项横断面调查

Relationship between Maternal Prenatal Vitamin D Status and Early Childhood Caries in Their Children: A Cross-sectional Survey.

作者信息

Kalra Gauri, Kumar Yaman, Langpoklakpam Carrolene, Chawla Twinkle, Thangaraju Tharani, Singhania Rashika

机构信息

Department of Pediatric and Preventive Dentistry, Manav Rachna Dental College, Faridabad, Haryana, India.

Department of Dentistry, Sudha Rustagi College of Dental Sciences and Research, Faridabad, Haryana, India.

出版信息

Int J Clin Pediatr Dent. 2024 Aug;17(8):860-863. doi: 10.5005/jp-journals-10005-2836.

DOI:10.5005/jp-journals-10005-2836
PMID:39372353
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11451876/
Abstract

BACKGROUND

Vitamin D deficiency in expectant mothers is very common in India. As a consequence, the possibility of hypoplasia of teeth and resultant propensity for faster progression of early childhood caries (ECC) is expected to be higher in Indian children.

AIM

This study aimed to determine the relationship between prenatal vitamin D intake of mothers and dental caries experience in their preschool children, and whether vitamin D deficiency in mothers could be a risk factor for tooth decay in their children.

DESIGN

This cross-sectional study included 120 mothers of children aged up to 71 months with dental caries attending the Department of Pediatric Dentistry in India. Mothers were surveyed about their prenatal vitamin D intake and their practices regarding vitamin D and sunlight exposure. Children were clinically examined, and their caries status was recorded using the decayed, extracted, filled teeth (deft) index.

RESULTS

Data were analyzed descriptively and correlated using an independent -test. Binary logistic regression was employed to predict the effects of the duration of sun exposure and vitamin D deficiency on dental decay. The correlation of mothers' prenatal vitamin D intake was significantly associated weekly with children's caries experience. Their sun exposure ( = 0.002) and practices adopted ( = 0.0001) regarding vitamin D levels were statistically significant for children's caries status. Improper brushing frequency was also significantly associated with higher deft scores.

CONCLUSION

The association between mothers' prenatal vitamin D intake and health practices related to vitamin D with dental caries was not confirmed. Subjects with vitamin D deficiency and their children had significantly higher odds of developing dental decay. However, our findings suggest that 25-hydroxyvitamin D insufficiency may be a risk factor for developing dental caries in children.

HOW TO CITE THIS ARTICLE

Kalra G, Kumar Y, Langpoklakpam C, Relationship between Maternal Prenatal Vitamin D Status and Early Childhood Caries in Their Children: A Cross-sectional Survey. Int J Clin Pediatr Dent 2024;17(8):860-863.

摘要

背景

在印度,准妈妈维生素D缺乏的情况非常普遍。因此,印度儿童牙齿发育不全以及由此导致的幼儿龋齿(ECC)更快发展的可能性预计更高。

目的

本研究旨在确定母亲孕期维生素D摄入量与其学龄前儿童龋齿经历之间的关系,以及母亲维生素D缺乏是否可能是其子女龋齿的危险因素。

设计

这项横断面研究纳入了印度小儿牙科部门就诊的120名71个月及以下患有龋齿儿童的母亲。对母亲进行了关于其孕期维生素D摄入量以及她们在维生素D和阳光照射方面的做法的调查。对儿童进行了临床检查,并使用龋失补牙(deft)指数记录他们的龋齿状况。

结果

对数据进行描述性分析并使用独立t检验进行相关性分析。采用二元逻辑回归来预测阳光照射时长和维生素D缺乏对龋齿的影响。母亲孕期维生素D摄入量与儿童龋齿经历每周显著相关。她们在维生素D水平方面的阳光照射(P = 0.002)和做法(P = 0.0001)对儿童龋齿状况具有统计学意义。刷牙频率不当也与较高的deft评分显著相关。

结论

未证实母亲孕期维生素D摄入量以及与维生素D相关的健康行为与龋齿之间存在关联。维生素D缺乏的受试者及其子女患龋齿的几率显著更高。然而,我们的研究结果表明,25-羟基维生素D不足可能是儿童患龋齿的一个危险因素。

如何引用本文

卡尔拉G,库马尔Y,朗波克拉帕姆C,母亲孕期维生素D状况与其子女幼儿龋齿之间的关系:一项横断面调查。《国际临床儿科牙科杂志》2024;17(8):860 - 863。

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本文引用的文献

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Examining the Role of Vitamin D in Caries Susceptibility in Children's Deciduous Teeth: A Systematic Review.检测维生素 D 在儿童乳牙龋齿易感性中的作用:系统综述。
Nutrients. 2023 Nov 18;15(22):4826. doi: 10.3390/nu15224826.
2
Relationship between vitamin D status and caries experience in a group of Egyptian children: a cross-sectional study.埃及儿童群体中维生素 D 状况与龋齿发病情况的关系:一项横断面研究。
BMC Oral Health. 2023 Jun 9;23(1):374. doi: 10.1186/s12903-023-03065-0.
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Dental Consequences of Vitamin D Deficiency during Pregnancy and Early Infancy-An Observational Study.孕期和婴儿早期维生素 D 缺乏的口腔后果:一项观察性研究。
Int J Environ Res Public Health. 2022 Feb 9;19(4):1932. doi: 10.3390/ijerph19041932.
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Vitamin D Status and Its Influence on the Health of Preschool Children in Hangzhou.杭州市学龄前儿童维生素 D 状况及其对健康的影响。
Front Public Health. 2021 May 17;9:675403. doi: 10.3389/fpubh.2021.675403. eCollection 2021.
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Association of parental-reported vitamin D supplementation with dental caries of 3-year-old children in Poland: a cross-sectional study.波兰一项横断面研究显示,父母报告的维生素 D 补充剂与 3 岁儿童龋齿的关系。
Clin Oral Investig. 2021 Nov;25(11):6147-6158. doi: 10.1007/s00784-021-03914-8. Epub 2021 Apr 8.
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The Influence of Prenatal Vitamin D Supplementation on Dental Caries in Infants.产前补充维生素D对婴儿龋齿的影响。
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Vitamin D Deficiency and Oral Health: A Comprehensive Review.维生素 D 缺乏与口腔健康:全面综述。
Nutrients. 2020 May 19;12(5):1471. doi: 10.3390/nu12051471.
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Vitamin D Deficiency and Associated Risk Factors in Women from Riyadh, Saudi Arabia.沙特阿拉伯利雅得的妇女维生素 D 缺乏及相关危险因素。
Sci Rep. 2019 Dec 30;9(1):20371. doi: 10.1038/s41598-019-56830-z.
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Tooth brushing habits and prevalence of early childhood caries: a prospective cohort study.刷牙习惯与幼儿龋齿患病率:一项前瞻性队列研究。
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