Restrepo-Serna Claudia, Caicedo-Giraldo María, Velasquez-Baena Laura, Bonfanti Graciela, Santamaría-Villegas Adriana
Universidad CES, Medellín, Colombia.
Elina de la Serna Hospital, La Plata, Argentina.
J Oral Rehabil. 2025 Apr;52(4):506-520. doi: 10.1111/joor.13913. Epub 2025 Jan 9.
Sleep bruxism (SB) is associated with alterations in dopamine and serotonin, which are related to increased consumption of added sugar and overuse of screens. The aim of this study was to compare the effect of the interventions 'Food, Fun and Family' (FFF) and Counselling and Education (CE) on the frequency of SB in children.
A randomised clinical trial was conducted. Forty-eight participants aged between 4 and 8 years, attending the paediatric clinics of Universidad CES (Colombia) and Hospital Elina de la Serna (Argentina) participated in the study. Subjects were randomised into the FFF (experimental) and CE (regular intervention) groups. The frequency of SB was reported with the Children's Sleep Habits Questionnaire (CSHQ), the consumption of added sugar from items with the HBSC-FFQ and the time of use of screens through a diary in baseline (before starting the intervention), at Week 6 and Week 12. Data were analysed with Kruskal-Wallis test followed by Dunn's post hoc, Mann-Whitney test, a linear mixed model and logistic ordinal regression analyses.
The FFF group had a more significant reduction in consumption of added sugar and screen time compared to the CE group (p < 0.05), especially from Week 6 to baseline. Regression analysis showed that reducing TV watching and consumption of added sugar were associated with a decrease in SB frequency, especially in the FFF group (OR < 1, p < 0.05), and the results were consistent across different study environments.
The FFF intervention was more effective in reducing the screen time and sugar consumption and thus decreased the frequency of SB, when compared with the CE intervention.
ClinicalTrials.gov identifier: NCT05310162.
睡眠磨牙症（SB）与多巴胺和血清素的变化有关，而这与添加糖的摄入量增加和过度使用电子设备有关。本研究的目的是比较“食物、乐趣和家庭”（FFF）干预措施与咨询与教育（CE）干预措施对儿童睡眠磨牙症频率的影响。
进行了一项随机临床试验。48名年龄在4至8岁之间、在CES大学（哥伦比亚）和埃利娜·德拉塞尔纳医院（阿根廷）儿科门诊就诊的参与者参与了该研究。受试者被随机分为FFF（实验组）和CE（常规干预组）两组。通过儿童睡眠习惯问卷（CSHQ）报告睡眠磨牙症的频率，通过青少年健康行为调查-食物频率问卷（HBSC-FFQ）报告添加糖的摄入量，并通过日记记录在基线期（干预开始前）、第6周和第12周的电子设备使用时间。数据采用Kruskal-Wallis检验，随后进行Dunn事后检验、Mann-Whitney检验、线性混合模型和逻辑序贯回归分析。
与CE组相比，FFF组添加糖的摄入量和电子设备使用时间的减少更为显著（p < 0.05），尤其是从第6周到基线期。回归分析表明，减少看电视时间和添加糖的摄入量与睡眠磨牙症频率的降低有关，尤其是在FFF组（OR < 1，p < 0.05），并且在不同的研究环境中结果一致。
与CE干预措施相比，FFF干预措施在减少电子设备使用时间和糖摄入量方面更有效，从而降低了睡眠磨牙症的频率。
ClinicalTrials.gov标识符：NCT05310162。
