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BMC Oral Health

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Open Access 01-12-2023 | Research

Assessing sugar intake rapidly – a short form of the Marburg Sugar Index (MSI)

Authors: Jutta Margraf-Stiksrud, Klaus Pieper, Renate Deinzer

Published in: BMC Oral Health | Issue 1/2023

Abstract

Background

Sugar intake is a major nutritional factor in the development of dental caries. To further clarify its contribution to oral health-related diseases, population-based investigations are recommended. To facilitate economic and reliable assessment of sugar intake, a short form of the approved Marburg Sugar Index (MSI) was developed.

Methods

According to the principles of item reduction based on original data, a six-item-short form was constructed. A total of 468 participants (aged 15–81) answered the short form together with the long form in a counterbalanced cross-over design, and with two questionnaires concerning self-efficacy and decisional balance in oral health to verify construct validity.

Results

Comparable item characteristics to the original MSI and a high correlation with the long form prove the usefulness of the short form, which was processed by the participants in less than one minute. Low correlations to the other two constructs show discriminant validity.

Conclusion

The new short form of the MSI (MSI-S) can replace the long form, especially in population-based studies with no restrictions on assessment quality but with sufficient time saved to add other variables necessary to explore oral health-related issues.

Yu OY, Lam WY-H, Wong AW-Y, Duangthip D, Chu C-H. Nonrestorative Management of Dental Caries. Dent J (Basel). 2021. https://doi.org/10.3390/dj9100121.CrossRefPubMed

Twetman S. Prevention of dental caries as a non-communicable disease. Eur J Oral Sci. 2018;126(Suppl 1):19–25. https://doi.org/10.1111/eos.12528.CrossRefPubMed

Fidler Mis N, Braegger C, Bronsky J, Campoy C, Domellöf M, Embleton ND, et al. Sugar in Infants, Children and Adolescents: a position paper of the European Society for Paediatric Gastroenterology, Hepatology and Nutrition Committee on Nutrition. J Pediatr Gastroenterol Nutr. 2017;65:681–96. https://doi.org/10.1097/MPG.0000000000001733.CrossRefPubMed

World Health Organization. Global oral health status report: towards universal health coverage for oral health by 2030. Geneva: World Health Organization; 2022.

World Health Organization. Guideline: sugars intake for adults and children. Geneva, Switzerland: World Health Organization; 2015.

Moynihan PJ, Kelly SAM. Effect on caries of restricting sugars intake: systematic review to inform WHO guidelines. J Dent Res. 2014;93:8–18. https://doi.org/10.1177/0022034513508954.CrossRefPubMedPubMedCentral

Saido M, Asakura K, Masayasu S, Sasaki S. Relationship between Dietary Sugar Intake and Dental Caries among Japanese Preschool Children with relatively low Sugar Intake (Japan Nursery School SHOKUIKU Study): a nationwide cross-sectional study. Matern Child Health J. 2016;20:556–66. https://doi.org/10.1007/s10995-015-1854-3.CrossRefPubMed

Pieper K, Winter J, Heinzel-Gutenbrunner M, Margraf-Stiksrud J. Association between a New Sugar Index and Caries Experience: results of a cross-sectional field study. Caries Res. 2019;53:160–7. https://doi.org/10.1159/000486102.CrossRefPubMed

Schmidt P, Schulte AG, Margraf-Stiksrud J, Heinzel-Gutenbrunner M, Pieper K. Children’s and parents’ Marburg Sugar Index (MSI) values: are they comparable? Nutrients. 2022. https://doi.org/10.3390/nu14081630.CrossRefPubMedPubMedCentral

10.

John MT, Miglioretti DL, LeResche L, Koepsell TD, Hujoel P, Micheelis W. German short forms of the oral Health Impact Profile. Community Dent Oral Epidemiol. 2006;34:277–88. https://doi.org/10.1111/j.1600-0528.2006.00279.x.CrossRefPubMed

11.

Slade GD. Derivation and validation of a short-form oral health impact profile. Community Dent Oral Epidemiol. 1997;25:284–90. https://doi.org/10.1111/j.1600-0528.1997.tb00941.x.CrossRefPubMed

12.

Locker D, Allen PF. Developing short-form measures of oral health-related quality of life. J Public Health Dent. 2002;62:13–20. https://doi.org/10.1111/j.1752-7325.2002.tb03415.x.CrossRefPubMed

13.

Neuhouser ML, Lilley S, Lund A, Johnson DB. Development and validation of a beverage and snack questionnaire for use in evaluation of school nutrition policies. J Am Diet Assoc. 2009;109:1587–92. https://doi.org/10.1016/j.jada.2009.06.365.CrossRefPubMed

14.

Chaffee BW, Feldens CA, Rodrigues PH, Vítolo MR. Feeding practices in infancy associated with caries incidence in early childhood. Community Dent Oral Epidemiol. 2015;43:338–48. https://doi.org/10.1111/cdoe.12158.CrossRefPubMedPubMedCentral

15.

Pieper K, Margraf-Stiksrud J. Evaluation und Optimierung eines zahnmedizinischen Präventionsprogramms für Kinder mit erhöhtem Kariesrisiko: Abschlussbericht (FKZ: 01EL0617). 2010.

16.

Harnacke D. Mundhygienefertigkeiten bei jungen Erwachsenen: Status quo und Möglichkeiten der Verbesserung. Gießen; 2014.

17.

Ebel S. Determinanten effektiven Zahnputzverhaltens: Psychologische und soziodemographische Prädiktoren von Verhaltensweisen, die effektives Zahnputzverhalten vorhersagen. Gießen; 2020.

18.

Eidenhardt Z, Busse S, Margraf-Stiksrud J, Deinzer R. Patients’ awareness regarding the quality of their oral hygiene: development and validation of a new measurement instrument. BMC Oral Health. 2022;22:629. https://doi.org/10.1186/s12903-022-02659-4.CrossRefPubMedPubMedCentral

19.

Shqair AQ, Pauli LA, Costa VPP, Cenci M, Goettems ML. Screen time, dietary patterns and intake of potentially cariogenic food in children: a systematic review. J Dent. 2019;86:17–26. https://doi.org/10.1016/j.jdent.2019.06.004.CrossRefPubMed

20.

Hancock S, Zinn C, Schofield G. The consumption of processed sugar- and starch-containing foods, and dental caries: a systematic review. Eur J Oral Sci. 2020;128:467–75. https://doi.org/10.1111/eos.12743.CrossRefPubMed

21.

van Loveren C. Sugar Restriction for Caries Prevention: amount and frequency. Which Is More Important? Caries Res. 2019;53:168–75. https://doi.org/10.1159/000489571.CrossRefPubMed

22.

Chi DL, Hopkins S, O’Brien D, Mancl L, Orr E, Lenaker D. Association between added sugar intake and dental caries in yup’ik children using a novel hair biomarker. BMC Oral Health. 2015;15:121. https://doi.org/10.1186/s12903-015-0101-z.CrossRefPubMedPubMedCentral

Title: Assessing sugar intake rapidly – a short form of the Marburg Sugar Index (MSI)
Authors: Jutta Margraf-Stiksrud
Klaus Pieper
Renate Deinzer
Publication date: 01-12-2023
Publisher: BioMed Central
Published in: BMC Oral Health / Issue 1/2023
Electronic ISSN: 1472-6831
DOI: https://doi.org/10.1186/s12903-023-03403-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Assessing sugar intake rapidly – a short form of the Marburg Sugar Index (MSI)

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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