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BMC Oral Health

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Open Access 01-12-2023 | Caries | Research

Effect of dietary patterns on dental caries among 12–15 years-old adolescents: a cross-sectional survey

Authors: Xiangyu Wang, Hao Chen, Ruxia Hou, Tingting Yang, Jiajia Liu, Junming Li, Xiaotong Shi, Bin Zhao, Junyu Liu

Published in: BMC Oral Health | Issue 1/2023

Abstract

Background

Several factors can influence the risk of dental caries, among which dietary factors have a significance impact on the occurrence of dental caries. The limitation of current studies is that they only focus on the influence of individual foods on the risk of dental caries. This study use cluster analysis to examine the relationship between dietary patterns and dental caries experience among adolescents aged 12–15.

Methods

Based on data from the first oral epidemic survey in Shanxi Province, a cross-sectional study was conducted among 11,351 adolescents aged 12–15 in Shanxi Province through oral examination and questionnaires. The questionnaire included the intake frequency of seven types of food. Descriptive statistics, cluster analysis, and multinomial logistic regression were used to analyze the association between dietary patterns and dental caries experience.

Results

The prevalence rate of caries was 44.57% and the mean DMFT score was 0.98 ± 1.49 in adolescents aged 12–15 in Shanxi Province. The caries rate was higher in females than males (X² = 103.59, P < 0.001). Adolescents who grow up in one-child families have a lower caries risk than those who grow up in families with more than one child (OR:0.91; 95%CI:0.84–0.97). The dietary patterns of adolescents aged 12–15 can be divided into eight types, among which refreshments-rich diet (OR:1.47; 95%CI,1.22–1.77) can increase the risk of caries, while the coarse-grains-rich dietery pattern (OR:0.90; 95%CI, 0.79–0.97) has a lower caries risk.

Conclusions

Social determinants of health such as sex, family size and dietary patterns influence the risk of dental caries. Certain dietary patterns could increase or decrease the risk of caries. The government, school canteens and news media should take dietary pattern factors seriously.

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Kassebaum NJ, Bernabé E, Dahiya M, Bhandari B, Murray CJ, Maecenas W. Global burden of untreated caries: a systematic review and meta-regression. J Dent Res. 2015;94(5):650–8. https://doi.org/10.1177/0022034515573272.CrossRefPubMed

Petersen PE. Global policy for improvement of oral health in the 21st century–implications to oral health research of world health assembly 2007, world health organization. Community Dent Oral Epidemiol. 2009;37(1):1–8. https://doi.org/10.1111/j.1600-0528.2008.00448.x.CrossRefPubMed

Dye B, Thornton-Evans G, Li X, Iafolla T. Dental caries and tooth loss in adults in the United States, 2011–2012. NCHS Data Brief. 2015;197:197.

Coker MO, Akhigbe P, Osagie E, et al. Dental caries and its association with the oral microbiomes and HIV in young children-Nigeria (DOMHaIN): a cohort study. BMC Oral Health. 2021;21(1):620. https://doi.org/10.1186/s12903-021-01944-y. (Published 2021 Dec 4).CrossRefPubMedPubMedCentral

van Houte J. Microbiological predictors of caries risk. Adv Dent Res. 1993;7(2):87–96. https://doi.org/10.1177/08959374930070022001.CrossRefPubMed

Rudney JD, Staikov RK. Simultaneous measurement of the viability, aggregation, and live and dead adherence of Streptococcus crista, Streptococcus mutans and Actinobacillus actinomycetemcomitans in human saliva in relation to indices of caries, dental plaque and periodontal disease. Arch Oral Biol. 2002;47(5):347–59. https://doi.org/10.1016/s0003-9969(02)00019-5.CrossRefPubMed

Rupf S, Merte K, Eschrich K, Kneist S. Streptococcus sobrinus in children and its influence on caries activity. Eur Arch Paediatr Dent. 2006;7(1):17–22. https://doi.org/10.1007/BF03320810.CrossRefPubMed

Staufer K, Landmesser H. Effects of crowding in the lower anterior segment–a risk evaluation depending upon the degree of crowding. J Orofac Orthop. 2004;65(1):13–25. https://doi.org/10.1007/s00056-004-0207-4.CrossRefPubMed

Haghi R, Ashouri A, Karimy M, et al. The role of correlated factors based on Pender health promotion model in brushing behavior in the 13–16 years old students of Guilan Iran. Ital J Pediatr. 2021;47(1):111. https://doi.org/10.1186/s13052-021-01063-y. (Published 2021 May 12).CrossRefPubMedPubMedCentral

10.

Mahboobi Z, Pakdaman A, Yazdani R, Azadbakht L, Shamshiri AR, Babaei A. Caries incidence of the first permanent molars according to the Caries Assessment Spectrum and Treatment (CAST) index and its determinants in children: a cohort study. BMC Oral Health. 2021;21(1):259. https://doi.org/10.1186/s12903-021-01612-1. (Published 2021 May 13).CrossRefPubMedPubMedCentral

11.

Gao YX, Feng XP. Shanghai Kou Qiang Yi Xue. 2009;18(1):35–9.PubMed

12.

Qin Y, Zhang R, Yuan B, et al. Structural equation modelling for associated factors with dental caries among 3–5-year-old children: a cross-sectional study. BMC Oral Health. 2019;19(1):102. https://doi.org/10.1186/s12903-019-0787-4. (Published 2019 Jun 6).CrossRefPubMedPubMedCentral

13.

Touger-Decker R, Mobley C. Academy of nutrition and dietetics position of the academy of nutrition and Dietetics: oral health and nutrition. J Acad Nutr Diet. 2013;113(5):693–701. https://doi.org/10.1016/j.jand.2013.03.001.CrossRefPubMed

14.

Sachdev PK, Freeland-Graves J, Babaei M, Sanjeevi N, Zamora AB, Wright GJ. Associations between diet quality and dental caries in low-income women. J Acad Nutr Diet. 2021;121(11):2251–9. https://doi.org/10.1016/j.jand.2021.04.015.CrossRefPubMed

15.

Elamin A, Garemo M, Mulder A. Determinants of dental caries in children in the Middle East and North Africa region: a systematic review based on literature published from 2000 to 2019. BMC Oral Health. 2021;21(1):237. https://doi.org/10.1186/s12903-021-01482-7. (Published 2021 May 4).CrossRefPubMedPubMedCentral

16.

Kumar S, Kroon J, Lalloo R, Kulkarni S, Johnson NW. Relationship between body mass index and dental caries in children, and the influence of socio-economic status. Int Dent J. 2017;67(2):91–7. https://doi.org/10.1111/idj.12259.CrossRefPubMed

17.

Thornley S, Bach K, Bird A, et al. What factors are associated with early childhood dental caries? A longitudinal study of the growing Up in New Zealand cohort. Int J Paediatr Dent. 2021;31(3):351–60. https://doi.org/10.1111/ipd.12686.CrossRefPubMed

18.

Woodward M, Rugg-Gunn AJ. Chapter 8: Milk, Yoghurts and Dental Caries. Monogr Oral Sci. 2020;28:77–90. https://doi.org/10.1159/000455374Dye BA, Shenkin JD, Ogden CL, Marshall TA, Levy SM, Kanellis MJ.

19.

Moynihan P, Petersen PE. Diet, nutrition and the prevention of dental diseases. Public Health Nutr. 2004;7(1a):201–26.CrossRefPubMed

20.

Blostein FA, Jansen EC, Jones AD, Marshall TA, Foxman B. Dietary patterns associated with dental caries in adults in the United States. Community Dent Oral Epidemiol. 2020;48(2):119–29. https://doi.org/10.1111/cdoe.12509.CrossRefPubMed

21.

Dye BA, Shenkin JD, Ogden CL, Marshall TA, Levy SM, Kanellis MJ. The relationship between healthful eating practices and dental caries in children aged 2–5 years in the United States, 1988–1994. J Am Dent Assoc. 2004;135(1):55–66. https://doi.org/10.14219/jada.archive.2004.0021.CrossRefPubMed

22.

Sanders A, Cardel M, Laniado N, et al. Diet quality and dental caries in the Hispanic Community Health Study/Study of Latinos. J Public Health Dent. 2020;80(2):140–9. https://doi.org/10.1111/jphd.12358.CrossRefPubMedPubMedCentral

23.

Qin Dan. Epidemiological investigation of caries in the first permanent molars of children aged 10–12 years old in Chongqing and analysis of related factors. MD thesis. Chongqing Medical University; 2019.

24.

Li LW, Wong HM, Gandhi A, McGrath CP. Caries-related risk factors of obesity among 18-year-old adolescents in Hong Kong: a cross-sectional study nested in a cohort study. BMC Oral Health. 2018;18(1):188. https://doi.org/10.1186/s12903-018-0657-5.

25.

Samman M, Kaye E, Cabral H, Scott T, Sohn W. The effect of diet drinks on caries among US children: Cluster analysis. J Am Dent Assoc. 2020;151(7):502–9. https://doi.org/10.1016/j.adaj.2020.03.013.CrossRefPubMed

26.

Yang Q, Xi Y, Liu H, et al. Free Sugars Intake among Chinese Adolescents and Its Association with Dental Caries: A Cross-Sectional Study. Nutrients. 2021;13(3):765. Published 2021 Feb 26. doi:https://doi.org/10.3390/nu13030765.

27.

Hu FB. Dietary pattern analysis: a new direction in nutritional epidemiology. Curr Opin Lipidol. 2002;13(1):3–9. https://doi.org/10.1097/00041433-200202000-00002.CrossRefPubMed

28.

Moeller SM, Reedy J, Millen AE, et al. Dietary patterns: challenges and opportunities in dietary patterns research an Experimental Biology workshop, April 1, 2006. J Am Diet Assoc. 2007;107(7):1233–9. https://doi.org/10.1016/j.jada.2007.03.014.CrossRefPubMed

29.

Schulze MB, Martínez-González MA, Fung TT, Lichtenstein AH, Forouhi NG. Food-based dietary patterns and chronic disease prevention. BMJ. 2018;361:k2396. Published 2018 Jun 13. doi:https://doi.org/10.1136/BMJ.k2396.

30.

Greve B, Pigeot I, Huybrechts I, Pala V, Börnhorst C. A comparison of heuristic and model-based clustering methods for dietary pattern analysis. Public Health Nutr. 2016;19(2):255–64. https://doi.org/10.1017/S1368980014003243.CrossRefPubMed

31.

Zhao J, Li Z, Gao Q, et al. A review of statistical methods for dietary pattern analysis. Nutr J. 2021;20(1):37. Published 2021 Apr 19. https://doi.org/10.1186/s12937-021-00692-7.

32.

World Health Organization. Oral health surveys. Basic methods. 4th ed. Geneva; 1997. https://apps.who.int/iris/handle/10665/41905.

33.

Dzhambov AM, Browning MHEM, Markevych I, et al. Analytical approaches to testing pathways linking greenspace to health: a scoping review of the empirical literature. Environ Res. 2020;186:109613. https://doi.org/10.1016/j.envres.2020.109613.CrossRefPubMed

34.

Zeng L, Peng Y, Xu T, et al. Dental caries and associated factors among adolescents aged 12 to 15 in Jiangxi Province. China J Public Health Dent. 2020;80(3):217–26. https://doi.org/10.1111/jphd.12371.CrossRefPubMed

35.

Gu ZW, Zhang SS, Zhang RJ, et al. Prevalence of caries in mainland china: evidence from 1980 to 2018: a systematic review and meta-analysis. Chin J Dent Res. 2019;22(4):251–63. https://doi.org/10.3290/j.cjdr.a43736.CrossRefPubMed

36.

Wang X. the Fourth National Oral Health Epidemiological Survey. China: The Peoples Medical Publishing House; 2018. p. 17–8.

37.

Wang YY, Xie LL, Guo DM, et al. A sampling survey report of permanent tooth caries among students aged 12–15 in Hainan province (2015–2016). J Hebei Medical University. 2022;43(04):429–32+438. https://doi.org/10.3969/j.issn.1007-3205.2022.04.012.CrossRef

38.

Zhang K, Cheng RB, Li J, et al. A sampling survey of permanent teeth caries in 12–15- year- old population in Liaoning Province (2015–2016). Chin J Pract Stomatol. 2018;08:491–4. https://doi.org/10.19538/j.kq.2018.08.011.CrossRef

39.

Xiao Y, Liu YR, Shen H, et al. An epidemiological investigation of caries status and associated factors in students aged 12 to 15 years old in Jiangsu Province. Stomatology. 2020;40(02):135–40. https://doi.org/10.13591/j.cnki.kqyx.2020.02.009.CrossRef

40.

Wang X, Ren W, Li Y, et al. Ecological determinants of the effect of a free pit and fissure sealant program in Shanxi, China, 2017–2018. BMC Oral Health. 2021;21(1):458. Published 2021 Sep 20. https://doi.org/10.1186/s12903-021-01821-8.

41.

Sun X, Bernabé E, Liu X, Zheng S, Gallagher JE. Meeting the oral health needs of 12-year-olds in China: human resources for oral health. BMC Public Health. 2017;17(1):586. https://doi.org/10.1186/s12889-017-4384-7. (Published 2017 Jun 20).CrossRefPubMedPubMedCentral

42.

Virkkala VF, Eloranta AM, Suominen AL, et al. Associations of diet quality, food consumption, eating frequency and eating behaviour with dental caries experience in Finnish children: a 2-year longitudinal study [published online ahead of print, 2022 Aug 8]. Br J Nutr. 2022;1–11. https://doi.org/10.1017/S0007114522002550.

43.

Guo A, Wide U, Arvidsson L, et al. Dietary intake and meal patterns among young adults with high caries activity: a cross-sectional study. BMC Oral Health. 2022;22(1):190. Published 2022 May 19. https://doi.org/10.1186/s12903-022-02227-w.

44.

Rodriguez JL, Thakkar-Samtani M, Heaton LJ, et al. Caries risk and social determinants of health: A big data report. J Am Dent Assoc. 2023;154(2):113–21. https://doi.org/10.1016/j.adaj.2022.10.006.CrossRefPubMed

45.

Guo M. Influence of Geographical Environment on Food Culture in Shanxi Regions. Cultural Industry. 2020;157(12):80–1.

46.

Kateeb E, Lim S, Amer S, Ismail A. Behavioral and social determinants of early childhood caries among Palestinian preschoolers in Jerusalem area: a cross-sectional study. BMC Oral Health. 2023;23(1):152. Published 2023 Mar 15. https://doi.org/10.1186/s12903-023-02809-2.

47.

Zhao J, Li Z, Gao Q, et al. A review of statistical methods for dietary pattern analysis. Nutr J. 2021;20(1):37. Published 2021 Apr 19. https://doi.org/10.1186/s12937-021-00692-7.

48.

Boustedt K, Roswall J, Twetman S. Free sugars and early childhood caries development: a prospective cohort study [published online ahead of print, 2022 Aug 17]. Eur Arch Paediatr Dent. 2022;https://doi.org/10.1007/s40368-022-00745-3. doi:https://doi.org/10.1007/s40368-022-00745-3.

Title: Effect of dietary patterns on dental caries among 12–15 years-old adolescents: a cross-sectional survey
Authors: Xiangyu Wang
Hao Chen
Ruxia Hou
Tingting Yang
Jiajia Liu
Junming Li
Xiaotong Shi
Bin Zhao
Junyu Liu
Publication date: 01-12-2023
Publisher: BioMed Central
Keyword: Caries
Published in: BMC Oral Health / Issue 1/2023
Electronic ISSN: 1472-6831
DOI: https://doi.org/10.1186/s12903-023-03566-y

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Effect of dietary patterns on dental caries among 12–15 years-old adolescents: a cross-sectional survey

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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