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Higher sugar intake is associated with periodontal disease in adolescents.
Moreira, Ana R O; Batista, Rosangela F L; Ladeira, Lorena L C; Thomaz, Erika B A F; Alves, Claudia M C; Saraiva, Maria C; Silva, Antonio A M; Brondani, Mario A; Ribeiro, Cecilia C C.
Afiliación
  • Moreira ARO; Postgraduate Program of Dentistry, Federal University of Maranhão, Av. dos Portugueses 1966, Cidade Universitária Bacanga, São Luís, MA, 65080-805, Brazil.
  • Batista RFL; Postgraduate Program of Public Health, Federal University of Maranhão, São Luís, MA, Brazil.
  • Ladeira LLC; Postgraduate Program of Dentistry, Federal University of Maranhão, Av. dos Portugueses 1966, Cidade Universitária Bacanga, São Luís, MA, 65080-805, Brazil.
  • Thomaz EBAF; Postgraduate Program of Public Health, Federal University of Maranhão, São Luís, MA, Brazil.
  • Alves CMC; Postgraduate Program of Dentistry, Federal University of Maranhão, Av. dos Portugueses 1966, Cidade Universitária Bacanga, São Luís, MA, 65080-805, Brazil.
  • Saraiva MC; Postgraduate Program of Public Health, Federal University of Maranhão, São Luís, MA, Brazil.
  • Silva AAM; Department of Pediatric Dentistry of Ribeirão Preto, University of São Paulo, São Paulo, SP, Brazil.
  • Brondani MA; Postgraduate Program of Public Health, Federal University of Maranhão, São Luís, MA, Brazil.
  • Ribeiro CCC; Faculty of Dentistry, University of British Columbia, Vancouver, BC, Canada.
Clin Oral Investig ; 25(3): 983-991, 2021 Mar.
Article en En | MEDLINE | ID: mdl-32519237
OBJECTIVES: Analyze the association between higher added sugar exposure and periodontal disease in adolescents (18-19 years old). MATERIALS AND METHODS: This was a cross-sectional study nested to RPS Cohorts Consortium, São Luís, Brazil (n = 2515). The exposure was percentage of daily calories from added sugar (≥ 10%), estimated from a quantitative food frequency. The outcome was periodontal disease estimated by the number of teeth affected by bleeding on probing, periodontal probing depth ≥ 4 mm, and clinical attachment level ≥ 4 mm at the same site. A theoretical model was depicted in a directed acyclic graph to identify the minimal sufficient adjustment set: household income, adolescent's educational level, sex, alcohol use, and smoking. Periodontal disease was categorized into < 2 teeth affected, 2 to 3 teeth affected, and ≥ 4 teeth affected to estimate prevalence ratios (PR) by multinomial logistic regression. To test for consistency, means ratio (MR) were estimated using zero-inflated Poisson. RESULTS: High sugar intake was associated with ≥ 4 teeth affected by periodontal disease (PR = 1.42; 95% confidence interval (CI) = 1.03-1.94; p = 0.030); consistency Poisson analysis reinforced these results (MR = 1.15; 95% CI = 1.03-1.29; p = 0.011). CONCLUSION: High level of added sugar intake was associated with greater extent of periodontal disease in adolescents. CLINICAL RELEVANCE: High sugar intake was associated with periodontal disease in adolescents, supporting the integrated hypothesis of dental caries and periodontal disease and giving impetus to future clinical investigation on the effect of restriction of added sugar consumption in periodontal parameters, which potentially may change traditional treatment protocols of periodontal disease.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades Periodontales / Caries Dental Tipo de estudio: Guideline / Observational_studies / Prevalence_studies / Risk_factors_studies Límite: Adolescent / Adult / Humans País/Región como asunto: America do sul / Brasil Idioma: En Revista: Clin Oral Investig Asunto de la revista: ODONTOLOGIA Año: 2021 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Alemania
Texto completo
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XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades Periodontales / Caries Dental Tipo de estudio: Guideline / Observational_studies / Prevalence_studies / Risk_factors_studies Límite: Adolescent / Adult / Humans País/Región como asunto: America do sul / Brasil Idioma: En Revista: Clin Oral Investig Asunto de la revista: ODONTOLOGIA Año: 2021 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Alemania