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Factors associated with a cariogenic diet among adolescents: a structural equation modeling approach.
Dalla Nora, Ângela; Knorst, Jessica Klöckner; Comim, Letícia Donato; Racki, Débora Nunes de Oliveira; Alves, Luana Severo; Zenkner, Júlio Eduardo do Amaral.
Afiliação
  • Dalla Nora Â; Department of Stomatology, School of Dentistry, Federal University of Santa Maria, Santa Maria, RS, Brazil.
  • Knorst JK; Department of Stomatology, School of Dentistry, Federal University of Santa Maria, Santa Maria, RS, Brazil.
  • Comim LD; Department of Restorative Dentistry, School of Dentistry, Federal University of Santa Maria, Santa Maria, RS, Brazil.
  • Racki DNO; Department of Restorative Dentistry, School of Dentistry, Federal University of Santa Maria, Santa Maria, RS, Brazil.
  • Alves LS; Department of Restorative Dentistry, School of Dentistry, Federal University of Santa Maria, Santa Maria, RS, Brazil. luanaseal@gmail.com.
  • Zenkner JEDA; Department of Stomatology, School of Dentistry, Federal University of Santa Maria, Santa Maria, RS, Brazil.
Clin Oral Investig ; 27(1): 213-220, 2023 Jan.
Article em En | MEDLINE | ID: mdl-36114389
OBJECTIVE: To investigate the factors directly and indirectly associated with a cariogenic diet among southern Brazilian adolescents. MATERIALS AND METHODS: This cross-sectional study included 15-19-year-old students attending high schools in Santa Maria, southern Brazil. The participants completed a questionnaire on sociodemographic and behavioral variables. The Oral Health Impact Profile-14 was applied to collect data on oral health-related quality of life (OHRQoL). Clinical examination was used to assess the dental caries status (decayed, missing, and filled teeth index). A cariogenic diet was considered a latent variable measured by the self-perception of a healthy diet and the frequency of consumption of sugary foods and drinks. Structural equation modeling was used to analyze the direct and indirect pathways to a cariogenic diet. RESULTS: A total of 1197 adolescents were included. Low toothbrushing frequency (standardized coefficient (SC), 0.10; p < 0.05), cigarette smoking (SC, 0.15; p < 0.01), and alcoholic beverages (SC, 0.14; p < 0.01) were directly linked to a cariogenic diet, which, in turn, was directly linked to untreated dental caries (SC, 0.18; p < 0.01) and poor OHRQoL (SC, 0.16; p < 0.01). In addition, household income (via toothbrushing frequency) and age (via alcoholic beverages) were indirectly linked to a cariogenic diet. CONCLUSION: A cariogenic diet was consistently associated with a range of unhealthy behaviors during adolescence as well as poor household income. CLINICAL RELEVANCE: Health promotion strategies to restrict sugar consumption and encourage healthier lifestyles should be aware of the synergism observed among unhealthy behaviors during adolescence.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cárie Dentária / Dieta Cariogênica Tipo de estudo: Observational_studies / Prognostic_studies / Risk_factors_studies Aspecto: Equity_inequality / Patient_preference Limite: Adolescent / Adult / Humans País/Região como assunto: America do sul / Brasil Idioma: En Revista: Clin Oral Investig Assunto da revista: ODONTOLOGIA Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Brasil País de publicação: Alemanha

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cárie Dentária / Dieta Cariogênica Tipo de estudo: Observational_studies / Prognostic_studies / Risk_factors_studies Aspecto: Equity_inequality / Patient_preference Limite: Adolescent / Adult / Humans País/Região como assunto: America do sul / Brasil Idioma: En Revista: Clin Oral Investig Assunto da revista: ODONTOLOGIA Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Brasil País de publicação: Alemanha