Caries Research

Original Paper

Free Access

Dietary Patterns Related to Caries in a Low-Income Adult Population

Burt B.A.a · Kolker J.L.d · Sandretto A.M.b · Yuan Y.c · Sohn W.d · Ismail A.I.d

Author affiliations

Departments of aEpidemiology, bEnvironmental Health Sciences, and cBiostatistics, School of Public Health, University of Michigan, and dDepartment of Cariology, Restorative Sciences and Endodontics, School of Dentistry, University of Michigan, Ann Arbor, Mich., USA

Corresponding Author

Dr. Brian A. Burt

Department of Epidemiology, School of Public Health, University of Michigan

109 Observatory Street

Ann Arbor, MI 48109-2029 (USA)

Tel. +1 734 764 5478, Fax +1 734 764 3192, E-Mail bburt@umich.edu

Keywords: Dietary patternsSoft drinksFat consumptionPlaque depositsOral hygieneLow-income African-American households

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Caries Res 2006;40:473–480
https://doi.org/10.1159/000095645

Abstract

The aim of this study was toexamine the relationship between dietary patterns and caries experience in a representative group of low-income African-American adults. Participants were residents of Detroit, Michigan, with household incomes below 250% of the federally-established poverty level (n = 1,021). Dietary histories were obtained by trained interviewers in face-to-face interviews with the adult participants, using the Block 98.2® food frequency questionnaire. Caries was measured by the ICDAS criteria (International Caries Detection and Assessment System). There were 200 dietary records whose data were judged to be invalid; these participants were omitted from the dietary analyses to leave n = 821. Factor analysis identified patterns of liquid and solid food consumption, and the resulting factor scores were used as covariates in multivariable linear regression. Caries was extensive, with 82.3% of the 1,021 participants (n = 839) having at least one cavitated lesion. Nearly three quarters of the adult participants were overweight or obese. This population had severe caries, poor oral hygiene, and diets that are high in sugars and fats and low in fruits and vegetables. Apart from tap water, the most frequently consumed food item by adults of all ages was soft drinks; 19% of all energy from sugar came from soft drinks alone. In both the bivariate analyses and in the regression model, frequency of soft drink consumption and the presence of gingival plaque deposits were significantly associated with caries. Interventions to promote oral health are unlikely to be successful without improvements in the social and physical environment.

© 2006 S. Karger AG, Basel



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References

  1. Arrow P: Oral hygiene in the control of occlusal caries. Community Dent Oral Epidemiol 1998;26:324–330.
    External Resources
  2. Burt BA, Pai S: Sugar consumption and caries risk: a systematic review. J Dent Educ 2001;65:1017–1023.
    External Resources
  3. Dreeben O: Health status of African Americans. J Health Social Policy 2001;14:1–17.
    External Resources
  4. Etty EJ, Henneberke M, Gruythuysen RJ, Woltgens JH: Influence of oral hygiene on early enamel caries. Caries Res 1994;28:132–136.
    External Resources
  5. Flegal KM, Carroll MD, Ogden CL, Johnson CL: Prevalence and trends in obesity among US adults, 1999–2000. JAMA 2002;288:1723–1727.
    External Resources
  6. Gary TL, Baptiste-Roberts K, Gregg EW, Williams DE, Beckles GL, Miller EJ III, Engelau MM: Fruit, vegetable and fat intake in a population-based sample of African Americans. J Nat Med Assoc 2004;96:1599–1605.
    External Resources
  7. Gustaffson BE, Quensel CE, Lanke LS, Lundquist C, Grahnen H, Bonow BE, Krasse B: The Vipehölm dental caries study. The effect of different levels of carbohydrates intake on caries activity in 436 individuals observed for five years. Acta Odont Scand 1954;11:232–364.
    External Resources
  8. Harvard University, School of Public Health: The Nutrition Source, Knowledge of Healthy Eating. http://www.hsph.harvard.edu/nutritionsource/EDBH_update.html, accessed December 8, 2005.
  9. Kant AK: Indexes of overall diet quality: a review. J Am Diet Assoc 1996;96:785–791.
    External Resources
  10. Kant AK: Dietary patterns and health outcomes. J Am Diet Assoc 2004;104:615–635.
    External Resources
  11. Kant AK, Graubard BI, Schatzkin A: Dietary patterns predict mortality in a national cohort: the National Health Interview Surveys, 1987 and 1992. J Nutr 2004;134:1793–1799.
    External Resources
  12. Kayrooz K, Moy TF, Yanek LR, Becker DM: Dietary fat patterns in urban African American women. J Community Health 1998;23:453–469.
    External Resources
  13. Kleemola-Kujala E, Rasanen L: Relationship of oral hygiene and sugar consumption to risk of caries in children. Community Dent Oral Epidemiol 1982;10:224–233.
    External Resources
  14. Kolker J, Burt BA, Sohn W, Ismail AI: Disparities in dental caries: are sugared beverages a factor (abstract)? Prog Annu Session Int Assoc Dent Res, Baltimore, 2005;242.
  15. Levy SM, Warren JJ, Broffitt B, Hillis SL, Kanellis MJ: Fluoride, beverages and dental caries in the primary dentition. Caries Res 2003;37:157–165.
    External Resources
  16. Lingström P, van Houte J, Kashket S: Food starches and dental caries. Crit Rev Oral Biol Med 2000;11:366–380.
    External Resources
  17. Marshall TA, Levy SM, Broffitt B, Warren JJ, Eichenberger-Gilmore JM, Burns TL, Stumbo PJ: Dental caries and beverage consumption in young children. Pediatr 2003;112:184–191.
    External Resources
  18. Mascarenhas AK: Oral hygiene as a risk indicator of enamel and dentin caries. Community Dent Oral Epidemiol 1998;26:331–339.
    External Resources
  19. National Institutes of Health: Guidelines on Overweight and Obesity: Electronic Textbook. http://www.nhlbi.nih.gov/guidelines/obesity/e_txtbook/appndx/apndx5.htm, accessed December 13, 2005.
  20. Nyvad B, Fejerskov O: Active root surface caries converted into inactive caries as a response to oral hygiene. Scand J Dent Res 1986;94:281–284.
    External Resources
  21. Ogden CL, Flegal KM, Carroll MD, Johnson CL: Prevalence and trends in overweight among US children and adolescents, 1999–2000. JAMA 2002;288:1728–1732.
    External Resources
  22. Payette M, Brodeur JM: Comparison of dental caries and oral hygiene indices for 13- to 14-year-old Quebec children between 1977 and 1989–1990. J Can Dent Assoc 1992;58:921–922, 926–929, 932–933.
    External Resources
  23. Pitts N: ICDAS: An international system for caries detection and assessment being developed to facilitate caries epidemiology, research and appropriate clinical management. Community Dent Health 2004;21:193–198.
    External Resources
  24. Podshadley AG, Haley JV: A method for evaluating oral hygiene performance. Public Health Rep 1968;83:259–264.
    External Resources
  25. Ramfjord SP: Indices for prevalence and incidence of periodontal disease. J Periodontol 1959;30:51–59.
  26. Research Triangle Institute: SUDAAN Users’ Manual, release 9.01, SAS-callable version. Research Triangle Park, Research Triangle Institute, 2005.
  27. Ruottinen S, Karjalainen S, Pienihakkinen K, Lagstrom H, Niinikoski H, Salminen M, Ronnemaa T, Simell O: Sucrose intake since infancy and dental health in 10-year-old children. Caries Res 2004;38:142–148.
    External Resources
  28. SAS Institute: SAS Release 9.0. Cary, SAS Institute, 2005.
  29. Sheiham A: Dietary effects on dental diseases. Public Health Nutr 2001;4:569–591.
    External Resources
  30. Togo P, Heitmann BL, Sorensen TI, Osler M: Consistency of food intake factors by different dietary assessment methods and population groups. Br J Nutr 2003;90:667–678.
    External Resources
  31. US Department of Agriculture: Dietary guidelines for Americans 2005; Key Recommendations. http://www.health.gov/dietaryguidelines/dga2005/recommendations.htm, accessed July 5, 2005.

Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: August 02, 2005
Accepted: February 14, 2006
Published online: October 25, 2006
Issue release date: October 2006

Number of Print Pages: 8
Number of Figures: 0
Number of Tables: 6

ISSN: 0008-6568 (Print)
eISSN: 1421-976X (Online)

For additional information: https://www.karger.com/CRE

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2006, Vol.40, No. 6

October 2006

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