TY - JOUR
T1 - Trajectories of Sugar Consumption and Dental Caries in Early Childhood
AU - Echeverria, M. S.
AU - Schuch, H. S.
AU - Cenci, M. S.
AU - Motta, J. V.S.
AU - Bertoldi, A. D.
AU - Hallal, P. C.
AU - Demarco, F. F.
N1 - Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: The 2015 Birth Cohort study was conducted by the Graduate Program in Epidemiology (PPGEpi) at the Universidade Federal de Pelotas (UFPel) with the support of the Brazilian Association of Collective Health (ABRASCO). The 2015 Pelotas Cohort was funded by the Wellcome Trust (095582). Funding was also received for specific segments from the National Council for Scientific and Technological Development (CNPq) and the Foundation for Research Support of the State of Rio Grande do Sul (FAPERGS). The follow-up at 24 mo of self-financing was supported by Pastoral da Criança, and the 48-mo follow-up after receiving funding was supported by FAPERGS-PPSUS, Wellcome Trust (10735_Z_18_Z), and the Bernard van Leer Foundation (BRA-2018-178). The monitoring of oral health at 48 mo in the 2015 cohort was financed by the Notice FAPERGS/CNPQ PRONEX 12/2014 (16.0471-4) and the CNPQ Universal Notice (454796/2014-5 and 426230/2018-3) granted to the main researcher (FFD). This study was partly funded by the Coordenação de Aperfeiçoamento de Pessoal de Nível SuperiordBrasil (CAPES) Finance Code 001. H.S. Schuch is supported by a Postdoctoral Fellowship from the Brazilian Coordination for the Improvement of Higher Education Personnel (CAPES PRINT #88887.363970/2019-00).
Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: The 2015 Birth Cohort study was conducted by the Graduate Program in Epidemiology (PPGEpi) at the Universidade Federal de Pelotas (UFPel) with the support of the Brazilian Association of Collective Health (ABRASCO). The 2015 Pelotas Cohort was funded by the Wellcome Trust (095582). Funding was also received for specific segments from the National Council for Scientific and Technological Development (CNPq) and the Foundation for Research Support of the State of Rio Grande do Sul (FAPERGS). The follow-up at 24 mo of self-financing was supported by Pastoral da Criança, and the 48-mo follow-up after receiving funding was supported by FAPERGS-PPSUS, Wellcome Trust (10735_Z_18_Z), and the Bernard van Leer Foundation (BRA-2018-178). The monitoring of oral health at 48 mo in the 2015 cohort was financed by the Notice FAPERGS/CNPQ PRONEX 12/2014 (16.0471-4) and the CNPQ Universal Notice (454796/2014-5 and 426230/2018-3) granted to the main researcher (FFD). This study was partly funded by the Coordenação de Aperfeiçoamento de Pessoal de Nível SuperiordBrasil (CAPES) Finance Code 001. H.S. Schuch is supported by a Postdoctoral Fellowship from the Brazilian Coordination for the Improvement of Higher Education Personnel (CAPES PRINT #88887.363970/2019-00).
Publisher Copyright:
© International Association for Dental Research and American Association for Dental, Oral, and Craniofacial Research 2022.
PY - 2022/6
Y1 - 2022/6
N2 - This study verifies the association between the trajectory of sugar consumption and dental caries in the 2015 Pelotas Birth Cohort in Pelotas, Brazil. It was conducted with data from the follow-ups at 3, 12, 24, and 48 mo from the 2015 Birth Cohort, which included 4,275 children born alive in hospitals in Pelotas. Data collection included standardized questionnaires for first caregivers applied by trained interviewers at all follow-ups. Exposure was the trajectory of sugar consumption from 3 to 48 mo (always low, always intermediate, increasing, and always high), obtained by group-based trajectory modeling. The outcome of this study was dental caries, obtained through clinical examination performed by calibrated dentists at 48 mo of age. Socioeconomic conditions and oral health instruction from a health professional during the first 4 y of life were included in the analysis as potential confounders. Prevalence ratios and their 95% confidence intervals were provided from generalized estimating equations with a log-Poisson with robust variance specification. In total, 3,654 (91.1%) children participated in the survey at 48 mo, and 2,806 children had complete data for the analyzes performed. Of these, 1,012 (36.1%; 95% confidence interval [CI], 34.3–37.8) experienced caries, and 723 (25.8%; 95% CI, 24.2–27.4) had cavitated caries. Regarding cavitated caries, the prevalence was 1.48 times higher in the group with increasing sugar consumption than children with always low consumption. There is an association between the trajectory of sugar consumption and dental caries at 48 mo. Children with increasing and always high sugar consumption have the highest prevalence of caries.
AB - This study verifies the association between the trajectory of sugar consumption and dental caries in the 2015 Pelotas Birth Cohort in Pelotas, Brazil. It was conducted with data from the follow-ups at 3, 12, 24, and 48 mo from the 2015 Birth Cohort, which included 4,275 children born alive in hospitals in Pelotas. Data collection included standardized questionnaires for first caregivers applied by trained interviewers at all follow-ups. Exposure was the trajectory of sugar consumption from 3 to 48 mo (always low, always intermediate, increasing, and always high), obtained by group-based trajectory modeling. The outcome of this study was dental caries, obtained through clinical examination performed by calibrated dentists at 48 mo of age. Socioeconomic conditions and oral health instruction from a health professional during the first 4 y of life were included in the analysis as potential confounders. Prevalence ratios and their 95% confidence intervals were provided from generalized estimating equations with a log-Poisson with robust variance specification. In total, 3,654 (91.1%) children participated in the survey at 48 mo, and 2,806 children had complete data for the analyzes performed. Of these, 1,012 (36.1%; 95% confidence interval [CI], 34.3–37.8) experienced caries, and 723 (25.8%; 95% CI, 24.2–27.4) had cavitated caries. Regarding cavitated caries, the prevalence was 1.48 times higher in the group with increasing sugar consumption than children with always low consumption. There is an association between the trajectory of sugar consumption and dental caries at 48 mo. Children with increasing and always high sugar consumption have the highest prevalence of caries.
KW - child
KW - cohort studies
KW - community dentistry
KW - dietary sugars
KW - health risk behaviors
KW - sugars
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U2 - 10.1177/00220345211068743
DO - 10.1177/00220345211068743
M3 - Article
C2 - 35114848
AN - SCOPUS:85124610753
VL - 101
SP - 724
EP - 730
JO - Journal of Dental Research
JF - Journal of Dental Research
SN - 0022-0345
IS - 6
ER -