Efeito da dieta no desenvolvimento da cárie dentária da infância à adolescência: estudo longitudinal prospectivo
Palavras-chave:
cárie dentária; dieta; fluoretos; açúcarResumo
Objetivo: Este estudo prospectivo avaliou a relação entre dieta e cárie em adolescentes com alta ingestão de açúcar na infância. Métodos: Examinou-se 220 crianças para avaliar cárie dentária. Pais responderam questionários de Frequência de Consumo Alimentar e saúde bucal e alimentos consumidos no lanche escolar foram registrados. Após 10 anos, foram reavaliados com os mesmos critérios. Verificaram-se os determinantes da experiência de cárie nos dois exames. Resultados: 176 adolescentes foram reexaminados (80%). Consumo de açúcar extrínseco no domicílio e frequência de escovação foram semelhantes nas duas fases. Na segunda, houve aumento na frequência de consumo de açúcares (p < 0,001). As lesões de cárie aumentaram, predominando baixa severidade. Vinte por cento das crianças livres de cárie na dentição decídua desenvolveram a doença na adolescência (p=0,012). Conclusão: Quanto maior o consumo de alimentos contendo açúcar e menor o tempo da última consulta ao dentista, maior a experiência de cárie em adolescentes.
Referências
ABANTO, J. et al. Impact of oral diseases and disorders on oral health-related quality of life of preschool children. Community Dentistry and Oral Epidemiology., v. 39, p. 105–114, 2011.
AGATHA, W. et al. Adherence to dietary guidelines and dental caries among children: a longitudinal cohort study. European Journal of Public Health, v. 33, n. 4, p. 653–658, 22 jun. 2023.
ALM, A. et al. Caries in adolescence - influence from early childhood. Community Dentistry and Oral Epidemiology, v. 40, p. 125–133, 2012.
ANDERSON, C. A. et al. Sucrose and dental caries: a review of the evidence. Obesity Reviews, v. 10, n. 1, p. 41–54, 2009.
APPLETON, K. M. et al. Sweet taste exposure and the subsequent acceptance and preference for sweet taste in the diet: systematic review of the published literature. American Journal of Clinical Nutrition, [s. l.], v. 107, n. 3, p. 405–419, 2018. Disponível em: https://doi.org/10.1093/ajcn/nqx031. Acesso em: 11 dez. 2024.
BEIL, H. et al. Effects of early dental office visits on dental caries experience. American Journal of Public Health, v. 104, n. 10, p. 1979–1985, 2014.
BERNABÉ, E. et al. The shape of the dose-response relationship between sugars and caries in adults. Journal of Dental Research., p. 1–6, 2015.
BERNABÉ, E. et al. Early introduction of sugar-sweetened beverages and caries trajectories from age 12 to 48 months. Journal of Dental Research., v. 99, n. 8, p. 898–906, jul. 2020.
BIRAL, A. M. et al. Dental caries and eating habits among children from nursery schools in São Paulo. Revista de Nutrição., v. 26, n. 1, p. 37–48, 2013. (Em português).
BOUSTEDT, K.; ROSWALL, J.; TWETMAN, S. Free sugars and early childhood caries development: a prospective cohort study. European Archives of Paediatric Dentistry, v. 23, n. 5, p. 829–833, 17 ago. 2022.
CANTORAL, A. et al. Association of dietary fluoride intake and diet variables with dental caries in adolescents from the ELEMENT cohort study. Caries Research, v. 55, n. 2, p. 88–98, 1 jan. 2021.
DEAN, A. G. et al. Epi Info, Version 6: a word processing database, and statistics program for epidemiology on microcomputers. Centers for Disease Control and Prevention, 1994.
ECHEVERRIA, M. S. et al. Early sugar introduction associated with early childhood caries occurrence. Caries Research, v. 57, n. 2, p. 152–158, 2023.
FELDENS, C. A. et al. Cariogenic feeding habits and associated factors in children in southern Brazil. Pesquisa Brasileira em Odontopediatria e Clínica Integrada, v. 10, n. 2, p. 201–207, 2010.
FELDENS, Carlos Alberto et al. Added sugar and oral health: A position paper of the Brazilian Academy of Dentistry. Frontiers in Oral Health, [s. l.], v. 3, p. 869112, 2022. Disponível em: https://doi.org/10.3389/froh.2022.869112.
FELDENS, C. A. et al. Early-life sugar consumption and breastfeeding practices: a multicenter initiative in Latin America. Brazilian Oral Research, v. 37, e104, 27 out. 2023.
ISAKSSON, H. et al. Caries prevalence in Swedish 20-year-olds in relation to their previous caries experience. Caries Research, v. 47, p. 234–242, 2013.
KASSEBAUM, N. J. et al. Global burden of untreated caries: a systematic review and metaregression. Journal of Dental Research, v. 94, n. 5, p. 650–658, 2015.
KELSEY, J. L. A. S. et al. Methods in observational epidemiology. 2. ed. Oxford: Oxford University Press, 1996.
LANCET CHILD AND ADOLESCENT HEALTH. Oral health: oft overlooked. Lancet Child & Adolescent Health, [s. l.], v. 3, n. 10, p. 663, 2019.
MAHBOOBI, Z. et al. Dietary free sugar and dental caries in children: a systematic review on longitudinal studies. Health Promotion Perspectives [Internet], v. 11, n. 3, p. 271–280, 18 ago. 2021. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8443671/. Acesso em: 26 ago. 2024.
MARTIGNON, S. et al. Risk factors for dental caries in Latin American and Caribbean countries. Brazilian Oral Research, v. 35, supl. 01, e053, 28 maio 2021.
MARTINÓN-TORRES, N. et al. Baby-led weaning: what role does it play in obesity risk during the first years? A systematic review. Nutrients, v. 13, n. 3, p. 1009, 21 mar. 2021.
MONTEAGUDO, C. et al. School dietary habits and incidence of dental caries. Nutrición Hospitalaria, v. 32, n. 1, p. 383–388, 2015.
MOYNIHAN, P. J.; KELLY, S. A. M. Effect on caries of restricting sugars intake: systematic review to inform WHO guidelines. Journal of Dental Research, v. 93, n. 1, p. 8–18, 2014.
OGDEN, C. L. et al. Consumption of sugar drinks in the United States, 2005–2008. National Center for Health Statistics, 2011.
PEREIRA, R. A.; ANDRADE, R. G.; SICHIERI, R. Changing in dietary intake by women in the Municipality of Rio de Janeiro, Brazil, from 1995 to 2005. Caderno de Saúde Pública, v. 25, n. 11, p. 2419–2432, 2009.
PERES, M. A. et al. Sugar consumption and changes in dental caries from childhood to adolescence. Journal of Dental Research., p. 1–7, 2016.
SANDERS, A. et al. Diet quality and dental caries in the Hispanic Community Health Study/Study of Latinos. Journal of Public Health Dentistry, v. 80, n. 2, p. 140–149, 7 fev. 2020.
SANDY, L. P. A.; HELMYATI, S.; AMALIA, R. Nutritional factors associated with early childhood caries: A systematic review and meta-analysis. The Saudi Dental Journal, v. 36, n. 3, p. 413–419, 2024.
SHEEHY, C. et al. Survey of sugar intake among children in Scotland. Edinburgh: Scottish Centre for Social Research, 2008.
SHEIHAM, A.; JAMES, W. P. T. Diet and dental caries: the pivotal role of free sugars reemphasized. Journal of Dental Research, p. 1–7, 2015.
SIM, S. J.; MOON, J. Y.; SHIN, H. S. Association between diet quality and untreated dental caries: results from the Korea National Health and Nutrition Examination Survey. Nutrition Research and Practice, v. 17, n. 5, p. 959–969, 2023.
SOUZA-FILHO, M. D. et al. Diet and cavities in preschool children at the age group from 36 to 68 months. Revista da Sociedade Brasileira de Alimentação e Nutrição., v. 31, n. 3, p. 47–60, 2006. (Em português)
TANNER, T. et al. Consumption of snacks and dental caries among Finnish young men: a cross-sectional epidemiological study. Odontology, v. 108, p. 486–492, 2020.
VINODH BHOOPATHI; TRIPICCHIO, G. Childhood dental caries and obesity: Opportunities for interdisciplinary approaches to prevention. Obesity Science & Practice, v. 10, n. 1, p. 1–6,
WANG, X. et al. Association between early childhood caries and diet quality among Chinese children aged 2–5 years. Frontiers in Public Health, v. 10, 2022.
WORLD HEALTH ORGANIZATION. Oral health surveys: basic methods. 4. ed. Geneva: World Health Organization, 1997.
WORLD HEALTH ORGANIZATION. 2008–2013 Action Plan for the Global Strategy for the Prevention and Control of Noncommunicable Diseases. Geneva: World Health Organization, 2009.
WORLD HEALTH ORGANIZATION. Sugar intake for adults and children. Geneva: World Health Organization, 2015.
WORLD HEALTH ORGANIZATION. The importance of a low sugar intake in maintaining a normal body weight, avoiding type 2 diabetes and also preventing dental caries in children and adults [Internet]. Geneva: World Health Organization, 2020 [cited 7 Sept. 2020]. Available from: https://www.who.int/news/item/04-03-2015-who-calls-on-countries-to-reduce-sugars-intake-among-adults-and-children.
ZOU, Jing et al. Expert consensus on early childhood caries management. International Journal of Oral Science, [s. l.], v. 14, n. 1, p. 35, 2022. Disponível em: https://doi.org/10.1038/s41368-022-00186-0.
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