Journal article
DIETARY PATTERNS RELATED TO CARIES IN A LOW-INCOME ADULT POPULATION
Caries research, Vol.40(6), pp.473-480
01/01/2006
DOI: 10.1159/000095645
PMCID: PMC1626651
PMID: 17063017
Abstract
The aim of this study was to examine 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 developed by Block Dietary Systems, Berkeley, CA. 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. Analyses were conducted using software from SAS and SUDAAN. 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 has severe caries, poor oral hygiene, and diets that are high in sugars and fats and low in fruits and vegetables. Apart from tapwater, 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.
Details
- Title: Subtitle
- DIETARY PATTERNS RELATED TO CARIES IN A LOW-INCOME ADULT POPULATION
- Creators
- Brian A. Burt - University of Michigan–Ann ArborJustine L. Kolker - University of Michigan–Ann ArborAnita M. Sandretto - University of Michigan–Ann ArborYing Yuan - Department of Biostatistics, School of Public Health, University of MichiganWoosung Sohn - University of Michigan–Ann ArborAmid I. Ismail - University of Michigan–Ann Arbor
- Resource Type
- Journal article
- Publication Details
- Caries research, Vol.40(6), pp.473-480
- DOI
- 10.1159/000095645
- PMID
- 17063017
- PMCID
- PMC1626651
- ISSN
- 0008-6568
- eISSN
- 1421-976X
- Language
- English
- Date published
- 01/01/2006
- Academic Unit
- Operative Dentistry
- Record Identifier
- 9984367730902771
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