Journal article
Dietary Patterns and Risk of a New Carious Lesion Postpartum: A Cohort Study
Journal of dental research, Vol.101(3), pp.295-303
03/01/2022
DOI: 10.1177/00220345211039478
PMCID: PMC8982010
PMID: 34609222
Abstract
Dental caries (cavities), one of the most common infectious diseases, is caused by a number of factors. Oral microbes, dietary practices, sociodemographic factors, and dental hygiene all inform caries risk. Assessing the impact of diet is complicated as individuals eat foods in combinations, and the interactions among the foods may alter caries risk. Our study aimed to prospectively assess the association between dietary patterns and caries risk in the postpartum period, a potentially sensitive period for caries development. We analyzed in-person dental assessments and telephone food frequency questionnaires (FFQs) from 879 Caucasian women participating in the Center for Oral Health Research in Appalachia Cohort 2 (COHRA2) that were collected biannually for up to 6 y. One-week recall of food intake frequency was assessed using a Likert scale. We used principal component analysis to summarize the FFQ data; the top 2 components described 15% and 12% of the variance in FFQ data. The first component was characterized by high consumption of fruits and vegetables, while the second component was heavily influenced by desserts and crackers. We used a modified Poisson model to predict the risk of an increase in the number of decayed, missing, and filled teeth in the postpartum period by 1) dietary patterns and 2) individual foods and beverages at the previous study visit, after controlling for other known risk factors, including history of carious lesions. Eating a dietary pattern high in desserts and crackers was associated with a 20% increase in the number of decayed, missing, and filled teeth in the postpartum period (95% confidence interval, 1.03-1.39). However, this effect was attenuated among those who also consumed a dietary pattern high in fruits and vegetables. Dietary patterns should be considered when devising interventions aimed at preventing dental caries.
Details
- Title: Subtitle
- Dietary Patterns and Risk of a New Carious Lesion Postpartum: A Cohort Study
- Creators
- E. Davis - University of Michigan–Ann ArborG. Martinez - University of Michigan–Ann ArborF. Blostein - University of Michigan–Ann ArborT. Marshall - University of IowaA. D. Jones - Univ Michigan, Dept Nutr Sci, Sch Publ Hlth, Ann Arbor, MI USAE. Jansen - University of Michigan–Ann ArborD. W. McNeil - University of PittsburghK. Neiswanger - University of PittsburghM. L. Marazita - University of PittsburghB. Foxman - University of Michigan–Ann Arbor
- Resource Type
- Journal article
- Publication Details
- Journal of dental research, Vol.101(3), pp.295-303
- Publisher
- Sage
- DOI
- 10.1177/00220345211039478
- PMID
- 34609222
- PMCID
- PMC8982010
- ISSN
- 0022-0345
- eISSN
- 1544-0591
- Number of pages
- 9
- Grant note
- R01 DE14899 / National Institute of Dental Craniofacial Research; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Dental & Craniofacial Research (NIDCR)
- Language
- English
- Date published
- 03/01/2022
- Academic Unit
- Preventive and Community Dentistry
- Record Identifier
- 9984367732402771
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