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Relationship between Intake of Vitamins and Minerals and Caries of Primary Teeth

비타민 및 무기질 섭취와 유치우식과의 관련성

  • Kim, Han-Na (Department of Preventive and Community Dentistry, Pusan National University School of Dentistry) ;
  • Min, Ji-Hyun (Bestden Dental Clinic) ;
  • Kim, Ki-Rim (Department of Dental Hygiene, Kyungpook National University)
  • 김한나 (부산대학교 치의학전문대학원 예방치과학교실) ;
  • 민지현 (베스트덴 치과) ;
  • 김기림 (경북대학교 치위생학과)
  • Received : 2014.07.22
  • Accepted : 2014.08.26
  • Published : 2014.09.30

Abstract

This study aims to evaluate the influence of vitamin and mineral supplement intake, and degree of calcium and phosphorus intake on occurrence of dental caries in primary teeth. Research data was derived from the Fourth Korean National Health and Nutrition Examination Survey (KNHANES) and 1,139 Korean children of 3 to 6 years were selected as subject for this study. The dft index, nutrition factor including vitamin or mineral supplement intake and degree of intake for calcium (Ca) and phosphorus (P) were identified. Chi-square test was performed to assess the difference in socioeconomic status, oral health behavior and nutrition factor, including vitamin or mineral supplement intake and degree of intake for Ca and P. Linear regression analysis was performed to identify the relationship between the dft index and the related variables. As a result, the dft index was increased with the age. Significant differences in Ca intake was examined according to the sex, and P intake was different according to the sex in 3-year-old group. Among the 4-year-old children, the vitamin and mineral supplement takers had 1.206 less dft index than the non-takers. In conclusion, intake of Ca, P and vitamin/mineral supplement was not a pivotal factor to influence the incidence of primary teeth caries. However, significantly low dft index was observed from 4-year-old group who intake vitamin or mineral.

본 연구는 비타민 또는 무기질 보충제 복용과 칼슘 및 인의 섭취에 따른 유치의 우식 발생과의 연관성을 파악하고자, 제4기 국민건강영양조사 자료에서 만 3~6세 아동 1,139명을 대상자로 선정하여 성별과 연령에 따른 우식경험 유치지수를 조사하여 비타민 또는 무기질 복용 여부와 칼슘과 인의 섭취 정도, 기타 사회경제적요인 및 구강관리 행동요인에 대한 통계분석을 수행하였다. 1. 연령이 증가할수록 우식경험 유치지수가 증가하였다. 2. 칼슘 섭취에 대해서는 성별에 따라 통계적으로 유의한 차이가 있었으며, 인 섭취는 3세 아동에서 성별에 따른 차이가 나타났다. 3. 만 4세 아동의 우식경험 유치지수는 비타민 및 무기질보충제를 복용하는 경우가 비복용자보다 1.206개 적었다. 이상의 단면연구 결과를 종합해 볼 때, 칼슘과 인, 비타민 및 무기질과 같은 영양섭취가 유치의 치아우식증에 영향을 줄 수 있는 주요한 요인임을 확인할 수는 없었으나. 비타민 및 무기질 보충제를 섭취하는 만 4세의 아동은 유의하게 낮은 우식경험 유치지수를 나타내었다.

Keywords

Acknowledgement

Supported by : 경북대학교

References

  1. Palacios C, Joshipura K, Willett W: Nutrition and health: guidelines for dental practitioners. Oral Dis 15: 369-381, 2009. https://doi.org/10.1111/j.1601-0825.2009.01571.x
  2. Ministry of Health and Welfare: The Korean national health and nutrition examination survey. Korea Centers for Disease Control and Prevention, Cheongwon, 2012.
  3. Krol DM: Dental caries, oral health, and pediatricians. Curr Probl Pediatr Adolesc Health Care 33: 253-270, 2003. https://doi.org/10.1016/S1538-5442(03)00093-2
  4. Fosdick LS, Hutchinson AC: The mechanism of caries of dental enamel. Ann N Y Acad Sci 131: 758-770, 1965. https://doi.org/10.1111/j.1749-6632.1965.tb34840.x
  5. Moreno EC, Zahradnik RT: Demineralization and remineralization of dental enamel. J Dent Res 58: 896-903, 1979. https://doi.org/10.1177/00220345790580024301
  6. Pacey A, Nancarrow T, Egeland GM: Prevalence and risk factors for parental-reported oral health of Inuit preschoolers: Nunavut Inuit child health survey, 2007-2008. Rural Remote Health 10: 1368, 2010.
  7. Yen CE, Huang YC, Hu SW: Relationship between dietary intake and dental caries in preschool children. Int J Vitam Nutr Res 80: 205-215, 2010. https://doi.org/10.1024/0300-9831/a000022
  8. Lin HS, Lin JR, Hu SW, Kuo HC, Yang YH: Association of dietary calcium, phosphorus, and magnesium intake with caries status among schoolchildren. Kaohsiung J Med Sci 30: 206-212, 2014. https://doi.org/10.1016/j.kjms.2013.12.002
  9. Kim JK, Baek HJ, Lee YE, Song KB, Choi YH: The association between environmental tobacco smoke and periodontal health: finding from Korean national health and nutrition examination survey 2008-2009. J Dent Hyg Sci 14: 123-131, 2014.
  10. Han JH, Ann ES: Significant caries (SiC) index based on 2009 Korea national health and nutrition exanmination survey. J Dent Hyg Sci 11: 229-234, 2011.
  11. An ES, Han JH: The significant caries index of 12 years old in Korean. J Dent Hyg Sci 13: 91-96, 2013.
  12. Kim JG, Cheon CW, Lee DC, Baik BJ: Relationship between dietary habits and dental caries experience in preschool children. J Korean Acad Pediatr Dent 28: 271-280, 2001.
  13. Moura Lde F, de Moura MS, de Toledo OA: Dental caries in children that participated in a dental program providing mother and child care. J Appl Oral Sci 14: 53-60, 2006. https://doi.org/10.1590/S1678-77572006000100011
  14. Polk DE, Weyant RJ, Manz MC: Socioeconomic factors in adolescents' oral health: are they mediated by oral hygiene behaviors or preventive interventions? Community Dent Oral Epidemiol 38: 1-9, 2010. https://doi.org/10.1111/j.1600-0528.2009.00499.x
  15. Mantonanaki M, Koletsi-Kounari H, Mamai-Homata E, Papaioannou W: Prevalence of dental caries in 5-year-old Greek children and the use of dental services: evaluation of socioeconomic, behavioural factors and living conditions. Int Dent J 63: 72-79, 2013. https://doi.org/10.1111/idj.12016
  16. Guido JA, Martinez Mier EA, Soto A, et al.: Caries prevalence and its association with brushing habits, water availability, and the intake of sugared beverages. Int J Paediatr Dent 21: 432-440, 2011. https://doi.org/10.1111/j.1365-263X.2011.01146.x
  17. Chankanka O, Cavanaugh JE, Levy SM, et al.: Longitudinal associations between children's dental caries and risk factors. J Public Health Dent 71: 289-300, 2011. https://doi.org/10.1111/j.1752-7325.2011.00271.x
  18. Alvarez JO, Caceda J, Woolley TW, et al.: A longitudinal study of dental caries in the primary teeth of children who suffered from infant malnutrition. J Dent Res 72: 1573-1576, 1993. https://doi.org/10.1177/00220345930720120701
  19. Oliveira LB, Sheiham A, Bönecker M: Exploring the association of dental caries with social factors and nutritional status in Brazilian preschool children. Eur J Oral Sci 116: 37-43, 2008. https://doi.org/10.1111/j.1600-0722.2007.00507.x
  20. Yoshihara A, Watanabe R, Hanada N, Miyazaki H: A longitudinal study of the relationship between diet intake and dental caries and periodontal disease in elderly Japanese subjects. Gerodontology 26: 130-136, 2009. https://doi.org/10.1111/j.1741-2358.2008.00244.x
  21. Stanton G: Diet and dental caries: the phosphate sequestration hypothesis. N Y State Dent J 35: 399-407, 1969.

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