A certain protective effect of vitamin D against dental caries in US children and youth: A cross-sectional study

IF 1.8 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of public health dentistry Pub Date : 2023-04-02 DOI:10.1111/jphd.12571

Rui Pu MD, Mengdie Fu MSc, Na Li MSc, Zhiwei Jiang PhD

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引用次数: 1

Abstract

Objectives

Recent studies reported that evidence of the association between caries and vitamin D was inconclusive. We investigated the relationship between dental caries and serum vitamin D levels in US children and youth aged 5–19 years through the National Health and Nutrition Examination Survey (NHANES). The purpose of this study was to analyze the relations between serum 25-hydroxyvitamin-D [25(OH)D] level and dental caries in children and youth.

Methods

Data were collected from the NHANES dataset performed in 2011–2018. A total of 8896 subjects completed the examination was enrolled. Serum 25(OH)D was determined by high-performance liquid chromatography–tandem mass spectrometry (HPLC–MS/MS). All teeth examined and caries assessment was conducted by licensed dentists. Statistical analyses included complex samples Chi-square tests, analysis of variance, logistic regression analyses, and restricted cubic splines conducted by R software.

Results

There was a nonlinear relation between dental caries and age in youth. Vitamin D showed a relatively stable protective effect when the concentration exceeded 60 nmol/L. There was a dose–effect relation that a 10 nmol/L increase in serum 25(OH)D concentrations was associated with a decreased caries odd by 10%.

Conclusions

Our findings suggested that vitamin D sufficiency may be a protective factor for dental caries.

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维生素D对美国儿童和青少年龋齿的一定保护作用：一项横断面研究。

目的：最近的研究报告称，龋齿和维生素D之间的联系没有定论。我们调查了美国5至19岁儿童和青少年的龋齿与血清维生素D水平的关系国家健康和营养检查调查（NHANES）。本研究旨在分析儿童和青少年血清25-羟基维生素D[25（OH）D]水平与龋齿的关系。方法：数据收集自2011-2018年进行的NHANES数据集。共有8896名受试者完成了考试。采用高效液相色谱-串联质谱法（HPLC-MS/MS）测定血清25（OH）D。所有的牙齿检查和龋齿评估都是由有执照的牙医进行的。统计分析包括复样本卡方检验、方差分析、逻辑回归分析和R软件进行的限制三次样条。结果：青少年龋齿与年龄呈非线性关系。当浓度超过60时，维生素D显示出相对稳定的保护作用 nmol/L。10 nmol/L血清25（OH）D浓度的增加与龋齿奇数减少10%有关。结论：我们的研究结果表明，维生素D的充足可能是龋齿的一个保护因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of public health dentistry 医学-公共卫生、环境卫生与职业卫生

CiteScore

3.80

自引率

4.30%

发文量

审稿时长

6-12 weeks

期刊介绍： The Journal of Public Health Dentistry is devoted to the advancement of public health dentistry through the exploration of related research, practice, and policy developments. Three main types of articles are published: original research articles that provide a significant contribution to knowledge in the breadth of dental public health, including oral epidemiology, dental health services, the behavioral sciences, and the public health practice areas of assessment, policy development, and assurance; methods articles that report the development and testing of new approaches to research design, data collection and analysis, or the delivery of public health services; and review articles that synthesize previous research in the discipline and provide guidance to others conducting research as well as to policy makers, managers, and other dental public health practitioners.