低摄入微量营养素对儿童早期严重龋齿没有影响:一项前瞻性队列研究的结果

C. Feldens, P. Kramer, Lucciana Cariello Cascaes, T. Borges, R. Antoniazzi, M. Vitolo
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引用次数: 1

摘要

目的:探讨巴西南部儿童12月龄时微量营养素摄入量与4岁时发生严重幼儿龋齿(S-ECC)之间的关系。材料和方法:基线样本由500对母子组成,自孩子在巴西圣莱奥波尔多出生以来一直被跟踪。1周岁后,采用24小时召回法记录微量营养素(钙、铁、钠、锌、维生素A、维生素C、维生素B12和叶酸)摄入量。在四岁时,经过校准的审查员根据国际公认的标准评估S-ECC的发生情况。泊松回归用于调查暴露与结果之间的关系。结果:最终样本包括314名儿童。摄入较少钙(p=0.009)、锌(p=0.021)和维生素C (p=0.036)的儿童S-ECC发生率较高。然而,在多变量调整后,没有微量营养素与S-ECC的发生相关。结论:12月龄时微量营养素摄入量较低并不代表4岁时发生S-ECC的危险因素,这表明预防龋齿的喂养方法建议应主要关注饮食方面(局部影响)而不是营养方面(全身影响)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
No Impact of Lower Intake of Micronutrients on Severe Early Childhood Caries: Findings from a Prospective Cohort Study
Objective: To investigate the association between micronutrients intake at 12 months of age and the occurrence of severe early childhood caries (S-ECC) at four years of age among children in southern Brazil. Material and Methods: The baseline sample was made up of 500 mother-child pairs followed since the birth of the child in Sao Leopoldo, Brazil. After the first birthday, micronutrients intake (calcium, iron, sodium, zinc, vitamin A, vitamin C, vitamin B12 and folate) was recorded using the 24-hour recall method. At four years of age, a calibrated examiner evaluated the occurrence of S-ECC based on internationally accepted criteria. Poisson regression was used to investigate associations between exposures and the outcome. Results: The final sample comprised 314 children. The occurrence of S-ECC was higher among children who consumed less calcium (p=0.009), zinc (p=0.021) and vitamin C (p=0.036). However, after the multivariable adjustments, no micronutrient was associated with the occurrence of S-ECC. Conclusion: A lower intake of micronutrients at 12 months of age did not represent a risk factor for the occurrence of S-ECC at four years of age, suggesting that advice on feeding practices for dental caries prevention should focus mainly on dietary aspects (local effect) rather than nutritional aspects (systemic effect).
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