Potential interaction of sugar intake and tobacco exposure on dental caries in adults-A cross-sectional study from the National Health and Nutrition Examination Survey

IF 3.4 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Journal of Dental Sciences Pub Date : 2024-07-01 DOI:10.1016/j.jds.2023.09.030
Xuewei Niu , Xiaoan Rong , Hantang Sun
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Abstract

Background/purpose

We suspected that there might be an interaction between sugar intake and tobacco exposure on the risk of dental caries. The study aimed to investigate the associations of sugar intake or tobacco exposure with the risk of dental caries.

Materials and methods

This cross-sectional study obtained data of 18804 participants from National Health and Nutrition Examination Survey (NHANES) between 2011 and 2018. Weighted univariable and multivariable logistic regression models were applied to explore the associations of total sugar intake or tobacco exposure with the risk of dental caries. The relative excess risk of interaction (RERI), attributable proportion of interaction (API), and synergy index (SI) evaluated the interaction between total sugar intake and tobacco exposure on the risk of dental caries. The effect size of odds ratio (OR), and 95% confidence interval (CI) was inputted.

Results

The OR of dental caries in adults with cotinine >10 ng/mL was 1.59 (95%CI: 1.38–1.82). The increased risk of dental caries was found in people with total sugar >19.5%E compared to those with total sugar ≤19.5%E (OR = 1.55, 95%CI: 1.34–1.78). Compared to people with cotinine ≤10 ng/mL and total sugar ≤19.5%E, adults with cotinine >10 ng/mL and total sugar >19.5%E were correlated with elevated risk of dental caries (OR = 2.76, 95%CI: 2.29–3.33). The interaction indicators RERI was 0.980 (95%CI: 0.413–1.547), API was 0.355 (95%CI: 0.192–0.517), and SI was 2.250 (95%CI: 1.344–3.767).

Conclusion

There might be interaction between sugar intake and tobacco exposure on the occurrence of dental caries in adults.

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糖摄入量和烟草接触对成人龋齿的潜在相互作用--来自全国健康与营养调查的横断面研究
背景/目的我们怀疑糖摄入量和烟草暴露可能会对龋齿风险产生相互作用。本研究旨在探讨糖摄入量或烟草暴露与龋齿风险的相关性。材料与方法本横断面研究获得了18804名参与者的数据,这些参与者来自2011年至2018年期间的美国国家健康与营养调查(NHANES)。应用加权单变量和多变量逻辑回归模型探讨总糖摄入量或烟草暴露与龋齿风险的相关性。交互作用的相对超额风险(RERI)、交互作用的可归因比例(API)和协同指数(SI)评估了总糖摄入量和烟草暴露对龋齿风险的交互作用。结果可替宁为 10 毫微克/毫升的成人患龋齿的效应比为 1.59(95%CI:1.38-1.82)。与总糖≤19.5%E的人群相比,总糖>19.5%E的人群患龋齿的风险更高(OR = 1.55,95%CI:1.34-1.78)。与可替宁≤10 ng/mL且总糖≤19.5%E的人群相比,可替宁>10 ng/mL且总糖>19.5%E的成年人与龋齿风险升高相关(OR = 2.76,95%CI:2.29-3.33)。交互指标RERI为0.980(95%CI:0.413-1.547),API为0.355(95%CI:0.192-0.517),SI为2.250(95%CI:1.344-3.767)。
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来源期刊
Journal of Dental Sciences
Journal of Dental Sciences 医学-牙科与口腔外科
CiteScore
5.10
自引率
14.30%
发文量
348
审稿时长
6 days
期刊介绍: he Journal of Dental Sciences (JDS), published quarterly, is the official and open access publication of the Association for Dental Sciences of the Republic of China (ADS-ROC). The precedent journal of the JDS is the Chinese Dental Journal (CDJ) which had already been covered by MEDLINE in 1988. As the CDJ continued to prove its importance in the region, the ADS-ROC decided to move to the international community by publishing an English journal. Hence, the birth of the JDS in 2006. The JDS is indexed in the SCI Expanded since 2008. It is also indexed in Scopus, and EMCare, ScienceDirect, SIIC Data Bases. The topics covered by the JDS include all fields of basic and clinical dentistry. Some manuscripts focusing on the study of certain endemic diseases such as dental caries and periodontal diseases in particular regions of any country as well as oral pre-cancers, oral cancers, and oral submucous fibrosis related to betel nut chewing habit are also considered for publication. Besides, the JDS also publishes articles about the efficacy of a new treatment modality on oral verrucous hyperplasia or early oral squamous cell carcinoma.
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