出生后第一年的食糖摄入量预防计划对儿童早期龋齿发生率的影响:巴西多中心随机试验》。

IF 2.9 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Caries Research Pub Date : 2024-10-30 DOI:10.1159/000541028
Carlos Alberto Feldens, Elisa Maria Rosa de Barros Coelho, Márcia Regina Vítolo, Priscila Humbert Rogrigues, Paulo Floriani Kramer, Karen G Peres
{"title":"出生后第一年的食糖摄入量预防计划对儿童早期龋齿发生率的影响:巴西多中心随机试验》。","authors":"Carlos Alberto Feldens, Elisa Maria Rosa de Barros Coelho, Márcia Regina Vítolo, Priscila Humbert Rogrigues, Paulo Floriani Kramer, Karen G Peres","doi":"10.1159/000541028","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>This study aims to investigate the effectiveness of a nutritional counseling program for mothers of newborns to prevent sugar consumption in the first year of the child's life on the occurrence of Early Childhood Caries (ECC).</p><p><strong>Methods: </strong>A multicentric randomized clinical trial (ClinicalTrials.gov NCT03841123) was conducted in three state capitals of Brazil (n=516). Mothers were randomly assigned to the intervention group (IG) or control group (CG) after delivery. The IG received face-to-face nutritional counseling based on UNICEF dietary guidelines, followed by monthly phone calls. The CG received standard counseling. Dietary intake was measured through structured questionnaires and 24-hour recalls at six and 12 months. Calibrated dentists performed a dental clinical examination for ECC diagnosis after the children completed their first year of life.</p><p><strong>Results: </strong>The prevalence of ECC was 17.4% in the overall sample (49/290). The number of affected teeth ranged from 0 to 6 (mean 0.43). The IG had a 2.4 times probability of not consuming sugar in the first six months of the child's life (RR 2.44; 95% CI 1.18-5.00) and they had Fa significantly lower mean number of sweet items consumed at 12 months (p=0.016). No significant differences between groups were found concerning the occurrence of ECC (RR 1.33; 95% CI 0.79-2.25) or the number of teeth affected by caries (p=0.273).</p><p><strong>Conclusion: </strong>The intervention to prevent and reduce sugar intake in the first year of life was not effective at reducing the occurrence of early childhood caries or the number of teeth with carious lesions.</p>","PeriodicalId":9620,"journal":{"name":"Caries Research","volume":null,"pages":null},"PeriodicalIF":2.9000,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effectiveness of a Sugar Consumption Prevention Program in the First Year of Life on the Occurrence of Early Childhood Caries: A Multicentric Randomized Trial in Brazil.\",\"authors\":\"Carlos Alberto Feldens, Elisa Maria Rosa de Barros Coelho, Márcia Regina Vítolo, Priscila Humbert Rogrigues, Paulo Floriani Kramer, Karen G Peres\",\"doi\":\"10.1159/000541028\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>This study aims to investigate the effectiveness of a nutritional counseling program for mothers of newborns to prevent sugar consumption in the first year of the child's life on the occurrence of Early Childhood Caries (ECC).</p><p><strong>Methods: </strong>A multicentric randomized clinical trial (ClinicalTrials.gov NCT03841123) was conducted in three state capitals of Brazil (n=516). Mothers were randomly assigned to the intervention group (IG) or control group (CG) after delivery. The IG received face-to-face nutritional counseling based on UNICEF dietary guidelines, followed by monthly phone calls. The CG received standard counseling. Dietary intake was measured through structured questionnaires and 24-hour recalls at six and 12 months. Calibrated dentists performed a dental clinical examination for ECC diagnosis after the children completed their first year of life.</p><p><strong>Results: </strong>The prevalence of ECC was 17.4% in the overall sample (49/290). The number of affected teeth ranged from 0 to 6 (mean 0.43). The IG had a 2.4 times probability of not consuming sugar in the first six months of the child's life (RR 2.44; 95% CI 1.18-5.00) and they had Fa significantly lower mean number of sweet items consumed at 12 months (p=0.016). No significant differences between groups were found concerning the occurrence of ECC (RR 1.33; 95% CI 0.79-2.25) or the number of teeth affected by caries (p=0.273).</p><p><strong>Conclusion: </strong>The intervention to prevent and reduce sugar intake in the first year of life was not effective at reducing the occurrence of early childhood caries or the number of teeth with carious lesions.</p>\",\"PeriodicalId\":9620,\"journal\":{\"name\":\"Caries Research\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.9000,\"publicationDate\":\"2024-10-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Caries Research\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1159/000541028\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"DENTISTRY, ORAL SURGERY & MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Caries Research","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1159/000541028","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
引用次数: 0

摘要

简介本研究旨在探讨为新生儿母亲提供营养咨询以防止孩子在出生后第一年吃糖对儿童早期龋齿(ECC)发生的影响:在巴西三个州的首府进行了一项多中心随机临床试验(ClinicalTrials.gov NCT03841123)(n=516)。母亲在分娩后被随机分配到干预组(IG)或对照组(CG)。干预组接受根据联合国儿童基金会膳食指南提供的面对面营养咨询,之后每月进行电话联系。对照组接受标准咨询。膳食摄入量通过结构化问卷和 6 个月和 12 个月的 24 小时回忆进行测量。在儿童满一岁后,由经过校准的牙医进行牙科临床检查,以诊断 ECC:结果:在所有样本中,ECC 患病率为 17.4%(49/290)。患牙数量从 0 到 6(平均 0.43)不等。在儿童出生后的前六个月中,IG 不吃糖的概率为 2.4 倍(RR 2.44;95% CI 1.18-5.00),而且他们在 12 个月时食用甜食的平均数量明显较少(P=0.016)。在 ECC 发生率(RR 1.33;95% CI 0.79-2.25)或受龋齿影响的牙齿数量(P=0.273)方面,各组之间没有发现明显差异:结论:在婴儿出生后第一年预防和减少糖分摄入量的干预措施并不能有效降低儿童早期龋齿的发生率或龋坏牙齿的数量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
Effectiveness of a Sugar Consumption Prevention Program in the First Year of Life on the Occurrence of Early Childhood Caries: A Multicentric Randomized Trial in Brazil.

Introduction: This study aims to investigate the effectiveness of a nutritional counseling program for mothers of newborns to prevent sugar consumption in the first year of the child's life on the occurrence of Early Childhood Caries (ECC).

Methods: A multicentric randomized clinical trial (ClinicalTrials.gov NCT03841123) was conducted in three state capitals of Brazil (n=516). Mothers were randomly assigned to the intervention group (IG) or control group (CG) after delivery. The IG received face-to-face nutritional counseling based on UNICEF dietary guidelines, followed by monthly phone calls. The CG received standard counseling. Dietary intake was measured through structured questionnaires and 24-hour recalls at six and 12 months. Calibrated dentists performed a dental clinical examination for ECC diagnosis after the children completed their first year of life.

Results: The prevalence of ECC was 17.4% in the overall sample (49/290). The number of affected teeth ranged from 0 to 6 (mean 0.43). The IG had a 2.4 times probability of not consuming sugar in the first six months of the child's life (RR 2.44; 95% CI 1.18-5.00) and they had Fa significantly lower mean number of sweet items consumed at 12 months (p=0.016). No significant differences between groups were found concerning the occurrence of ECC (RR 1.33; 95% CI 0.79-2.25) or the number of teeth affected by caries (p=0.273).

Conclusion: The intervention to prevent and reduce sugar intake in the first year of life was not effective at reducing the occurrence of early childhood caries or the number of teeth with carious lesions.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Caries Research
Caries Research 医学-牙科与口腔外科
CiteScore
6.30
自引率
7.10%
发文量
34
审稿时长
6-12 weeks
期刊介绍: ''Caries Research'' publishes epidemiological, clinical and laboratory studies in dental caries, erosion and related dental diseases. Some studies build on the considerable advances already made in caries prevention, e.g. through fluoride application. Some aim to improve understanding of the increasingly important problem of dental erosion and the associated tooth wear process. Others monitor the changing pattern of caries in different populations, explore improved methods of diagnosis or evaluate methods of prevention or treatment. The broad coverage of current research has given the journal an international reputation as an indispensable source for both basic scientists and clinicians engaged in understanding, investigating and preventing dental disease.
期刊最新文献
Dietary carbohydrates modulate Streptococcus mutans adherence and bacterial proteome. Effectiveness of a Sugar Consumption Prevention Program in the First Year of Life on the Occurrence of Early Childhood Caries: A Multicentric Randomized Trial in Brazil. Deep learning-based algorithm for staging secondary caries in bitewings. Hydroxyapatite in oral care products: in vitro effects on erosion/abrasion and analysis of formulation components. Dental caries among over 1.5 million records of schoolchildren in Singapore, 2007 - 2019: age-period-cohort effect analyses.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1