Claudia Restrepo-Serna, María Caicedo-Giraldo, Laura Velasquez-Baena, Graciela Bonfanti, Adriana Santamaría-Villegas
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The frequency of SB was reported with the Children's Sleep Habits Questionnaire (CSHQ), the consumption of added sugar from items with the HBSC-FFQ and the time of use of screens through a diary in baseline (before starting the intervention), at Week 6 and Week 12. Data were analysed with Kruskal-Wallis test followed by Dunn's post hoc, Mann-Whitney test, a linear mixed model and logistic ordinal regression analyses.</p><p><strong>Results: </strong>The FFF group had a more significant reduction in consumption of added sugar and screen time compared to the CE group (p < 0.05), especially from Week 6 to baseline. 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引用次数: 0
摘要
目的：睡眠磨牙症（SB）与多巴胺和血清素的改变有关，这与添加糖摄入增加和过度使用屏幕有关。本研究的目的是比较“食物、娱乐和家庭”（FFF）干预和“咨询和教育”（CE）干预对儿童SB频率的影响。方法：采用随机临床试验。48名年龄在4至8岁之间的参与者参加了这项研究，他们在哥伦比亚CES大学和阿根廷Elina de la Serna医院的儿科诊所就诊。受试者被随机分为FFF（实验）组和CE（常规干预）组。在第6周和第12周，用儿童睡眠习惯问卷（CSHQ）报告SB的频率，用HBSC-FFQ报告项目中添加糖的消耗，以及通过基线日记（在开始干预之前）使用屏幕的时间。数据分析采用Kruskal-Wallis检验，随后采用Dunn事后检验、Mann-Whitney检验、线性混合模型和逻辑有序回归分析。结果：与CE组相比，FFF组在添加糖消耗和屏幕时间方面的减少更为显著(p)结论：与CE干预相比，FFF干预在减少屏幕时间和糖消耗方面更有效，从而降低了SB的频率。试验注册：ClinicalTrials.gov标识符：NCT05310162。
Effect of Screen Time and Sugar Consumption Reduction on Sleep Bruxism in Children: A Randomised Clinical Trial.
Objective: Sleep bruxism (SB) is associated with alterations in dopamine and serotonin, which are related to increased consumption of added sugar and overuse of screens. The aim of this study was to compare the effect of the interventions 'Food, Fun and Family' (FFF) and Counselling and Education (CE) on the frequency of SB in children.
Methods: A randomised clinical trial was conducted. Forty-eight participants aged between 4 and 8 years, attending the paediatric clinics of Universidad CES (Colombia) and Hospital Elina de la Serna (Argentina) participated in the study. Subjects were randomised into the FFF (experimental) and CE (regular intervention) groups. The frequency of SB was reported with the Children's Sleep Habits Questionnaire (CSHQ), the consumption of added sugar from items with the HBSC-FFQ and the time of use of screens through a diary in baseline (before starting the intervention), at Week 6 and Week 12. Data were analysed with Kruskal-Wallis test followed by Dunn's post hoc, Mann-Whitney test, a linear mixed model and logistic ordinal regression analyses.
Results: The FFF group had a more significant reduction in consumption of added sugar and screen time compared to the CE group (p < 0.05), especially from Week 6 to baseline. Regression analysis showed that reducing TV watching and consumption of added sugar were associated with a decrease in SB frequency, especially in the FFF group (OR < 1, p < 0.05), and the results were consistent across different study environments.
Conclusion: The FFF intervention was more effective in reducing the screen time and sugar consumption and thus decreased the frequency of SB, when compared with the CE intervention.
期刊介绍：
Journal of Oral Rehabilitation aims to be the most prestigious journal of dental research within all aspects of oral rehabilitation and applied oral physiology. It covers all diagnostic and clinical management aspects necessary to re-establish a subjective and objective harmonious oral function.
Oral rehabilitation may become necessary as a result of developmental or acquired disturbances in the orofacial region, orofacial traumas, or a variety of dental and oral diseases (primarily dental caries and periodontal diseases) and orofacial pain conditions. As such, oral rehabilitation in the twenty-first century is a matter of skilful diagnosis and minimal, appropriate intervention, the nature of which is intimately linked to a profound knowledge of oral physiology, oral biology, and dental and oral pathology.
The scientific content of the journal therefore strives to reflect the best of evidence-based clinical dentistry. Modern clinical management should be based on solid scientific evidence gathered about diagnostic procedures and the properties and efficacy of the chosen intervention (e.g. material science, biological, toxicological, pharmacological or psychological aspects). The content of the journal also reflects documentation of the possible side-effects of rehabilitation, and includes prognostic perspectives of the treatment modalities chosen.
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