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Costa SA, Nascimento GG, Colins PMG, Alves CMC, Thomaz EBAF, Carvalho Souza SDF, da Silva AAM, Ribeiro CCC. Investigating oral and systemic pathways between unhealthy and healthy dietary patterns to periodontitis in adolescents: A population-based study. J Clin Periodontol 2022; 49:580-590. [PMID: 35415936 DOI: 10.1111/jcpe.13625] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2022] [Revised: 03/10/2022] [Accepted: 04/02/2022] [Indexed: 01/11/2023]
Abstract
AIM To investigate pathways between unhealthy and healthy dietary patterns and periodontitis in adolescents (18-19 years of age). MATERIALS AND METHODS This population-based study (n = 2515) modelled direct and mediated pathways (via biofilm and obesity) from patterns of healthy diet (fruits, fibre, vegetables, and dairy) and unhealthy diet (sugars, snacks, and salty/fast foods) with initial periodontitis (bleeding on probing [BoP], probing depth [PD] ≥ 4 mm, clinical attachment loss [CAL] ≥ 4 mm), moderate periodontitis (BoP, PD ≥ 5 mm, and CAL ≥ 5 mm), and European Federation of Periodontology and the American Academy of Periodontology (EFP-AAP) periodontitis definitions, adjusting for sex, socio-economic status, smoking, and alcohol, through structural equation modelling (α = 5%). RESULTS Higher values of healthy diet were associated with lower values of initial periodontitis (standardized coefficient [SC] = -0.160; p < .001), moderate periodontitis (SC = -0.202; p < .001), and EFP-AAP periodontitis (p < .05). A higher value of unhealthy diet was associated with higher values of initial periodontitis (SC = 0.134; p = .005) and moderate periodontitis (SC = 0.180; p < .001). Biofilm mediated the association between higher values of unhealthy diet and all periodontal outcomes (p < .05). CONCLUSIONS Our findings suggest that both healthy and unhealthy dietary patterns may contribute to reduced or increased extent and severity of periodontitis by local and systemic mechanisms, preceding the effect of other established causes such as smoking and obesity, in younger population.
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Affiliation(s)
| | - Gustavo G Nascimento
- Section for Periodontology, Department of Dentistry and Oral Health, Aarhus University, Aarhus, Denmark
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Bogea EG, França AKTC, Bragança MLBM, Vaz JS, Assunção MC, Barbieri MA, Bettiol H, Silva AAM. Relative validity of a food frequency questionnaire for adolescents from a capital in the Northeastern region of Brazil. ACTA ACUST UNITED AC 2020; 54:e9991. [PMID: 33338101 PMCID: PMC7747872 DOI: 10.1590/1414-431x20209991] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2020] [Accepted: 08/26/2020] [Indexed: 11/25/2022]
Abstract
The present study was conducted to evaluate the validity of the Food Frequency
Questionnaire (FFQ) used in the RPS Birth Cohort Consortium (Ribeirão Preto,
Pelotas, and São Luís) to assess dietary intake of adolescents from São Luís,
Maranhão. The research was developed with 152 adolescents aged 18 and 19 years.
For the validation of the FFQ, the average of three 24-hour recalls (24HRs) was
used as the reference method. The mean and standard deviation of energy and
nutrient intake extracted from the surveys were estimated. The paired Student's
t-test was used to verify the differences between the
instruments. Pearson correlation coefficient, intraclass correlation coefficient
(ICC), weighted Kappa, and the Bland-Altman plot were calculated in order to
measure the agreement. The study adopted a level of significance <5%.
Compared with the three 24HRs, the FFQ overestimated the consumption of most
nutrients. Energy-adjusted and de-attenuated concordance Pearson correlation
coefficients ranged from 0.06 to 0.43, and correlations were significant for
iron, calcium, riboflavin, sodium, saturated fat, niacin, and vitamin C. The
energy-adjusted and de-attenuated ICCs ranged from 0.01 to 0.31, and the
weighted Kappa ranged from 0.01 to 0.46. The analyses of agreement were
significant for vitamin C, fiber, calcium, riboflavin, niacin, sodium, lipids,
and iron. In conclusion, the FFQ presented acceptable relative validity for
lipids, saturated fatty acids, fiber, calcium, iron, riboflavin, niacin, vitamin
C, and sodium. This instrument will be useful in studies about food consumption
of adolescents in São Luís, Maranhão.
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Affiliation(s)
- E G Bogea
- Centro de Ciências Biológicas e da Saúde, Programa de Pós-Graduação em Saúde Coletiva, Universidade Federal do Maranhão, São Luís, MA, Brasil
| | - A K T C França
- Centro de Ciências Biológicas e da Saúde, Programa de Pós-Graduação em Saúde Coletiva, Universidade Federal do Maranhão, São Luís, MA, Brasil
| | - M L B M Bragança
- Centro de Ciências Biológicas e da Saúde, Programa de Pós-Graduação em Saúde Coletiva, Universidade Federal do Maranhão, São Luís, MA, Brasil
| | - J S Vaz
- Faculdade de Nutrição, Programa de Pós-Graduação em Nutrição e Alimentos, Universidade Federal de Pelotas, Pelotas, RS, Brasil
| | - M C Assunção
- Programa de Pós-Graduação em Epidemiologia, Universidade Federal de Pelotas, Pelotas, RS, Brasil.,Programa de Pós-Graduação em Saúde Pública, Universidade Federal do Rio Grande, Rio Grande, RS, Brasil
| | - M A Barbieri
- Departamento de Puericultura e Pediatria, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil
| | - H Bettiol
- Departamento de Puericultura e Pediatria, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil
| | - A A M Silva
- Centro de Ciências Biológicas e da Saúde, Programa de Pós-Graduação em Saúde Coletiva, Universidade Federal do Maranhão, São Luís, MA, Brasil
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Relative validity of a computer-based semi-quantitative FFQ for use in the Pelotas (Brazil) Birth Cohort Studies. Public Health Nutr 2020; 24:34-42. [PMID: 32597741 DOI: 10.1017/s1368980020001196] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
OBJECTIVE To assess the relative validity of a FFQ developed for the Pelotas Birth Cohort Studies. DESIGN Participants completed a ninety-two-food-item FFQ and then answered two 24-h recalls (24HR), one in-person interview and a second one by telephone, administered 14-28 d apart. Median and relative differences of energy, fifteen nutrients and eleven food groups were estimated based on the FFQ and the average of two 24HR. Nutrients were log-transformed and energy-adjusted using residual method. Validity was assessed by crude, energy-adjusted and de-attenuated Pearson and Lin's concordance correlation coefficients. Agreement of quartiles and weighted κ were performed. Differences in energy and nutrient estimations between methods were plotted in Bland-Altman graphs. SETTING Pelotas, southern Brazil. PARTICIPANTS Two hundred fifty-four participants randomly selected from the 1993 Pelotas Birth Cohort during the 22-year follow-up (2015). RESULTS The FFQ overestimated energy and most nutrients and food groups compared with the two 24HR. Energy-adjusted and de-attenuated Pearson correlation coefficients ranged from 0·21 to 0·66. The highest energy-adjusted and de-attenuated concordance correlation coefficients were observed for Ca (0·48), niacin (0·32), Na (0·29), vitamin C (0·28) and riboflavin (0·25). The percentage of nutrients classified into the same and opposite quartiles ranged from 36·5 to 60·3 %, and from 4·8 to 19·1 %, respectively. Weighted κ was moderate for Ca (0·51), beans and legumes (0·50) and milk and dairies (0·49). CONCLUSIONS The FFQ provides a reasonable dietary intake assessment for habitual food consumption. However, the relative validity was weak for specific nutrients and food groups.
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Vaz JDS, Buffarini R, Kac G, Bielemann RM, Oliveira I, Menezes AB, Assunção MCF. Dietary patterns are associated with blood lipids at 18-year-olds: a cross-sectional analysis nested in the 1993 Pelotas (Brazil) birth cohort. Nutr J 2018; 17:77. [PMID: 30134901 PMCID: PMC6106900 DOI: 10.1186/s12937-018-0389-z] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2018] [Accepted: 08/17/2018] [Indexed: 12/17/2022] Open
Abstract
Background Evidence regarding the deleterious effects of diet on blood lipids in adolescence has been inconsistent, and few studies have investigated this association using a dietary pattern approach. We examined whether dietary pattern of adolescents are associated with blood lipid concentrations. Methods Cross-sectional analysis of 3524 18-year-old participants in the 1993 Pelotas (Brazil) Birth Cohort Study. A semi-quantitative food frequency questionnaire was administered. Dietary patterns were established using principal component analysis and analysed as tertiles of factor scores. Independent associations between each dietary pattern tertile and blood lipid values (total cholesterol, LDL-cholesterol, HDL-cholesterol and triglycerides) were tested using adjusted linear regression models stratified by sex. Triglycerides were log-transformed due to their skewed distribution, and the beta coefficients should be interpreted as the % change (increase or decrease). Results Four dietary patterns were derived: Meat Products and Fast Foods; Fruits and Vegetables; Candies, Sodas and Dairy Products; and Common Brazilian Foods. In the adjusted models, which compared the highest and lowest tertiles of dietary pattern scores, we observed that among girls: 1) the third tertile of the Meat Products and Fast Foods pattern was associated with 1.5 mg/dL (95% CI -3.05; –0.04) lower HDL-cholesterol; 2) the second and third tertile of the Candies, Sodas and Dairy Products pattern was associated with 5% and 10% higher triglycerides (β 1.05, 95% CI 1.01; 1.09, β 1.10, 95% CI 1.05; 1.16), respectively; 3) the second and third tertiles of the Common Brazilian Foods pattern were associated with 4 mg/dL (β − 4.30, 95% CI -7.75; –0.85, β − 4.95, 95% CI -8.53; –1.36, respectively) lower total cholesterol and 6% lower triglycerides (β 0.94, 95% CI 0.90; 0.99, β 0.93, 95% CI 0.89; 0.98, respectively). For boys, 4) the third tertile of the Common Brazilian Foods was associated with 4.6 mg/dL (95% CI -7.91; –1.37) lower total cholesterol and 3.8 mg/dL (95% CI -6.51; − 1.13) lower LDL-cholesterol. Conclusions Dietary patterns were more closely associated with blood lipids among girls than boys at age 18. Higher scores for the Common Brazilian Foods pattern were associated with lower total cholesterol in both sexes. Electronic supplementary material The online version of this article (10.1186/s12937-018-0389-z) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Juliana Dos Santos Vaz
- Faculty of Nutrition, Federal University of Pelotas, Rua Gomes Carneiro, 1, 2° andar, Pelotas, RS, 96010-610, Brazil.
| | - Romina Buffarini
- Epidemiology, Federal University of Pelotas, Rua Marechal Deodoro, 1160, 3° andar, Pelotas, RS, 96020-220, Brazil
| | - Gilberto Kac
- Institute of Nutrition, Federal University of Rio de Janeiro, Avenida Carlos Chagas Filho, 367, CCS - Bloco J - 2° andar, sala 29, Cidade Universitária - Ilha do Fundão, Rio de Janeiro, RJ, 21941-590, Brazil
| | - Renata Moraes Bielemann
- Faculty of Nutrition, Federal University of Pelotas, Rua Gomes Carneiro, 1, 2° andar, Pelotas, RS, 96010-610, Brazil
| | - Isabel Oliveira
- Institute of Biology, Federal University of Pelotas, Campus Capão do Leão, s/n, Capão do Leão, RS, 96010-900, Brazil
| | - Ana Baptista Menezes
- Epidemiology, Federal University of Pelotas, Rua Marechal Deodoro, 1160, 3° andar, Pelotas, RS, 96020-220, Brazil
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Schneider BC, Motta JVDS, Muniz LC, Bielemann RM, Madruga SW, Orlandi SP, Gigante DP, Assunção MCF. Desenho de um questionário de frequência alimentar digital autoaplicado para avaliar o consumo alimentar de adolescentes e adultos jovens: coortes de nascimentos de Pelotas, Rio Grande do Sul. REVISTA BRASILEIRA DE EPIDEMIOLOGIA 2016; 19:419-32. [DOI: 10.1590/1980-5497201600020017] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2014] [Accepted: 07/14/2015] [Indexed: 11/21/2022] Open
Abstract
RESUMO: Objetivo: Artigo metodológico com o objetivo de descrever a construção de um questionário de frequência alimentar (QFA) digital autoaplicado, desenvolvido para as coortes de nascimentos de Pelotas de 1982 e 1993. Métodos: O instrumento foi criado com base em QFAs anteriormente utilizados nas duas coortes em acompanhamentos nos anos de 2004 e 2008. O QFA foi elaborado incluindo 88 alimentos e/ou preparações cujas frequências foram agrupadas em categorias desde o valor mínimo de consumo de nunca ou < 1 vez/mês até o máximo de ≥ 5 vezes/dia. As opções fechadas relativas à porção foram construídas considerando recordatórios de 24 horas (R24Hs) anteriormente aplicados à subamostra da coorte de 1993. Três alternativas de porção foram construídas: igual, menos ou mais. A porção igual foi descrita com base no percentil 50 do consumo de cada alimento, obtido a partir das distribuições das porções constantes nos R24H. Fotos das porções relativas ao percentil 50 de cada alimento foram também incluídas ao formato do programa. Resultados: Esse QFA digital incluiu alimentos e preparações que atendem aos objetivos das pesquisas atuais. A aparência do programa foi atrativa à equipe de trabalho e também aos participantes do estudo. O tempo médio de aplicação de 12 minutos e a facilidade de preenchimento possibilitaram que vários participantes respondessem às questões ao mesmo tempo. Além disso, o instrumento dispensou a necessidade de entrevistador e a dupla entrada de dados em programa específico. Conclusão: Recomenda-se o uso dessa mesma estratégia em outros estudos, adaptando-a aos diferentes contextos e situações.
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Biltoft-Jensen A, Hjorth MF, Trolle E, Christensen T, Brockhoff PB, Andersen LF, Tetens I, Matthiessen J. Comparison of estimated energy intake using Web-based Dietary Assessment Software with accelerometer-determined energy expenditure in children. Food Nutr Res 2013; 57:21434. [PMID: 24358037 PMCID: PMC3867750 DOI: 10.3402/fnr.v57i0.21434] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2013] [Revised: 11/11/2013] [Accepted: 11/25/2013] [Indexed: 01/11/2023] Open
Abstract
BACKGROUND The OPUS (Optimal well-being, development and health for Danish children through a healthy New Nordic Diet) project carried out a school meal study to assess the impact of a New Nordic Diet (NND). The random controlled trial involved 834 children aged 8-11 in nine local authority schools in Denmark. Dietary assessment was carried out using a program known as WebDASC (Web-based Dietary Assessment Software for Children) to collect data from the children. OBJECTIVE To compare the energy intake (EI) of schoolchildren aged 8-11 estimated using the WebDASC system against the total energy expenditure (TEE) as derived from accelerometers worn by the children during the same period. A second objective was to evaluate the WebDASC's usability. DESIGN Eighty-one schoolchildren took part in what was the pilot study for the OPUS project, and they recorded their total diet using WebDASC and wore an accelerometer for two periods of seven consecutive days: at baseline, when they ate their usual packed lunches and at intervention when they were served the NND. EI was estimated using WebDASC, and TEE was calculated from accelerometer-derived activity energy expenditure, basal metabolic rate, and diet-induced thermogenesis. WebDASC's usability was assessed using a questionnaire. Parents could help their children record their diet and answer the questionnaire. RESULTS Evaluated against TEE as derived from the accelerometers worn at the same time, the WebDASC performed just as well as other traditional methods of collecting dietary data and proved both effective and acceptable with children aged 8-11, even with perhaps less familiar foods of the NND. CONCLUSIONS WebDASC is a useful method that provided a reasonably accurate measure of EI at group level when compared to TEE derived from accelerometer-determined physical activity in children. WebDASC will benefit future research in this area.
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Affiliation(s)
- Anja Biltoft-Jensen
- Department of Nutrition, National Food Institute, Technical University of Denmark, Søborg, Denmark
| | - Mads F. Hjorth
- Department of Human Nutrition, Faculty of Life Sciences, University of Copenhagen, Frederiksberg C, Denmark
| | - Ellen Trolle
- Department of Nutrition, National Food Institute, Technical University of Denmark, Søborg, Denmark
| | - Tue Christensen
- Department of Nutrition, National Food Institute, Technical University of Denmark, Søborg, Denmark
| | - Per B. Brockhoff
- Department of Applied Mathematics and Computer Science, Technical University of Denmark, Kongens Lyngby, Denmark
| | - Lene F. Andersen
- Department of Nutrition, Institute of Basic Medical Sciences, University of Oslo, Oslo, Norway
| | - Inge Tetens
- Department of Nutrition, National Food Institute, Technical University of Denmark, Søborg, Denmark
| | - Jeppe Matthiessen
- Department of Nutrition, National Food Institute, Technical University of Denmark, Søborg, Denmark
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