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Angarita-Díaz MDP, Colmenares-Pedraza JA, Agudelo-Sanchez V, Mora-Quila JA, Rincón-Mejia LS. Knowledge, Attitudes, and Practices Associated with the Selection of Sweetened Ultra-Processed Foods and Their Importance in Oral Health. Dent J (Basel) 2024; 12:268. [PMID: 39195112 DOI: 10.3390/dj12080268] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2024] [Revised: 07/19/2024] [Accepted: 07/25/2024] [Indexed: 08/29/2024] Open
Abstract
BACKGROUND Reading nutritional labelling helps consumers select healthier food, thereby benefitting their oral health. The purpose of this study was to describe the knowledge, attitudes, and practices (KAPs) of parents and carers of children and preteens, associated with reading nutritional labelling, selecting sweetened ultra-processed foods, and their impact on oral health. MATERIALS AND METHODS This was a descriptive cross-sectional study in which a validated questionnaire was administered to 298 parents and caregivers of children aged 1-12 years from different districts in Villavicencio, Colombia. Participants' scores, based on the number of correct answers, were used to classify their level of KAP as low, medium, or high. In addition, the frequency of responses, the KAP levels, and the median scores were analysed. Finally, associations were determined using the chi-square test. RESULTS Most participants reached a medium level in terms of knowledge (41.6%) and attitudes (49.3%) and a low level in terms of practices (43.3%). An association was found between participants' level of KAPs and their socioeconomic and educational level (p < 0.05). CONCLUSIONS The study findings reveal inadequate KAPs associated with nutritional labelling, adequate food selection, and the importance of oral health.
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Affiliation(s)
| | | | - Valentina Agudelo-Sanchez
- Faculty of Dentistry, Campus of Villavicencio, Universidad Cooperativa de Colombia, Villavicencio 500001, Colombia
| | - Juliana Alejandra Mora-Quila
- Faculty of Dentistry, Campus of Villavicencio, Universidad Cooperativa de Colombia, Villavicencio 500001, Colombia
| | - Laura Sofia Rincón-Mejia
- Faculty of Dentistry, Campus of Villavicencio, Universidad Cooperativa de Colombia, Villavicencio 500001, Colombia
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Krishnan N, Manresa-Cumarin K, Klabak J, Krupa G, Gudsoorkar P. Assessing the impact of oral health disease on quality of life in Ecuador: a mixed-methods study. FRONTIERS IN ORAL HEALTH 2024; 5:1431726. [PMID: 39092199 PMCID: PMC11291228 DOI: 10.3389/froh.2024.1431726] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2024] [Accepted: 06/24/2024] [Indexed: 08/04/2024] Open
Abstract
Introduction Globally, oral health diseases surpass all other non-communicable diseases in prevalence; however, they are not well studied in underserved regions, where accessibility to dental services and oral health education is disparately worse. In Ecuador, further research is needed to understand such disparities better. We aimed to assess the effect of oral health disease on individuals' quality of life and how social disparities and cultural beliefs shape this. Methods Individuals 18 or older receiving care at mobile or worksite clinics from May to October 2023 were included. A mixed-methods approach was employed, involving semi-structured interviews, Oral Health-Related Quality of Life (OHRQoL) measures, and extra-oral photographs (EOP). Results The sample (n = 528) included mostly females (56.25%) with a mean age of 34.4 ± 9.44. Most participants (88.26%) reported brushing at least twice daily, and less than 5% reported flossing at least once per day. The median OHRQoL score was 4 (min-max), significantly higher among individuals ≥40 years old, holding high school degrees, or not brushing or flossing regularly (p < 0.05). Identified barriers to good oral health included affordability, time, and forgetfulness. Participants not receiving care with a consistent provider reported fear as an additional barrier. Participants receiving worksite dental services reported these barriers to be alleviated. Dental providers were the primary source of oral hygiene education. Most participants reported oral health concerns, most commonly pain, decay, dysphagia, and halitosis - consistent with EOP analysis. Discussion Findings underscore a need for multi-level interventions to advance oral health equity.
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Affiliation(s)
- Nupur Krishnan
- Michael G. DeGroote School of Medicine, McMaster University, Hamilton, ON, Canada
| | - Karem Manresa-Cumarin
- Department of Epidemiology and Biostatistics, University of Illinois at Chicago School of Public Health, Chicago, IL, United States
- Solidarity Dental Foundation, Quito, Ecuador
| | | | - Greg Krupa
- Solidarity Dental Foundation, Quito, Ecuador
| | - Priyanka Gudsoorkar
- Solidarity Dental Foundation, Quito, Ecuador
- College of Medicine, University of Cincinnati, Cincinnati, OH, United States
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Niu X, Rong X, Sun H. 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. J Dent Sci 2024; 19:1792-1800. [PMID: 39035310 PMCID: PMC11259629 DOI: 10.1016/j.jds.2023.09.030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2023] [Revised: 09/26/2023] [Indexed: 07/23/2024] Open
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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Affiliation(s)
- Xuewei Niu
- Department of Endodontics and Oral Mucosal Diseases, The Affiliated Nantong Stomatological Hospital of Nantong University, Nantong, Jiangsu, China
| | - Xiaoan Rong
- Nantong University, Medical School, Nantong, Jiangsu, China
| | - Hantang Sun
- Department of Endodontics and Oral Mucosal Diseases, The Affiliated Nantong Stomatological Hospital of Nantong University, Nantong, Jiangsu, China
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Varzakas T, Antoniadou M. A Holistic Approach for Ethics and Sustainability in the Food Chain: The Gateway to Oral and Systemic Health. Foods 2024; 13:1224. [PMID: 38672896 PMCID: PMC11049237 DOI: 10.3390/foods13081224] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2024] [Revised: 04/12/2024] [Accepted: 04/15/2024] [Indexed: 04/28/2024] Open
Abstract
Food production is a complex matter, affecting people's lives, organizations' profits, and the well-being of the whole planet, and has multifaceted ethical considerations surrounding its production, distribution, and consumption. This paper addresses the pressing need to confront ethical challenges within the food system, encompassing issues such as environmental sustainability, food security, and individual food choices for better oral and systemic health of all individuals around the globe. From agricultural practices to global trade and food waste, ethical implications are addressed across various domains, highlighting the interconnectedness of ethical decision-making in the food industry. Central themes explored include the ethical dimensions of food production methods, the impact of global trade on food ethics, and the role of individuals in making ethically informed food choices. Additionally, this paper considers the spiritual and physical significance of food, particularly through the lens of oral health as a gateway to holistic well-being. Recognizing the complexity of the food and mouth ecosystem, this paper calls for serious interventions in legislation and economics to promote ethical protocols and techniques for sustainability reasons. It emphasizes the importance of ethical considerations in food safety management systems, regulatory frameworks, and quality standards. Moreover, this paper underlines the need for a comprehensive approach to address ethical dilemmas and moral values inherent in the food industry and oral health policies, adopting the precautionary principle and ethical decision-making frameworks. This article finally aims to serve as a call to action for stakeholders across the food industry and the healthcare sector, to prioritize ethical practices, promote transparency, rearrange economic parameters, and work towards a more sustainable and equitable food system for inner and outer oral and systemic health and human sustainability for all.
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Affiliation(s)
- Theodoros Varzakas
- Department Food Science and Technology, University of the Peloponnese, 24100 Kalamata, Greece
| | - Maria Antoniadou
- Department of Dentistry, School of Health Sciences, National and Kapodistrian University of Athens, 11527 Athens, Greece
- Certified Systemic Analyst Program in Systemic Management (CSAP), University of Piraeus, 18534 Piraeus, Greece
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Mathias FB, Cademartori MG, Buffarini R, Barros F, Bertoldi AD, Demarco FF, Goettems ML. Breastfeeding, consumption of ultraprocessed foods, and dental caries at 4 years of age: A birth cohort study. Int J Paediatr Dent 2024; 34:103-113. [PMID: 37171456 DOI: 10.1111/ipd.13087] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/04/2022] [Revised: 03/14/2023] [Accepted: 04/25/2023] [Indexed: 05/13/2023]
Abstract
BACKGROUND Cohort studies have demonstrated an association between prolonged and/or frequent breastfeeding and early childhood caries (ECC). AIM To investigate the association between prolonged breastfeeding and ECC at 48 months, while considering the interaction between prolonged breastfeeding and ultraprocessed foods (UPF). DESIGN Data from a birth cohort study conducted in southern Brazil were used (n = 3645). Poisson regression was used to evaluate the influence of breastfeeding and UPF consumption on the prevalence and experience of caries. To measure the interaction on the additive scale between breastfeeding and UPF consumption on the prevalence and experience of ECC, the relative excess risk due to interaction (RERI) was calculated. RESULTS Prolonged breastfeeding was associated with higher prevalence (PR = 1.82; CI:1.59-2.08) and experience (RR = 2.47; CI:1.97-3.10) of ECC. Greater prevalence (PR = 1.16; CI: 1.04-1.30) and experience of ECC (RR = 1.22; CI: 1.00-1.48) were found in children who had high consumption of UPFs. Negative RERIs were observed for the prevalence and experience of ECC (-0.25 and -0.001). CONCLUSION High UPF consumption and prolonged breastfeeding were associated with ECC. No interaction, however, was observed, showing that the two exposures have independent effects. To prevent ECC, policies and programs are needed to support breastfeeding until the age of 2 years and to limit the consumption of UPF.
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Tadin A, Badrov M. Oral Health Knowledge, Self-Assessed Oral Health Behavior, and Oral Hygiene Practices among the Adult General Population in Croatia. Healthcare (Basel) 2023; 12:88. [PMID: 38200994 PMCID: PMC10778950 DOI: 10.3390/healthcare12010088] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2023] [Revised: 12/26/2023] [Accepted: 12/29/2023] [Indexed: 01/12/2024] Open
Abstract
OBJECTIVES Emphasizing the significance of optimal oral health for enhancing overall well-being, this study aimed to investigate oral health knowledge, self-assessed oral health behaviors, and oral hygiene practices within the Croatian general population. MATERIALS AND METHODS A cross-sectional observational study was conducted online, utilizing a questionnaire collecting sociodemographic characteristics and inquiring about respondents' oral health knowledge, self-assessed oral health status, oral hygiene habits, and use of oral hygiene products. Collected data underwent both descriptive and regression analyses to unveil patterns and relationships within the dataset. RESULTS The respondents showed a high level of knowledge about oral health (median score 9, IQR 7.00-10.00, maximum possible score 10), with significant factors for higher knowledge being engaged in dental professions; above-average socioeconomic status; and the use of an electric brush, dental floss, and interdental brushes (p ˂ 0.05). Insufficient knowledge, on the other hand, was associated with bleeding gums and daily smoking (p ˂ 0.05). Although 69.4% of respondents considered their oral health to be very good, 32.5% reported tooth decay, and 38.2% reported tooth sensitivity. The majority (62.0%) cited regular check-ups as the reason for their last visit to the dentist, with 74.1% feeling no anxiety or discomfort during these visits. Daily toothbrush use was widespread (97.8%), but only 34.1% and 19.1% of respondents reported using floss and/or interdental brushes daily. A remarkable 69.0% of respondents indicated that low oral health literacy and low prioritization contribute to suboptimal oral health. CONCLUSIONS While respondents demonstrated commendable oral health knowledge, the prevalence of reported issues suggests a potential gap between perception and actual oral health status. To address this, targeted educational interventions focusing on comprehensive oral hygiene practices and debunking misconceptions should be prioritized in Croatia.
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Affiliation(s)
- Antonija Tadin
- Department of Restorative Dental Medicine and Endodontics, Study of Dental Medicine, School of Medicine, University of Split, 21000 Split, Croatia;
- Department of Oral and Maxillofacial Surgery, Clinical Hospital Centre Split, 21000 Split, Croatia
| | - Marija Badrov
- Department of Restorative Dental Medicine and Endodontics, Study of Dental Medicine, School of Medicine, University of Split, 21000 Split, Croatia;
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Cheng FC, Lee MC, Wang LH, Lin WJ, Lin TC, Liu SY, Chiang CP. Correlation between the beverage serving activities and the dental use of health care resources of National Health Insurance for common oral diseases. J Dent Sci 2022; 17:1510-1519. [PMID: 36299307 PMCID: PMC9588840 DOI: 10.1016/j.jds.2022.06.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2022] [Indexed: 11/19/2022] Open
Abstract
Background/purpose : Taiwanese get use to drinking hand-shaken beverages. However, excessive sugar intake is strongly associated with the occurrence of dental caries. This study evaluated the correlation between the beverage serving activities and the dental use of National Health Insurance (NHI) for common oral diseases in 2016. Materials and methods Data on the population, the beverage serving activities, and the dental records of NHI were obtained from the related websites of government. These data were divided by cities and counties to investigate the beverage serving activities and the dental use of NHI for common oral diseases in 2016. Results In Taiwan, the value of beverage consumption per person had a moderate to high positive correlation with the dental use rate, the number of out-patient visits per 1,000 people, and the medical expenses per person for common oral diseases. For dental caries, diseases of pulp & periapical tissues, and gingivitis & periodontal diseases, their Pearson’s r values were 0.52–0.61, 0.18–0.40, and 0.58–0.65, respectively. These results indicate that the higher the beverage consumption per capita, the higher the dental use per capita. Conclusion There is a long-term benefit for oral health and systemic health through reducing or avoiding unnecessary excessive sugar intake. Therefore, from a cost-effectiveness viewpoint, Taiwan government should develop a better oral health care policy including a health education strategy of appropriate sugar intake to prevent dental caries and other non-communicable diseases in Taiwanese people.
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Affiliation(s)
- Feng-Chou Cheng
- School of Life Science, National Taiwan Normal University, Taipei, Taiwan
- Science Education Center, National Taiwan Normal University, Taipei, Taiwan
| | - Ming-Chung Lee
- School of Life Science, National Taiwan Normal University, Taipei, Taiwan
| | - Ling-Hsia Wang
- Center for the Literature and Art, Hsin Sheng Junior College of Medical Care and Management, Taoyuan, Taiwan
| | | | - Tzu-Chiang Lin
- Center for the Liberal Arts, National Kaohsiung University of Science and Technology, Kaohsiung, Taiwan
| | - Shiang-Yao Liu
- School of Life Science, National Taiwan Normal University, Taipei, Taiwan
- Graduate Institute of Science Education, College of Science, National Taiwan Normal University, Taipei, Taiwan
- Corresponding author. Graduate Institute of Science Education, College of Science, National Taiwan Normal University, No. 88, Sec. 4, Ting-Chou Road, Taipei, 11677, Taiwan.
| | - Chun-Pin Chiang
- Department of Dentistry, National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei, Taiwan
- Graduate Institute of Oral Biology, School of Dentistry, National Taiwan University, Taipei, Taiwan
- Department of Dentistry, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien, Taiwan
- Corresponding author. Department of Dentistry, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, No. 707, Section 3, Chung-Yang Road, Hualien, 970, Taiwan.
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