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Cited by 52Dental Health and Care UtilizationOral microbiology and periodontitis researchDiet, Metabolism, and Disease

The DOI matches its Crossref record; 59 of the 61 references it cites were found in a registry or an index.

Association between added sugar intake and dental caries in Yup’ik children using a novel hair biomarker

Open access
Chi, Donald L., Hopkins, Scarlett, O’Brien, Diane, Mancl, Lloyd, Orr, Eliza, Lenaker, Dane·2015·BMC Oral Health
DOI 10.1186/s12903-015-0101-zPMC PMC4600323
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Abstract

BACKGROUND: Dental caries (tooth decay) is a significant public health problem in Alaska Native children. Dietary added sugars are considered one of the main risk factors. In this cross-sectional pilot study, we used a validated hair-based biomarker to measure added sugar intake in Alaska Native Yup'ik children ages 6-17 years (N = 51). We hypothesized that added sugar intake would be positively associated with tooth decay. METHODS: A 66-item parent survey was administered, a hair sample was collected from each child, and a dental exam was conducted. Added sugar intake (grams/day) was measured from hair samples using a linear combination of carbon and nitrogen ratios. We used linear and log-linear regression models with robust standard errors to test our hypothesis that children with higher added sugar intake would have a higher proportion of carious tooth surfaces. RESULTS: The mean proportion of carious tooth surfaces was 30.8 % (standard deviation: 23.2 %). Hair biomarker-based added sugar intake was associated with absolute (6.4 %; 95 % CI: 1.2 %, 11.6 %; P = .02) and relative increases in the proportion of carious tooth surfaces (24.2 %; 95 % CI: 10.6 %, 39.4 %; P < .01). There were no associations between self-reported measures of sugar-sweetened food and beverage intake and tooth decay. CONCLUSIONS: Added sugar intake as assessed by hair biomarker was significantly and positively associated with tooth decay in our sample of Yup'ik children. Self-reported dietary measures were not associated tooth decay. Most added sugars were from sugar-sweetened fruit drinks consumed at home. Future dietary interventions aimed at improving the oral health of Alaska Native children should consider use of objective biomarkers to assess and measure changes in home-based added sugar intake, particularly sugar-sweetened fruit drinks.

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2 of the 61 references couldn’t be matched to a known paper.

Research works printed but not linked: 4

  1. Alaska Natives Commission (ANC). Alaska natives commission, final report, volume II. 1994. Available at http://www.alaskool.org/resources/anc2/anc2_toc.html#top . Accessed on November 25, 2014.
  2. Indian Health Service (IHS). The 2010 Indian health service oral health survey of American Indian and Alaska native preschool children. Rockville, MD: U.S. Department of Health and Human Services, Indian Health Service; 2013.
  3. World Health Organization (WHO). A guide to oral health epidemiological investigations. Geneva: WHO; 1979.
  4. Dye BA, Tan S, Smith V, et al. Trends in oral health status: United States, 1988–1994 and 1999–2004. Vital Health Stat. 2007;11:1–92.

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Metadata

Authors
Chi, D. L., Hopkins, S., O’Brien, D., Mancl, L., Orr, E., & Lenaker, D.
Affiliations
  • University of Washington (US)
  • University of Alaska Fairbanks (US)
  • Yukon Kuskokwim Health Corporation (US)
Corresponding author
Chi, Donald L.
ORCID
Venue
BMC Oral Health
Publisher
Springer Science and Business Media LLC
Published
2015-10-09
Volume
15
Issue
1
Pages
121-121
ISSN
1472-6831 (ISSN-L)
DOI
10.1186/s12903-015-0101-z
PMC
PMC4600323
OpenAlex
W2107357244
Cited by
52
References
61
Citations by year
2025: 2 · 2024: 15 · 2023: 7 · 2022: 5 · 2021: 7 · 2020: 1 · 2019: 3 · 2018: 9 · 2017: 1 · 2016: 2
FWCI
5.42
Type
journal article
Language
en
Open access
Licence
Locations
  • BMC Oral Health (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
Funders
  • William T. Grant Foundation
  • University of Washington
  • National Institute of Dental and Craniofacial Research (K08DE020856)
Topics
  • Health Sciences › Dentistry › General Dentistry › Dental Health and Care Utilization
  • Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diet, Metabolism, and Disease
Keywords
added sugar intake, dental caries, Alaska Native children, self-reported dietary intake, oral health
MeSH terms
Sugars, Adolescent, Beverages, Child, Dental Caries, Female, Hair, Humans, Male, Sweetening Agents, Biomarkers, Dietary Sucrose

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