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Energy and macronutrient intake in relation to dental caries incidence in urban black South African preschool children in 1991 and 1995: the Birth-to-Ten study

Published online by Cambridge University Press:  02 January 2007

Jennifer M MacKeown ,
Peter E Cleaton-Jones  and
Arthur W Edwards
Jennifer M MacKeown*
Affiliation:
MRC/University of the Witwatersrand Dental Research Institute, Johannesburg, Witts, 2050, South Africa
Peter E Cleaton-Jones
Affiliation:
MRC/University of the Witwatersrand Dental Research Institute, Johannesburg, Witts, 2050, South Africa
Arthur W Edwards
Affiliation:
University of the Witwatersrand Computer and Networking Services, Johannesburg, Witts, 2050, South Africa
*
*Corresponding author: Email [email protected]
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Abstract

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Objective

To study energy and macronutrient intake in relation to dental caries incidence among urban black South African children at the ages of 1 and 5 years.

Design and subjects

Food frequency questionnaires and WHO caries diagnostic criteria were used. The study sample of 1639 urban black children with nutrition and dental information from the 1991 and/or 1995 Birth-to-Ten (BTT) Study interceptions comprised true longitudinal (n = 259) and cross-sectional (n = 1216 for 1991 and n = 164 for 1995) subjects. For the longitudinal group true dmfs (decayed, missing, filled surfaces) incidence and average intakes of energy and macronutrients between 1991 and 1995 were calculated.

Setting

South Africa.

Results

Median macronutrient intakes were not significantly different between the cross-sectional and longitudinal samples. Dental caries prevalences at age 1 were 1.2% and 1.5% for the cross-sectional and longitudinal samples, respectively. By age 5 these values were 60.4% and 62.2%, respectively. The median dmfs score at age 1 was 0. At 5 years this was 2 for all children and 5 for those with caries. Statistical analysis for trend at age 5 showed a significant increase in caries prevalence with increasing energy, carbohydrate and added sugar in the cross-sectional sample only. The only significant changes in dmfs scores were seen for energy and added sugar for the whole sample. The r values between log(dmfs incidence + 0.3) and the average nutrient log variables were low, and a general linear models analysis showed no statistically significant effects on log(dmfs incidence + 0.3) of any of the log nutrient variables.

Conclusions

For the relationship between macronutrient intake and caries (prevalence and incidence), a cross-sectional and true longitudinal study gave similar results.

Keywords

Macronutrient intakeDental cariesPreschoolers
Type
Research Article
Information
Public Health Nutrition , Volume 3 , Issue 3 , September 2000 , pp. 313 - 319
Copyright
Copyright © CABI Publishing 2000

References

1Richardson, AS, Boyd, MA, Conry, F.A correlation study of diet, oral hygiene and dental caries in 457 Canadian children. Community Dent. Oral Epidemiol. 1977; 5: 227–30.Google Scholar
2Persson, L-A, Stecksens-Blicks, C, Holm, A-K. Nutrition and health in childhood: causal and qualitative interpretations of dental caries. Community Dent. Oral Epidemiol. 1984; 12: 390–7.CrossRefGoogle Scholar
3Majem, LS, Closas, RG, Manau, C, Cuenca, E, Krasse, B.Dietary habits and dental caries in a population of Spanish schoolchildren with low levels of caries experience. Caries Res. 1993; 27: 488–94.Google Scholar
4Guha-Chowdury, N.Diet of 3 and 4 year olds in Dunedin: relevance to dental caries. Pacific Health Dialog. 1996; 3: 15–19.Google Scholar
5Cleaton-Jones, PE. Nutrition and dental caries in South Africa. Int. Dent. J. 1996; 46 (Suppl. 1), 374–80.Google Scholar
6Burt, BA, Eklund, SA, Morgan, KJ, et al. The effects of sugars intake and frequency of ingestion on dental caries increment in a three year longitudinal study. J. Dent. Res. 1988; 67: 1422–9.Google Scholar
7Holm, A-K, Blomquist, K, Crossner, C-G, Grahnen, HSamuelson, G.A comparative study of oral health as related to general health, food habits and socio-economic conditions of 4-year-old Swedish children. Community Dent. Oral Epidemiol. 1975; 3: 34–9.Google Scholar
8Ravald, N, Birkhed, D.Factors associated with active and inactive root caries in patients with periodontal disease. Caries Res. 1991; 25: 377–84.CrossRefGoogle ScholarPubMed
9Sreebny, LM. Sugar and human dental caries. World Rev. Nutr. Diet. 1982; 40: 19–65.Google Scholar
10Walker, ARP, Cleaton-Jones, PE. Sugar intake and dental caries: where do we stand? J. Dent. Child. 1989; 56: 30–5.Google Scholar
11Harel-Raviv, M, Laskaris, M, Chu, KS. Dental caries and sugar consumption into the 21st century. Am. J. Dent. 1996; 9: 184–90.Google Scholar
12Richardson, BD, Cleaton-Jones, PE, McInnes, PM, Rantsho, JM, Pieters, L.Total sucrose intake and dental caries in black and in white South African children of 1–6 years. Part II. Dental caries and sucrose intake. J. Dent. Assoc. South Afr. 1978; 33: 539–44.Google ScholarPubMed
13Richardson, BD, Cleaton-Jones, P.Sucrose intake patterns of black and white preschool children and their role in dental health. J. Diet. Home Econ. 1979; 7: 24–8.Google Scholar
14Cleaton-Jones, PE, Richardson, BD, Sinwel, RE, Rantsho, JM, Granath, L.Dental caries, sucrose intake and oral hygiene in 5-year old South African Indian children. Caries Res. 1984; 18: 472–7.Google Scholar
15Richardson, BD, Cleaton-Jones, P, Sinwel, RE, Rantsho, JM. Trends in sugar intake. Do these parallel changes in caries prevalence among South African preschoolchildren?. Community Dent. Oral Epidemiol. 1984; 12: 140–4.Google Scholar
16Burt, BA, Szpunar, SM. The Michigan study: the relationship between sugars intake and dental caries over three years. Int. Dent. J. 1994; 44: 230–40.Google Scholar
17Silver, DH. A longitudinal study of infant feeding practice, diet and caries, related to social class in children aged 3 and 8–10 years. Br. Dent. J. 1987; 163: 296–300.CrossRefGoogle ScholarPubMed
18Kleemola-Kujala, E, Rasanen, L.Relationship of oral hygiene and sugar consumption to risk of caries in children. Community Dent. Oral Epidemiol. 1982; 10: 224–33.Google Scholar
19Faine, MP, Oberg, D.Snacking and oral health habits of the Washington state WIC children and their caregivers. J. Dent. Child. 1994; 16: 350–5.Google Scholar
20Commission on Oral Health, Research and Epidemiology (CORE). The prevention of dental caries and periodontal disease. Int. Dent. J. 1984; 34: 141–58.Google Scholar
21Grytten, J, Rossow, I, Holst, D, Steele, L.Longitudinal study of dental health behaviors and other caries predictors. Community Dent. Oral Epidemiol. 1988; 16: 356–9.Google Scholar
22Cleaton-Jones, PE, Richardson, BD, Winter, GB, Sinwel, RE, Rantsho, JM, Jodaikin, A.Dental caries and sucrose intake in five South African preschool groups. Community Dent. Oral Epidemiol. 1984; 12: 381–5.Google Scholar
23Holbrook, WP, Kristinsson, MJ, Gunnarsdottir, S, Briem, B.Caries prevalence. Streptococcus mutans and sugar intake among 4-year-old urban children in Iceland. Community Dent. Oral Epidemiol. 1989; 17: 292–5.Google Scholar
24Roeters, J, Burgersdijk, R, Truin, G-J, Vanthof, M.Dental caries and its determinants in 2- to 5-year old children. J. Dent. Child. 1995; 62: 401–8.Google Scholar
25Moynihan, PJ, Holt, RD. The National Diet and Nutrition Survey of 1.5 to 4.5 year old children: summary of the findings of the dental survey. Br. Dent. J. 1996; 181: 328–32.Google Scholar
26Ziesenitz, SC. Dental health and sugar consumption in Germany. Ernahrungs Umschau. 1998; 45: 240.Google Scholar
27Lachapelle, D, Couture, C, Brodeur, J-M, Sevigny, J.The effects of nutritional quality and frequency of consumption of sugary foods on dental caries increment. Can. J. Public Health 1990; 18: 370–5.Google Scholar
28Willett, W, Stamper, MJ. Total energy intake: implications for epidemiological analysis. Am. J. Epidemiol. 1986; 124: 17–27.CrossRefGoogle Scholar
29Alvarez, JO, Eguren, JC, Caceda, J, Navia, J.The effect of nutritional status on the age distribution of dental caries in the primary dentition. J. Dent. Res. 1990; 69: 1564–6.Google Scholar
30MacKeown, JM, Cleaton-Jones, PE, Hargreaves, JA. Energy intake, dental caries and periodontal disease in 11-year-old black children in two regions of Southern Africa: KwaZulu and Namibia. Community Dent. Oral Epidemiol. 1995; 23: 182–6.Google Scholar
31Gustafsson, BE, Quensel, C-E, Lanke, LS, et al. The Vipeholm dental caries study. The effect of different levels of carbohydrate intake on caries activity and 436 individuals observed for 5 years. Acta Odontol. Scand. 1954; 11: 232–364.Google Scholar
32Harris, R. Biology of the children of Hopewood House, Bowral, Australia. Four observations on dental caries experience extending over 5 years (1957–61). J. Dent. Res. 1963; 42: 1387–99.Google Scholar
33Alaluusua, S, Renkonen, OV. Streptococcus mutans establishment and dental caries experience in children from 2 to 4 years old. Scand. J. Dent. Res. 1983; 91: 453–7.Google Scholar
34Fonn, S, De Beer, M, Kgamphe, JS, et al. Birth to Ten: pilot studies to test the feasibility of a birth cohort study investigating effects of urbanisation in South Africa. South Afr. Med. J. 1991; 79: 449–54.Google Scholar
35Yach, D, Cameron, N, Padayachee, GN, Wagstaff, LA, Richter, L, Fonn, S.Birth to Ten: child health in South Africa in the 1990s. Rationale and methods of a birth cohort study. Paediatr. Perinatal. Epidemiol. 1991; 5: 211–33.Google Scholar
36Anderson, A, Richter, LM. Birth to Ten: error detection and correction in a longitudinal address database. South Afr. J. Epidemiol. Infect. 1994; 9: 16–19.Google Scholar
37Richter, LM, Yach, D, Cameron, N, Griesel, RD, De Wet, T, Anderson, A.Enrolment into Birth to Ten (BTT): sample and population characteristics. Paediatr. Perinatal. Epidemiol. 1995; 9: 109–20.Google Scholar
38MacKeown, JM, Cleaton-Jones, PE, Edwards, AW, Turgeon-O'Brien, H.Energy, macro- and micronutrient intake of 5-year-old urban black South African children in 1984 and 1995. Paediatr. Perinatal. Epidemiol. 1998; 12: 297–312.Google Scholar
39Steenkamp, HA. Population Estimates for the RSA by Magisterial District and Province, 1994. Research Report No. 212. Pretoria: Bureau of Market Research, University of South Africa, 1994.Google Scholar
40Block, G.A review of validations of dietary assessment methods. Am. J. Epidemiol. 1982; 115: 492–505.Google Scholar
41Chu, SY, Kolonel, RN. A comparison of frequency and quantitative dietary methods for epidemiological studies of diet and disease. Am. J. Epidemiol. 1984; 119: 323–34.Google Scholar
42Block, G, Dresser, CM, Hartman, AM, Carrol, MD. Nutrient sources in the American diet: quantitative data from the NHANES II survey. II. Macronutrients and fats. Am. J. Epidemiol. 1985; 122: 27–40.Google Scholar
43Margetts, BM, Cade, JE, Osmond, C.Comparison of a food frequency questionnaire with a diet record. Int. J. Epidemiol. 1989; 18: 868–73.Google Scholar
44Borelli, R.Collection of food intake data: a reappraisal of criteria for judging the methods. Br. J. Nutr. 1990; 63: 411–17.Google Scholar
45Thompson, RL, Margetts, BM. Comparison of a food frequency questionnaire with a 10-day weighed record in cigarette smokers. Int. J. Epidemiol. 1993; 22: 824–33.Google Scholar
46Hankin, JH, Wilkens, LR. Development and validation of dietary assessment methods for culturally diverse populations. Am. J. Clin. Nutr. 1994; 59 (Suppl. 1), S198–200.Google Scholar
47Langenhoven, ML, Kruger, M, Gouws, E, Faber, M. Research Institute for Nutritional Diseases (RIND) Food Composition Tables, 3rd edn. Cape Town: South African Medical Research Council, 1991.Google Scholar
48World Health Organization. A Guide to Oral Health Epidemiological Investigations, 3rd edn. Geneva: World Health Organization, 1987; 6–8.Google Scholar
49Cleaton-Jones, PE, Hargreaves, JA, Fatti, LP, Chandler, HD, Grossman, ES. Dental caries diagnosis calibration for clinical field surveys. Caries Res. 1989; 23: 195–9.Google Scholar
50SAS Institute Inc. SAS/STAT User's Guide. Version 6, 4th edn, Vol. 1. Cary, NC: SAS Institute, 1989.Google Scholar
51Marques, AP, Messer, LB. Nutrient intake and dental caries in the primary dentition. Paediatr. Dent. 1992; 21: 314–21.Google Scholar
52Willett, W. Nutritional Epidemiology. New York: Oxford University Press, 1990.Google Scholar
53Sempos, CT. Invited commentary: some limitations of semiquantitative food frequency questionnaires. Am. J. Epidemiol. 1992; 135: 1127–32.Google Scholar
54Frencken, JE, Kalsbeek, H, Verrips, GH. Has the decline in dental caries been halted? Changes in caries prevalence among 6 and 12-year old children in Friesland. 1973–1988. Int. Dent. J. 1990; 40: 225–30.Google Scholar
55Truin, GJ, Konig, KG, De Vries, HCB, Mulder, J, Plasschaert, AJM. Trends in caries prevalence in 5, 7 and 11-year old school children in The Hague between 1969 and 1989. Caries Res. 1991; 25: 462–7.Google Scholar
56Cleaton-Jones, PE, Hargreaves, JA, Roberts, G, Williams, SDL, Leidal, TI. The dmfs and dmft of young South African children. Community Dent. Oral Epidemiol. 1989; 17: 38–40.CrossRefGoogle ScholarPubMed
57Morales, A, Guerrero, S, Arquerson, N.Cariogenic food consumption and dental caries in school children with temporary and deciduous dentition. Rev. Chil. Nutr. 1994; 22: 105–8.Google Scholar
58Richardson, BD, Rantsho, JM, Pieters, L, Cleaton-Jones, PE. Total sucrose intake and dental caries in black and in white South African children of 1–6 years. Part I. Sucrose intake. J. Dent. Assoc. South Afr. 1978; 33: 533–7.Google Scholar
59Holbrook, WP, Arnadottir, IB, Takazoe, I, Birkhed, D, Frostell, G.Longitudinal studies of caries cariogenic bacteria and diet in children just before and after starting school. Eur. J. Oral Sci. 1995; 103: 42–5.Google Scholar
60Cleaton-Jones, PE, Richardson, BD, Setzer, S, Williams, S.Primary dentition caries trends, 1976–1981, in four South African populations. Community Dent. Oral Epidemiol. 1983; 11: 312–16.Google Scholar
61Richardson, BD, Cleaton-Jones, P.Sugar, snacks, fluoride and dental caries in RSA preschool children: an overview. J. Dent. Assoc. South Afr. 1986; 41: 611–13.Google Scholar
62Cleaton-Jones, PE, Richardson, BD, Rantsho, JM. Dental caries in rural and urban black preschool children. Community Dent. Oral Epidemiol. 1978; 6: 135–8.Google Scholar
63Cleaton-Jones, PE, Richardson, BD, McInnes, PM. Dental caries in coloured and Indian children aged 1–5 years. J. Dent. Assoc. South Afr. 1981; 36: 61–3.Google Scholar
64Cleaton-Jones, PE, Richardson, BD, McInnes, PM, Fatti, LP. Dental caries in South African white children aged 1–5 years. Community Dent. Oral Epidemiol. 1978; 6: 78–81.Google Scholar