Food processing and its association with dental caries: Data from NHANES 2011‐2014
Autor: | Joana Cunha-Cruz, Euridice Martinez-Steele, Augusto Bacelo Bidinotto, Juliana Balbinot Hilgert, William Murray Thomson, Fernando Neves Hugo |
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Rok vydání: | 2021 |
Předmět: |
Adult
medicine.medical_specialty National Health and Nutrition Examination Survey Food Handling Dental Caries Logistic regression Young Adult 03 medical and health sciences symbols.namesake 0302 clinical medicine Epidemiology medicine Humans 030212 general & internal medicine Poisson regression General Dentistry business.industry Public Health Environmental and Occupational Health 030206 dentistry Middle Aged Nutrition Surveys Diet Cross-Sectional Studies Quartile symbols Fast Foods Oral examination Smoking status business Body mass index Demography |
Zdroj: | Community Dentistry and Oral Epidemiology. 49:565-573 |
ISSN: | 1600-0528 0301-5661 |
Popis: | OBJECTIVE To assess whether proportional contribution of unprocessed or minimally processed, processed or ultra-processed foods to daily energy intake is associated with dental caries in US adults. METHODS This secondary cross-sectional analysis included adults aged 20 to 59 years old with complete oral examinations, using data gathered from cycles 2011-2012 and 2013-2014 of the continuous National Health and Nutrition Examination Survey (NHANES). Dietary recall data were categorized according to the NOVA classification into four groups: unprocessed or minimally processed foods (Group 1), processed culinary ingredients (Group 2), processed foods (Group 3) and ultra-processed foods (Group 4). The proportional contribution of each of these groups to mean daily energy intake was calculated and then cut into quartiles (Group 1, Group 3 and Group 4) or tertiles (Group 2). Two separate measures were used to assess dental caries: the decayed, missing, filled teeth (DMFT) index and, after exclusion of edentulous participants, prevalence of untreated caries. Poisson regression was used to model DMFT, while logistic regression was used to model the prevalence of untreated dental caries. Models were calculated for each NOVA group. All models were controlled for age, gender, race/ethnicity, level of education, income, access to oral health services, body mass index, smoking status and total energy intake. Analyses took into account NHANES sampling weights. RESULTS We analysed data from 5720 individuals, of whom 123 (2.2%) were edentulous. Mean DMFT was 9.7 (± 0.2), while the prevalence of untreated dental caries was 26.0%. Mean daily energy intake was 2170 kcal (± 17). Mean contribution to overall daily energy intake was 28.6% (± 0.5) for G1 foods, 4.3% (± 0.1) for G2 foods, 10.1% (± 0.2) for G3 foods and 56.9% (± 0.5) for G4 foods. A higher intake of G3 was associated with lower DMFT at the fourth quartile (0.89; 95%: CI 0.81-0.96), while a higher intake of G4 was associated with a higher DMFT at the fourth quartile (1.10; 95% CI: 1.04-1.16). In the adjusted models for untreated dental caries, no statistically significant associations were found with any of the NOVA groups. CONCLUSION Higher proportional intake of NOVA groups is only weakly associated with dental caries. Widespread exposure to a highly ultra-processed diet may explain these weak associations. |
Databáze: | OpenAIRE |
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