文章摘要
陈新,王元银,孙晓瑜,胡晓燕,朱芳芳,孙莹.基于群组轨迹模型的含糖饮料摄入模式与儿童牙周健康关联的队列研究[J].中华流行病学杂志,2020,41(8):1308-1312
基于群组轨迹模型的含糖饮料摄入模式与儿童牙周健康关联的队列研究
Pattern of sugar-sweetened beverages consumption—based on group-based trajectory modeling and its association with childhood periodontal health
收稿日期:2019-08-26  出版日期:2020-08-25
DOI:10.3760/cma.j.cn112338-20190826-00627
中文关键词: 口腔健康;含糖饮料;群组轨迹模型;队列研究
英文关键词: Oral health;Sugar-sweetened beverages;Group-based trajectory model;Longitudinal study
基金项目:安徽省教育厅高校自然科学基金重点项目(KJ2019A0252);国家自然科学基金(81872638)
作者单位E-mail
陈新 安徽医科大学口腔医学院, 安徽医科大学附属口腔医院, 安徽省口腔疾病研究重点实验室, 合肥 230032  
王元银 安徽医科大学口腔医学院, 安徽医科大学附属口腔医院, 安徽省口腔疾病研究重点实验室, 合肥 230032  
孙晓瑜 安徽医科大学口腔医学院, 安徽医科大学附属口腔医院, 安徽省口腔疾病研究重点实验室, 合肥 230032  
胡晓燕 安徽医科大学口腔医学院, 安徽医科大学附属口腔医院, 安徽省口腔疾病研究重点实验室, 合肥 230032  
朱芳芳 安徽医科大学口腔医学院, 安徽医科大学附属口腔医院, 安徽省口腔疾病研究重点实验室, 合肥 230032  
孙莹 安徽医科大学公共卫生学院儿少卫生与妇幼保健学系/出生人口健康教育部重点实验室, 合肥 230032 yingsun@ahmu.edu.cn 
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中文摘要:
      目的 探讨童年期含糖饮料摄入模式对牙周健康的前瞻性影响。方法 以安徽省蚌埠市儿童4年随访队列为基础,应用群组轨迹模型(GBTM)建立童年期含糖饮料摄入轨迹发展模型,分别采用线性多元回归和logistic多元回归分析含糖饮料摄入模式不同分组与菌斑指数和牙龈炎发生的关联。结果 共有997名儿童纳入分析,其中男童418名,女童579名,第三次随访年龄为(11.00±0.70)岁。GBTM识别出4种含糖饮料摄入模式:持续较低组(80.70%)、渐降组(12.40%)、先升后降组(2.20%)和渐增组(4.70%)。相比于持续较低组,含糖饮料摄入渐增组菌斑指数较高(1.73±0.80 vs.1.08±0.70)(t=4.00,P<0.001)、牙龈炎检出率(12.80% vs.3.00%)较高(χ2=12.40,P<0.001)。控制相关混杂因素发现,相比于持续较低组,渐增组和先升后降组菌斑指数分别增加0.58(95% CI:0.27~0.89)和0.38(95% CI:0.03~0.73)。渐增组牙龈炎风险显著增加(OR=4.42,95% CI:1.65~12.20,P=0.003)。结论 童年期至青春期过渡阶段含糖饮料摄入较高儿童牙周疾病风险显著增加。
英文摘要:
      Objective To explore the prospective association between consumption pattern of sugar-sweetened beverages and childhood periodontal health. Methods This study was based on a 4-year longitudinal cohort of children from Bengbu, Anhui province. Pattern of sugar-sweetened beverages was determined by group-based trajectory modeling (GBTM) through annual child-reported questionnaire. Association between sugar-sweetened beverages pattern with plague index and gingivitis was explored through multivariate linear and logistic regression. Results A total of 997 children including 418 boys and 579 girls were included in this study, with an average age of (11.00±0.70) years at the final wave. Four consumption patterns on sugar-sweetened beverages were identified by GBTM:persistent low group (80.70%), gradually decreasing group (12.40%), decreasing after increasing group (2.20%) and gradually increasing group (4.70%). Compared with the persistent low group (1.08±0.70), the Plague index among gradually increasing group (1.73±0.80) was significantly higher (t=4.00, P<0.001). The prevalence of gingivitis was significantly higher among children in the gradually increasing group (12.80%) than that in the persistent low group (3.00%) (χ2=12.40, P<0.001). After controlling for related confounders, results suggested that Plague index increased by 0.58 (95%CI:0.27-0.89) and 0.38 (95%CI:0.03-0.73) in the gradually increasing group and "decreasing follow the increase" group, respectively when compared with the persistent low group. The risk for gingivitis was 4.42 times (95%CI:1.65-12.20, P=0.003) higher in the gradually increasing group. Conclusion Our data suggested that children with higher sugar-sweetened beverages consumption during the transition period from childhood to adolescence were under higher risk for periodontal diseases.
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