Associations between dietary factors and periodontal status among 12-year-old children in Arkhangelsk region

Abstract

Nutrition is an important determinant of human health particularly in childhood since dietary habits and metabolic patterns are formed during this period of life. Certain nutritional factors may increase the risk for periodontal diseases (PD). Considering the associations between periodontal health and cardiovascular diseases, studies on the associations between nutritional factors and periodontal diseases are of particular importance.

The aim of the research was to study the patterns of consumption of certain foods associated with oral health according to the World Health Organization (WHO) and to assess the associations between these factors and PD among 12-year-old children in Arkhangelsk region of Russian Federation.

Material and methods. In total, 1162 12-year-old children from 7 urban and 5 rural settings of Arkhangelsk region participated in a cross-sectional study. Dental status was assessed as recommended by the WHO (2013). To assess the periodontal status of a child, a communal periodontal index was used, which included 2 indicators: the presence of bleeding during probing and calculus. A WHO-developed questionnaire was used to study nutritional patterns related to oral health. Associations between socio-demographic factors and patterns of consumption of selected food items were assessed using Person’s chi-squared tests. Associations between periodontal disease, bleeding, calculus, and nutritional factors were studied by multivariable logistic regression. Relationships between the number of affected sextans and frequency of consumption of selected foods was assessed using multivariable Poisson regression models.

Results. More frequent consumption of sweet carbonated drinks was associated with male sex, rural living, and low educational levels of both parents. Higher levels of education for both mother and father were associated with more frequent consumption of fresh fruit (p=0.011 and p=0.002). The prevalence of dental calculus and the number of affected sextants with calculus were inversely related to the frequency of fresh fruit consumption (p=0.012 and p<0.001, respectively). The number of sextants with calculus and PD in general were inversely associated with the frequency of consumption of homemade jam and honey (p=0.036 and p=0.043, respectively).

Conclusion. The frequency of consumption of the foods affecting oral health was significantly associated with socio-demographic factors in Arkhangelsk region. Daily consumption of fresh fruits was associated with lower prevalence of calculus. The lowest number of affected sextants with bleeding, calculus, and PD was revealed when homemade jams or honey was consumed at least once a week, but less than every day.

Keywords:periodontal disease; nutrition; socio-demographic factors; children; Russia; Arctic

Funding. The study was not sponsored.

Conflict of interest. The authors declare no conflicts of interest.

Contribution. Data collection and processing – Gorbatova M.A.; statistical analysis – Grjibovski A.M.; writing the text, editing, approval of the final version of the article, responsibility for the integrity of all parts of the article – all authors.

For citation: Gorbatova M.A., Pochinkova P.A., Grjibovski A.M. Associations between dietary factors and periodontal status among 12-year-old children in Arkhangelsk region. Voprosy pitaniia [Problems of Nutrition]. 2023; 92 (1): 63–73. DOI: https://doi.org/10.33029/0042-8833-2023-92-1-63-73 (in Russian)

References

1. Shepeleva O.A., Novikova Yu.A., Degteva G.N. Food safety in arctic and Subarctic territories of the Russian European North. Ekologiya cheloveka [Human Ecology]. 2019; (10): 24–32. DOI: https://doi.org/10.33396/1728-0869-2019-10-24-32 (in Russian)

2. Healthcare in Russia [Electronic resource]. URL: https://rosstat.gov.ru/folder/210/document/13218 (date of access August 13, 2022). (in Russian)

3. Marshall T.A. Weak evidence suggests vegetarian diets may be associated with an increased risk of dental erosion. J Evid Based Dent Pract. 2021; 21 (1): 101524. DOI: https://doi.org/10.1016/j.jebdp.2020.101524

4. Fedorova N. S., Saleev R.A., Viktorov V.N. Сorrelations between quality of life and edentulous areas in elderly patients. Problemy stomatologii [Problems of Dentistry]. 2020; 16 (1): 164–70. DOI: https://doi.org/10.18481/2077-7566-2020-16-1-164-170 (in Russian)

5. Ramírez K., Gómez-Fernández A., Rojas M., Rojas-Guzmán R., Solano-Sanabria M., Villalobos-Méndez C. et al. Gingival health related to intake of different types of foods and body mass index in 12-year-old schoolchildren. Odovtos (International Journal of Dental Sciences). 2020; 22 (2): 165–77. DOI: https://doi.org/10.15517/ijds.2020.41001

6. Sosiawan A., Krissanti T.D., Palupi R., Berniyanti T., Wening G.R.S., Lestari P. The relationship of nutritional status and gingivitis in elementary school children. Indian J Public Health Res Dev. 2020; 11 (3): 2471–5. DOI: https://doi.org/10.37506/ijphrd.v11i3.2875

7. Vorob’eva N.A., Kunavina K.A., Golubovich A.V., Vorob’eva A.I. Oral health of the indigenous people of Vaigach Island, Arctic Russia. Ekologiya cheloveka [Human Ecology]. 2021; (4): 25–9. DOI: https://doi.org/10.33396/1728-0869-2021-4-25-29 (in Russian)

8. Popov V.A., Vyborova P.S., Gordienko A.A., Moseev R.I., Yushmanova T.N., Gorbatova M.A., et al. Oral health-related quality of life among students of the medical university in the Russian Arctic. Ekologiya cheloveka [Human Ecology]. 2020; (6): 46–57. DOI: https://doi.org/10.33396/1728-0869-2020-6-46-57 (in Russian)

9. Gorbatova M.A., Utkina E.I., Grzhibovsky A.M., Degteva G.N. Dietary factors and periodontal status among 15-year-old adolescents in Arkhangelsk region. Stomatologiya detskogo vozrasta i profilaktika [Pediatric Dentistry and Prevention]. 2019; 19 (1): 4–10. DOI: https://doi.org/10.33925/1683-3031-2019-19-69-4-10 (in Russian)

10. Priyamvara A., Dey A.K., Bandyopadhyay D., Katikineni V., Zaghlol R., Basyal B., et al. Periodontal inflammation and the risk of cardiovascular disease. Curr Atheroscler Rep. 2020; 22 (7): 28. DOI: https://doi.org/10.1007/s11883-020-00848-6

11. Oral health surveys: basic methods 5th ed. Moscow: MGMSU. 2013: 135 p. URL: https://apps.who.int/iris/bitstream/handle/10665/97035/9789241548649_rus.pdf?sequence=5&isAllowed=y

12. Barros A.J., Hirakata V.N. Alternatives for logistic regression in cross-sectional studies: an empirical comparison of models that directly estimate the prevalence ratio. BMC Med Res Methodol. 2003; 3: 21. DOI: https://doi.org/10.1186/1471-2288-3-21

13. Kozlov A.I., Vershubskaya G.G., Permyakova E.Yu. Nutrition status of rural schoolchildren of the Kola Arctic in 1995–2018. Novye issledovaniya [New Researches]. 2018; 2 (55): 29–38. (in Russian)

14. Fernández-Alvira J.M., Mouratidou T., Bammann K., Hebestreit A., Barba G., Sieri S., et al. Parental education and frequency of food consumption in European children: the IDEFICS study. Public Health Nutr. 2013; 16 (3): 487–98. DOI: https://doi.org/10.1017/S136898001200290X

15. Vasicheva A.N., Martynova M.A. Influence of family on food behavior in children and teenagers. Kazanskiy vestnik molodykh uchenykh [Kazan Bulletin of Young Scientists]. 2019; 3 (5): 35–7. (in Russian)

16. Fernandez-Alvira J.M., Börnhorst C., Bammann K., Gwozdz W., Krogh V., Hebestreit A., et al. Prospective associations between socioeconomic status and dietary patterns in European children: the Identification and Prevention of Dietary- and Lifestyle-induced Health Effects in Children and Infants (IDEFICS) Study. Br J Nutr. 2015; 113: 517–25.

17. Shal’nova S.A., Maksimov S.A., Balanova Yu.A., Evstifeeva S.E., Imaeva A.E., Kapustina А.V., et al. Adherence to a healthy lifestyle of the Russian population depending on the socio-demographics. Kardiovaskulyarnaya terapiya i profilaktika [Cardiovascular Therapy and Prevention]. 2020; 19 (2): 33–41. DOI: https://doi.org/10.15829/1728-8800-2020-2452 (in Russian)

18. Akimov M.Yu., Bessonov V.V., Kodentsova V.M., Eller K.I, Vrzhesinskaya O.A., Beketova N.A., et al. Biological value of fruits and berries of Russian production. Voprosy pitaniia [Problems of Nutrition]. 2020; 89 (4): 220–32. DOI: https://doi.org/10.24411/0042-8833-2020-10055 (in Russian)

19. Santos-Buelga C., González-Paramás A.M. Chemical composition of honey. In: Bee Products – Chemical and Biological Properties. Cham: Springer, 2017; Chap. 3: 43–82. DOI: https://doi.org/10.1007/978-3-319-59689-1_3

20. Kumar M., Prakash S., Lorenzo J. M., Chandran D., Dhumal S., Dey A., et al. Apitherapy and periodontal disease: Insights into in vitro, in vivo, and clinical studies. Antioxidants. 2022; 11 (5): 823. DOI: https://doi.org/10.3390/antiox11050823

21. Skoczek-Rubińska A., Bajerska J., Menclewicz K. Effects of fruit and vegetables intake in periodontal diseases: A systematic review. Dent Med Probl. 2018; 55 (4): 431–9. DOI: https://doi.org/10.17219/dmp/99072

22. Schwartz N., Kaye E.K., Nunn M.E., Spiro A., Garcia R.I. High-fiber foods reduce periodontal disease progression in men aged 65 and older: the Veterans Affairs normative aging study/Dental Longitudinal study. J Am Geriatr Soc. 2012; 60: 676–83. DOI: https://doi.org/10.1111/j.1532-5415.2011.03866.x

23. da Mata A.D.S.P., Amaral J.P.D.A.R., Thomson W.M., Barcelos F., Vaz Patto J., Pereira R.M.N., et al. Patient-related outcomes in Sjögren syndrome treated with stimulants of salivary secretion: Randomized clinical trial. Oral Dis. 2020; 26 (2): 313–24. DOI: https://doi.org/10.1111/odi.13251

24. Mayorova-Shheglova S.N., Mitrofanova S.Yu. Early maturation or infantilization: the paradox of modern childhood events. Vestnik Sankt-Peterburgskogo universiteta. Sotsiologiya. [Bulletin of Saint Petersburg University. Sociology]. 2020; 13 (1): 25–39. DOI: https://doi.org/10.21638/spbu12.2020.102 (in Russian)

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CHIEF EDITOR
CHIEF EDITOR
Viktor A. Tutelyan
Full Member of the Russian Academy of Sciences, Doctor of Medical Sciences, Professor, Scientific Director of the Federal Research Centre of Nutrition, Biotechnology and Food Safety (Moscow, Russia)

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