Pattern of sugar-sweetened beverages consumption—based on group-based trajectory modeling and its association with childhood periodontal health
10.3760/cma.j.cn112338-20190826-00627
- VernacularTitle: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
- Author:
Xin CHEN
1
;
Yuanyin WANG
;
Xiaoyu SUN
;
Xiaoyan HU
;
Fangfang ZHU
;
Ying SUN
Author Information
1. 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
- Keywords:
Oral health;
Sugar-sweetened beverages;
Group-based trajectory model;
Longitudinal study
- From:
Chinese Journal of Epidemiology
2020;41(8):1308-1312
- CountryChina
- Language:Chinese
-
Abstract:
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.
