Starch intake and caries increment: A longitudinal study in Finnish adults
Abstract Objective: To evaluate whether changes in starch intake (in terms of amount and food sources) were associated with increments in dental caries among adults. Design: This is an 11-year longitudinal study (2000–2011) with duplicate assessments for all variables. A 128-item FFQ was used to...
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Cambridge University Press
2024-01-01
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| Series: | Public Health Nutrition |
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| Online Access: | https://www.cambridge.org/core/product/identifier/S1368980024002398/type/journal_article |
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| author | Fariah H Jangda Annaliisa L Suominen Annamari Lundqvist Satu Männistö Ali Golkari Eduardo Bernabé |
| author_facet | Fariah H Jangda Annaliisa L Suominen Annamari Lundqvist Satu Männistö Ali Golkari Eduardo Bernabé |
| author_sort | Fariah H Jangda |
| collection | DOAJ |
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Abstract
Objective:
To evaluate whether changes in starch intake (in terms of amount and food sources) were associated with increments in dental caries among adults.
Design:
This is an 11-year longitudinal study (2000–2011) with duplicate assessments for all variables. A 128-item FFQ was used to estimate intake of starch (g/d) and six starch-rich food groups (potatoes, potato products, roots and tubers, pasta, wholegrains and legumes). Dental caries was assessed through clinical examinations and summarised using the number of decayed, missing and filled teeth (DMFT score). The relationship between quintiles of starch intake and DMFT score was tested in linear hybrid models adjusting for confounders.
Setting:
Northern and Southern regions of Finland.
Participants:
922 adults, aged 30–88 years.
Results:
Mean starch intake was 127·6 (sd: 47·8) g/d at baseline and 120·7 (55·8) g/d at follow-up. Mean DMFT score was 21·7 (6·4) and 22·4 (6·2) at baseline and follow-up. Starch intake was inversely associated with DMFT score cross-sectionally (rate ratio for highest v. lowest quintile of intake: –2·73, 95 % CI –4·64, –0·82) but not longitudinally (0·32, 95 % CI –0·12, 0·76). By food sources, the intakes of pasta (–2·77, 95 % CI –4·21, –1·32) and wholegrains (–1·91, 95 % CI –3·38, –0·45) were negatively associated with DMFT score cross-sectionally but not longitudinally (0·03, 95 % CI –0·33, 0·39 and –0·10, 95 % CI –0·44, 0·24, respectively).
Conclusion:
Changes in the amount and sources of starch intake were not associated with changes in dental caries. Further studies should be conducted in different settings and age groups while focusing on starch digestibility and specific sources of starch.
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| format | Article |
| id | doaj-art-f03fea457f824908b6c8b7940e97c385 |
| institution | Kabale University |
| issn | 1368-9800 1475-2727 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | Public Health Nutrition |
| spelling | doaj-art-f03fea457f824908b6c8b7940e97c3852025-01-16T21:49:46ZengCambridge University PressPublic Health Nutrition1368-98001475-27272024-01-012710.1017/S1368980024002398Starch intake and caries increment: A longitudinal study in Finnish adultsFariah H Jangda0Annaliisa L Suominen1Annamari Lundqvist2Satu Männistö3Ali Golkari4Eduardo Bernabé5https://orcid.org/0000-0002-1858-3713Institute of Dentistry, Queen Mary University of London, London, UKInstitute of Dentistry, University of Eastern Finland, Kuopio, Finland Oral Health Teaching Unit, Kuopio University Hospital, Kuopio, Finland National Institute for Health and Welfare, Helsinki, FinlandNational Institute for Health and Welfare, Helsinki, FinlandNational Institute for Health and Welfare, Helsinki, FinlandInstitute of Dentistry, Queen Mary University of London, London, UKInstitute of Dentistry, Queen Mary University of London, London, UK Abstract Objective: To evaluate whether changes in starch intake (in terms of amount and food sources) were associated with increments in dental caries among adults. Design: This is an 11-year longitudinal study (2000–2011) with duplicate assessments for all variables. A 128-item FFQ was used to estimate intake of starch (g/d) and six starch-rich food groups (potatoes, potato products, roots and tubers, pasta, wholegrains and legumes). Dental caries was assessed through clinical examinations and summarised using the number of decayed, missing and filled teeth (DMFT score). The relationship between quintiles of starch intake and DMFT score was tested in linear hybrid models adjusting for confounders. Setting: Northern and Southern regions of Finland. Participants: 922 adults, aged 30–88 years. Results: Mean starch intake was 127·6 (sd: 47·8) g/d at baseline and 120·7 (55·8) g/d at follow-up. Mean DMFT score was 21·7 (6·4) and 22·4 (6·2) at baseline and follow-up. Starch intake was inversely associated with DMFT score cross-sectionally (rate ratio for highest v. lowest quintile of intake: –2·73, 95 % CI –4·64, –0·82) but not longitudinally (0·32, 95 % CI –0·12, 0·76). By food sources, the intakes of pasta (–2·77, 95 % CI –4·21, –1·32) and wholegrains (–1·91, 95 % CI –3·38, –0·45) were negatively associated with DMFT score cross-sectionally but not longitudinally (0·03, 95 % CI –0·33, 0·39 and –0·10, 95 % CI –0·44, 0·24, respectively). Conclusion: Changes in the amount and sources of starch intake were not associated with changes in dental caries. Further studies should be conducted in different settings and age groups while focusing on starch digestibility and specific sources of starch. https://www.cambridge.org/core/product/identifier/S1368980024002398/type/journal_articleStarchCarbohydratesDental cariesLongitudinal studyAdultFinland |
| spellingShingle | Fariah H Jangda Annaliisa L Suominen Annamari Lundqvist Satu Männistö Ali Golkari Eduardo Bernabé Starch intake and caries increment: A longitudinal study in Finnish adults Public Health Nutrition Starch Carbohydrates Dental caries Longitudinal study Adult Finland |
| title | Starch intake and caries increment: A longitudinal study in Finnish adults |
| title_full | Starch intake and caries increment: A longitudinal study in Finnish adults |
| title_fullStr | Starch intake and caries increment: A longitudinal study in Finnish adults |
| title_full_unstemmed | Starch intake and caries increment: A longitudinal study in Finnish adults |
| title_short | Starch intake and caries increment: A longitudinal study in Finnish adults |
| title_sort | starch intake and caries increment a longitudinal study in finnish adults |
| topic | Starch Carbohydrates Dental caries Longitudinal study Adult Finland |
| url | https://www.cambridge.org/core/product/identifier/S1368980024002398/type/journal_article |
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