Seasonal variation of fluoride intake by children in a subtropical region
Related Experiment Video
Updated: Sep 20, 2026

Micro-dissection of Enamel Organ from Mandibular Incisor of Rats Exposed to Environmental Toxicants
Published on: March 29, 2018
1Faculty of Dentistry of Piracicaba, Unicamp, Campinas, Brazil.
Insights
This study evaluated fluoride intake in Brazilian children, finding seasonal variations in diet did not significantly alter intake. However, adjusted data indicated higher fluoride consumption in warmer months, a factor potentially relevant for tropical climates.
Area of Science:
- Public Health
- Environmental Health
- Pediatric Nutrition
Background:
- Optimal fluoride concentrations for drinking water, established for temperate climates, may not be suitable for tropical and subtropical regions.
- Fluoride intake is influenced by dietary habits and environmental factors, necessitating climate-specific evaluations.
Purpose of the Study:
- To assess the daily fluoride intake of young children (20-30 months) in a subtropical, fluoridated community in Brazil.
- To investigate seasonal variations in fluoride intake from both food and beverages.
- To determine the relevance of these variations for public health recommendations in different climates.
Main Methods:
- Duplicate-plate method used to collect food and beverage samples over two days in each of the four seasons.
- Analysis of fluoride content in collected samples.
- Statistical analysis of daily fluoride intake data, with adjustments for diet volume and drinking water concentration.
Main Results:
- No statistically significant difference in daily fluoride intake was observed across the four seasons (p>0.05).
- Adjusted data revealed a statistically significant higher fluoride intake during the spring-summer seasons compared to fall-winter (p<0.05).
- Calculated fluoride dose was approximately 19% higher during warmer seasons.
Conclusions:
- While seasonal fluoride intake variations were not significant in this subtropical Brazilian community, they highlight potential concerns.
- The observed increase in fluoride intake during warmer months could be more relevant in genuine tropical climates.
- This study underscores the need for climate-specific considerations in public health policies regarding water fluoridation.
Abstract:
Since the optimum fluoride concentration in drinking water established for temperate countries has been considered not to be appropriate for tropical and subtropical climates, this study was conducted in Piracicaba, a subtropical, optimally fluoridated Brazilian community. The daily fluoride intake by 23 children (aged 20-30 months) from diet (liquids and solids) during the four seasons of the year was evaluated. Duplicate-plate samples of foods and beverages were collected for 2 days in each season of the year. The difference of fluoride intake during the 4 seasons was not statistically significant (p>0.05). However, the adjusted data, based on the volume of the diet collected and on the assumption of a constant fluoride concentration in the drinking water, showed that fluoride intake during spring-summer was statistically higher than that observed during the fall-winter seasons (p<0.05). The fluoride dose to which the children were submitted during the hot seasons would be 19% higher than that found during the cold ones. Although this dose difference would not to be a concern for a subtropical area, it could be relevant for a region with a genuine tropical climate.
Related Concept Videos
Drug Dosing: Infants and Children
Minerals
Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption
Solubility Equilibria: Overview
Solubility is important in biological and environmental processes. A notable...
Development of the Oral Microbiota
Influenza

