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Critical evaluation of previously published data on the fractional urinary fluoride excretion in young children
1Institute of Nutrition and Food Technology, University of Chile, Santiago. avilla@inta.cl
Insights
Young children’s fractional urinary fluoride excretion (FUFE) varies significantly. The inverse of fluoride dose, urinary fluoride excretion rate, and age are key predictors of FUFE in this age group.
Area of Science:
- Pediatric Health
- Environmental Health
- Toxicology
Background:
- Investigated the controversial findings on fractional urinary fluoride excretion (FUFE) in young children.
- Compared total fluoride intake and urinary fluoride excretion in pediatric populations.
Purpose of the Study:
- Analyze published data to understand how metabolic variables influence FUFE in children.
- Explore the impact of fluoride dose (F-dose), urinary fluoride excretion rate, age, and body weight on FUFE values.
Main Methods:
- Utilized bivariate correlations to analyze previously published average FUFE values in young children.
- Employed multiple linear regression models to study individual FUFE values when available.
Main Results:
- Average FUFE values in young children showed a linear correlation with the inverse of the daily F-dose (r = 0.90; p < 0.0005).
- A multiple regression model predicted individual FUFE values with high accuracy (multiple R2 = 0.947; p < 0.0001) using the inverse of the dose, urinary fluoride excretion rate, and age.
Conclusions:
- Young children do not exhibit a single average FUFE value; significant variability exists.
- The inverse of the F-dose explains a substantial portion (81%) of FUFE variability.
- Individual FUFE variability in young children is largely explained by the inverse F-dose, urinary fluoride excretion rate, and age (95%).
Background:
There have been several investigations comparing total fluoride intake and the urinary fluoride excretion in young children. Average results of the fractional urinary fluoride excretion (FUFE) reported for this age group are controversial.
Objective:
To analyse previously published results exploring the influence that some metabolic variables, such as the F-dose (mg F/kg body weight), rate of urinary fluoride excretion, age and body weight, might have on FUFE values.
Design:
Previously published results on average FUFE values in young children were analysed by means of bivariate correlations and when available, individual FUFE values were studied using multiple linear regression models.
Results:
Published average FUFE values for young children are linearly correlated with the inverse of daily F-dose (r = 0.90; p < 0.0005). Individual FUFE values can be predicted by means of a multiple regression model using (dose)(-1), rate of F urinary excretion and age as significant predictors; multiple R2 = 0.947, and p < 0.0001, for all of the partial regression coefficients.
Conclusions:
Young children appear not to have a single average value for FUFE. A high proportion of its variability (81%) is explained by the inverse of the F-dose. About 95% of the variability of individual FUFE values for this age group is explained by (dose)(-1), rate of urinary F-excretion and age.
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