一项关于母乳养与配方奶或不配方奶对牙损伤影响的纵向研究
Sirima Sritangsirikul1,2, Kemporn Kitsahawong3, Oranart Matangkasombut4,5
1Faculty of Dentistry, PhD Program in Oral Sciences, Khon Kaen University, Muang District, Khon Kaen, 40002, Thailand.
Scientific reports
|May 6, 2024
概括
长时间的母乳养对幼儿牙健康可能是复杂的. 适度的完全母乳养 (6-17个月) 可以防止,但任何延长的母乳养 (≥18个月) 会增加脏病的风险.
科学领域:
- 儿科牙科 儿科牙科
- 公共卫生 营养 公共卫生 营养
- 流行病学 流行病学
背景情况:
- 长期母乳养对牙损伤风险的影响仍在争论中.
- 现有的关于母乳养时间和幼儿牙的证据是混合的.
- 了解最佳的母乳养时间对于口腔健康至关重要.
研究的目的:
- 调查母乳养时间与3岁儿童牙损伤之间的关联.
- 区分"全母乳养"与"任何母乳养"对脏病发展的影响.
- 提供基于证据的关于母乳养实践和牙健康的指导.
主要方法:
- 这是一项为期两年的前性队列研究,对486名幼儿进行了研究.
- 护理人员报告的养做法和混因素,每半年收集一次.
- 3岁时由经过校准的牙医进行牙科检查.
- 多变量回归分析 (日志-二项式和负二项式) 来评估相对风险.
主要成果:
- 在3岁时,60.3%的儿童患有 (平均dft:3.3).
- 6至17个月的完全母乳养与减少脏病发病率有关 (RR 0.78-0.84).
- 任何18个月或更长时间的母乳养都会显著增加皮的风险 (RR 1.45).
- 完全母乳养 (≥6个月) 或任何母乳养 (6至17个月) 与较低的腐烂和填充牙 (dft) 分数相关.
结论:
- 哺乳时间与牙腐烂有着复杂的,非线性关系.
- 适度持续的完全母乳养 (6-17个月) 似乎可以防止.
- 长时间的母乳养 (≥18个月) 与幼儿食风险增加有关.
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