Healthy Food, Healthy Teeth: A Formative Study to Assess Knowledge of Foods for Oral Health in Children and Adults
Abstract
:1. Introduction
2. Materials and Methods
2.1. Recruitment
2.2. Procedures
2.3. Analyses
3. Results
3.1. Comparisons of Participant Groups Using the Card Sorting of Foods by the Current Dietary Guidelines Model
3.2. Categorisations of Foods by Children and Adults: Foods Recommended as Healthy According to Dietary Guidelines
3.3. Categorisations of Foods by Children and Adults: Foods Recommended as Unhealthy According to Dietary Guidelines
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
- Alrabiah, M.; Al-Aali, K.A.; Al-Sowygh, Z.H.; Binmahfooz, A.M.; Mokeem, S.A.; Abduljabbar, T. Association of advanced glycation end products with peri-implant inflammation in prediabetes and type 2 diabetes mellitus patients. Clin. Implant Dent. Relat. Res. 2018, 20, 535–540. [Google Scholar]
- Negrini, T.C.; Carlos, I.Z.; Duque, C.; Caiaffa, K.S.; Arthur, R.A. Interplay Among the Oral Microbiome, Oral Cavity Conditions, the Host Immune Response, Diabetes Mellitus, and Its Associated-Risk Factors-An Overview. Front. Oral Health 2021, 2, 697428. [Google Scholar]
- Liccardo, D.; Cannavo, A.; Spagnuolo, G.; Ferrara, N.; Cittadini, A.; Rengo, C.; Rengo, G. Periodontal Disease: A Risk Factor for Diabetes and Cardiovascular Disease. Int. J. Mol. Sci. 2019, 20, 1414. [Google Scholar]
- Chopra, A.; Jayasinghe, T.N.; Eberhard, J. Are Inflamed Periodontal Tissues Endogenous Source of Advanced Glycation End-Products (AGEs) in Individuals with and without Diabetes Mellitus? A Systematic Review. Biomolecules 2022, 12, 642. [Google Scholar]
- King, S.; Chow, C.K.; Eberhard, J. Oral health and cardiometabolic disease: Understanding the relationship. Intern. Med. J. 2022, 52, 198–205. [Google Scholar]
- Rahimi, A.; Afshari, Z. Periodontitis and cardiovascular disease: A literature review. ARYA Atheroscler 2021, 17, 1–8. [Google Scholar]
- Jatrana, S.; Crampton, P.; Filoche, S. The case for integrating oral health into primary health care. N. Z. Med. J. 2009, 122, 43–52. [Google Scholar]
- Vernon, L.T.; Teng, K.A.; Kaelber, D.C.; Heintschel, G.P.; Nelson, S. Time to integrate oral health screening into medicine? A survey of primary care providers of older adults and an evidence-based rationale for integration. Gerodontology 2021. [Google Scholar] [CrossRef]
- Sheiham, A.; James, W.P. Diet and Dental Caries: The Pivotal Role of Free Sugars Reemphasized. J. Dent. Res. 2015, 94, 1341–1347. [Google Scholar]
- Sheiham, A.; James, W.P. A reappraisal of the quantitative relationship between sugar intake and dental caries: The need for new criteria for developing goals for sugar intake. BMC Public Health 2014, 14, 863–870. [Google Scholar]
- Moynihan, P.; Tanner, L.; Holmes, R.; Hillier-Brown, F.; Mashayekhi, A.; Kelly, S.; Craig, D. Systematic Review of Evidence Pertaining to Factors That Modify Risk of Early Childhood Caries. JDR Clin. Trans. Res. 2019, 4, 202–216. [Google Scholar]
- Moynihan, P.; Miller, C. Beyond the Chair: Public Health and Governmental Measures to Tackle Sugar. J. Dent. Res. 2020, 99, 871–876. [Google Scholar]
- Loesche, W.J. Role of Streptococcus mutans in human dental decay. Microbiol. Rev. 1986, 50, 353–380. [Google Scholar]
- Loesche, W.J. Association of the oral flora with important medical diseases. Curr. Opin. Periodontol. 1997, 4, 21–28. [Google Scholar]
- OmerOglou, E.; Karaca, B.; Kibar, H. The role of microbiota-derived postbiotic mediators on biofilm formation and quorum sensing-mediated virulence of Streptococcus mutans: A perspective on preventing dental caries. Microb. Pathog. 2022, 164, 105390. [Google Scholar]
- Kashket, S.; Yaskell, T.; Murphy, J.E. Delayed effect of wheat starch in foods on the intraoral demineralization of enamel. Caries Res. 1994, 28, 291–296. [Google Scholar]
- Linke, H.; Birkenfeld, L. Clearance and metabolism of starch foods in the oral cavity. Ann. Nutr. Metab. 1999, 43, 131–139. [Google Scholar]
- de Sousa, E.T.; Lima-Holanda, A.T.; Sales, L.S.; Nobre-Dos-Santos, M. Combined effect of starch and sucrose on carbonic anhydrase VI activity in saliva and biofilm of children with early childhood caries. Exposure to starch and sucrose alters carbonic anhydrase VI activity in saliva and biofilm. Clin. Oral Investig. 2021, 25, 2555–2568. [Google Scholar]
- Hancock, S.; Zinn, C.; Schofield, G. The consumption of processed sugar- and starch-containing foods, and dental caries: A systematic review. Eur. J. Oral Sci. 2020, 128, 467–475. [Google Scholar]
- Kashket, S.; DePaola, D.P. Cheese consumption and the development and progression of dental caries. Nutr. Rev. 2002, 60, 97–103. [Google Scholar]
- Hujoel, P. Dietary carbohydrates and dental-systemic diseases. J. Dent. Res. 2009, 88, 490–502. [Google Scholar]
- Hujoel, P.P. Vitamin D and dental caries in controlled clinical trials: Systematic review and meta-analysis. Nutr. Rev. 2013, 71, 88–97. [Google Scholar]
- Beckett, D.M.; Broadbent, J.M.; Loch, C.; Mahoney, E.K.; Drummond, B.K.; Wheeler, B.J. Dental Consequences of Vitamin D Deficiency during Pregnancy and Early Infancy-An Observational Study. Int. J. Environ. Res. Public Health 2022, 19, 1932. [Google Scholar]
- Mellanby, M.; Pattison, C.L. Remarks on the influence of a cereal-free diet rich in vitamin D and calcium on dental caries in children. Br. Med. J. 1932, 1, 507–510. [Google Scholar]
- Mellanby, M.; Pattison, C.L. The Action of Vitamin D in preventing the spread and promoting the arrest of caries in children. Br. Med. J. 1928, 2, 1079–1082. [Google Scholar]
- Schroth, R.; Rabbani, R.; Loewen, G.; Moffatt, M. Vitamin D and Dental Caries in Children. J. Dent. Res. 2016, 95, 173–179. [Google Scholar]
- Papas, A.S.; Joshi, A.; Belanger, A.J.; Kent, R.L., Jr.; Palmer, C.A.; DePaola, P.F. Dietary models for root caries. Am. J. Clin. Nutr. 1995, 61, 417–422. [Google Scholar]
- Touger-Decker, R.; van Loveren, C. Sugars and dental caries. Am. J. Clin. Nutr. 2003, 78, 881–892. [Google Scholar]
- Blake, C.; Bisogni, C.; Sobal, J.; Devine, C.; Jastran, M. Classifying foods in contexts: How adults categorize foods for different eating settings. Appetite 2007, 49, 500–510. [Google Scholar]
- Blake, C.E.; Davison, K.K.; Blaine, R.E.; Fisher, J.O. Occasions, purposes, and contexts for offering snacks to preschool-aged children: Schemas of caregivers with low-income backgrounds. Appetite 2021, 167, 105627. [Google Scholar]
- Abuhaloob, L.; Petersen, P.E. Oral Health Status and Oral Health Behaviour among 5- to 6-year-old Palestinian Schoolchildren—Towards Engagement of Parents and Schoolteachers for Oral Health through Schools. Oral. Health Prev. Dent. 2021, 19, 673–682. [Google Scholar]
- Borrell García, C.; García Miralles, E.; Marqués Martínez, L. Association between eating behavior pattern and caries in a population of children aged 3 to 9 years in the province of Alicante. Nutr. Hosp. 2022, 39, 33–38. [Google Scholar]
- González-Olmo, M.J.; Ruiz-Guillén, A.; Moya-López, M.; Romero-Maroto, M.; Carrillo-Díaz, M. The Influence of Parenting Styles on Eating Behavior and Caries in Their Children: A Cross-Sectional Study. Children 2022, 9, 911. [Google Scholar]
- Mueller, M.; Schorle, S.; Vach, K.; Hartmann, A.; Zeeck, A.; Schlueter, N. Relationship between dental experiences, oral hygiene education and self-reported oral hygiene behaviour. PLoS ONE 2022, 17, e0264306. [Google Scholar]
- Nicksic, N.; Massie, A.; Byrd-Williams, C.; Kelder, S.; Sharma, S.; Butte, N.; Hoelscher, D. Dietary Intake, Attitudes toward Healthy Food, and Dental Pain in Low-Income Youth. JDR Clin. Trans. Res. 2018, 3, 279–287. [Google Scholar]
- Pandey, R.; Mishra, A.; Chopra, H.; Arora, V. Oral health awareness in school-going children and its significance to parent’s education level. J. Indian Soc. Pedod. Prev. Dent. 2018, 36, 120–124. [Google Scholar]
- Ji, Y.; Zhang, Y.; Wang, Y.; Chang, C. Association between family factors and children’s oral health behaviors—A cross-sectional comparative study of permanent resident and migrant children in large cities in China. Comm. Dent. Oral. Epidemiol. 2016, 44, 92–100. [Google Scholar]
- Poutanen, R.; Lahti, S.; Tolvanen, M.; Hausen, H. Parental influence on children’s oral health-related behavior. Acta Odontol. Scand. 2006, 64, 286–292. [Google Scholar]
- Eke, C.B.; Akaji, E.A.; Ukoha, O.M.; Muoneke, V.U.; Ikefuna, A.N.; Onwuasigwe, C.N. Paediatricians’ perception about oral healthcare of children in Nigeria. BMC Oral. Health 2015, 15, 164. [Google Scholar]
- Gereige, R.S.; Dhepyasuwan, N.; Garcia, K.L.; Vasan, R.; Serwint, J.R.; Bernstein, H.H. Pediatric Residents’ Knowledge and Comfort With Oral Health Bright Futures Concepts: A CORNET Study. Acad. Pediatr. 2015, 15, 551–556. [Google Scholar]
- Hadjipanayis, A.; Grossman, Z.; del Torso, S.; Michailidou, K.; Van Esso, D.; Cauwels, R. Oral health training, knowledge, attitudes and practices of primary care paediatricians: A European survey. Eur. J. Pediatr. 2018, 177, 675–681. [Google Scholar]
- Richards, W.; Filipponi, T.; Roberts-Burt, V. Roberts-Burt Mind the gap! A comparison of oral health knowledge between dental, healthcare professionals and the public. Br. Dent. J. 2014, 216, E7. [Google Scholar] [CrossRef]
- Shah, K.; Hunter, M.L.; Fairchild, R.M.; Morgan, M.Z. A comparison of the nutritional knowledge of dental, dietetic and nutrition students. Br. Dent. J. 2011, 210, 33–38. [Google Scholar]
- Frame, L.A. Nutrition, a Tenet of Lifestyle Medicine but Not Medicine? Int. J. Environ. Res. Public Health 2021, 18, 5974. [Google Scholar]
- Harkin, N.; Johnston, E.; Mathews, T.; Guo, Y.; Schwartzbard, A.; Berger, J.; Gianos, E. Physicians’ Dietary Knowledge, Attitudes, and Counseling Practices: The Experience of a Single Health Care Center at Changing the Landscape for Dietary Education. Am. J. Lifestyle Med. 2019, 13, 292–300. [Google Scholar]
- Mondala, M.M.; Sannidhi, D. Catalysts for Change: Accelerating the Lifestyle Medicine Movement Through Professionals in Training. Am. J. Lifestyle Med. 2019, 13, 487–494. [Google Scholar]
- Scarborough, P.; Rayner, M.; Stockley, L.; Black, A. Nutrition professionals’ perception of the ‘healthiness’ of individual foods. Public Health Nutr. 2007, 10, 346–353. [Google Scholar]
- Piñeiro, R.; Network, O.B.O.E.; Brotons, C.; Bulc, M.; Ciurana, R.; Drenthen, T.; Durrer, D.; Godycki-Cwirko, M.; Görpelioglu, S.; Kloppe, P.; et al. Healthy diet in primary care: Views of general practitioners and nurses from Europe. Eur. J. Clin. Nutr. 2005, 59 (Suppl. S1), S77–S80. [Google Scholar]
- Parker, W.-A.; Steyn, N.P.; Levitt, N.S.; Lombard, C.J. They think they know but do they? Misalignment of perceptions of lifestyle modification knowledge among health professionals. Public Health Nutr. 2011, 14, 1429–1438. [Google Scholar]
- Talip, W.-A.; Steyn, N.P.; Visser, M.; Charlton, K.E.; Temple, N. Development and validation of a knowledge test for health professionals regarding lifestyle modification. Nutrition 2003, 19, 760–766. [Google Scholar]
- Niven, P.; Morley, B.; Gascoyne, C.; Dixon, H.; McAleese, A.; Martin, J.; Wakefield, M. Differences in healthiness perceptions of food and dietary patterns among the general public and nutrition experts: A cross-sectional online survey. Health Promot. J. Austr. 2022, 33, 361–372. [Google Scholar]
- Hancock, S.; Zinn, C.; Schofield, G.; Thornley, S. Nutrition guidelines for dental care vs. the evidence: Is there a disconnect? N. Z. Med. J. 2020, 133, 65–72. [Google Scholar]
- Gibson, E.L.; Wardle, J.; Watts, C.J. Fruit and vegetable consumption, nutritional knowledge and beliefs in mothers and children. Appetite 1998, 31, 205–228. [Google Scholar]
- Livingstone, M.B.; Robson, P.J.; Wallace, J.M. Issues in dietary intake assessment of children and adolescents. Br. J. Nutr. 2004, 92 (Suppl. S2), S213–S222. [Google Scholar]
- Bodel, S.L. The Development of a Fruit and Vegetable Liking Tool for Preschool Aged Children. Master’s Thesis, Institute of Food, Nutrition and Human Health, Massey University, New Zealand. Available online: https://mro.massey.ac.nz/handle/10179/5200 (accessed on 19 June 2022).
- Ministry of Health. NZ Food, NZ Children: Key Results of the 2002 National Children’s Survey; Ministry of Health: Wellington, New Zealand, 2003. [Google Scholar]
- Hancock, S.; Zinn, C.; Schofield, G. The validity and reliability of novel card sorting tasks to evaluate nutrition knowledge for general and oral health. J. Educ. Health Promot. in submission.
- Ministry of Health. Clinical Guidelines for Weight Management in New Zealand Children and Young People; New Zealand Ministry of Health: Wellington, New Zealand, 2016. [Google Scholar]
- Suleiman-Martos, N.; García-Lara, R.; Martos-Cabrera, M.; Albendín-García, L.; Romero-Béjar, J.; la Fuente, G.C.-D.; Gómez-Urquiza, J. Gamification for the Improvement of Diet, Nutritional Habits, and Body Composition in Children and Adolescents: A Systematic Review and Meta-Analysis. Nutrients 2021, 13, 2478. [Google Scholar]
- Walker, J.L.; Dix, C.; Hardt, J.; Farletti, R.; Littlewood, R. What Do Health Professionals and Parents Want as Part of an Online Childhood Obesity Prevention Program? Child. Obes. 2022. [Google Scholar] [CrossRef]
- Statistics New Zealand. Subnational Population Estimates: At 30 June 2019 (Provisional). 2019. Available online: https://www.stats.govt.nz/information-releases/subnational-population-estimates-at-30-june-2019-provisional (accessed on 20 May 2020).
- Hawkins, M. Were warriors once low carb? Commentary on New Zealand Māori nutrition and anthropometrics over the last 150 years. J. Prim. Health Care 2021, 13, 106–111. [Google Scholar]
- Schofield, G.; Zinn, C.; Rodger, C. What the Fat? Fat’s IN, Sugar’s OUT; The Real Food Publishing Company: Auckland, New Zealand, 2015. [Google Scholar]
- Gameau, D. That Sugar Film; Madman Entertainment: East Melbourne, Australia, 2015. [Google Scholar]
- Monteiro, C.A.; Cannon, G.; Levy, R.B.; Moubarac, J.-C.; Louzada, M.L.C.; Rauber, F.; Khandpur, N.; Cediel, G.; Neri, D.; Martinez-Steele, E.; et al. Ultra-processed foods: What they are and how to identify them. Public Health Nutr. 2019, 22, 936–941. [Google Scholar]
- Monteiro, C.A.; Cannon, G.; Moubarac, J.-C.; Levy, R.B.; Louzada, M.L.C.; Jaime, P.C. The UN Decade of Nutrition, the NOVA food classification and the trouble with ultra-processing. Public Health Nutr. 2018, 21, 5–17. [Google Scholar]
- Monteiro, C.A.; Cannon, C.; Levy, R.; Moubarac, J.-C.; Jaime, P. NOVA. The star shines bright. World Nutr. 2016, 7, 28–38. [Google Scholar]
- Campain, A.C.; Morgan, M.V.; Evans, R.W.; Ugoni, A.; Adams, G.G.; Conn, J.A.; Watson, M.J. Sugar-starch combinations in food and the relationship to dental caries in low-risk adolescents. Eur. J. Oral. Sci. 2003, 111, 316–325. [Google Scholar]
- Achalu, P.; Zahid, N.; Sherry, D.N.; Chang, A.; Sokal-Gutierrez, K. A Qualitative Study of Child Nutrition and Oral Health in El Salvador. Int. J. Environ. Res. Public Health 2019, 16, 2508. [Google Scholar]
- Martínez Steele, E.; Baraldi, L.G.; da Costa Louzada, M.L.; Moubarac, J.-C.; Mozaffarian, D.; Monteiro, C.A. Ultra-processed foods and added sugars in the US diet: Evidence from a nationally representative cross-sectional study. BMJ Open 2016, 6, e009892. [Google Scholar]
- Kopp, W. How Western Diet And Lifestyle Drive The Pandemic Of Obesity And Civilization Diseases. Diabetes Metab Syndr Obes 2019, 12, 2221–2236. [Google Scholar]
- Miclotte, L.; Van de Wiele, T. Food processing, gut microbiota and the globesity problem. Crit. Rev. Food Sci. Nutr. 2019, 60, 1769–1782. [Google Scholar]
- Rauber, F.; da Costa Louzada, M.L.; Steele, E.M.; Millett, C.; Monteiro, C.A.; Levy, R.B. Ultra-Processed Food Consumption and Chronic Non-Communicable Diseases-Related Dietary Nutrient Profile in the UK (2008-2014). Nutrients 2018, 10, 587. [Google Scholar] [CrossRef] [Green Version]
- Martínez Steele, E.; Juul, F.; Neri, D.; Rauber, F.; Monteiro, C.A. Dietary share of ultra-processed foods and metabolic syndrome in the US adult population. Prev. Med. 2019, 125, 40–48. [Google Scholar]
- Malhotra, A.; Schofield, G.; Lustig, R.H. The science against sugar, alone, is insufficient in tackling the obesity and type 2 diabetes crises—We must also overcome opposition from vested interests. J. Insul. Resist. 2018, 3, 1–6. [Google Scholar]
- Mackay, S.; Mhurchu, C.N.; Eyles, H. State of the Food Supply: New Zealand 2019; University of Auckland: Auckland, New Zealand, 2019. [Google Scholar]
Participant Variable | Parents (n = 9) and Health Professionals (n = 12) |
---|---|
Age | |
25–34 (%) | 2 (10) |
35–44 (%) | 10 (48) |
45–54 (%) | 8 (38) |
55–64 (%) | 2 (10) |
Gender | |
Male (%) | 6 (29) |
Female (%) | 15 (71) |
Ethnic group | |
NZ* European (%) | 17 (81) |
Māori (%) | 1 (5) |
Other (%) | 3 (14) |
Participant Variable | Children (n = 79) |
Age | |
10 years (%) | 27 (34) |
11 years (%) | 32 (41) |
12 years (%) | 17 (22) |
13 years (%) | 3 (3) |
Gender | |
Male (%) | 29 (37) |
Female (%) | 50 (63) |
Ethnic group | |
NZ * European (%) | 43 (54) |
Māori (%) | 32 (41) |
Asian (%) | 3 (3.7) |
Pacific (%) | 1(1.3) |
Participant Group | Mean Total Scores ± SD (Range) | Mean Percentage of Correct Total Scores (Range) |
---|---|---|
All Adults (n = 21) | 20.2 ± 2.49 (12–24) | 84 (50–100) |
| 19.4 ± 2.91 (12–24) | 81 (50–100) |
| 21.3 ± 1.22 (19–23) | 89 (79–96) |
All Children (n = 79) | 18.3 ± 2.76 (11–23) | 76 (46–96) |
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Hancock, S.; Schofield, G.; Zinn, C. Healthy Food, Healthy Teeth: A Formative Study to Assess Knowledge of Foods for Oral Health in Children and Adults. Nutrients 2022, 14, 2984. https://doi.org/10.3390/nu14142984
Hancock S, Schofield G, Zinn C. Healthy Food, Healthy Teeth: A Formative Study to Assess Knowledge of Foods for Oral Health in Children and Adults. Nutrients. 2022; 14(14):2984. https://doi.org/10.3390/nu14142984
Chicago/Turabian StyleHancock, Sarah, Grant Schofield, and Caryn Zinn. 2022. "Healthy Food, Healthy Teeth: A Formative Study to Assess Knowledge of Foods for Oral Health in Children and Adults" Nutrients 14, no. 14: 2984. https://doi.org/10.3390/nu14142984