248181 Pure juice consumption and ECC trends

Monday, October 31, 2011

Clemencia M. Vargas, DDS, PhD , Department of Health Promotion and Policy, University of Maryland, Dental School, Baltimore, MD
Bruce A. Dye, DDS, MPH , National Center for Health Statistics, CDC, Hyattsville, MD
Dennis Buckman, PhD , Information Management Systems, Silver Spring, MD
Norman Tinanoff, DDS, MS , Department of Health Promotion and Policy, University of Maryland, Dental School, Baltimore, MD
Background: Early childhood caries (ECC) remains one of the most prevalent infectious diseases among children in the United States and its prevalence may be increasing. Purpose: To determine if there is a relationship between the increase in the consumption of 100% fruit juice and the increase in caries prevalence among preschool children adjusting for sociodemographic characteristics. Methods: Data for children 2-6 years of age from the 1988-1994 and 1999-2004 National Health and Nutrition Examination Survey (NHANES) periods were used. The dependent variable was ECC as measured by prevalence of caries (yes/no), severity of caries (none, low, high), and caries count (dfs). Independent variables were 100% pure juice consumed in the previous 24 hours (yes/no) and amount of pure juice consumed in that time (ounces). Sociodemographic characteristics included age, poverty, gender, dental visits, and consumption of dessert. Logistic, proportional odds, and Poisson regression models were fit to determine the association between ECC and pure juice reported consumption. Results: Pure fruit juice (100%) was a protective factor against ECC in 1988-94 [0.55 (0.46, 0.65] but not in 1999-2004 [0.98 (0.96, 1.0)]; associations did not change after adjusting for sociodemographic factors. Interactions for juice consumption and survey years were significant indicating that the association between pure juice consumption and ECC differed between the two survey periods. Conclusion: There was a change in the association between pure juice and ECC in the United States between 1988-1994 and 1999-2004.

Learning Areas:
Public health or related research

Learning Objectives:
Participants will be able to describe the association between pure juice consumption and early childhood caries trends in the US between 1988-94 and 19999-2004.

Keywords: Children's Health, Oral Health

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: No

Qualified on the content I am responsible for because: I have been doing research in early childhood caries for more than 10 years. I have published several papers in the topic.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.