ArticleBMC oral health2015
Association between added sugar intake and dental caries in Yup'ik children using a novel hair biomarker.
Article in BMC oral health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.
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Who cites it
30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 60 citations in OpenAlex.
- Effect of sugar-sweetened beverage taxation on sugars intake and dental caries: an umbrella review of a global perspective.BMC public health · 2023Pooled it
- Measuring beverage consumption in US children and adolescents: a systematic review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2018Pooled it
- Obesity Prevalence and Dietary Factors Among Preschool-Aged Head Start Children in Remote Alaska Native Communities: Baseline Data from the "Childhood obesity (Print) · 2023Trial
- Dietary Factors and BMI Among Preschool-Aged Head Start Children and Home Caregivers in Remote Alaska Native Communities.Journal of racial and ethnic health disparities · 2026Article
- Carbon stable isotope values in hair are associated with added sugar intake in adults but not young children: a cross-sectional study.The American journal of clinical nutrition · 2025Observational
- Impact of Free Sugar Consumption on Dental Caries: A Cross-Sectional Analysis of Children in the United States.Dentistry journal · 2025Article
- Healthy Drinks, Healthy Teeth - Ciunerkaq Tanqigtuq (The Future is Bright): A study protocol for a community-based, non-randomized sociobehavioral trial to reduce added sugar intake in Alaska Native Yup'ik children in the Yukon-Kuskokwim Delta.Contemporary clinical trials · 2024Article
- Identifying sources of variation in added sugar intake for Alaska Native children using a hair biomarker.International journal of circumpolar health · 2024Article
- Initial development of the Sugar-Sweetened Fruit Drink Questionnaire for examining beliefs, knowledge, and behaviors in an intervention to reduce sugar-sweetened fruit drink intake in Alaska Native children.Journal of public health dentistry · 2024Article
- Reply to JCY Louie.The American journal of clinical nutrition · 2024Article
- Article
- History of dental caries in Inuit populations: genetic implications and 'distance effect'.International journal of circumpolar health · 2023Article
- Cost-effectiveness of dental caries prevention strategies in South African schools.BMC oral health · 2023Article
- Assessing sugar intake rapidly - a short form of the Marburg Sugar Index (MSI).BMC oral health · 2023Article
- Impact of Assistance Programs on Indigenous Ways of Life in 12 Rural Remote Western Alaska Native Communities: Elder Perspectives Shared in Formative Work for the "Got Neqpiaq?" Project.International journal of circumpolar health · 2022Article
- Article
- Seasonal variation in added sugar or sugar sweetened beverage intake in Alaska native communities: an exploratory study.International journal of circumpolar health · 2021Article
- Article
- Using electronic dental records to establish a surveillance system for dental decay in rural Western Alaska.Journal of public health dentistry · 2021Article
- Storekeeper perspectives on improving dietary intake in 12 rural remote western Alaska communities: the "Got Neqpiaq?" project.International journal of circumpolar health · 2021Article
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundDental caries (tooth decay) is a significant public health problem in Alaska Native children. Dietary added sugars are considered one of the main risk factors. In this cross-sectional pilot study, we used a validated hair-based biomarker to measure added sugar intake in Alaska Native Yup'ik children ages 6-17 years (N = 51). We hypothesized that added sugar intake would be positively associated with tooth decay.
methodsA 66-item parent survey was administered, a hair sample was collected from each child, and a dental exam was conducted. Added sugar intake (grams/day) was measured from hair samples using a linear combination of carbon and nitrogen ratios. We used linear and log-linear regression models with robust standard errors to test our hypothesis that children with higher added sugar intake would have a higher proportion of carious tooth surfaces.
resultsThe mean proportion of carious tooth surfaces was 30.8 % (standard deviation: 23.2 %). Hair biomarker-based added sugar intake was associated with absolute (6.4 %; 95 % CI: 1.2 %, 11.6 %; P = .02) and relative increases in the proportion of carious tooth surfaces (24.2 %; 95 % CI: 10.6 %, 39.4 %; P < .01). There were no associations between self-reported measures of sugar-sweetened food and beverage intake and tooth decay.
conclusionsAdded sugar intake as assessed by hair biomarker was significantly and positively associated with tooth decay in our sample of Yup'ik children. Self-reported dietary measures were not associated tooth decay. Most added sugars were from sugar-sweetened fruit drinks consumed at home. Future dietary interventions aimed at improving the oral health of Alaska Native children should consider use of objective biomarkers to assess and measure changes in home-based added sugar intake, particularly sugar-sweetened fruit drinks.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.