Evidence map›Paper›PMID 32519237›Full record

ArticleClinical oral investigations2021

Higher sugar intake is associated with periodontal disease in adolescents.

Ana R O Moreira, Rosangela F L Batista, Lorena L C Ladeira, Erika B A F Thomaz, Claudia M C Alves, Maria C Saraiva, Antonio A M Silva, Mario A Brondani, Cecilia C C Ribeiro

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Article in Clinical oral investigations, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
4.7field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 49 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 2 countries.

Ana R O MoreiraPostgraduate Program of Dentistry, Federal University of Maranhão, Av. dos Portugueses 1966, Cidade Universitária Bacanga, São Luís, MA, 65080-805, Brazil.
Rosangela F L BatistaPostgraduate Program of Public Health, Federal University of Maranhão, São Luís, MA, Brazil.
Lorena L C LadeiraPostgraduate Program of Dentistry, Federal University of Maranhão, Av. dos Portugueses 1966, Cidade Universitária Bacanga, São Luís, MA, 65080-805, Brazil.
Erika B A F ThomazPostgraduate Program of Public Health, Federal University of Maranhão, São Luís, MA, Brazil.
Claudia M C AlvesPostgraduate Program of Dentistry, Federal University of Maranhão, Av. dos Portugueses 1966, Cidade Universitária Bacanga, São Luís, MA, 65080-805, Brazil.
Maria C SaraivaDepartment of Pediatric Dentistry of Ribeirão Preto, University of São Paulo, São Paulo, SP, Brazil.
Antonio A M SilvaPostgraduate Program of Public Health, Federal University of Maranhão, São Luís, MA, Brazil.
Mario A BrondaniFaculty of Dentistry, University of British Columbia, Vancouver, BC, Canada.
Cecilia C C RibeiroPostgraduate Program of Dentistry, Federal University of Maranhão, Av. dos Portugueses 1966, Cidade Universitária Bacanga, São Luís, MA, 65080-805, Brazil. cecilia_ribeiro@hotmail.com.ORCID http://orcid.org/0000-0003-0041-7618
Universidade Federal do Maranhão · BRUniversidade de São Paulo · BRUniversity of British Columbia · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesAnalyze the association between higher added sugar exposure and periodontal disease in adolescents (18-19 years old). MATERIALS AND

methodsThis was a cross-sectional study nested to RPS Cohorts Consortium, São Luís, Brazil (n = 2515). The exposure was percentage of daily calories from added sugar (≥ 10%), estimated from a quantitative food frequency. The outcome was periodontal disease estimated by the number of teeth affected by bleeding on probing, periodontal probing depth ≥ 4 mm, and clinical attachment level ≥ 4 mm at the same site. A theoretical model was depicted in a directed acyclic graph to identify the minimal sufficient adjustment set: household income, adolescent's educational level, sex, alcohol use, and smoking. Periodontal disease was categorized into < 2 teeth affected, 2 to 3 teeth affected, and ≥ 4 teeth affected to estimate prevalence ratios (PR) by multinomial logistic regression. To test for consistency, means ratio (MR) were estimated using zero-inflated Poisson.

resultsHigh sugar intake was associated with ≥ 4 teeth affected by periodontal disease (PR = 1.42; 95% confidence interval (CI) = 1.03-1.94; p = 0.030); consistency Poisson analysis reinforced these results (MR = 1.15; 95% CI = 1.03-1.29; p = 0.011).

conclusionHigh level of added sugar intake was associated with greater extent of periodontal disease in adolescents. CLINICAL RELEVANCE: High sugar intake was associated with periodontal disease in adolescents, supporting the integrated hypothesis of dental caries and periodontal disease and giving impetus to future clinical investigation on the effect of restriction of added sugar consumption in periodontal parameters, which potentially may change traditional treatment protocols of periodontal disease.

Indexed as

Dental CariesPeriodontal DiseasesAdolescentAdultBrazilCross-Sectional StudiesHumansSugarsYoung AdultSugarsAdolescentDietary sugarsObesityPeriodontal diseasesWorld Health Organization

Identifiers

PMID32519237
OpenAlexW3033069952

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

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.