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  • 1.
    Arvidsson, Louise
    et al.
    University of Skövde, School of Health and Education.
    Birkhed, Dowen
    Univ Gothenburg, Inst Odontol, Dept Cariol, Gothenburg, Sweden.
    Hunsberger, Monica
    Univ Gothenburg, Sect Epidemiol & Social Med, S-40530 Gothenburg, Sweden.
    Lanfer, Anne
    Leibniz Inst Prevent Res & Epidemiol BIPS GmbH, Bremen, Germany.
    Lissner, Lauren
    Univ Gothenburg, Sect Epidemiol & Social Med, S-40530 Gothenburg, Sweden.
    Mehlig, Kirsten
    Marild, Staffan
    Univ Gothenburg, Queen Silvia Childrens Hosp, Dept Paediat, Gothenburg, Sweden..
    Eiben, Gabriele
    Univ Gothenburg, Sect Epidemiol & Social Med, S-40530 Gothenburg, Sweden.
    BMI, eating habits and sleep in relation to salivary counts of mutans streptococci in children - the IDEFICS Sweden study2016In: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 19, no 6, p. 1088-1092Article in journal (Refereed)
    Abstract [en]

    Objective: The objective of the present study was to investigate the association between salivary counts of mutans streptococci (MS) and children's weight status, while considering associated covariates. MS ferments carbohydrates from the diet and contributes to caries by lowering the pH in dental plaque. In adults, high counts of MS in saliva have been associated with overweight, but this has not been shown in children. Design: Cross-sectional study investigating salivary counts of MS, BMI Z-score, waist circumference, meal frequency, sugar propensity and sleep duration, in children. Setting: West Sweden. Subjects: Children (n 271) aged 4-11 years. Results: Medium-high counts of MS were positively associated with higher BMI Z-score (OR=1.6; 95 % CI 1.1, 2.3). Positive associations were also found between medium-high counts of MS and more frequent meals per day (OR=1.5; 95 % CI 1.1, 2.2), greater percentage of sugar-rich foods consumed (OR=1.1; 95 % CI 1.0, 1.3) and female sex (OR=2.4; 95 % CI 1.1, 5.4). A negative association was found between medium-high counts of MS and longer sleep duration (OR=0.5; 95 % CI 0.3, 1.0). Conclusions: BMI Z-score was associated with counts of MS. Promoting adequate sleep duration and limiting the intake frequency of sugar-rich foods and beverages could provide multiple benefits in public health interventions aimed at reducing dental caries and childhood overweight.

  • 2.
    Arvidsson, Louise
    et al.
    Section for Epidemiology and Social Medicine (EPSO), The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Eiben, Gabriele
    Section for Epidemiology and Social Medicine (EPSO), The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Hunsberger, Monica
    Section for Epidemiology and Social Medicine (EPSO), The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    De Bourdeaudhuij, Ilse
    Department of Movement and Sport Sciences, Ghent University, Ghent, Belgium.
    Molnar, Denes
    Department of Paediatrics, Clinical Center, University of Pécs, Pecs, Hungary.
    Jilani, Hannah
    Leibniz Institute for Prevention Research and Epidemiology-BIPS, Achterstrasse 30, Bremen, 283 59, Germany.
    Thumann, Barbara
    Leibniz Institute for Prevention Research and Epidemiology-BIPS, Achterstrasse 30, Bremen, 283 59, Germany.
    Veidebaum, Toomas
    National Institute for Health Development, Tallinn, Estonia.
    Russo, Paola
    Institute of Food Sciences, CNR Via Roma, Avellino, 64-83100, Italy.
    Tornatitis, Michael
    Research and Education Institute of Child Health REF, Strovolos, Cyprus.
    Santaliestra-Pasías, Alba M
    GENUD (Growth Exercise, Nutrition, and Development) Research Group, University of Zaragoza; Instituto Agroalimentario de Aragón (IA2), Instituto de Investigación Sanitaria Aragón (IIS Aragón), Zaragoza, Spain.
    Pala, Valeria
    Nutritional Epidemiology Unit, Department of Preventive Medicine, Fondazione IRCSS Istituto Nazionale Dei Tumori, Milan, Italy.
    Lissner, Lauren
    Section for Epidemiology and Social Medicine (EPSO), Sahlgrenska Academy, University of Gothenburg, Box 453, Gothenburg, 405 30, Sweden.
    Bidirectional associations between psychosocial well-being and adherence to healthy dietary guidelines in European children: prospective findings from the IDEFICS study2017In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 17, no 1, article id 926Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: In children the relationship between a healthy diet and psychosocial well-being has not been fully explored and the existing evidence is inconsistent. This study investigates the chronology of the association between children's adherence to healthy dietary guidelines and their well-being, with special attention to the influence of weight status on the association.

    METHODS: Seven thousand six hundred seventy five children 2 to 9 years old from the eight-country cohort study IDEFICS were investigated. They were first examined between September 2007 and June 2008 and re-examined again 2 years later. Psychosocial well-being was measured using self-esteem and parent relations questions from the KINDL® and emotional and peer problems from the Strengths and Difficulties Questionnaire. A Healthy Dietary Adherence Score (HDAS) was calculated from a 43-item food frequency questionnaire as a measure of the degree to which children's dietary intake follows nutrition guidelines. The analysis employed multilevel logistic regression (country as random effect) with bidirectional modeling of dichotomous dietary and well-being variables as both exposures and outcomes while controlling for respective baseline values.

    RESULTS: A higher HDAS at baseline was associated with better self-esteem (OR 1.2, 95% CI 1.0;1.4) and fewer emotional and peer problems (OR 1.2, 95% CI 1.1;1.3 and OR 1.3, 95% CI 1.2;1.4) 2 years later. For the reversed direction, better self-esteem was associated with higher HDAS 2 years later (OR 1.1 95% CI 1.0;1.29). The analysis stratified by weight status revealed that the associations between higher HDAS at baseline and better well-being at follow-up were similar in both normal weight and overweight children.

    CONCLUSION: Present findings suggest a bidirectional relation between diet quality and self-esteem. Additionally, higher adherence to healthy dietary guidelines at baseline was associated with fewer emotional and peer problems at follow-up, independent of children's weight status.

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