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Breakfast cereal consumption in young children: associations with non-milk extrinsic sugars and caries experience: further analysis of data from the UK National Diet and Nutrition Survey of children aged 1.5–4.5 years

Published online by Cambridge University Press:  02 January 2007

Sigrid A Gibson
Sigrid A Gibson*
Affiliation:
Independent Nutrition Consultant, 11 Woodway, Merrow, Guildford, Surrey GU1 2TF, UK
*
*Corresponding author: Email sigridgibson@compuserve.com
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Abstract

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Objective

This study examined the relationship between breakfast cereal consumption and non-milk extrinsic sugars (NMES) intake and the possible implications of this for caries in preschool children.

Methods

Data from the 1995 UK National Diet and Nutrition Survey (NDNS) of children aged 1.5–4.5 years were reanalysed. Four-day weighed food records and dental examinations were available on 1450 children living in private households in Britain. Children were classified by tertiles (age-adjusted) according to the proportion of energy derived from breakfast cereals, and the amount of NME sugar from cereals. There were no significant differences in social class background between any of the groups.

Results

Children with diets high in breakfast cereals as a proportion of total energy (top third) had lower proportional intakes of NMES, compared with low consumers of cereals (lowest third). Consumption of sweetened cereals was positively associated with NMES intake. However, caries experience was unrelated to breakfast cereal consumption, whether presweetened or not.

Conclusions

Although presweetened cereals are relatively high in NMES, their cariogenic potential is probably minimal in the circumstances in which they are normally consumed.

Keywords

Preschool childrenCariesDietSugarsBreakfast cerealsDental health
Type
Research Article
Information
Public Health Nutrition , Volume 3 , Issue 2 , June 2000 , pp. 227 - 232
Copyright
Copyright © CABI Publishing 2000

References

1O'Brien, M. Children's Dental Health in the United Kingdom 1993. London: HMSO, 1994.Google Scholar
2Downer, MC. The 1993 national survey of children's dental health Br. Dent. J. 1995; 178, 407–12.CrossRefGoogle ScholarPubMed
3Davies, RM, Hawley, GM. Reasons for health inequalities in the dental health of children. J. Inst. Health Educ. 1995; 33: 88–9.CrossRefGoogle Scholar
4Department of Health. An Oral Health Strategy for England. London: Department of Health, 1994.Google Scholar
5Levine, R, ed. The Scientific Basis of Dental Health Education: a Policy Document. London: Health Education Authority, 1996.Google Scholar
6Kay, EJ. Evidence-based dental health promotion. Good Diet. Pract. News 1997; 8(2): 1–3.Google Scholar
7Rugg-Gunn, AJ. Diet and dental caries. In: Murray, JJ, ed. The Prevalence of Dental Disease, 2nd edn. Oxford: Oxford University Press, 1973; 4–96.Google Scholar
8Department of Health and Social Security. Dietary Sugars and Human Disease. Committee on Medical Aspects of Food Policy, Report on Health and Social Subjects No. 37. London: HMSO, 1989.Google Scholar
9Department of Health. Dietary Values for Food Energy and Nutrients for the United Kingdom. Report on Health and Social Subjects No. 41. London: HMSO, 1991.Google Scholar
10Woodward, M, Walker, AR. Sugar consumption and dental caries: evidence from 90 countries. Br. Dent. J. 1994; 176(8): 297–302.CrossRefGoogle ScholarPubMed
11Walker, AR. Nutritional and dental implications of high and low intakes of sugar. Int. J. Food Sci. Nutr. 1995; 46(2): 161–9.CrossRefGoogle ScholarPubMed
12Kay, EJ, Locker, D.Is dental health education effective? A systematic review of the current evidence. Community Dent. Oral Epidemiol. 1996; 24: 231–5.CrossRefGoogle Scholar
13Kay, EJ. Caries prevention – based on evidence? Or an act of faith? Br. Dent. J. 1998; 185: 432–3.CrossRefGoogle Scholar
14Ruxton, CHS, Kirk, TR. Breakfast: a review of associations with measures of dietary intake, physiology and biochemistry. Br. J. Nutr. 1997; 78(2): 199–213.CrossRefGoogle ScholarPubMed
15Gregory, JR, Collins, DL, Davies, PSW, Hughes, J, Clarke, P. National Diet and Nutrition Survey: Children aged 1.5 to 4.5 years. Vol. 1. Report of the Diet and Nutrition Survey. London: HMSO, 1995.Google Scholar
16Hinds, K, Gregory, JR. National Diet and Nutrition Survey: Children aged 1.5 to 4.5 years. Vol. 2. Report of the Dental Survey. London: HMSO, 1995.Google Scholar
17Economic and Social Research Council (ESRC) Data Archive, University of Essex, Colchester CO4 3SQ, UK.Google Scholar
18SPSS UK Ltd, St Andrews House, West Street, Woking, Surrey GU21 1EB, UK.Google Scholar
19Davies, PSW, Coward, WA, Gregory, J, White, A, Mills, A.Total energy expenditure and energy intake in the pre-school child: a comparison. Br. J. Nutr. 1994; 72: 13–20.CrossRefGoogle ScholarPubMed
20Edgar, WM. Prediction of the cariogenicity of various foods. Int. Dent. J. 1985; 35: 190–4.Google ScholarPubMed
21Minton, KL, Berry, CW. Cariogenic potential of presweetened breakfast cereals. Pediatr. Dent. 1985; 7: 282–6.Google ScholarPubMed
22McDonald, JL Jr, Stookey, GK. Animal studies concerning the cariogenicity of dry breakfast cereals. J. Dent. Res. 1977; 56(8): 1001–6.CrossRefGoogle ScholarPubMed
23Rugg-Gunn, AJ, Hackett, AF, Appleton, DR, Jenkins, GN, Eastoe, JE. Relationship between dietary habits and caries increment assessed over two years in 405 English adolescent school children. Arch. Oral Biol. 1984; 29(12): 983–92.CrossRefGoogle ScholarPubMed
24Ismail, AI. Food cariogenicity in Americans aged from 9 to 29 years assessed in a national cross-sectional survey, 1971–74. J. Dent. Res. 1986; 65(2): 1435–40.CrossRefGoogle Scholar
25Kelloggs Company of Great Britain Ltd. The Breakfast Report 1997. Kelloggs Company Ltd, Manchester.Google Scholar
26Geddes, DA. Diet patterns and caries. Adv. Dent. Res. 1994; 8(2): 221–4.CrossRefGoogle ScholarPubMed
27Katz, S, Olson, BL, Park, KC. Factors related to the cariogenic potential of breakfast cereals. Pharmacol. Ther. Dent. 1975; 2(2): 109–31.Google Scholar
28Bibby, BG, Huang, Ct, Zero, D, Mundorff, SA, Little, MF. Protective effect of milk against in vitro caries. 1980; J. Dent. Res. 1980; 59: 1565–70.Google ScholarPubMed
29Palenik, C, Park, K, Katz, S, Stookey, G.Effect of water soluble components derived from cocoa on plaque formation. J. Dent. Res. 1979; 58: 1749.CrossRefGoogle ScholarPubMed
30's-Gravenmade, EJ, Jenkins, GNIsolation, purification and some properties of a potential cariostatic factor in cocoa that lowers enamel solubility. Caries Res. 1986; 20(5): 433–6.CrossRefGoogle Scholar
31Moynihan, PJ. The relationship between diet, nutrition and dental health: an overview and update for the 90's. Nutr. Res. Rev. 1995; 8: 193–224.CrossRefGoogle Scholar
32Magrill, DS. The reduction of the solubility of hydroxyapatite in acid by the adsorption of phytate from solution. Arch. Oral Biol. 1973; 18: 591–600.CrossRefGoogle ScholarPubMed
33Gibson, S, Williams, S.Dental caries in pre-school children: associations with social class, toothbrushing habit and consumption of sugars and sugar-containing foods. Further analysis of data from the National Diet and Nutrition Survey of children aged 1.5–4.5 years. Caries Res. 1999; 33(2): 101–13.CrossRefGoogle Scholar
34Glass, RL, Fleisch, S.Diet and dental caries: dental caries incidence and the consumption of ready-to-eat cereals. J. Am. Diet. Assoc. 1974; 88: 807–13.CrossRefGoogle ScholarPubMed
35Rowe, NH, Anderson, RH, Wanninger, LA. Effects of ready-to-eat breakfast cereals on dental caries experience in adolescent children: a three-year study. J. Dent. Res. 1974; 53: 33–6.CrossRefGoogle ScholarPubMed
36Wilson, CJ. Ready-to-eat cereals and dental caries in children: a three-year study. J. Dent. Res. 1979; 58(9): 1853–8.Google ScholarPubMed
37Rugg-Gunn, AJ. Diet and dental caries. Dent. Update. 1990; 17(5): 198–201.Google ScholarPubMed