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Association between Mediterranean diet scores and dental caries among children and adolescents with neurodevelopmental disorders
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Wenjuan XIONG1, Yuanyuan SU1, Zhao LIU1, Xiaoqing HUANG1, Zhiyi QU1, Shanshan CUI*, 2
Chinese Journal of School Health | 2025, 46(2) : 172 - 176
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Chinese Journal of School Health | 2025, 46(2): 172-176
• Column on Physical and Mental Health of Children with Disabilities •
Association between Mediterranean diet scores and dental caries among children and adolescents with neurodevelopmental disorders
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Wenjuan XIONG1, Yuanyuan SU1, Zhao LIU1, Xiaoqing HUANG1, Zhiyi QU1, Shanshan CUI*, 2
Affiliations
  • 1School of Public Health, Tianjin Medical University, Tianjin (300070), China
Published: 2025-02-25 doi: 10.16835/j.cnki.1000-9817.2025037
Outline
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Objective

To explore the association between mediterranean diet (MD) patterns and dental caries among children and adolescents with neurodevelopmental disorders (NDD), so as to provide a basis for developing scientific anti-caries strategies related to diet.

Methods

From December 2021 to June 2024, a questionnaire survey, a three-day 24-hour dietary review survey, oral health examination, physical development measurement and Childhood Autism Rating Scale (CARS) evaluation were conducted involving 147 children and adolescents aged 2-22 years with NDD from nine special education schools and rehabilitation institutions in Tianjin. Group comparisons were carried out using the Mann-Whitney U test, Chi-square test, or Fisher's exact probability method. The correlation between dietary quality and dental caries was analyzed by adopting multiple linear regression analysis and restricted cubic spline.

Results

There were 46 children and adolescents (31.3%) in the non-dental caries group and 101 children and adolescents (68.7%) in the dental caries group. The number of decayed missing and filled teeth (dmft) was 2.0 (4.0), and the MD score was 4.0 (2.0) points. There were 62 children and adolescents (42.2%) in the low MD scores group and 85 children and adolescents (57.8%) in the high MD scores group. There was no significant difference in MD scores between NDD children in the non-dental caries group and those in the dental caries group [non-dental caries group: 4.0(2.0), dental caries group: 4.0(2.0), Z=-0.14, P>0.05]. The MD scores and dmft exhibited increasing and then decreasing trend (Ptotal=0.02, Pnon-lineary=0.04). Children and adolescents with NDD in the MD high scores group had a lower number of dmft than those in the MD low scores group (β=-2.00, 95%CI=-3.39 to -0.62, P < 0.05). However, in children and adolescents with NDD and CARS scores ≥30, the above association was insignificant (β=-0.63, 95%CI=-0.29-0.15, P>0.05).

Conclusions

Children and adolescents with NDD who have dietary patterns similar to the Mediterranean diet, are found to have fewer dental caries, and this is observed among those with no or mild symptoms of autism spectrum disorder.

Neurodevelopmental disorders  /  Diet, Mediterranean  /  Dental caries  /  Regression analysis  /  Child  /  Adolescent
熊文娟, 苏媛媛, 刘钊, 黄晓庆, 曲之毅, 崔杉杉. 神经发育障碍儿童青少年地中海膳食评分与龋患的关联. 中国学校卫生, 2025 , 46 (2) : 172 -176 . DOI: 10.16835/j.cnki.1000-9817.2025037
Wenjuan XIONG, Yuanyuan SU, Zhao LIU, Xiaoqing HUANG, Zhiyi QU, Shanshan CUI. Association between Mediterranean diet scores and dental caries among children and adolescents with neurodevelopmental disorders[J]. Chinese Journal of School Health, 2025 , 46 (2) : 172 -176 . DOI: 10.16835/j.cnki.1000-9817.2025037
Year 2025 volume 46 Issue 2
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doi: 10.16835/j.cnki.1000-9817.2025037
  • Receive Date:2024-08-02
  • Online Date:2026-11-06
  • Published:2025-02-25
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  • Received:2024-08-02
  • Revised:2024-09-23
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    1School of Public Health, Tianjin Medical University, Tianjin (300070), China
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表12种不同金属材料的力学参数
科
Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
total species (%)
属
Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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