Sugars and Dental Caries: Evidence for Setting a Recommended Threshold for Intake

Advances in Nutrition
Paula Moynihan

Abstract

Dental caries affects ≤80% of the world's population with almost a quarter of US adults having untreated caries. Dental caries is costly to health care and negatively affects well-being. Dietary free sugars are the most important risk factor for dental caries. The WHO has issued guidelines that recommend intake of free sugars should provide ≤10% of energy intake and suggest further reductions to <5% of energy to protect dental health throughout life. These recommendations were informed by a systematic review of the evidence pertaining to amount of sugars and dental caries risk, which showed evidence of moderate quality from cohort studies that limiting free sugars to ≤10% of energy reduced, but did not eliminate, dental caries. Even low levels of dental caries in children are of concern because caries is a lifelong progressive and cumulative disease. The systematic review therefore explored if there were further benefits to dental health if the intake of free sugars was limited to <5% of energy. Available data were from ecologic studies and, although classified as being of low quality, showed lower dental caries when free sugar intake was <5% of energy compared with when it was >5% but ≤10% of energy. The WHO recommendations ar...Continue Reading

References

Dec 1, 1989·Community Dentistry and Oral Epidemiology·W P HolbrookB Briem
Aug 1, 1986·Community Dentistry and Oral Epidemiology·C Stecksén-Blicks, L Gustafsson
Jan 1, 1984·Caries Research·A R FirestoneH R Mühlemann
Aug 3, 1982·British Dental Journal·R D HoltG B Winter
Apr 13, 2001·Community Dentistry and Oral Epidemiology·S KarjalainenO Simell
Feb 13, 2003·Journal of Human Nutrition and Dietetics : the Official Journal of the British Dietetic Association·S A M KellyC D Summerbell
May 13, 2003·Caries Research·S M LevyM J Kanellis
Sep 2, 2003·Pediatrics·Teresa A MarshallPhyllis J Stumbo
Feb 10, 2004·Caries Research·S RuottinenO Simell
Jun 19, 2004·BMJ : British Medical Journal·David AtkinsUNKNOWN GRADE Working Group
Jul 26, 2005·Journal of Dental Research·S O GriffinN Zlobin
May 31, 2013·Journal of Dental Research·W MarcenesC J L Murray
Jun 19, 2013·Journal of the American Geriatrics Society·Philip D SloaneLauren W Cohen
Dec 11, 2013·Journal of Dental Research·P J Moynihan, S A M Kelly
Feb 5, 2014·JAMA Internal Medicine·Quanhe YangFrank B Hu
May 17, 2014·American Journal of Public Health·Eduardo Bernabé, Aubrey Sheiham

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Citations

May 23, 2017·Nutrients·Elaine C Rush, Mary R Yan
Jan 23, 2017·Nutrition Journal·Véronique Azaïs-BraescoLuis A Moreno
Feb 14, 2018·British Medical Bulletin·Simon Capewell, Ffion Lloyd-Williams
Sep 5, 2018·European Journal of Oral Sciences·Svante Twetman
Apr 6, 2019·Nutrition & Dietetics : the Journal of the Dietitians Association of Australia·Irina KovalskysMauro Fisberg
May 24, 2019·Public Health Nutrition·Adyya GuptaAnnette Braunack-Mayer
Aug 29, 2019·Arquivos Brasileiros De Cirurgia Digestiva : ABCD = Brazilian Archives of Digestive Surgery·Ilma Carla de Souza PorcelliSandra Mara Maciel
Oct 8, 2019·Public Health Nutrition·Prageet K SachdevMahsa Babaei
Apr 17, 2020·Nutrients·María José Yusta-BoyoMaría Ángeles Dal-Re Saavedra
Jul 1, 2020·International Journal of Paediatric Dentistry·Simon ThornleyCameron Grant
Jul 30, 2019·Frontiers in Public Health·DeAnn LiskaEunice Mah
Dec 6, 2019·Frontiers in Public Health·Jorge L CastilloAilín Cabrera-Matta
Jul 22, 2019·European Journal of Nutrition·Michael CroweAifric O'Sullivan
Aug 8, 2020·British Journal of Community Nursing·Roya Hazara
Sep 26, 2020·International Journal of Environmental Research and Public Health·Cosmin TudoroniuBogdana Adriana Năsui
Dec 2, 2020·Community Dentistry and Oral Epidemiology·Akihiro YoshiharaHiroshi Ogawa
Dec 18, 2020·Journal of Dental Research·M JevdjevicS Listl
Dec 29, 2020·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Angela StillhartMurali Srinivasan
Nov 30, 2017·Emerging Topics in Life Sciences·Liam P ShawAdam P Roberts
Feb 26, 2021·Scientific Reports·Muhammed ManzoorHeli Viljakainen
Mar 16, 2021·Journal of Public Health Dentistry·Ayah Qassem ShqairMarília Leão Goettems
Mar 24, 2021·Community Dentistry and Oral Epidemiology·Denise M ClaiborneShillpa Naavaal
Apr 2, 2021·Frontiers in Pediatrics·Dorota Olczak-KowalczykAnna Turska-Szybka
Apr 8, 2021·Clinical Oral Investigations·Caroline SteinFernando Neves Hugo
May 27, 2021·Journal of Dental Research·L L HagenaarsM Jevdjevic

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