dc.creator | Irigoyen-Camacho, María Esther | es |
dc.creator | Pérez-Pérez, Nora | es |
dc.creator | Zepeda-Zepeda, Marco Antonio | es |
dc.creator | Velázquez-Alva, María Consuelo | es |
dc.creator | Castaño Seiquer, Antonio Luis | es |
dc.creator | Barbero Navarro, Ignacio | es |
dc.creator | Sánchez-Pérez, Leonor | es |
dc.date.accessioned | 2024-06-20T14:52:09Z | |
dc.date.available | 2024-06-20T14:52:09Z | |
dc.date.issued | 2023 | |
dc.identifier.citation | Irigoyen-Camacho, M.E., Pérez-Pérez, N., Zepeda-Zepeda, M.A., Velázquez-Alva, M.C., Castaño Seiquer, A.L., Barbero Navarro, I. y Sánchez-Pérez, L. (2023). Relationships between dental fluorosis and fluoride concentrations in bottled water and groundwater in low-income children in Mexico. Frontiers in oral health, 4, 1187463. https://doi.org/10.3389/froh.2023.1187463. | |
dc.identifier.issn | 2673-4842 | es |
dc.identifier.uri | https://hdl.handle.net/11441/160739 | |
dc.description.abstract | Introduction: The aim of the current study was to investigate associations
between dental fluorosis in children living in low socioeconomic areas in
Mexico, and fluoride concentrations in tap water, fluoride concentrations and in
bottled water, and body mass index (BMI).
Methods: A cross-sectional study involving 585 schoolchildren aged 8–12 years
was conducted in communities in a southern state of Mexico with >0.7 parts
per million (ppm) fluoride in the groundwater. The Thylstrup and Fejerskov index
(TFI) was used to evaluate dental fluorosis, and the World Health Organization
growth standards were used to calculate age-adjusted and sex-adjusted BMI Z
scores. A BMI Z-score≤−1 SD was used as the cut-off point for thinness, and
multiple logistic regression models for dental fluorosis (TFI≥4) were constructed.
Results: The mean fluoride concentration in tap water was 1.39 ppm (SD 0.66),
and the mean fluoride concentration in bottled water was 0.32 ppm (SD 0.23).
Eighty-four children (14.39%) had a BMI Z-score≤−1 SD. More than half (56.1%)
of the children presented with dental fluorosis in TFI categories≥4. Children
living in areas with higher fluoride concentrations in the tap water [odds ratio
(OR) 1.57, p=0.002] and bottled water (OR 3.03, p<.001) were more likely to
have dental fluorosis in the severe categories (TFI≥4). BMI Z-score was
associated with the probability of dental fluorosis (TFI≥4; OR 2.11, p<0.001),
and the effect size was 29.3%.
Discussion: A low BMI Z-score was associated with a higher prevalence of dental
fluorosis in the severe category. Awareness of the fluoride concentrations in
bottled water may help prevent dental fluorosis, particularly in children exposed
to several high fluoride content sources. Children with a low BMI may be more
vulnerable to dental fluorosis. | es |
dc.format | application/pdf | es |
dc.format.extent | 11 p. | es |
dc.language.iso | eng | es |
dc.publisher | Frontiers | es |
dc.relation.ispartof | Frontiers in oral health, 4, 1187463. | |
dc.rights | Atribución 4.0 Internacional | * |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | * |
dc.subject | Groundwater fluoride | es |
dc.subject | Bottled water fluoride | es |
dc.subject | Fluorosis | es |
dc.subject | Body mass index | es |
dc.subject | Schoolchildren | es |
dc.subject | Public health | es |
dc.subject | Mexico | es |
dc.title | Relationships between dental fluorosis and fluoride concentrations in bottled water and groundwater in low-income children in Mexico | es |
dc.type | info:eu-repo/semantics/article | es |
dc.type.version | info:eu-repo/semantics/publishedVersion | es |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | es |
dc.contributor.affiliation | Universidad de Sevilla. Departamento de Estomatología | es |
dc.relation.publisherversion | https://www.frontiersin.org/articles/10.3389/froh.2023.1187463/full | es |
dc.identifier.doi | 10.3389/froh.2023.1187463 | es |
dc.journaltitle | Frontiers in oral health | es |
dc.publication.volumen | 4 | es |
dc.publication.initialPage | 1187463 | es |