Article | . 2017 Vol. 17, Issue. 6
The correlation of dietary calcium and phosphorus intake with DMFT among Korean schoolchildren



Department of Preventive Medicine and Public Health, College of Medicine, Yeungnam University1




2017.. 1215:23


PDF XML




Objectives: The purpose of this study was to investigate the correlation between dietary calcium (Ca) and phosphorus (P) intake with DMFT (Decayed Missing Filled Teeth) among Korean schoolchildren. Methods: Data of 1,529 schoolchildren were derived from the Sixth Korean National Health and Nutrition Examination Survey, which was conducted from 2013 to 2015. Sociodemographic, oral health behavior, and dietary factors were collected as independent variables. The DMFT was used as a dependent variable. The chi-square test and logistic regression analysis were performed to identify the correlation between dental caries and the other variables. Results: Multiple logistic regression analysis showed that DMFT was correlated with sex, age, and daily P intake. Conclusions: Adequate intake of phosphorus may have a positive effect in preventing dental caries in schoolchildren. Therefore education on increasing phosphorus intake, including raised awareness through provision of dietary guidelines, will be needed.



1. Palacios C, Joshipura K, Willett W. Nutrition and health: guidelines for dental practitioners. Oral Dis 2009;15(6):369-81. https://doi.org/10.1111/j.1601-0825.2009.01571.x  

2. Marshall TA, Levy SM, Broffitt B, Warren JJ, Eichenberger-Gilmore JM, Burns TL, et al. Dental caries and beverage consumption in young children. Pediatrics 2003;112(3 Pt 1):e184-91.  

3. Sheiham A. Dental caries affects body weight, growth and quality of life in pre-school children. Br Dent J 2006;201(10):625-6. https://doi.org/10.1038/sj.bdj.4814259  

4. Selwitz RH, Ismail AI, Pitts NB. Dental caries. Lancet 2007;369(9555):51-9. https://doi.org/ 10.1016/S0140-6736(07)60031-2  

5. Zero DT. Dental caries process. Dent Clin North Am 1999;43(4):635-64.  

6. Yoshihara A, Watanabe R, Hanada N, Miyazaki H. A longitudinal study of the relationship between diet intake and dental caries and periodontal disease in elderly Japanese subjects. Gerodontology 2009;26(2):130-6. https://doi.org/10.1111/j.1741-2358.2008.00244.x  

7. Wilson RF, Ashley FP. Relationships between the biochemical composition of both free smooth surface and approximal plaque and salivary composition and a 24-hour retrospective dietary history of sugar intake in adolescents. Caries Res 1990;24(3):203-10.  

8. Weaver CM. Present knowledge in nutrition. 9th ed. Washington DC: International Life Science Institute press; 2006: 373-82.  

9. Anderson JJB, Klemmer PJ, Watts MLS, Garner SC, Calvo MS. Present knowledge in nutrition. Washington DC; ILSI 2006: 383-99.  

10. Ministry of health and welfare. Dietary reference intakes for Koreans 2015. 2015:47-50.  

11. Dror DK, Allen LH. Dairy product intake in children and adolescents in developed countries: trends, nutritional contribution, and a review of association with health outcomes. Nutr Rev 2014;72(2):68-81. https://doi.org/10.1111/nure.12078  

12. Bibby BG, Huang CT, Zero D, Mundorff SA, Little MF. Protective effect of milk against in vitro caries. J Dent Res 1980;59(10):1565-70. https://doi.org/10.1177/00220345800590100201   

13. Lin HS, Lin JR, Hu SW, Kuo HC, Yang YH. Association of dietary calcium, phosphorus, and magnesium intake with caries status among schoolchildren. Kaohsiung J Med Sci 2014; 30(4):206-12. https://doi.org/10.1016/j.kjms.2013.12.002  

14. Goodson JM, Shi P, Mumena CH, Haq A, Razzaque MS. Dietary phosphorus burden increases cariogenesis independent of vitamin D uptake. J Steroid Biochem Mol Biol 2017;167:33-8. https://doi.org/10.1016/j.jsbmb.2016.10.006  

15. Kwon HK, Kim HJ. Relationship between diet intake and dental caries experience of middle school students. J Korean Acad Dent Health 1994;18(1):119-43.  

16. Baek HJ, Na CH, Jeong SH, Ahn SH, Choi YH, Song KB. Analysis of newly formed dental caries and food intake pattern among adolescence over three years. J Korean Acad Oral Health 2011;35(3):317-25.   

17. Gustafsson BE, Quensel CE, Lanke LS, Lundqvist C, Grahnen H, Bonow BE, et al. The Vipeholm dental caries study; the effect of different levels of carbohydrate intake on caries activity in 436 individuals observed for five years. Acta Odontol Scand 1954;11(3-4):232-64.  

18. Tinanoff N, Holt K. Children's sugar consumption: obesity and dental caries. Pediatr Dent 2017;39(1):12-3.  

19. Sohn W, Burt BA, Sowers MR. Carbonated soft drinks and dental caries in the primary dentition. J Dent Res 2006;85(3):262-6. https://doi.org/10.1016/10.1177/154405910608500311   

20. Marshall TA, Broffitt B, Eichenberger-Gilmore J, Warren JJ, Cunningham MA, Levy SM. The roles of meal, snack, and daily total food and beverage exposures on caries experience in young children. J Public Health Dent 2005;65(3):166-73.  

21. Korea Centers for Disease Control and Prevention. The Sixth Korea National Health and Nutrition Examination Survey (KNHANES Ⅵ), 2015[Internet].[cited 2017 July 19]. Available from: https://knhanes.cdc.go.kr/knhanes/sub03/sub03_02_02.do.  

22. Kim JB, Choi YJ, Baek DI, Shin SC, Jang GW, Hong SJ, et al. Preventive dentistry. 5th ed. Seoul: Komoonsa; 2009.   

23. Schamschula RG, Bunzel M, Agus HM, Adkins BL, Barmes DE, Charlton G. Plaque minerals and caries experience: associations and interrelationships. J Dent Res 1978;57(3):427-32. https://doi.org/10.1177/00220345780570030101   

24. Park GG, Kim YJ, Park YM, Jeong WG. Dental Nutrition. 2nd ed. Seoul: Daehannarae publishing inc; 2007: 39-166.   

25. Tanaka K, Miyake Y, Sasaki S, Hirota Y. Dairy products and calcium intake during pregnancy and dental caries in children. Nutr J 2012;11(1):33. https://doi.org/10.1186/1475-2891-11-33  



online submission
online submission
online submission
online submission
online submission
Sub Menu
Sub Banner
Sub Menu
Sub Banner
Sub Banner
Sub Banner
Sub Banner
Sub Menu
Sub Menu