Childhood obesity in relation to sweet taste perception and dental caries – a cross-sectional multicenter study

  • Heba Ashi
  • Guglielmo Campus
  • Gunilla Klingberg
  • Heléne Bertéus Forslund
  • Peter Lingström
Keywords: BMI, Children, Dental Caries, Italy, Mexico, Obesity, Saudi Arabia, Sweet Taste Perception

Abstract

Background: Obesity is a multifactorial disease that is increasing worldwide and is caused by different environmental and genetic factors, with an increase in the consumption of high-energy–containing food and a decrease in physical activity constituting two of the main reasons. Sweet taste perception may have an effect on the subject’s dietary choices and affect his or her predisposition to obesity.

Objectives: The aim was to study the sweet taste perception and dental caries in relation to body mass index (BMI) in 13–15-year-old schoolchildren from three different countries and to compare the BMI among the countries.

Design: The sweet taste perception level, determined as the sweet taste threshold and preference, was assessed in a total of 669 schoolchildren from Italy, Mexico and Saudi Arabia, examined in school settings. Height and weight were collected and BMI was calculated, after which the children were grouped as underweight, normal, overweight, and obese. For caries registration, the International Caries Detection and Assessment System and Decayed Missing Filled Surfaces indices were used.

Results: A statistically significant difference was found for BMI among the children from the three countries (p < 0.001), with the highest mean found among Saudi children, followed by Mexican and Italian children. A statistically significant difference regarding sweet taste threshold when comparing the BMI groups was only found for Saudi Arabia (p < 0.01). No significant correlation was found between BMI and sweet taste threshold or preference and dental caries variables, respectively.

Conclusions: BMI was found to differ between countries, with a further significant difference among the groups among the Saudi Arabia schoolchildren.

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References


  1. Farpour-Lambert NJ, Baker JL, Hassapidou M, Holm JC, Nowicka P, O’Malley G, et al. Childhood obesity is a chronic disease demanding specific health care-a position statement from the Childhood Obesity Task Force (COTF) of the European Association for the Study of Obesity (EASO). Obes Facts 2015; 8(5): 342–9. doi: 10.1159/000441483.

  2. Apovian CM. Obesity: definition, comorbidities, causes, and burden. Am J Manag Care 2016; 22(7 Suppl): s176–s85. PMID: 27356115

  3. WHO. Obesity and overweight 2016 [updated 2016]. Available from: http://www.who.int/mediacentre/factsheets/fs311/en/ [cited Januray 2017].

  4. Qi L, Cho YA. Gene-environment interaction and obesity. Nutr Rev 2008; 66(12): 684–94. doi: 10.1111/j.1753-4887.2008.00128.x.

  5. Kyle TK, Dhurandhar EJ, Allison DB. Regarding obesity as a disease: evolving policies and their implications. Endocrinol Metab Clin North Am 2016; 45(3): 511–20. doi: 10.1016/j.ecl.2016.04.004.

  6. Morano M, Rutigliano I, Rago A, Pettoello-Mantovani M, Campanozzi A. A multicomponent, school-initiated obesity intervention to promote healthy lifestyles in children. Nutrition 2016; 32(10): 1075–80. doi: 10.1016/j.nut.2016.03.007.

  7. Mennella JA, Pepino MY, Reed DR. Genetic and environmental determinants of bitter perception and sweet preferences. Pediatrics 2005; 115(2): e216–22. doi: 10.1542/peds.2004-1582.

  8. Drewnowski A, Henderson SA, Levine A, Hann C. Taste and food preferences as predictors of dietary practices in young women. Public Health Nutr 1999; 2(4): 513–19. doi: 10.1017/S1368980099000695.

  9. Drewnowski A. Taste preferences and food intake. Annu Rev Nutr 1997; 17: 237–53. doi: 10.1146/annurev.nutr.17.1.237.

  10. Overberg J, Hummel T, Krude H, Wiegand S. Differences in taste sensitivity between obese and non-obese children and adolescents. Arch Dis Child 2012; 97(12): 1048–52. doi: 10.1136/archdischild-2011-301189.

  11. Proserpio C, Laureati M, Bertoli S, Battezzati A, Pagliarini E. Determinants of obesity in Italian adults: the role of taste sensitivity, food liking, and food neophobia. Chem Senses 2016; 41(2): 169–76. doi: 10.1093/chemse/bjv072.

  12. Coldwell SE, Oswald TK, Reed DR. A marker of growth differs between adolescents with high vs. low sugar preference. Physiol Behav 2009; 96(4–5): 574–80. doi: 10.1016/j.physbeh.2008.12.010.

  13. Drewnowski A. Sensory control of energy density at different life stages. Proc Nutr Soc 2000; 59(2): 239–44. doi: 10.1017/S0029665100000264.

  14. Lanfer A, Knof K, Barba G, Veidebaum T, Papoutsou S, de Henauw S, et al. Taste preferences in association with dietary habits and weight status in European children: results from the IDEFICS study. Int J Obes 2012; 36(1): 27–34. doi: 10.1038/ijo.2011.164.

  15. Wise PM, Nattress L, Flammer LJ, Beauchamp GK. Reduced dietary intake of simple sugars alters perceived sweet taste intensity but not perceived pleasantness. Am J Clin Nutr 2016; 103(1): 50–60. doi: 10.3945/ajcn.115.112300.

  16. Hoppu U, Puputti S, Aisala H, Laaksonen O, Sandell M. Individual differences in the perception of color solutions. Foods (Basel, Switzerland) 2018; 7(9): pii: E154. doi: 10.3390/foods7090154.

  17. Modeer T, Blomberg C, Wondimu B, Lindberg TY, Marcus C. Association between obesity and periodontal risk indicators in adolescents. Int J Pediatr Obes 2011; 6(2): e264–70. doi: 10.3109/17477166.2010.495779.

  18. Modeer T, Blomberg CC, Wondimu B, Julihn A, Marcus C. Association between obesity, flow rate of whole saliva, and dental caries in adolescents. Obesity 2010; 18(12): 2367–73. doi: 10.1038/oby.2010.63.

  19. Ashi H, Lara-Capi C, Campus G, Klingberg G, Lingström P. Sweet taste perception and dental caries in 13- to 15-year-olds: a multicenter cross-sectional study. Caries Res 2017; 51(4): 443–50. doi: 10.1159/000477367.

  20. Ashi H, Campus G, Berteus Forslund H, Hafiz W, Ahmed N, Lingström P. The influence of sweet taste perception on dietary intake in relation to dental caries and BMI in Saudi Arabian schoolchildren. Int J Dent 2017; 2017: 4262053. doi: 10.1155/2017/4262053.

  21. Butte NF, Garza C, de Onis M. Evaluation of the feasibility of international growth standards for school-aged children and adolescents. J Nutr 2007; 137(1): 153–7. doi: 10.1093/jn/137.1.153.

  22. de Onis M, Lobstein T. Defining obesity risk status in the general childhood population: which cut-offs should we use? Int J Pediatr Obes 2010; 5(6): 458–60. doi: 10.3109/17477161003615583. PMID: 20848003.

  23. WHO. BMI-for-age (5-19 years) 2007 [updated 31 January 2017]. Available from: http://www.who.int/growthref/who2007_bmi_for_age/en/ [cited Januray 2017].

  24. Furquim TR, Poli-Frederico RC, Maciel SM, Gonini-Junior A, Walter LR. Sensitivity to bitter and sweet taste perception in schoolchildren and their relation to dental caries. Oral Health Prev Dent 2010; 8(3): 253–9. PMID: 20848003.

  25. Nilsson B, Holm AK. Taste thresholds, taste preferences, and dental caries in 15-year-olds. J Dent Res 1983; 62(10): 1069–72. doi: 10.1177/00220345830620101301.

  26. Zengo AN, Mandel ID. Sucrose tasting and dental caries in man. Arch Oral Biol 1972; 17(3): 605–7. doi: 10.1016/0003-9969(72)90079-9.

  27. Quadri FA, Hendriyani H, Pramono A, Jafer M. Knowledge, attitudes and practices of sweet food and beverage consumption and its association with dental caries among schoolchildren in Jazan, Saudi Arabia. East Mediterr Health J 2015; 21(6): 403–11. doi: 10.26719/2015.21.6.403.

  28. Al-Hazzaa HM, Abahussain NA, Al-Sobayel HI, Qahwaji DM, Musaiger AO. Physical activity, sedentary behaviors and dietary habits among Saudi adolescents relative to age, gender and region. Int J BehavNutr Phys Act 2011; 8: 140–54. doi: 10.1186/1479-5868-8-140.

  29. Collison KS, Zaidi MZ, Subhani SN, Al-Rubeaan K, Shoukri M, Al-Mohanna FA. Sugar-sweetened carbonated beverage consumption correlates with BMI, waist circumference, and poor dietary choices in school children. BMC Public Health 2010; 10: 234–64. doi: 10.1186/1471-2458-10-234.

  30. Lupi S, Bagordo F, Stefanati A, Grassi T, Piccinni L, Bergamini M, et al. Assessment of lifestyle and eating habits among undergraduate students in northern Italy. Ann Ist Super Sanita 2015; 51(2): 154–61. doi: 10.4415/ann_15_02_14.

  31. Saulle R, Del Prete G, Stelmach-Mardas M, De Giusti M, La Torre G. A breaking down of the Mediterranean diet in the land where it was discovered. A cross sectional survey among the young generation of adolescents in the heart of Cilento, Southern Italy. Ann Ig 2016; 28(5): 349–59. doi: 10.7416/ai.2016.2115.

  32. Wijnhoven TM, van Raaij JM, YngveA, Sjöberg A, Kunesova M, Duleva V, et al. WHO European Childhood Obesity Surveillance Initiative: health-risk behaviours on nutrition and physical activity in 6-9-year-old schoolchildren. Public Health Nutr 2015; 18(17): 3108–24. doi: 10.1017/s1368980015001937.

  33. Mistura L, D’Addezio L, Turrini A. Beverage consumption habits in Italian Population: association with total water intake and energy intake. Nutrients 2016; 8(11): pii: E674. doi: 10.3390/nu8110674.

  34. Gutierrez-Pliego LE, Camarillo-Romero Edel S, Montenegro-Morales LP, Garduno-Garcia Jde J. Dietary patterns associated with body mass index (BMI) and lifestyle in Mexican adolescents. BMC Public Health 2016; 16(1): 850–6. doi: 10.1186/s12889-016-3527-6.

  35. Parker N, Atrooshi D, Levesque L, Jauregui E, Barquera S, Taylor JL, et al. Physical activity and anthropometric characteristics among urban youth in Mexico: a cross-sectional study. J Phys Act Health 2016; 13(10): 1063–9. doi: 10.1123/jpah.2015-0463.

  36. Cole TJ, Bellizzi MC, Flegal KM, Dietz WH. Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ 2000; 320(7244): 1240–3. PMCID: PMC27365.

  37. Hill C, Wardle J, Cooke L. Adiposity is not associated with children’s reported liking for selected foods. Appetite 2009; 52(3): 603–8. doi: 10.1016/j.appet.2009.02.003.

  38. Tong HJ, Rudolf MC, Muyombwe T, Duggal MS, Balmer R. An investigation into the dental health of children with obesity: an analysis of dental erosion and caries status. Eur Arch Paediatr Dent 2014; 15(3): 203–10. doi: 10.1007/s40368-013-0100-1.

  39. Qadri G, Alkilzy M, Feng YS, Splieth C. Overweight and dental caries: the association among German children. Int J Paediatr Dent 2015; 25(3): 174–82. doi: 10.1111/ipd.12110.

  40. Park DC, Yeo JH, Ryu IY, Kim SH, Jung J, Yeo SG. Differences in taste detection thresholds between normal-weight and obese young adults. Acta Otolaryngol. 2015; 135(5): 478–83. doi: 10.3109/00016489.2014.975370.

  41. Norberg C, Hallström Stalin U, Matsson L, Thorngren-Jerneck K, Klingberg G. Body mass index (BMI) and dental caries in 5-year-old children from southern Sweden. Community Dent Oral Epidemiol 2012; 40(4): 315–22. doi: 10.1111/j.1600-0528.2012.00686.x.

  42. Pedersen DC, Aarestrup J, Pearson S, Baker JL. Ethnic inequalities in overweight and obesity prevalence among Copenhagen schoolchildren from 2002 to 2007. Obes Facts 2016; 9(4): 284–95. doi: 10.1159/000446482.

Published
2019-04-04
How to Cite
Ashi H., Campus G., Klingberg G., Bertéus Forslund H., & Lingström P. (2019). Childhood obesity in relation to sweet taste perception and dental caries – a cross-sectional multicenter study. Food & Nutrition Research, 63. https://doi.org/10.29219/fnr.v63.1682
Section
Original Articles