アブストラクト(10巻3号:神奈川歯学)

神奈川歯学

Japanese

Title : 1才児の食餌摂取の実態とう蝕罹患状況 第2報 : 食餌摂取の実態とう蝕罹患との関係
Subtitle : 原著
Authors : 内村登, 山本千鶴子, 鈴木康久, 楯野英実, 藤波貴美子, 佐藤博, 檜垣旺夫
Authors(kana) :
Organization : 神奈川歯科大学小児歯科学教室
Journal : 神奈川歯学
Volume : 10
Number : 3
Page : 137-154
Year/Month : 1975 / 12
Article : 原著
Publisher : 神奈川歯科大学学会
Abstract : 「抄録」乳歯う蝕は減少の傾向がみられないばかりか, 2才ないし3才の低年齢層に増加する傾向がみられる. この原因の1つとして低年齢児の食餌, とくに間食摂取がう蝕発生や多発化に大きく関与していることに異論はなかろう. 著者らは先に報告した3才児の調査を補うと同時に, 離乳後間もない, 食餌内容の単純な横須賀市在住の1才児580例を対象として, 食餌とくに間食摂取の実態とう蝕罹患との関係を明らかにし, う蝕予防の一助とすべく本調査を行なった. その結果, 哺乳については人工乳児40.9%, 混合乳児31.4%, 母乳児27.8%であり, 離乳食は生後4ヵ月で50%以上のものが摂取開始していた. 哺乳ビン使用経験者は多く, 哺乳以外の目的で30%のものが使用していた. 飲料類は生後6ヵ月で50.3%が摂取開始し, 時間を決めて摂取しているものは少なく, 牛乳常飲者が最も多かった. また, 就寝前飲料摂取者は半数以上おり, その内の大多数が哺乳ビンを使用していた. 夜泣き時やおめざ時の飲料摂取者も1/3以上みられた. 菓子類は生後6ヵ月で45%のものが摂取開始し, 果実類, 煎餅類の摂取率が高く, 時間を決めて摂取しているものは少なかった. おめざ時の菓子類摂取者は約1/4であった. 本調査では母乳および人工乳のどちらがう蝕に罹患しやすいか決定しがたいが, 自由に与えない方がよいこと, また飲料類ではサイダー類, コーラ類摂取者のう蝕罹患率が高く, 牛乳, 茶以外の飲料を何種類も与えるべきでなく, 時間を決め, 1日に与える回数も制限すべきであることなどが示唆された. 菓子類ではチョコレート類, ガム類, 飴類, アイスクリーム類は制限すべき食品であり, 摂取方法についても飲料類と同様の配慮が必要とされた. これらのことからう蝕予防対策上, 1才児から断乳, 哺乳ビンの使用, 離乳食, 間食, 歯口清掃など, もっと積極的に指導すべきであると考察された.
Practice : 歯科学
Keywords :

English

Title : Eating Habits and Dental Caries Prevalence in one-year Old Children Rep. 2. The relationship between eating habits and dental caries prevalence
Subtitle :
Authors : Noboru Uchimura, Chizuko Yamamoto, Yasuhisa Suzuki, Hidemi Tateno, Kimiko Fujinami, Hiroshi Sato, Morio Higaki
Authors(kana) :
Organization : Department of Pedodontics, Kanagawa Dental College
Journal : Kanagawa Shigaku
Volume : 10
Number : 3
Page : 137-154
Year/Month : 1975 / 12
Article : Original article
Publisher : Kanagawa Odontological Society
Abstract : In our previous investigation with a group of three-years old children, it was considered that any dental health measure might not be successful because of being too late at the age of three years, then, the diet consultation should be begun from the weaning period. The similar investigation was carried out, using one-year old children, 294 boys and 286 girls, lived in Yokosuka, Kanagawa Pref., Japan. In the first report, it was shown that the caries prevalence rate was 12.9% and the dmft index was 0.31. In this report (second report), the diet habits, especially the between-meal eating habits, and their relationships with dental caries prevalence were surveyed. The between-meals were divided into two categories : beverages and snacks. The results were as follows : 1) 40% of infants has been fed with powdered cow's milk, 27.8% with their mothers' milk and 31.4% with both milk, respectively. At the 4th month from birth, more than 50% of infants had entered into weaning period. 2) The most of infants has been using the nursing bottle, 30% of them has used it for other purposes than feeding. 3) 50.3% of them had begun to consume the beverages at age of 6 months. Beverrges, however, were little consumed punctually at the definite hours a day, but consumed at the going to sleep in about a half of them, and a third of them at crying in night or at waking-up. The increase in the consuming frequencies of the beverages a day resulted in higher caries prevalence. 4) 45% of them had begun to consume the snacks at the age of 6 months, and the similar results were obtained to beverage consuming. 5) Most highly prevalence rate of the dental caries was shown in those who experienced the drinking ciders and/or colas. In those who have been consumed these many sorts of beverages except of milk and green-tea. The higher prevalence rate of the dental caries was shown than in those who did not so. 6) Most highly the prevalence rate of the dental caries was shown in those who experienced the eating such snacks as chocolates, chewing-gums, candies and ice-creams. Thus, these snacks considered as having a higher caries producing potentials should be controled from early periods of infants.
Practice : Dentistry
Keywords :