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Type:	Artigo de Periódico
Title:	Acidic food choice among adolescents with bulimic symptomatology: a major risk factor for erosive tooth wear?
Authors:	Ana Paula Hermont Isabela Almeida Pordeus Joana Ramos‑Jorge Saul Martins de Paiva Sheyla Márcia Auad
Abstract:	Purpose: Evaluate dietary habits and the presence of erosive tooth wear (ETW) among female adolescents with varying severity of bulimic symptomatology. Methods: An explanatory study was conducted with 72 female school adolescents with bulimic symptomatology, aged 15–18 years in Southeastern Brazil. Dietary habits were evaluated through a food frequency questionnaire. Bulimic symptomatology was evaluated and classifed (mild, moderate and severe) according to the Bulimic Investigatory Test of Edinburgh. ETW examinations were performed. Data analysis involved descriptive statistics, bivariate analysis, Kruskal–Wallis/Mann–Whitney tests and Poisson regression. Ethical approval and informed consents were obtained. Results: The fnal population consisted of 62 participants. The prevalence of ETW difered among adolescents with mild, moderate and severe bulimic symptomatology (p=0.001), corresponding to 5.9%, 8.0% and 45.0%, respectively. Adolescents with severe bulimic symptomatology presented higher daily consumption of acidic food: citric fruits (p<0.005), diet soda (p<0.009) and ketchup (p=0.004). No diference related to vomiting practices was observed between groups (p=0.060). The adjusted regression model showed that a higher prevalence of ETW was associated with self-induced vomit at least once a week (PR=2.42, 95% CI=1.00–5.86, p=0.05) and higher frequencies of consumption of citric fruits (PR=7.96, 95% CI=1.50–42.11, p=0.015) and diet soda (PR=2.32, 95% CI=1.09–4.91, p=0.029). Conclusion: It was the food choices (acidic food) and not purging practices that difered among adolescents with varying severity of bulimic symptomology. Likewise, higher consumption of citric fruits was the main factor associated with higher prevalence of ETW. Level of evidence III case–control analytic study.
Subject:	Bulimia nervosa Tooth erosion Diet Risk assessment
language:	eng
metadata.dc.publisher.country:	Brasil
Publisher:	Universidade Federal de Minas Gerais
Publisher Initials:	UFMG
metadata.dc.publisher.department:	FAO - DEPARTAMENTO DE ODONTOPEDIATRIA E ORTODONTIA
Rights:	Acesso Restrito
metadata.dc.identifier.doi:	https://doi.org/10.1007/s40519-020-01008-0
URI:	http://hdl.handle.net/1843/52823
Issue Date:	Sep-2020
metadata.dc.url.externa:	https://link.springer.com/article/10.1007/s40519-020-01008-0
metadata.dc.relation.ispartof:	Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity
Appears in Collections:	Artigo de Periódico

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