IADR Abstract Archives

Colombian-children endemic fluorosis associated with biologic, environmental, and psychosocial aspects.

Objectives: In Colombia (180-220mg-KF/salt-Kg; PAHO-1989) 50 municipalities (5%) report endemic fluorosis without clear relation with water [F-]; Huila catalogued as fluorosis public-health-problem state (ENSAB-IV, 2015).
Aim is to determine in 5- and 12-year olds in 4-Huila municipalities association between TFI-fluorosis severity and altitude, drinking-water/salt [F-], nutritional status, caries experience, quality-of-life (QoL), and OH knowledge-attitudes-practices (KAPs).
Methods: TFI-fluorosis, caries experience (dICDAS-“A”mfs/DICDAS-“A”MFS) and BMI-nutritional status were assessed (5-trained examiners) in 840 children (5-yrs: n=370, 12-yrs: n=470) from 4-Huila municipalities (Pitalito: 1318masl, Rivera: 705masl, Agrado: 907masl, Altamira: 1079masl). Children answered a 6-question QoL- and children/parents a 31-question KAPs-questionnaire. Topographic soil/rock/asset sediments (X-ray-diffraction)/water-[F-] (ion-specific-electrode; n=54) analyses were conducted in 3 watershed-riverbeds’ parts plus urban-net sanitary-control point. The later also for house-/market-domestic salt (n=84). Statistical tests: χ2, K-Wallis, Mann-Whitney U.
Results: Prevalence of fluorosis (TFI≥1): 98.32% (5-yrs: 97.28%, 12-yrs: 99.36%). Highest TFI-severity percentage was TFI-3 (45.41%). dICDAS-“A”mfs/DICDAS-“A”MFS prevalence: 80.43% and mean: 5.27±6.52. Most were under-/overweighted (60.88%). Topographic analyses found no pure-, but secondary-element-F- minerals; water [F-]: 0.28±0.26 F- ppm, salt [F-]: 162.95±17.76 F- ppm (municipalities' difference; p=0.02). Table shows details. No associations (p>0.05) were found between TFI-severity and: altitude, water/salt [F-]; mean dICDAS-“A”mfs/DICDAS-“A”MFS, and QoL. Associations were found: in 5-yr. olds with nutritional status (p=0.046): 73.68% TFI≥5 overweighted; with KAPs' questions: “F--toothpaste-start” (18.91% “don't-know”), and >28% TFI≥3 vs. <12% TFI≤2 “since-1ary-teeth-appear”; “F--toothpaste-purpose”: 70% TFI-0: “caries prevention”; and “Dental-care attendance”: 70% TFI-0 vs. <59% TFI≥1: “1/2-times/year”.
Conclusions: This study couldn't explain fluorosis findings. Further/deeper and season-related soil and its uses, F- ingestion and nutritional status explorations are recommended. National laboratory techniques need international standards.
Colciencias-grant: 442-2012.
AADR/CADR Annual Meeting
2016 AADR/CADR Annual Meeting (Los Angeles, California)
Los Angeles, California
2016
0045
Cariology Research-Clinical & Epidemiological Studies
  • Martignon, Stefania  ( Universidad El Bosque , Bogota , DC , Colombia )
  • Gonzalez-carrera, María Clara  ( Universidad El Bosque , Bogota , Colombia )
  • Martinez-mier, E. Angeles  ( Indiana University , Indianapolis , Indiana , United States )
  • Castiblanco, Gina  ( Universidad El Bosque , Bogota , DC , Colombia )
  • Opazo, Mario  ( Universidad El Bosque , Bogota , Colombia )
  • Usuga-vacca, Margarita  ( Universidad El Bosque , Bogota , DC , Colombia )
  • Marin, Lina  ( Universidad El Bosque , Bogota , DC , Colombia )
  • Silva-hermida, Blanca Cecilia  ( Secretaria de Salud , Neiva , Colombia )
  • Ruiz-carrizosa, Jaime Alberto  ( Universidad El Bosque , Bogota , DC , Colombia )
  • Gamboa, Luis Fernando  ( Universidad El Bosque , Bogota , DC , Colombia )
  • Orjuela-osorio, Ivan Rodrigo  ( Universidad El Bosque , Bogota , Colombia )
    • Colciencias: grant number 442-2012.
    NONE
    Oral Session
    Cariology Research-Clinical & Epidemiological Studies I
    Wednesday, 03/16/2016 , 02:30PM - 04:00PM
    Table 1: Fluorosis severity (TFI), caries experience (ICDAS-“A”) and nutritional status (BMI) distribution among children.
    Age groupFluorosis (TFI)aCaries Experience
    (dICDAS-“A”mfs/DICDAS-“A”MFS)    		Nutritional status (BMI)
    Highest severityDistribution (%)Prevalence (%)Mean±SDPrevalence (%)
    Whole sample
    (n=840)    		TFI-01.6780.435.27±6.52Underweight: 18.68
    Normality: 39.12
    Overweight: 42.20
    TFI-11.55
    TFI-27.75
    TFI-345.41
    TFI-423.96
    TFI-58.58
    TFI-67.27
    TFI-72.74
    TFI-81.07
    5-yr. olds
    (n=370)    		TFI-02.7077.726.66±7.77bUnderweight (BMI: <14): 15.07
    Normality (BMI: 14-16.75): 52.46
    Overweight (BMI: >16.75): 32.46
    TFI-12.43
    TFI-211.89
    TFI-366.49
    TFI-410.00
    TFI-54.05
    TFI-60.54
    TFI-71.35
    TFI-80.54
    12-yr. olds
    (n=470)    		TFI-00.8575.743.83±4.81bUnderweight (BMI: <15.75): 12.50
    Normality (BMI: 15.75-20): 61.82
    Overweight (BMI: >20): 25.68
    TFI-10.85
    TFI-24.48
    TFI-328.78
    TFI-434.97
    TFI-512.15
    TFI-612.58
    TFI-73.84
    TFI-81.49
    a Statistically significant differences between municipalities: general (p=0.000), 5-year olds (p=0.042), and 12-year olds (p=0.01). b p=0.000.