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Type: Journal article
Title: Re-examining the association between vitamin D and childhood caries
Author: Dudding, T.
Thomas, S.
Duncan, K.
Lawlor, D.
Timpson, N.
Citation: PLoS One, 2015; 10(12):e0143769-1-e0143769-13
Publisher: Public Library of Science
Issue Date: 2015
ISSN: 1932-6203
Statement of
Tom Dudding, Steve J. Thomas, Karen Duncan, Debbie A. Lawlor, Nicholas J. Timpson
Abstract: Background: Previous studies have reported an inverse association between vitamin D and childhood dental caries, but whether this is causal is unclear. Objective: To determine the causal effect of circulating 25-hydroxyvitamin D concentration on dental caries experience, early caries onset and the requirement for a dental general anesthetic. Design: A Mendelian randomization study was undertaken, using genetic variants known to be associated with circulating 25-hydroxyvitamin D concentrations in 5,545 European origin children from the South West of England. Data on caries and related characteristics were obtained from parental and child completed questionnaires between 38 and 91 months and clinical assessments in a random 10% sample at 31, 44 and 61 months. Results: In multivariable confounder adjusted analyses no strong evidence for an association of 25-hydroxyvitamin D with caries experience or severity was found but there was evidence for an association with early caries onset, or having a general anesthetic for dental problems. In Mendelian randomization analysis the odds ratio for caries experience per 10 nmol/L increase in 25-hydroxyvitamin D was 0.93 (95% confidence interval: 0.83, 1.05; P = 0.26) and the odds ratio for dental general anaesthetic per 10 nmol/L increase in 25-hydroxyvitamin D was 0.96 (95% confidence interval: 0.75, 1.22; P = 0.72). Conclusions: This Mendelian randomization study provides little evidence to support an inverse causal effect of 25-hydroxyvitamin D on dental caries. However, the estimates are imprecise and a larger study is required to refine these analyses.
Keywords: Humans; Dental Caries; Hydroxycholecalciferols; Follow-Up Studies; Child; Child, Preschool; England; Female; Male; Surveys and Questionnaires
Rights: © 2015 Dudding et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
RMID: 0030042390
DOI: 10.1371/journal.pone.0143769
Appears in Collections:Medicine publications

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