Turkiye Klinikleri Journal of Sports Sciences

.: ORIGINAL RESEARCH
Sporcularda Basit Şeker Tüketiminin Ağız ve Diş Sağlığına Etkisinin İncelenmesi
Investigation of the Effect of Free Sugar Consumption on Oral and Dental Health in Athletes
Osman HAMAMCILARa, Aslıhan NEFESa, Tuğba KOCAHANa, Adnan HASANOĞLUa
aGençlik ve Spor Bakanlığı, Sağlık İşleri Dairesi Başkanlığı, Sporcu Eğitim Sağlık ve Araştırma Merkezi (SESAM), Ankara, TÜRKİYE
Turkiye Klinikleri J Sports Sci. 2020;12(1):58-64
doi: 10.5336/sportsci.2019-70418
Article Language: TR
Full Text
ÖZET
 Amaç: Çalışmamızın amacı sporcularda basit şeker tüketiminin ağız ve diş sağlığı üzerine olan etkisini incelemektir. Gereç ve Yöntemler: Çalışmaya, yaşları 15,8±2,6 yıl olan toplam 64 sporcu (43 erkek, 21 kadın) dâhil edildi. Sporcular, basit şeker tüketimi %10'un altında (basit şeker tüketimi az) olanlar ile %10 ve üzerinde (basit şeker tüketimi fazla) olanlar olmak üzere 2 gruba ayrıldı. Sporcuların çürük, kayıp ve dolgulu diş sayıları diş hekimi tarafından klinik muayene ile belirlendi. İki grubun çürük, kayıp ve dolgulu diş sayıları toplamı alınarak çürük, kayıp, dolgulu diş sayısı toplamı (DMFT) indeksleri hesaplandı. İstatistiksel anlamlılık düzeyi p<0,05 olarak kabul edildi. Bulgular: Basit şeker tüketimi fazla olan sporcuların çürük diş sayısının daha fazla olduğu belirlenirken (p<0,05), kayıp ve dolgulu diş sayıları arasında ise istatistiksel olarak anlamlı bir farklılık olmadığı belirlendi (p>0,05). Basit şeker tüketimi fazla olan sporcuların vücut ağırlığı ve beden kitle indeksi ile günlük enerji alımı ve karbonhidrat tüketiminin daha fazla olduğu belirlendi (p<0,05). Ayrıca basit şeker tüketimi fazla olan sporcuların yağsız vücut kütlesi ve kas kütlelerinin de daha fazla olduğu belirlendi (p<0,05). Sonuç: Enerjinin basit şekerden gelen yüzdesinin yüksek olması, sporcularda ağız ve diş sağlığını kötü etkilemektedir. Basit şeker tüketiminin sporcuların sağlık durumlarını ve vücut kompozisyonlarını etkileyebileceği düşünülmektedir.

Anahtar Kelimeler: Sporcu; beslenme; DMFT; karbonhidrat
ABSTRACT
 Objective: The aim of our study is to show the effect of free sugar consumption and oral-dental health in athletes. Material and Methods: Sixty-four athletes (43 males, 21 females) with a mean age of 15,8±2,6 years who participated in competitions in different sports were included. The athletes were divided into two groups: those with a free sugar consumption of less than 10% (less than free sugar consumption) and those with 10% or more (more than free sugar consumption). Clinical examinations were performed by the dentist in order to determine the number of teeth affected by the caries and their results. Decay, missing and filled teeth with the total number of decay, missing, total number of filled teeth (DMFT) index were calculated. Statistical significance was accepted as p<0.05. Results: Body weight and body mass index, daily energy intake and carbohydrate consumption of athletes who had free sugar consumption were higher (p<0.05). In addition, it was determined that the fat free mass and muscle mass of the athletes who had free sugar consumption were higher (p<0.05). Conclusion: The high percentage of energy from free sugar affects the oral and dental health in athletes. The athletes of the free sugar consumption is thought to affect health status and body composition.

Keywords: Athlete; nutrition; DMFT; carbohydrate
REFERENCES:
  1. Thomas DT, Erdman KA, Burke LM. Position of the Academy of Nutrition and Dietetics, Dietitians of Canada, and the American College of Sports Medicine: nutrition and athletic performance. J Acad Nutr Diet. 2016;116(3):501-28. [Crossref]  [PubMed] 
  2. Folasire OF, Akomolafe AA, Sanusi RA. Does nutrition knowledge and practice of athletes translate to enhanced athletic performance? Cross-sectional study amongst Nigerian undergraduate athletes. Glob J Health Sci. 2015;7(5):215-25. [Crossref]  [PubMed]  [PMC] 
  3. Close GL, Hamilton DL, Philp A, Burke LM, Morton JP. New strategies in sport nutrition to increase exercise performance. Free Radic Biol Med. 2016;98:144-58. [Crossref]  [PubMed] 
  4. Baysal A. Beslenme. 12. Baskı. Ankara: Hatiboğlu Basım ve Yayım; 2009. p.560.
  5. Kerksick CM, Wilborn CD, Roberts MD, Smith-Ryan A, Kleiner SM, Jäger R, et al. ISSN exercise & sports nutrition review update: research & recommendations. J Int Soc Sports Nutr. 2018;15(1):38. [Crossref]  [PubMed]  [PMC] 
  6. Bhosale SH, Rao MB, Deshpande VV. Molecular and industrial aspects of glucose isomerase. Microbiol Rev. 1996;60(2):280-300. [Crossref]  [PubMed]  [PMC] 
  7. Sheiham A, James WP. Diet and dental caries: the pivotal role of free sugars reemphasized. J Dent Res. 2015;94(10):1341-7. [Crossref]  [PubMed] 
  8. Gondivkar SM, Gadbail AR, Gondivkar RS, Sarode SC, Sarode GS, Patil S, et al. Nutrition and oral health. Dis Mon. 2019;65(6):147-54. [Crossref]  [PubMed] 
  9. Yadav K, Prakash S. Dental caries: a review. Asian Journal of Biomedical and Pharmaceutical Sciences. 2016;6(53):1-7.
  10. Tinanoff N. Dental caries. In: Nowak AJ, Christensen JR, Mabry TR, Townsend JA, Wells MH, eds. Pediatric Dentistry: Infancy through Adolescence Expert Consult. 6th ed. Philadelphia, PA: WB Saunders, Elsevier; 2019. p.169-79.
  11. Moynihan PJ, Kelly SA. Effect on caries of restricting sugars intake: systematic review to update WHO guidelines. J Dent Res. 2014;93(1):8-18. [Crossref]  [PubMed]  [PMC] 
  12. Özdemir G, Ersoy G. [The importance of nutrition at mouth and tooth health problems of athletes]. GÜ Diş Hek Fak Derg. 2010;27(1):47-52.
  13. İnan E, İleri Keçeli T, Gökmen Özel H, Tekçiçek M. [The relationship between nutritional status and dental caries in a group of 6-12 year-old healthy children applying to Hacettepe University Faculty of Dentistry Pedodontics Clinic]. Beslenme ve Diyet Dergisi. 2013;41(1):10-7.
  14. Decker RT, Mobley C; Academy of Nutrition and Dietetics. Position of the Academy of Nutrition and Dietetics: oral health and nutrition. J Acad Nutr Diet. 2013;113(5):693-701. [Crossref]  [PubMed] 
  15. Moynihan P, Makino Y, Petersen PE, Ogawa H. Implications of WHO guideline on sugars for dental health professionals. Community Dent Oral Epidemiol. 2018;46(1):1-7. [Crossref]  [PubMed] 
  16. Drewnowski A. The real contribution of added sugars and fats to obesity. Epidemiol Rev. 2007;29:160-71. [Crossref]  [PubMed] 
  17. Lei L, Rangan A, Flood VM, Louie JC. Dietary intake and food sources of added sugar in the Australian population. Br J Nutr. 2016;115(5):868-77. [Crossref]  [PubMed] 
  18. Pöchmüller M, Schwingshackl L, Colombani PC, Hoffmann G. A systematic review and meta-analysis of carbohydrate benefits associated with randomized controlled competition-based performance trials. J Int Soc Sports Nutr. 2016;13:27. [Crossref]  [PubMed]  [PMC] 
  19. Wardenaar F, Brinkmans N, Ceelen I, Van Rooij B, Mensink M, Witkamp R, et al. Macronutrient intakes in 553 Dutch elite and sub-elite endurance, team, and strength athletes: does intake differ between sport disciplines? Nutrients. 2017;9(2). pii: E119. [Crossref]  [PubMed]  [PMC] 
  20. Shaghaghian S, Zeraatkar M. Factors affecting oral hygiene and tooth brushing in preschool children, Shiraz/Iran. J Dent Biomater. 2017;4(2):394-402.
  21. Peres MA, Sheiham A, Liu P, Demarco FF, Silva AE, Assunção M, et al. Sugar consumption and changes in dental caries from childhood to adolescence. J Dent Res. 2016;95(4):388-94. [Crossref]  [PubMed] 
  22. Mukouyama C, Koike Y, Hirohara T. Transitional changes in the prevalence of dental caries in children and preventive strategies: a review of nationwide annual surveys in Japan. Oral Health Prev Dent. 2018;16(2):107-11.
  23. Sheiham A, James WPT. A reappraisal of the quantitative relationship between sugar intake and dental caries: the need for new criteria for developing goals for sugar intake. BMC Public Health. 2014;14(1):863. [Crossref]  [PubMed]  [PMC] 
  24. Masson LF, Blackburn A, Sheehy C, Craig LC, Macdiarmid JI, Holmes BA, et al. Sugar intake and dental decay: results from a national survey of children in Scotland. Br J Nutr. 2010;104(10):1555-64. [Crossref]  [PubMed] 
  25. Stellingwerff T, Morton JP, Burke LM. A Framework for Periodized Nutrition for Athletics. Int J Sport Nutr Exerc Metab. 2019;11:1-29. 2019;29(2):141-51. [Crossref]  [PubMed] 
  26. Rossato LT, Fernandes CTM, Vieira PF, de Branco FMS, Nahas PC, Puga GM, et al. No improvement in running time to exhaustion at 100% VO2max in recreationally active male runners with a preexercise single-carbohydrate mouth rinse. Int J Sports Physiol Perform. 2019;31:1-20. 2019:1178-83. [Crossref]  [PubMed] 
  27. Needleman I, Ashley P, Meehan L, Petrie A, Weiler R, McNally S, et al. Poor oral health including active caries in 187 UK professional male football players: clinical dental examination performed by dentists. Br J Sports Med. 2016;50(1):41-4. [Crossref]  [PubMed] 
  28. Hamamcılar O, Akınoğlu B, Kocahan T, Hasanoğlu A. Effect of poor oral health on respiratory functions and hence sportive performance. Medical Journal of Islamic World Academy of Sciences. 2018;26(3):74-9. [Crossref] 

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