2008, Number 3
<< Back Next >>
Rev Invest Clin 2008; 60 (3)
Fluoride urinary excretion in Mexico City’s preschool children
Juárez-López MLA, Hernández-Guerrero JC, Jiménez-Farfán D, Molina-Frechero N, Murrieta-Pruneda F, López-Jiménez G
Language: Spanish
References: 50
Page: 241-247
PDF size: 128.64 Kb.
ABSTRACT
Objective. The assessment of urinary fluoride excretion during
dental developing stage has been reported for different countries
with community fluoride programs. Also, one of the factors that
could influence on retention and excretion of fluoride is the deficient
nutrition so the aim of this study was to determine fluoride
urinary excretion by a group of preschool children with and
without malnutrition.
Materials and methods.Urinary samples
from 24 hours were collected from 60 preschool children selected
by convenience from Iztapalapa area of Mexico City, 30
with malnutrition and 30 with standard nutritrional status by
weight for age. The samples were analyzed by fluoride especific
electrode. Orion 720A.
Results. The average concentration of
fluoride in urine from preschool children with and without malnutrition
were 0.89 ± 0.4 mg/L and 0.80 ± 0.3 mg/L, respectively.
The mean of 24 hours total fluoride excreted were 367 ± 150 μg/
24 hrs. in malnutrition children and 355 ± 169 µg/24 hrs. for
those with standard nutritional status. There were no differences
statistically significant between groups.
Conclusion. The urinary
fluoride excretion for children with and without malnutrition
were in the optimal range of fluoridation for the prevention
of caries decay. Malnutrition was no associated with changes on
fluoride orine concentration and excretion rates.
REFERENCES
Margolis HC, Moreno EC. Physicochemical perspectives on the cariostatic mechanisms of systemic and topical fluorides. J Dent Res 1990; 69(Spec Issue): 606-13.
Hernández-Guerrero JC, Ledesma-Montes C, Cardiel-Nieves M, De la Fuente-Hernández J, Jiménez-Farfán D. Fluoride levels in Mexico City’s water supplies. Rev Int Contam Ambient 2005; 21(1): 17-22.
Secretaría de Salud. Norma Oficial Mexicana NOM-040-SSAI- 1993. Sal iodatada y sal fluorada. México; Diario Oficial de la Federación; 1995, p. 12-27.
Alanis J, Toshikasu Y, Shunishini N. Estudio de la concentración de fluoruro, Ca y otros elementos en alimentos mexicanos. Rev Tópicos de Investigación y Posgrado 1995; 4(84): 195-203.
Pozos-Guillén AJ, Retana-Álvarez OA. Concentración de flúor en jugos de frutas como factor de riesgo adicional a fluorosis dental. Revista ADM 2005; 62(2): 70-2.
Loyola-Rodríguez JP, Pozos-Guillén AJ, Hernández-Guerrero JC. Bebidas embotelladas como fuentes adicionales de exposición a flúor. Sal Pub Mex 1998; 40: 438-41.
Martínez-Mier EA, Soto-Rojas AE, Ureña-Cirett JL, Stookey GK, Dunipace AJ. Fluoride intake from foods, beverages and dentifrice by children in México. Community Dent Oral Epidemiol 2003; 31: 221-30.
Collins EM, Segreto VA. Urinary fluoride levels of children residing in communities with naturally ocurring fluorides in the drinking water. ASDC J Dent Child 1984; 51: 352-5.
Marthaler TM, Schulte AG. Monitoring salt fluoridation programs through urinary excretion studies. Schweiz Monatsschr Zahnmed 2005; 115(8): 679-84.
Villa AE. Critical evaluation of previously published data on the fraccional urinary fluoride excretion in young children. Community Dent Health 2004; 21: 155-60.
Villa A, Salazar G, Anabalon M, Cabezas L. Estimation of the fraction of an ingested dose of fluoride excreted through urine in pre-school children. Community Dent Oral Epidemiol 1999; 27: 305-12.
Haftenberg M, Viergutz G, Neumeister V, Hetzer G. Total Fluoride intake and urinary excretion in German children aged 3-6 years. Caries Res 2001; 35: 451-7.
Aoba T, Fejerskov O. Dental fluorosis: Chemistry and Biology. Crit Rev Oral Biol Med 2002; 13(2): 155-70.
Whelton HP, Ketley CE, McSweeney F, O’Mullane DM. A review of fluorosis in the European Union: prevalence, risk factors and aesthetic issues. Community Dent Oral Epidemiol 2004; 32(Suppl. 1): 9-18.
Mascarenhas AK. Risk factors for dental fluorosis. A review of the recent literature. Pediatr Dent 2000; 22: 269-77.
Rugg-Gunn AJ, Al-Mohammadi SM, Butler TJ. Effects of fluoride level in drinking water, nutritional status, and socioeconomic status on the prevalence of developmental defects of dental enamel in permanent teeth in Saudi 14-year-old boys. Caries Res 1997; 31: 259-67.
Teotia M, Teotia SP, Singh KP. Endemic chronic fluoride toxiticity and dietary calcium deficiency interaction syndromes of metabolic bone disease and deformities in India: year 2000. Indian J Pediatr 1998; 65(3): 371-81.
Khandare AL, Harikumar R, Sivakumar B. Severe bone deformities in young children from vitamin D deficiency and fluorosis in Bihar-India. Calcif Tissue Int. 2005; 76(6): 412-8.
Olaiz-Fernández G, Rivera-Dommarco J, Shamah-Levy T, Rojas R, Villalpando-Hernández S, Hernández-Ávila M, Sepúlveda- Amor J. Encuesta Nacional de Salud y Nutrición 2006. Cuernavaca México: Instituto Nacional de Salud Pública; 2006, p. 87.
Juárez-López LA, Murrieta-Pruneda F, Ortiz-Cruz E. Prevalencia de caries y su asociación con el estado nutricional y hábitos higiénicos en preescolares. Rev AMOP 2006; 18: 28-32.
Soto-Rojas AE, Ureña-Cirett JL, Martínez-Mier EA. A review of the prevalence of dental fluorosis in Mexico. Pan Am J Public Health 2004; 15(1): 9-18.
Molina-Frechero N, Castañeda-Castaneira RE, Hernández-Guerrero JC, Robles-Pinto G. Prevalencia de fluorosis dental en escolares de una delegación política de la Ciudad de México. Rev Mex Pediatr 2005; 72(1): 13-6.
Juárez-López LA, Hernández-Guerrero JC, Jiménez-Farfán MD, Ledesma-Montes C. Prevalencia de fluorosis dental y caries en escolares de la ciudad de México. Gac Med Mex 2003; 139: 221-5.
Heintze SD, Bastos JR, Bastos R. Urinary fluoride levels and prevalence of dental fluorosis in the three Brazilian cities with different fluoride concentrations in the drinking water. Community Dent Oral Epidemiol 1998; 26: 316-23.
Marthaler TM, Steiner M, Menghini G, De Crousaz P. Urinary fluoride excretion in children with low fluoride intake or consuming fluoridated salt. Caries Res 1995; 29: 26-34.
Menghini G, De Crousaz P, Steiner M, Helfenstein U, Sener B. Urinary excretion of fluorides in schoolchildren of Lausanne and Geneva in relation to salt fluoridation. Schweiz Monatsschr Zahnmed 1989; 99(3): 292-8.
Obry-Musset AM, Bettembourg D, Cahen PM, Voegel JC, Frank RM. Urinary fluoride excretion in children using potassium fluoride containing salt or sodium fluoride suplements. Caries Res 1992; 26: 367-70.
Baez RJ, Baez MX, Marthaler TM. Urinary fluoride excretion by children 4-6 years old in a south Texas community. Pan Am J Public Health 2000; 7(4): 242-8.
Grijalva-Haro MI, Barba-Leyva ME, Laborín-Álvarez A. Fluoride intake and excretion among children of Hermosillo Sonora, México: Sal Pub Mex 2001; 43: 127-34.
Rugg-Gunn AJ, Nunn JH, Ekanayake L, Saparamadu KD, Wright WG. Urinary excretion in 4-year-old children in Sri Lanka and England. Caries Res 1993; 27: 778-83.
Nath SK, Moinier B, Thuillier F, Rongier M, Desjeux JF. Urinary excretion of iodide and fluoride from supplemented food grade salt. Int J Vitam Nutr Res 1992; 62: 66-72.
Ketley CE, Cochran JA, Lennon MA, O’Mullane DM, Worthington HV. Urinary fluoride excretion of young children exposed to different fluoride regimes. Community Dent Health 2002; 19: 12-7.
Juárez-López MLA, Hernández-Guerrero JC, Ledesma-Montes C, Galicia-Sosa A. Excreción urinaria de flúor en niños de 11- 12 años de edad residentes en la zona oriente de la Ciudad de México. Bol Med Hosp Infant Mex 2002; 59: 356-64.
Secretaría de Salud. Norma Oficial Mexicana. Nom-008-SSA2- 1993. Control de la nutrición, crecimiento y desarrollo del niño y adolescente. Criterios y procedimientos para la prestación del servicio; 1994, p. 8-14.
Marthaler TM. Monitoring of renal fluoride excretion in community preventive programmes on oral health. Geneva: World Health Organization; 1999, p. 37-8.
Thermo Electrode Corporation. Orion ion plus fluoride electrode instruction manual. USA: Thermo Electrode Corporation; 2003, p. 6-12.
Ketley CE, Lennon MA. Determination of fluoride intake from urinary fluoride excretion data in children drinking fluoridated school milk. Caries Res 2001; 35: 252-7.
Franco AM, Saldarriaga A, Martignon S, Gonzalez MC, Villa AE. Fluoride intake and fractional urinary fluoride excretion of Colombian preschool children. Community Dent Health 2005; 22: 272-8.
O’leary TJ, Drake RB, Taylor JE. The plaque control record. J Periodontol 1972; 43(1): 38-40.
Organización Mundial de la Salud. Investigación de la salud oral: métodos básicos. México: Trillas UAM-X; 1990, p. 50-8.
Villa A, Anabalón M, Cabezas L. The fractional urinary fluoride excretion in young children under stable fluoride intake conditions. Communiity Dent Oral Epidemiol 2000; 28: 344-55.
Zohouri FV, Rugg-Gunn AJ. Total fluoride intake and urinary excretion in 4-year-old Iranian children residing in low fluoride areas. Br J Nutr 2000; 83(1):15-25.
Ophaug RH, Singer L, Harland BF. Estimated fluoride intake of average two-year-old children in four dietary regions of the United States. J Dent Res 1980; 59: 777-81.
Burt BA. The changing patterns of systemic fluoride intake. J Dent Res 1992; 71(Spec Iss): 1228-37.
DenBesten PK. Biological mechanisms of dental fluorosis relevant to the use of fluoride supplements. Community Dent Oral Epidemiol 1999; 27: 41-7.
Baelum V, Fejerskov O, Manji F, Larsen MJ. Daily dose of fluoride and dental fluorosis. Tandlaegebladet 1987; 91(10): 452-6.
Irigoyen ME, Sánchez-Hinojoza G. Changes in dental caries prevalence in 12-year-old students in the state of Mexico after 9 years of salt fluoridation. Caries Res 2000; 34: 303-7.
Velázquez-Monroy O, Vera-Hermosillo H, Irigoyen-Camacho ME, Mejía-González A, Sánchez-Perez TL. Changes in the prevalence of dental caries in schoolchildren in three regions of Mexico: survey 1987-1988 and 1997-1998. Pan Am J Public Health 2003; 13(5): 320-6.
Psoter WJ, Reid BC, Katz RV. Malnutrition and dental caries: a review of the literature. Caries Res 2005; 39: 441-7.
Limeback H. A re-examination of pre-eruptive and post-eruptive mechanims of the anti-caries effects of fluoride: is there any anti-caries benefit from swallowing fluoride? Community Dent Oral Epidemiol 1999; 27: 62-71.