Publikationer från Malmö universitet
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  • 1. Gyll, Johanna
    et al.
    Ridell, Karin
    Malmö universitet, Odontologiska fakulteten (OD).
    Ohlund, Inger
    Akeson, Pia Karlsland
    Johansson, Ingegerd
    Holgerson, Pernilla Lif
    Vitamin D status and dental caries in healthy Swedish children2018Ingår i: Nutrition Journal, ISSN 1475-2891, E-ISSN 1475-2891, Vol. 17Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Vitamin D is crucial for mineralized tissue formation and immunological functions. The purpose of this study was to evaluate the association between vitamin D status and dental status in healthy children with vitamin D supplementation in infancy and at 6 years of age. Method: Eight-year-old children who had participated, in a vitamin D intervention project when they were 6 years old were invited to participate in a dental follow-up study. They had fair or darker skin complexion and represented two geographically distant parts of Sweden. 25-hydroxy vitamin D in serum had been measured at 6 years of age and after a 3-month intervention with 25, 10 or 2 (placebo) mu g of vitamin D-3 per day. Two years later, caries and enamel defects were scored, self-reported information on e.g., oral behavior, dietary habits and intake of vitamin D supplements was collected, and innate immunity peptide LL37 levels in saliva and cariogenic mutant streptococci in tooth biofilm were analyzed. The outcome variables were caries and tooth enamel defects. Results: Dental status was evaluated in 85 of the 206 children in the basic intervention study. Low vitamin D levels were found in 28% at baseline compared to 11% after the intervention, and 34% reported continued intake of vitamin D supplements. Logistic regression supported a weak inverse association between vitamin D status at 6 years of age and caries 2 years later (odds ratio 0.96; p = 0.024) with minor attenuation after an adjustment for potential confounders. Multivariate projection regression confirmed that insufficient vitamin D levels correlated with caries and higher vitamin D levels correlated with being caries-free. Vitamin D status at 6 years of age was unrelated to enamel defects but was positively associated with saliva LL37 levels. Conclusion: An association between vitamin D status and caries was supported, but it was not completely consistent. Vitamin D status at 6 years of age was unrelated to enamel defects but was positively associated with LL37 expression.

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  • 2. Westergren, Albert
    et al.
    Wann-Hansson, Christine
    Malmö högskola, Fakulteten för hälsa och samhälle (HS).
    Berg Börgdal, Elisabeth
    Sjölander, Jeanette
    Strömblad, Rose-Marie
    Klevsgård, Rosmarie
    Axelsson, C
    Lindholm, Christina
    Ulander, Kerstin
    Malnutrition prevalence and precision in nutritional care differed in relation to hospital volume: a cross-sectional survey2009Ingår i: Nutrition Journal, ISSN 1475-2891, E-ISSN 1475-2891, Vol. 8, nr 20, artikel-id 20Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: To explore the point prevalence of the risk of malnutrition and the targeting of nutritional interventions in relation to undernutrition risk and hospital volume. METHODS: A cross-sectional survey performed in nine hospitals including 2 170 (82.8%) patients that agreed to participate. The hospitals were divided into large, middle, and small sized hospitals. Undernutrition risk and overweight (including obesity) were assessed. RESULTS: The point prevalence of moderate/high undernutrition risk was 34%, 26% and 22% in large, middle and small sized hospitals respectively. The corresponding figures for overweight were 38%, 43% and 42%. The targeting of nutritional interventions in relation to moderate/high undernutrition risk was, depending on hospital size, that 7-17% got Protein- and Energy Enriched food (PE-food), 43-54% got oral supplements, 8-22% got artificial nutrition, and 14-20% received eating assistance. Eating assistance was provided to a greater extent and artificial feeding to a lesser extent in small compared to in middle and large sized hospitals. CONCLUSION: The prevalence of malnutrition risk and the precision in provision of nutritional care differed significantly depending on hospital volume, i.e. case mix. It can be recommended that greater efforts should be taken to increase the use of PE-food and oral supplements for patients with eating problems in order to prevent or treat undernutrition. A great effort needs to be taken in order to also decrease the occurrence of overweight.

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