Acidic food choice among adolescents with bulimic symptomatology: a major risk factor for erosive tooth wear?
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ORIGINAL ARTICLE
Acidic food choice among adolescents with bulimic symptomatology: a major risk factor for erosive tooth wear? Ana Paula Hermont1 · Isabela Almeida Pordeus1 · Joana Ramos‑Jorge1 · Saul Martins Paiva1 · Sheyla Márcia Auad1 Received: 1 May 2020 / Accepted: 2 September 2020 © Springer Nature Switzerland AG 2020
Abstract Purpose Evaluate dietary habits and the presence of erosive tooth wear (ETW) among female adolescents with varying severity of bulimic symptomatology. Methods An explanatory study was conducted with 72 female school adolescents with bulimic symptomatology, aged 15–18 years in Southeastern Brazil. Dietary habits were evaluated through a food frequency questionnaire. Bulimic symptomatology was evaluated and classified (mild, moderate and severe) according to the Bulimic Investigatory Test of Edinburgh. ETW examinations were performed. Data analysis involved descriptive statistics, bivariate analysis, Kruskal–Wallis/ Mann–Whitney tests and Poisson regression. Ethical approval and informed consents were obtained. Results The final population consisted of 62 participants. The prevalence of ETW differed among adolescents with mild, moderate and severe bulimic symptomatology (p = 0.001), corresponding to 5.9%, 8.0% and 45.0%, respectively. Adolescents with severe bulimic symptomatology presented higher daily consumption of acidic food: citric fruits (p
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