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Adolesanlarda Diyet Asit Yükü ile Ağız Sağlığıyla ilgili Yaşam Kalitesi Arasındaki İlişkiyi İncelemeye Yönelik Bir Araştırma

Year 2026, Volume: 4 Issue: 1, 76 - 87

Abstract

Bu çalışmada, adolesanlarda diyet asit yükü ile ağız sağlığı ile ilişkili yaşam kalitesi arasındaki ilişkinin incelenmesi amaçlanmıştır. Toplam 374 adolesana, demografik yapı anketi ve Ağız Sağlığı Etki Profili-14 (OHIP-14) ölçeği uygulanmıştır ve 24 saatlik geriye dönük besin tüketim kayıtları toplandı. Diyet asit yükü (DAL), potansiyel böbrek asit yükü (PRAL) ve net endojen asit üretimi (NEAP) hesaplanarak değerlendirilmiştir. Veri analizi SPSS 24 yazılım paketi kullanılarak yapılmıştır. Düzenli olarak diş hekimine giden öğrencilerin OHIP-14, NEAP ve PRAL değerleri gitmeyenlere göre daha yüksek saptanmıştır (p<0,05). Ağız yarası olan öğrencilerin OHIP-14 ölçek puanı 11,75±11,12 iken, yarası olmayan öğrencilerin OHIP-14 ölçek puanı 6,88±7,18 olarak bulunmuştur (p<0,05). Ayrıca, diyet asit yükünün OHIP-14 ölçeğinin toplam puanı üzerinde olumlu bir etkisi olduğu saptanmıştır (p<0,05). Sonuç olarak; bu bulgular, diyet asit yükü yüksek olan ergenlerde ağız sağlığı sonuçlarının daha kötü ve yaşam kalitesinin daha düşük olduğunu göstermektedir. Bu sonuçlar, beslenme alışkanlıklarının ağız sağlığı üzerindeki potansiyel etkisini vurgulamakta ve ergenlik döneminde dengeli, alkali yönünden zengin diyetlerin teşvik edilmesinin önemine dikkat çekmektedir.

References

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A Study to Examine the Relationship Between Dietary Acid Load and Oral Health-Related Quality of Life in Adolescents

Year 2026, Volume: 4 Issue: 1, 76 - 87

Abstract

This study aimed to examine the relationship between dietary acid load and oral health-related quality of life in adolescents. A total of 374 adolescents participated by completing a demographic questionnaire and the Oral Health Impact Profile-14 (OHIP-14) scale. Additionally, 24-hour recall food consumption records were gathered. The dietary acid load (DAL) was evaluated through the calculation of net endogenous acid production (NEAP) and potential renal acid load (PRAL). Data analysis was conducted using the SPSS 24 software package. Students who regularly visited the dentist had higher OHIP-14, NEAP, and PRAL values than those who did not (p<0.05). The OHIP-14 scale score of students with mouth sores was 11.75±11.12 compared to 6.88±7.18 in those without sores (p<0.05). Furthermore, DAL was shown to have a positive effect on the total score of the OHIP-14 scale (p<0.05). In conclusion, these findings indicate that adolescents with a higher dietary acid load have poorer oral health outcomes and a lower oral health-related quality of life. These results highlight the potential impact of dietary patterns on oral health and emphasize the importance of promoting balanced, alkaline-rich diets during adolescence.

Ethical Statement

This study was conducted in accordance with the principles outlined in the Declaration of Helsinki and was approved by the Ankara Yıldırım Beyazıt University Health Sciences Ethics Committee (approval date: December 8, 2022; decision number: 19-1234).

Supporting Institution

This study did not receive any funding or support.

Thanks

There are no institutions or individuals to acknowledge.

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  • Alshloul, M. N. (2023). Oral health knowledge, attitude, and practice among school children in Abha-Saudi Arabia. The Journal of School Nursing, 39(4), 295-304. https://doi.org/10.1177/10598405211012981
  • Apelbaum, D. N., Pomarico, L., Graciene, A., & Valente, L. R. (2011). Erosão ácida em Odontopediatria: um desafio dos nossos dias Acid erosion in Pediatric Dentistry: a challenge of our days. Revista Brasileira de Odontologia, 68(2), 229–232.
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  • Chamut, S., Alhassan, M., Hameedaldeen, A., Kaplish, S., Yang, A.H., Wade, C.G., … Chandel, T. (2024). Every bite counts to achieve oral health: a scoping review on diet and oral health preventive practices. Int J Equity Health, 23(1), 261. https://doi.org/10.1186/s12939-024-02279-0
  • Chapain, K. P., Rampal, K. G., Gaulee-Pokhrel, K., Adhikari, C., Hamal, D., & Pokhrel, K. N. (2023). Influence of gender and oral health knowledge on DMFT index: a cross sectional study among school children in Kaski District, Nepal. BMC Oral Health, 23(1), 59. https://doi.org/10.1186/s12903-023-02755-z
  • Cooke, L.J., & Wardle, J. (2005). Age and gender differences in children’s food preferences. British Journal of Nutrition, 93(5), 741-6. https://doi.org/10.1079/bjn20051389
  • Das, P., Mishra, L., Jena, D., Govind, S., Panda, S., & Lapinska, B. (2022). Oral health-related quality of life in children and adolescents with a traumatic injury of permanent teeth and the impact on their families: A systematic review. Int J Environ Res Public Health, 19(5), 3087. https://doi.org/10.3390/ijerph19053087
  • DiNicolantonio, J.J., & O’Keefe, J. (2021). Low-grade metabolic acidosis as a driver of chronic disease: A 21st century public health crisis. Open Heart, 8(2), e001730. https://doi.org/10.1136/openhrt-2021-001730
  • Dolati, S., Razmjouei, S., Alizadeh, M., Faghfouri, A.H., & Moridpour, A.H. (2024). A high dietary acid load can potentially exacerbate cardiometabolic risk factors: An updated systematic review and meta-analysis of observational studies. Nutrition, Metabolism and Cardiovascular Diseases, 34(3), 569-580. https://doi.org/10.1016/j.numecd.2024.01.013
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  • Ghasemi, F., Abbasi, K., Ghiasvand, R., Clark, C.C.T., & Rouhani, M.H. (2023). The association between dietary acid load and risk of attention-deficit hyperactivity disorder: a case-control study. Child Neuropsychology, 29, 474–485. https://doi.org/10.1080/09297049.2022.2099536.
  • Gholami, F., Naghshi, S., Samadi, M., Rasaei, N., & Mirzaei, K. (2022). Dietary acid load and bone health: A systematic review and meta-analysis of observational studies. Frontiers in Nutrition, 9, 869132. https://doi.org/10.3389/fnut.2022.869132
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Details

Primary Language English
Subjects Public Health Nutrition, Nutrition and Dietetics (Other)
Journal Section Research Articles
Authors

Emine Elibol 0000-0002-6166-0825

Ayşe Nur Esen 0009-0007-7048-1478

Emine Demirci 0009-0001-7946-1752

Nural Erzurum Alim 0000-0001-9931-0639

Publication Date November 11, 2025
Submission Date February 12, 2025
Acceptance Date May 22, 2025
Published in Issue Year 2026 Volume: 4 Issue: 1

Cite

APA Elibol, E., Esen, A. N., Demirci, E., Erzurum Alim, N. (n.d.). A Study to Examine the Relationship Between Dietary Acid Load and Oral Health-Related Quality of Life in Adolescents. Bilecik Şeyh Edebali University Faculty of Health Sciences Journal, 4(1), 76-87. https://doi.org/10.61535/bseusbfd.1638663

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