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      Analysis of Dietary Related Factors of Recurrent Aphthous Stomatitis among College Students

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          Abstract

          Objective

          We investigated the occurrence of recurrent aphthous stomatitis (RAS) among college students and its potential influence by dietary habits.

          Methods

          Study of dietary habits and RAS among students in Beijing University of Chinese Medicine was carried by homemade questionnaire. Multivariate binary logistic regression analysis was used to identify RAS risk factors and explore their relations.

          Results

          Among 1011 investigated college students, family history (odds ratio (OR) 1.678, 95% confidence intervals (CI) 1.192 to 2.364, p < 0.05), bed late (OR 1.515, 95% CI 1.005 to 2.285, p < 0.05), frequent thirst (OR 1.842, 95% CI 1.393 to 2.435, p < 0.001), and frequent drinking carbonated beverages (OR 1.369, 95% CI 1.029 to 1.821, p < 0.05) were independent risk factors for RAS, but preference for nuts (OR 0.607, 95% CI 0.448 to 0.824, p < 0.001) was a protective factor. There was no statistical difference in fruit intake between RAS and non-RAS groups ( χ 2 = 5.249, p > 0.05).

          Conclusions

          Among college students, frequent drinking carbonated beverages or frequent thirst will increase its possibility, whereas preference for nuts provides protection. In addition, fruit intake does not have a positive effect.

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          Most cited references36

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          Recurrent aphthous ulcers today: a review of the growing knowledge.

          S S Natah, Y Konttinen, N S Enattah … (2004)
          Recurrent aphthous ulcers represent a very common but poorly understood mucosal disorder. They occur in men and women of all ages, races and geographic regions. It is estimated that at least 1 in 5 individuals has at least once been afflicted with aphthous ulcers. The condition is classified as minor, major, and herpetiform on the basis of ulcer size and number. Attacks may be precipitated by local trauma, stress, food intake, drugs, hormonal changes and vitamin and trace element deficiencies. Local and systemic conditions, and genetic, immunological and microbial factors all may play a role in the pathogenesis of recurrent aphthous ulceration (RAU). However, to date, no principal cause has been discovered. Since the aetiology is unknown, diagnosis is entirely based on history and clinical criteria and no laboratory procedures exist to confirm the diagnosis. Although RAU may be a marker of an underlying systemic illness such as coeliac disease, or may present as one of the features of Behcet's disease, in most cases no additional body systems are affected, and patients remain otherwise fit and well. Different aetiologies and mechanisms might be operative in the aetiopathogenesis of aphthous ulceration, but pain, recurrence, self-limitation of the condition, and destruction of the epithelium seem to be the ultimate outcomes. There is no curative therapy to prevent the recurrence of ulcers, and all available treatment modalities can only reduce the frequency or severity of the lesions.
          Article 0 comments Cited 71 times – based on 0 reviews     Review now
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            The treatment of chronic recurrent oral aphthous ulcers.

            Andreas Altenburg, Nadine El-Haj, Christiana Micheli … (2014)
            Chronic recurrent oral aphthous ulcers are the most common type of inflammatory efflorescence of the oral mucosa, with a prevalence of 2% to 10% in Caucasian populations. To treat them properly, physicians should know their clinical appearance and course, conditioning factors, underlying causes, and differential diagnosis.
            Article 0 comments Cited 29 times – based on 0 reviews     Review now
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              The role of anxiety, depression, and psychological stress on the clinical status of recurrent aphthous stomatitis and oral lichen planus.

              Lidia Gavic, Livia Cigic, Dolores Biocina Lukenda … (2014)
              In spite of all the efforts, recurrent aphthous stomatitis (RAS) and oral lichen planus (OLP) still have unexplained etiology. The role of anxiety, depression, and psychological stress in occurrence and intensity of symptoms in RAS and OLP patients has been investigated in this study.
              Article 0 comments Cited 24 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Yanling Fu:
                ORCID: http://orcid.org/0000-0001-9133-2657
                Journal
                Journal ID (nlm-ta): Evid Based Complement Alternat Med
                Journal ID (iso-abbrev): Evid Based Complement Alternat Med
                Journal ID (publisher-id): ECAM
                Title: Evidence-based Complementary and Alternative Medicine : eCAM
                Publisher: Hindawi
                ISSN (Print): 1741-427X
                ISSN (Electronic): 1741-4288
                Publication date Collection: 2018
                Publication date (Electronic): 27 February 2018
                Volume: 2018
                Electronic Location Identifier: 2907812
                Affiliations
                1Beijing University of Chinese Medicine, Beijing 100029, China
                2Wenzhou Traditional Chinese Medicine Hospital, Zhejiang 325000, China
                Author notes

                Academic Editor: Cleofas Rodríguez-Blanco

                Author information
                http://orcid.org/0000-0001-9133-2657
                Article
                DOI: 10.1155/2018/2907812
                PMC ID: 5848137
                PubMed ID: 29681971
                SO-VID: c964678a-71f3-485f-b7ac-0ababc166747
                Copyright © Copyright © 2018 Qian Du et al.
                License:

                This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 18 October 2017
                Date accepted : 31 January 2018
                Categories
                Subject: Research Article

                ScienceOpen disciplines: Complementary & Alternative medicine
                Data availability:
                ScienceOpen disciplines: Complementary & Alternative medicine

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