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Journal of Dental Research
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Infants' Fluoride Intake from Drinking Water Alone, and from Water Added to Formula, Beverages, and Food

S.M. Levy

Department of Preventive and Community Dentistry, N330, DSB, College of Dentistry, The University of Iowa, Iowa City, Iowa 52242

F.J. Kohout

Department of Periodontics and Dows Institute for Dental Research, College of Dentistry, The University of Iowa

N. Guha-Chowdhury

Research Fellow, Dental Research Unit, Health Research Council, Wellington School of Medicine, Wellington, New Zealand

M.C. Kiritsy

Department of Preventive and Community Dentistry, N330, DSB, College of Dentistry, The University of Iowa, Iowa City, Iowa 52242

J.R. Heilman

Dows Institute for Dental Research, College of Dentistry, The University of Iowa

J.S. Wefel

Department of Pediatric Dentistry and Dows Institute for Dental Research, College of Dentistry, The University of Iowa

In infants, the majority of total ingested fluoride is obtained from water, formula and beverages prepared with water, baby foods, and dietary fluoride supplements. Few studies have investigated the distribution of fluoride intake from these sources among young children at risk for dental fluorosis. The purpose of this study was to assess estimated water fluoride intake from different sources of water among a birth cohort studied longitudinally from birth until age 9 months. Parental reports were collected at 6 weeks, 3 months, 6 months, and 9 months of age for water, formula, beverage, and other dietary intake during the preceding week. Fluoride levels of home and child-care tap and bottled water sources were determined. This report estimates daily quantities of fluoride ingested only from water-both by itself and used to reconstitute formula, beverages, and food. Daily fluoride intake from water by itself ranged to 0.43 mg, with mean intakes < 0.05 mg. Water fluoride intake from reconstitution of concentrated infant formula ranged to 1.57 mg, with mean intakes by age from 0.18 to 0.31 mg. Fluoride intake from water added to juices and other beverages ranged to 0.67 mg, with means < 0.05 mg. Estimated total daily water fluoride intake ranged to 1.73 mg fluoride, with means from 0.29 to 0.38 mg.

Key Words: fluoride intake • fluoride ingestion • water fluoride • dental fluorosis • fluoride

REFERENCES

  • American Academy of Pediatrics, Committee on Nutrition (1995). Fluoride supplementation for children: interim policy recommendations. American Academy of Pediatrics News, February, 1995, p. 18.
  • American Dental Association (1994a). New fluoride guidelines proposed. J Am Dent Assoc 125:366.[Medline] [Order article via Infotrieve]
  • American Dental Association (1994b). New fluoride schedule adopted. ADA News 25(10):12,14.
  • Baelum V., Fejerskov O., Manji F., Larsen MJ (1987). Daily dose of fluoride and dental fluorosis. Tandlaegebladet 91:452-456. Block G. (1982). A review of validations of dietary assessment methods. Am J Epidemiol 115:492-505.[Free Full Text]
  • Brown MD, Aaron G. (1994). The effect of point-of-use water conditioning systems on community fluoridated water. Pediatr Dent 13:35-38.
  • Burt BA ( 1992). The changing patterns of systemic fluoride intake. J Dent Res 71:1228-1237.
  • Chao ESM, Anderson GH, Thompson GW, Hargreaves JA, Peterson RD (1984). A longitudinal study of dietary changes of a sample of Ontario children. II: Food Intake. J Can Diet Assoc 45:112-118.
  • Clovis J., Hargreaves JA (1988). Fluoride intake from beverage consumption. Community Dent Oral Epidemiol 16:11-15. Department of Health and Human Services (September, 1993). Fluoridation Census, 1992. Public Health Service, Centers for Disease Control and Prevention.
  • Ershow AG, Cantor KP (1989). Total water and tapwater intake in the United States: Population-based estimates of quantities and sources, #263-MD-810264. National Cancer Institute.
  • Evans RW, Stamm JW (1991). An epidemiologic estimate of the critical period during which human maxillary central incisors are most susceptible to fluorosis. J Public Health Dent 51:251-259.[Medline] [Order article via Infotrieve]
  • Farkas CS, Farkas EJ (1974). Potential effect of food processing on the fluoride content of infant foods. Sci Tot Env 2:399-405.
  • Fejerskov O., Stephen KW, Richards A., Speirs R. (1987). Combined effect of systemic and topical fluoride treatments on human deciduous teeth--case studies. Caries Res 21:452-459.[Medline] [Order article via Infotrieve]
  • Flaitz CM, Hill NC, Hicks MJ (1989). A survey of bottled water usage by pediatric dental patients: implications for dental health. Quintessence Int 20:847-852.[Medline] [Order article via Infotrieve]
  • Fomon SJ, Nelson SE (1993). Size and growth. In: Nutrition of normal infants. Chapter 4. Fomon SJ, editor. St. Louis: Mosby, pp. 36-84.
  • Forrester DJ, Schulz EM Jr, editors (1974). International Workshop on Fluorides and Dental Caries Reductions. Baltimore, MD: University of Maryland.
  • Full CA, Parkins FM (1972). Fluoride reduction by home water softeners (abstract). J Dent Res 51:666.
  • Full CA, Wefel JS (1983). Water softener influence on anions and cations. Iowa Dent J 69:37-39.[Medline] [Order article via Infotrieve]
  • Galagan DJ, Vermillion JR, Nevitt GA, Stadt ZM, Dart RE ( 1957). Climate and fluid intake. Publ Hlth Rep 72:484-490.
  • Ismail AI, Burt BA, Eklund SA (1984). The cariogenicity of soft drinks in the United States. J Am Dent Assoc 109:241-245. Levy SM (1994). Review of fluoride exposures and ingestion. Community Dent Oral Epidemiol 22:173-180.[Medline] [Order article via Infotrieve]
  • Levy SM, Guha-Chowdhury N. (1995). Total fluoride intake and implications for dietary fluoride supplementation. J Public Health Dent (in press).
  • Levy SM, Kiritsy MC, Warren JW (1995). Sources of fluoride intake in children. J Public Health Dent 55:39-52.[Medline] [Order article via Infotrieve]
  • Levy SM, Muchow G. (1992). Provider compliance with recommended dietary fluoride supplement protocol. Am J Public Health 82:281-283.[Abstract/Free Full Text]
  • McClure FJ (1943). Ingestion of fluoride and dental caries, quantitative relations based on food and water requirements of children 1 to 12 years old. Am J Dis Child 66:362-369.[Abstract/Free Full Text]
  • Nanda RS, Zipkin I., Doyle J., Horowitz HS (1974). Factors affecting the prevalence of dental fluorosis in Lucknow, India. Arch Oral Biol 19:781-792.[Medline] [Order article via Infotrieve]
  • Ophaug RH, Singer L., Harland BF (1985). Dietary fluoride intake of 6-month and 2-year-old children in four dietary regions of the United States. Am J Clin Nutr 42:701-707. Osuji OO, Leake JL, Chipman ML, Nikiforuk G., Locker D., Levine N. (1988). Risk factors for dental fluorosis in a fluoridated community. J Dent Res 67:1488-1492.
  • Pang PTY, Phillips CL, Bawden JW (1992). Fluoride intake from beverage consumption in a sample of North Carolina children. J Dent Res 71:1382-1388.
  • Pendrys DG, Katz RV ( 1989). Risk of enamel fluorosis associated with fluoride supplementation, infant formula, and dentifrice use. Am J Epidemiol 130:1199-1208.[Abstract/Free Full Text]
  • Pendrys DG, Katz RV, Morse DE (1994). Risk factors for enamel fluorosis in a fluoridated population. Am J Epidemiol 140:461-471.[Abstract/Free Full Text]
  • Report of the Canadian Workshop (1994). Introduction to the workshop on the evaluation of current recommendations concerning fluorides. Community Dent Oral Epidemiol 22:140-143.[Medline] [Order article via Infotrieve]
  • Stannard JG, Shim YS, Kritsineli M., Labropoulou P., Tsamtsouris A. (1991). Fluoride levels and fluoride contamination of fruit juices. J Clin Pediatr Dent 16:38-40.[Medline] [Order article via Infotrieve]
  • Szpunar SM, Burt BA ( 1992). Fluoride supplements-evaluation of appropriate use in the United States. Community Dent Oral Epidemiol 20:148-154.[CrossRef][Medline] [Order article via Infotrieve]
  • Van Winkle S., Levy SM, Kiritsy MC, Heilman JR, Wefel JS, Marshall T. (1995). Water and formula fluoride concentrations: Significance for infants fed formula. Pediatr Dent 17: 305-310.[Medline] [Order article via Infotrieve]
  • Walker JS, Margolis FJ, Tente HL, Weil ML, Wilson HL (1963). Water intake of normal children. Science 140:890-891.[Abstract/Free Full Text]

Journal of Dental Research, Vol. 74, No. 7, 1399-1407 (1995)
DOI: 10.1177/00220345950740071201


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This Article
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