Sains Malaysiana 42(1)(2013):
115–121
Impact
of Water Filters and Consumption of Bottled Water on Fluoride Intake
(Kesan Penapisan Air dan Penggunaan Air yang Dibotolkan terhadap
Pengambilan Fluorida)
B.S. Tan*
School of Dentistry, International
Medical University, 126, Jalan Jalil Perkasa 19,
Bukit Jalil, 57000 Kuala Lumpur, Malaysia
I.A. Razak
Vinayaka Missions International University College, Petaling
Jaya, Selangor, Malaysia
Received: 12 March 2012/Accepted: 13 September 2012
ABSTRACT
The objectives of this study were to assess the intake of fluoride
among 4-5 years old children from drinking water (FH20) and whether current
practises of use of water filters and consumption of bottled water have any
impact on fluoride intake. A questionnaire survey was conducted to elicit
details of drinking water in 350 children aged 4-5 years old. The intake of
fluoride from drinking water over a period of two days was biochemically
determined in a subsample of 200 subjects. The majority of children (97.0%) had
access to tap water, 23.1% to filtered tap water and 11.3% reported use of
bottled water. The use of filters was found to be associated with ethnicity and
socio-economic status (p<0.00). The mean fluoride concentration
of unfiltered and filtered tap water were 0.541 ± 0.167 and 0.534±0.192
ppm, respectively. The mean volume of water consumed was 1348.76±482.70 mL/day
while the mean FH2O was 726.7 ± 357.5 ug/day. The use of
filters and consumption of bottled water were sparse with no significant impact
on FH2O
over a two-day study period.
Keywords: Bottled water; fluoride intake; water filter
ABSTRAK
Tujuan kajian ini adalah untuk menilai pengambilan fluorida
daripada air minuman (FH2O) serta sama ada
amalan penggunaan penapis air dan pengambilan air yang dibotolkan mempunyai
kesan terhadap pengambilan fluorida. Satu tinjauan soal
selidik telah dijalankan untuk mendapatkan butiran air minuman dalam kalangan
350 kanak-kanak berumur 4-5 tahun. Pengambilan fluorida daripada air
minuman telah ditentukan secara biokimia selama dua hari dalam subsampel
seramai 200 subjek. Majoriti kanak-kanak (97.0%) mempunyai akses kepada air
paip, 23.1% kepada air paip yang ditapis dan 11.3% melaporkan penggunaan air
yang dibotolkan. Penggunaan penapis air didapati mempunyai kaitan dengan status
etnik dan sosio-ekonomi (p< 0.00). Kepekatan purata
fluorida di dalam air paip tidak ditapis dan ditapis ialah 0.541 ± 0.167 dan
0.534 ± 0.192 ppm. Isi padu purata air yang diminum ialah 1348.76 ±
482.70 mL/hari manakala purata FH2O yang diambil ialah 726.7±357.5 ug/hari.
Penggunaan penapis air dan pengambilan air yang dibotolkan jarang diamalkan dan
tidak mempunyai kesan yang signifikan terhadap FH2O sepanjang tempoh
kajian selama dua hari.
Kata kunci: Air yang dibotolkan; pengambilan
fluorida; penapis air
REFERENCES
ADA. 2005. Fluoridation Facts. http://www.ada.org/sections/professionalResources/pdfs/fluoridation_facts.pdf. Accessed 4th July
2012.
Awang, A.R., Razak, I.A. & Jalalludin, R.L.R. 1984. Variations in fluoride levels within the reticulation system. Dent. J. Malaysia. 7: 53-56.
Burt, B.A. 1992. The changing patterns of
systematic fluoride intake. J. Dent. Res. 71(5): 1228-37.
Clovis, J. & Hargreaves, J.A. 1988. Fluoride
intake from beverage consumption. Community Dent. Oral Epidemiol 16:
11-55.
Dabeka, R.W., Conacher, H.B.S.,
Salminen, J., Nixon, G.R., Riedel, G., Crocker, R. & Duke, G. 1992. Survey of bottled drinking water sold in Canada. Part 1.
Lead, cadmium, arsenic, aluminium, and fluoride. J. AOAC Int. 75: 949-953.
Flaitz, C.M., Hill, E.M. & Hicks, M.J. 1989. A survey of bottled water usage by patients; Implications for
dental health. Quintessence Int. 20: 847-852.
Fluoride Action Network. 2005. Why Is There a Poison Warning on Toothpaste? Available from http://www. fluoride alert.org./toothpaste.html. Accessed 31st December 2011.
Frank, G.C., Berenson, G.S., Schilling,
P.E. & Moore, M.C. 1977. Adopting
the 24-hour recall for epidemiological studies of
schoolchildren J. Am. Dietetic Association. 71(1): 26-31.
Gersovitz, M., Madden, J.P. & Smiciklas-Wright, H. 1978. Validity of the 24-hr dietary recall and seven-day record for
group comparisons. J. Am. Dietetic Assoc. 73(1): 48-55.
Guha-Chowdhury, N., Drummond, B.K.
& Smilie. 1996. Total fluoride intake in
children aged 3 to 4 years: A longitudinal study. J. Dent. Res. 75(7):
1451-1457.
Haftenberger, M., Viergutz, G.,
Neumeister, V. & Hetzer, G. 2001. Total
fluoride intake and urinary excretion in German children aged 3-6 years. Caries
Res. 35: 451-457.
Hargreaves, J.A. & Chatha, K. 1986. Fluoride
level of mineral water available for consumption in western Canada. J.
Dent. Res. 65: 531-535.
Heintze, S.D., Bastos, J.R.M. & Bastos, R. 1998. Urinary fluoride levels and prevalence of dental fluorosis in three
Brazillian cities with different fluoride concentrations in the drinking water. Community Dent. Oral Epidemiol 26: 316-323.
Jobson, M.D., Grimm, S.E., Banks, K. & Henley, G. 2000.
The effects of water filtration systems on fluoride: Washington, D.C.
metropolitan area. ASDC J. Dent. Child. 67(5): 302-304.
Kimura, T., Morita, M., Kinoshita, T.,
Tsuneishi, M., Akagi, T., Yanashita, F. & Watanabe, T. 2001. Fluoride intake from food and drink in Japanese children
aged 1-6 years. Caries Res. 35: 47-49.
Larsen, M.J., Fejerskov, O., Bojen, O.
& Senderowitz, F. 1989. Fluctuation of fluoride concentrations in drinking waters: A collaborative
study. Int. Dent. J. 39: 140-146.
Moller, I.J. 1982. Fluoride and dental fluorosis. Int.
Dent. J. 32: 135-147.
Nanda, R.S. & Zipkin, I. 1974. Factors
affecting the prevalence of dental fluorosis in Lucknow India. Archs.
Oral Biol. 19: 781-792.
National Research Council. 1989. Trace Elements. Recommended Dietary Allowances:
10th Ed. Washington, D.C.: The National Academies Press.
Nowak, A. & Nowak, M.W. 1989. Fluoride concentration of
bottled and processed waters. Iowa Dent. J. 7(4): 28.
Pang, D.T.Y., Phillips, C.L. &
Bawden, J.W. 1992. Fluoride intake from beverage
consumption in a sample of north Carolina children. J.
Dent. Res. 71(7): 1382-1388.
Rojas-Sanchez, F., Kelly, S.A., Drake,
K.M., Eckert, G.J., Stookey, G.K. & Dunipace, A.J. 1999. Fluoride intake from foods, beverages and dentifrices by
young children in communities with negligibly and optimally fluoridated water:
A pilot study. Community Dent. Oral Epidemiol. 27: 288-297.
Rwenyonyi, C., Bjorvatn, K., Birkeland,
J. & Haugejorden, O. 1999. Altitude
as a risk indicator of dental fluorosis in children residing in areas with 0.5
and 2.5 mg fluoride per litre in drinking water. Caries Res. 33(4): 267-274.
Stannard, J., Rovero, J., Tsamtsouris, A. & Garvis, V.
1990. Fluoride content of some bottled waters and recommendations for fluoride
supplementation. J. Pedodont. 14(2): 103-107.
Villa, A.E., Anabalon, M. &
Cabezes, L. 2000. The fractional
urinary fluoride excretion in young children under stable fluoride intake
conditions. Community Dent. Oral Epidemiol. 28: 344-355.
Whitford,
G.M. 1994. Intake and metabolism of fluoride. Adv.
Dent. Res. 8(1): 5-14.
WHO. Fluorides and human health. 1970. Geneva: WHO Monograph
series No. 59.
Williams, J.E. & Zwemer, J.D. 1990. Community water
fluoride levels, preschool dietary patterns and occurrence of fluoride enamel
opacities. J. Public Health Dent. 50: 276-281.
*Corresponding author; email: beesiew_tan@imu.edu.my
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