Estimation of fluoride concentrations and pH values of commercially available vitamin water in Bangkok, Thailand
Main Article Content
Abstract
Objective: Over the last few years, the demand for vitamin water has grown. Water is the main source of fluoride intake, and the acidity of consumed water could contribute to tooth surface erosion. Therefore, the aim of this study was to investigate the fluoride concentrations and pH values of commercially available vitamin water in Bangkok, Thailand.
Materials and Methods: Sixty vitamin water products that are commercially available in Bangkok, Thailand were purchased from supermarkets and convenience stores. The fluoride and pH of the vitamin water products were determined using a fluoride ion selective electrode and a pH meter with a glass electrode. Due to the sensitivity of the fluoride ion selective electrode, the fluoride concentrations that were less than 0.02 mg/L were considered 0 fluoride.
Results: The pH levels of the 60 vitamin water products ranged from 2.78–9.61 with a median and mean (±SD) of 3.61 and 4.11 (±1.49), respectively. Most of the products (85%, n=51/60) had pH values ≤ 5.5, and 15% (n=9/60) had pH value above 5.5. The fluoride concentrations varied among products. The fluoride concentration in vitamin water ranged from 0–3.17 mg/L with a median of 0.046 mg/L and mean (±SD) of 0.243 (±0.628) mg/L. Most of the products (92%, n=55/60) contained undetectable or low fluoride levels. However, 8.3% of the products (n=5/60) had high levels of fluoride ranging from 1.78-3.17 mg/L with a median of 1.98 mg/L and mean (±SD) of 2.242 (±0.570) mg/L.
Conclusion: The vitamin water fluoride concentrations and pH values varied among products. Most of the products had pH levels lower than the critical pH value of enamel. The majority of the products contained low fluoride concentrations. However, 8.3% of the products contained high levels of fluoride that could increase the risk of dental fluorosis in young children.
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References
Bjarnadottir A. 5 reasons why vitamin water Is a bad Idea. Healthline 2018 Nov 1. [accessed 2021 Dec 31] Available from: https://www.healthline.com/nutrition/5-reasons-why-vitaminwater-is-a-bad-idea.
Econ Digest. Vitamin water: an expanding new segment of the beverage market. Kasikorn Research Center 2020 Sep 15. [accessed 2021 Dec 31] Available from:https://www.kasikornresearch.com/en/analysis/k-social-media/Pages/Vitamin-Water-FB-150920.aspx.
Ryan-Harshman M, Aldoori W. Health benefits of selected vitamins. Can Fam Physician 2005; 51: 965-8.
Zhang F, Barr SI, McNulty H, Li D, Blumberg JB. Health effects of vitamin and mineral supplements. BMJ 2020; 369: m2511.
Jitpleecheep P. TCP targets 15% of new market share. Bangkok Post 2021 Mar 3. [accessed 2021 Dec 31] Available from: https://www.bangkokpost.com/business/2077327/tcp-targets-15-of-new-market-share.
Lennon M, Whelton H, O’Mullane D, Ekstrand, J. Nutrients in drinking water, Chapter 14. In: Fluoride, Geneva, Switzerland: WHO; 2005.
Gupta AK, Ayoob S. Fluoride in Drinking Water: Status, Issues, and Solutions. CRC Press 2016. doi.org/10.1201/b21385.
Galagan DJ, Vermilion JR. Determining optimum fluoride concentration. Public Health Rept 1957; 72: 491-3
Brouwer ID, Dirks OB, De Bruin A, Hautvast JGA. Unsuitability of World Health Organization guidelines for fluoride concentrations in drinking water in Senegal. Lancet 1988; 67: 822-5.
Aldosari AM, Akpata ES, Khan N, Wyne AH, Al-Meheithif A. Fluoride levels in drinking water in the Central Province of Saudi Arabia. Ann Saudi Med 2003; 23: 20-3.
Fawell J, Bailey K, Chilton J, Dahi E, Fewtrell L, Magara Y. Fluoride in drinking-water. 1st ed. London: IWA Publisher; 2006.
U.S. Department of Health and Human Services Federal Panel on Community Water Fluoridation. U.S. public health service recommendation for fluoride concentration in drinking water for the prevention of dental caries. Public Health Rep 2015; 130: 318-31.
Rirattanapong P, Rirattanapong O. Fluoride content of commercially available bottled drinking water in Bangkok, Thailand. Southeast Asian J Trop Med Public Health 2016; 47: 1112-6.
Vongsavan K, Surarit R, Riratanapong P. Fluoride content of beverage drinks containing collagen. M Dent J 2016; 36: 25-30.
Ehlen LA, Marshall TA, Qian F, Wefel JS, Warren JJ. Acidic beverages increase the risk of in vitro tooth erosion. Nutr Res 2008; 28: 299-303.
World Health Organization. pH in drinking water. Revised background document for development of WHO guidelines for drinking-water quality. WHO/SDE/WSH/07.01/, 2007.
Hakim M, Waqar F, Jan S, Mohammad B, Yawar W, Khan SA. Comparison of ion chromatography with ion selective electrodes for the determination of inorganic anions in drinking water samples. Pak J Sci Ind Res 2010; 53: 6-13.
Koo TK, Li MY. A Guideline of selecting and reporting intraclass correlation coefficients for reliability Research. J Chiropr Med 2016; 15: 155-63.
Lussi A, Schlueter N, Rakhmatullina E, Ganss C: Dental erosion – An overview with emphasis on chemical and histopathological aspects. Caries Res 2011; 45: 2-12.
Lussi A, Carvalho TS. Erosive tooth wear: a multifactorial condition of growing concern and increasing knowledge. Monogr Oral Sci 2014; 25 :1-15.
Reddy A, Norris DF, Momeni SS, Waldo B, Ruby JD. The pH of beverages in the United States. J Am Dent Assoc 2016; 147: 255-63.
Luo Y, Zeng XJ, Du MQ, Bedi R. The prevalence of dental erosion in preschool children in China. J Dent 2005; 33: 115–21.
Peres KG, Armenio MF, Peres MA, Traebert J, De Lacerda JT. Dental erosion in 12-year-old schoolchildren: a cross-sectional study in Southern Brazil. Int J Paediatr Dent 2005; 15: 249–55.
Al-Majed I, Maguire A, Murray JJ. Risk factors for dental erosion in 5-6 year old and 12-14 year old boys in Saudi Arabia. Community Dent Oral Epidemiol 2002; 30: 38–46.
Lykkesfeldt J, Michels AJ, Frei B. Vitamin C. Adv Nutr 2014; 5: 16-8.
Zhu G. Vitamin A and its derivatives- retinoic acid and retinoid pharmacology Am J Biomed Sci & Res 2019; 3: 162-77.
Haleblian GE, Leitao VA, Pierre SA, Robinson MR, Albala DM, Ribeiro AA, et al. Assessment of citrate concentrations in citrus fruit-based juices and beverages: implications for management of hypocitraturic nephrolithiasis. J Endourol 2008; 22: 1359-66.
Smart buy reveals test results 'Vitamin C drink' found no vitamin C content in 8 samples, and vitamin C content did not match what was stated on the label. Chaladsue. 2020 Dec 15. [accessed 2022 April 8] Available from: https://www.chaladsue.com/article/3559.
Tanaka Y, Saihara Y, Izumotani K, Nakamura H. Daily ingestion of alkaline electrolyzed water containing hydrogen influences human health, including gastrointestinal symptoms. Med Gas Res 2019; 8: 160-166.
Merne ME, Syrjänen KJ, Syrjänen SM. Systemic and local effects of long-term exposure to alkaline drinking water in rats. Int J Exp Pathol 2001; 82: 213-219.
Mandinic Z, Curcic M, Antonijevic B, Carevic M, Mandic J, Djukic-Cosic D, et al. Fluoride in drinking water and dental fluorosis. Sci Total Environ 2010; 408: 3507-12.
Rirattanapong P, Rirattanapong O. Fluoride content of commercially available rice milk product in Bangkok, Thailand. Southeast Asian J Trop Med Public Health 2019; 50: 1220-3
Dhanuthai K, Thangpisityotin M. Fluoride content of commercially-available bottled water in Bangkok, Thailand. J Investig Clin Dent 2011; 2: 144-7.
Yanhee clarified that the test of vitamin C in drinking water. Khaosod 2020 Dec 17. [accessed 2022 Mar 10] Available from: https://www.khaosod.co.th/special-stories/news_5548604.
Usham A, Dubey C, Shukla D, Mishra B, Bhartiya G. Sources of fluoride contamination in Singrauli with special reference to Rihand reservoir and its surrounding. J Geol Soc India 2018; 91: 441-8.