Salivary Bioscience and Pediatrics

Johnson, Sara B.; Voegtline, Kristin

doi:10.1007/978-3-030-35784-9_26

Cited by 2 publications

(1 citation statement)

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“…These cost-saving benefits afford strengthening of study design such as sampling from more participants, increased number of collections within participants, or increased number of biomarkers assayed from each saliva sample. Further, salivary bioscience demonstrates great potential for diagnostic capability including pediatric endocrine dysfunction, cardiometabolic disease (15), monitoring lithium levels for psychiatric disorders (16), and diagnosing COVID-19 at home (17).…”

Section: Introductionmentioning

confidence: 99%

The implications of socioeconomic factors on salivary bioscience methodological variables in a large pediatric multi-site study

Mariko,

Uban

2023

Front. Public Health

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IntroductionSalivary bioscience has found increased utilization within pediatric research, given the non-invasive nature of self-collecting saliva for measuring biological markers. With this growth in pediatric utility, more understanding is needed of how social-contextual factors, such as socioeconomic factors or status (SES), influence salivary bioscience in large multi-site studies. Socioeconomic factors have been shown to influence non-salivary analyte levels across childhood and adolescent development. However, less is understood about relationships between these socioeconomic factors and salivary collection methodological variables (e.g., time of saliva collection from waking, time of day of saliva collection, physical activity prior to saliva collection, and caffeine intake prior to saliva collection). Variability in salivary methodological variables between participants may impact the levels of analytes measured in a salivary sample, thus serving as a potential mechanism for non-random systematic biases in analytes.MethodsOur objective is to examine relationships between socioeconomic factors and salivary bioscience methodological variables within the Adolescent Brain Cognitive Development Study© cohort of children aged 9–10 years old (n = 10,567 participants with saliva samples).ResultsWe observed significant associations between household socioeconomic factors (poverty status, education) and salivary collection methodological variables (time since waking, time of day of sampling, physical activity, and caffeine intake). Moreover, lower levels of household poverty and education were significantly associated with more sources of potential bias in salivary collection methodological variables (e.g., longer times since waking, collections later in the day, higher odds of caffeine consumption, and lower odds of physical activity). Consistent associations were not observed with neighborhood socioeconomic factors and salivary methodological variables.DiscussionPrevious literature demonstrates associations between collection methodological variables and measurements of salivary analyte levels, particularly with analytes that are more sensitive to circadian rhythms, pH levels, or rigorous physical activity. Our novel findings suggest that unintended distortions in measured salivary analyte values, potentially resulting from the non-random systematic biases in salivary methodology, need to be intentionally incorporated into analyses and interpretation of results. This is particularly salient for future studies interested in examining underlying mechanisms of childhood socioeconomic health inequities in future analyses.

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Section: Introductionmentioning

confidence: 99%