Barriers to Eating Traditional Foods Vary by Age Group in Ecuador With Biodiversity Loss as a Key Issue

Penafiel, Daniela; Termote, Céline; Lachat, Carl; Espinel, Ramón; Kolsteren, Patrick; Damme, Patrick Van

doi:10.1016/j.jneb.2015.12.003

Cited by 35 publications

(61 citation statements)

References 28 publications

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“…The high prevalence and severity of early childhood caries in our sample may reflect a shift in indigenous diets from native foods to non-traditional and cariogenic foods [6,11]. Over the past twenty years, malnutrition in Ecuador and across the Americas has decreased [7,18].…”

Section: Discussionmentioning

confidence: 99%

“…Child malnutrition is the most common contributor to disability and death among children under age 5 in low-income countries, and an impediment to national economic growth [4,5,6]. While undernutrition rates have declined globally, progress has been inconsistent across countries, and millions of children continue to suffer from the adverse physical and cognitive consequences [2,7].…”

Section: Introductionmentioning

confidence: 99%

“…Ecuador, like other Latin American countries, has experienced a nutrition transition and a high prevalence of childhood caries [6,17,18]. While 29% of children under age 5 have stunted malnutrition according to the most recent World Bank estimates [17], indigenous and rural populations have higher rates of stunting, nearly double the national average and quadruple the rate in Latin America [19].…”

Section: Introductionmentioning

confidence: 99%

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Early Childhood Dental Caries, Mouth Pain, and Malnutrition in the Ecuadorian Amazon Region

Ellenikiotis

Husby

et al. 2017

IJERPH

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Malnutrition and dental caries in early childhood remain persistent and intertwined global health challenges, particularly for indigenous and geographically-remote populations. To examine the prevalence and associations between early childhood dental caries, parent-reported mouth pain and malnutrition in the Amazonian region of Ecuador, we conducted a cross-sectional study of the oral health and nutrition status of 1407 children from birth through age 6 in the “Alli Kiru” program (2011–2013). We used multivariate regression analysis to examine relationships between severe caries, parent-reported mouth pain measures, and nutritional status. The prevalence of dental caries was 65.4%, with 44.7% of children having deep or severe caries, and 33.8% reporting mouth pain. The number of decayed, missing and filled teeth (dmft) increased dramatically with age. Malnutrition was prevalent, with 35.9% of children stunted, 1.1% wasted, 7.4% underweight, and 6.8% overweight. As mouth pain increased in frequency, odds for severe caries increased. For each unit increase in mouth pain frequency interfering with sleeping, children had increased odds for being underweight (Adjusted Odds Ratio (AOR): 1.27; 95% CI: 1.02–1.54) and decreased odds for being overweight (AOR: 0.76; 95% CI: 0.58–0.97). This relationship was most pronounced among 3–6 year-olds. Early childhood caries, mouth pain and malnutrition were prevalent in this sample of young children. Parent-reported mouth pain was associated with severe caries, and mouth pain interfering with sleeping was predictive of poor nutritional status. We demonstrate the utility of a parsimonious parent-reported measure of mouth pain to predict young children’s risk for severe early childhood caries and malnutrition, which has implications for community health interventions.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Early Childhood Dental Caries, Mouth Pain, and Malnutrition in the Ecuadorian Amazon Region

Ellenikiotis

Husby

et al. 2017

IJERPH

View full text Add to dashboard Cite

show abstract

“…Child malnutrition is the most common contributor to disability and death among children under age five in low-income countries, and an impediment to national economic growth [4][5][6]. While undernutrition rates have declined globally, progress has been inconsistent across countries, and millions of children continue to suffer from the adverse physical and cognitive consequences [2,7].…”

Section: Introductionmentioning

confidence: 99%

“…Ecuador, like other Latin American countries, has experienced the nutrition transition and a high prevalence of childhood caries [6,17,18]. While 29% of children under age 5 have stunting malnutrition according to most recent World Bank estimates [17], indigenous and rural populations have higher rates of stunting, nearly double the national average and quadruple the rate in Latin America [19].…”

Section: Introductionmentioning

confidence: 99%

Early Childhood Dental Caries, Mouth Pain, and Malnutrition in the Ecuadorian Amazon Region

So¹,

Ellenikiotis²,

Husby³

et al. 2017

Preprint

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Malnutrition and dental caries in early childhood remain persistent and intertwined global health challenges, particularly for indigenous and geographically-remote populations. To examine the prevalence and associations between early childhood dental caries, parent-reported mouth pain and malnutrition in the Amazonian region of Ecuador, we conducted a cross-sectional study of the oral health and nutrition status of 1,407 children from birth through age 6 in the "Alli Kiru" program (2011Kiru" program ( -2013. We used multivariate regression analysis to examine relationships between severe caries, parent-reported mouth pain measures, and nutritional status. The prevalence of dental caries was 65.4%, with 44.7% of children having deep or severe caries, and 33.8% reporting mouth pain.The number of decayed, missing and filled teeth dmft) increased dramatically with age.Malnutrition was prevalent, with 35.9% of children stunted, 1.1% wasted, 7.4% underweight, and 6.8% overweight. As mouth pain increased in frequency, odds for severe caries increased. For each unit increase in mouth pain frequency interfering with sleeping, children had increased odds for underweight (AOR: 1.27; 95% CI: 1.02 -1.54) and decreased odds for overweight (AOR: 0.76; 95% CI: 0.58 -0.97). This relationship was most pronounced among 3-6 year-olds. Early childhood caries, mouth pain and malnutrition were prevalent in this sample of young children.Parent-reported mouth pain was associated with severe caries, and mouth pain interfering with sleeping was predictive of poor nutritional status. We demonstrate the utility of a parsimonious parent-reported measure of mouth pain to predict young children's risk for severe early childhood caries and malnutrition, which has implications for community health interventions.

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Biodiversity and human health: A scoping review and examples of underrepresented linkages

Robinson,

Breed,

Camargo

et al. 2024

Environmental Research

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Barriers to Eating Traditional Foods Vary by Age Group in Ecuador With Biodiversity Loss as a Key Issue

Cited by 35 publications

References 28 publications

Early Childhood Dental Caries, Mouth Pain, and Malnutrition in the Ecuadorian Amazon Region

Early Childhood Dental Caries, Mouth Pain, and Malnutrition in the Ecuadorian Amazon Region

Early Childhood Dental Caries, Mouth Pain, and Malnutrition in the Ecuadorian Amazon Region

Biodiversity and human health: A scoping review and examples of underrepresented linkages

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