Body adiposity status in teenagers and snacking habits in early childhood in relation to approximal caries at 15 years of age

Alm, Anita; Fåhraeus, Christina; Wendt, Lill‐Kari; Koch, G; Andersson‐Gäre, Boel; Birkhed, Dowen

doi:10.1111/j.1365-263x.2007.00906.x

Cited by 95 publications

(99 citation statements)

References 23 publications

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“…At the end of data collection (dental examinations completed in 20 days by one examiner), 774 parents were accessed (76%) and interviewed. Of the children of these parents, 8 were not examined because of non-cooperation, and of the examined children (a total of 766), 37 were also excluded since they were less than 36 or older than 71 months of age. Eventually, data from 729 children was analysed.…”

Section: Methodsmentioning

confidence: 99%

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Is diet quality associated with early childhood caries in preschool children? A descriptive study

İnan-Eroğlu¹,

Özler²,

Erçim³

et al. 2017

Turk J Pediatr

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Limited evidence about the role of diet quality, an important component of nutritional status, in the etiology of dental caries has been reported. The aim of this study was to examine the association between diet and dental caries in children by using the dietary intake data, anthropometrical measurements and dental examination. A total of 395 children (52.7% boys and 42.8% girls) who were 36-71 months of age (mean age 58.7±8.6 months) and attended one of the eleven preschools within a district of Ankara participated in this descriptive study. Dental examinations were performed in the schools under day-light by a pediatric dentist; decayed, missing and filled teeth as well as surfaces were recorded. Data related to socio-demographic characteristics and 24-hour dietary recall of children were gathered via a structured, pretested questionnaire which was conducted by the research dietitian. The Healthy Eating Index-2010 (HEI-2010) and Mediterranean Diet Quality Index for children and adolescents (KIDMED) were used to assess dietary intake. Anthropometric measurements including weight, height, upper arm circumference and head circumference were taken by the same researcher. The percentage of Early Childhood Caries (ECC) was increased by age (p<0.001) whereas no significant difference was observed by sex, socioeconomic status, tooth brushing frequency and body mass index (p>0.05). Although children who had bad KIDMED scores had slightly higher mean values of decayed missing and filled teeth (dmft) (5.39± 4.6) and decayed missing and filled surface (dmfs) (8.45± 8.69), compared to the scores of children with good or medium KIDMED scores, the differences were not statistically significant (p>0.05). On the contrary to the KIDMED findings, the mean value of tooth decay was significantly higher among children with bad HEI-2010 score (4.2±4.3) compared to children with medium HEI-2010 score (2.47±2.9) (p=0.043). It is concluded that a healthy eating pattern and high diet quality is essential for the prevention of early childhood caries in preschool children. Further studies are required to develop dietary strategies for the prevention of dental caries.

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Section: Methodsmentioning

confidence: 99%

“…1 Among these factors, diet has a different role in the etiology of dental caries since there is a dual relationship between diet and dental caries. 8 Dietary habits have potential to be a risk factor for dental caries; on the other side, impaired oral health might cause deficiencies in dietary intake.…”

mentioning

confidence: 99%

Is diet quality associated with early childhood caries in preschool children? A descriptive study

İnan-Eroğlu¹,

Özler²,

Erçim³

et al. 2017

Turk J Pediatr

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“…13,14 However, there has been reported an inverse relationship between dental caries and overweight. 1,15,16 Recently, there is a report about a positive association of proximal caries with overweight and obesity in adolescents, 17 but in adolescents there is a few information about this problem health. Due to which carrying out a study with a population of high risk to obesity, Type 2 Diabetes Mellitus, and with a high prevalence of dental decay as the Mexican is going to contribute to the knowledge of this association.…”

mentioning

confidence: 99%

Association between Caries, Obesity and Insulin Resistance in Mexican Adolescents

Loyola-Rodríguez

Villa-Chavez

Patiño-Marín

et al. 2011

Journal of Clinical Pediatric Dentistry

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Aim: To determine the association among dental caries, obesity and insulin resistance in Mexican adolescents.Methods: Body Mass Index, obesity (OB) blood pressure, insulin level, insulin resistance (IR), triglycerides level, serum HDL-cholesterol (cHDL), DMFT index and salivary flow were measured. Results:Anthropometric measures showed a significant statistical difference (p < 0.05). Insulin level was 8.98 for healthy subjects, whereas for OB-IR group was 25.35, there was a statistical significant difference (p <0.05). Triglycerides level was 88.50 for healthy subjects and 169.40 mg/dL for OB-IR; cHDL was 52.88 for healthy and 41.82 mg/dL for OB-IR group, both showed a statistically significant difference (p < 0.05). Salivary flow was 4.30 for healthy and for OB-IR group was 5.48 ml/min showed a significant statistical difference(p < 0.05). DMFT index was 3.02 for healthy and for OB-IR adolescents was 4.78, showed a significant statistical difference (p < 0.05). The caries component of DMFT index was 1.84 for healthy and was 3.52 for OB-IR adolescents, showed a significant statistical difference (p < 0.05). According to the multivariate analysis, DMFT (OR=3.10; IC95%=0.20-1.02, p=0.042) and decay (OR=3.30; IC95%=0.19-1.0,p=0.011) were associated with subjects with OB-IR. Conlusion: OB-IR Mexican adolescents showed a positive association with DMFT.

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“…Interventions in this age group are both promising and challenging. While dentally healthy behaviors cultivated in preschoolers reduce the caries risk in their future permanent teeth [37], the success of intervention requires adequacy in both steps, namely motivating and empowering parents and, through them, instilling and reinforcing favorable behaviors in their young children.…”

Section: Discussionmentioning

confidence: 99%

Innovative interventions to promote positive dental health behaviors and prevent dental caries in preschool children: study protocol for a randomized controlled trial

Gao

McGrath

et al. 2013

Trials

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BackgroundDental caries (tooth decay) is highly prevalent and is largely attributable to unhealthy self-care behaviors (diet and oral hygiene). The conventional (health) education (CE), focusing on disseminating information and giving normative advice, often fails to achieve sustained behavioral changes. This study incorporates two innovative elements into CE: (i) motivational interviewing (MI), a client-centered counseling for changing behaviors, and (ii) an interactive caries risk assessment (RA) tool, which is devised to facilitate dental counseling and may enhance MI in several ways. Through a randomized, controlled, evaluator-blinded trial, three intervention schemes (CE, CE + MI, and CE + MI + RA) will be compared for their effectiveness in eliciting dentally healthy behaviors and preventing caries in preschool children.Methods/DesignThis study targets 3-year-old children who are at a critical stage for embedding health habits. Children with unfavorable dental behaviors (insufficient toothbrushing and/or frequent snacking) and their parents will be recruited from 12 participating kindergartens. Parent-child dyads (n = 690) will be randomly assigned into three groups. In the first group (CE), oral health information and advice will be delivered to parents through pamphlets. In the second group (CE + MI), in addition to the pamphlets, individual MI counseling with each parent will be performed by one of two trained dental hygienists. In the third group (CE + MI + RA), besides pamphlets and MI, interactive RA will be integrated into MI to motivate parents and facilitate their informed decision making and goal planning. At baseline and after 12 and 24 months, parents will complete a questionnaire and children will undergo a dental examination. The effectiveness of the intervention schemes will be compared over 12 and 24 months. The primary outcome will be caries increment in children and proportion of caries-free children. Secondary outcomes will be changes in parental efficacy for protecting children’s oral health and changes in children’s dental behaviors.DiscussionMotivating and empowering parents to cultivate dentally healthy habits of young children presents both promises and challenges. With careful methodological considerations, this study is expected to provide scientific evidence for public health workers, dentists, and dental auxiliaries (nurses and hygienists) to choose appropriate interventions to advance children’s oral health.Trial registrationHKCTR-1455

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Body adiposity status in teenagers and snacking habits in early childhood in relation to approximal caries at 15 years of age

Cited by 95 publications

References 23 publications

Is diet quality associated with early childhood caries in preschool children? A descriptive study

Is diet quality associated with early childhood caries in preschool children? A descriptive study

Association between Caries, Obesity and Insulin Resistance in Mexican Adolescents

Innovative interventions to promote positive dental health behaviors and prevent dental caries in preschool children: study protocol for a randomized controlled trial

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