Factors Influencing the Early Introduction of Sugar Sweetened Beverages among Infants: Findings from the HSHK Birth Cohort Study

Irvine, Vanessa; John, James Rufus; Jordan, Scott; Hayen, Andrew; Do, Loc; Bhole, Sameer; Ha, Diep; Kolt, Gregory S.; Arora, Amit

doi:10.3390/nu12113343

Cited by 10 publications

(9 citation statements)

References 47 publications

(73 reference statements)

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“…Poor diet, comprising of energy-dense, low-nutritious foods, and an earlier introduction of such foods can contribute to the rising prevalence of childhood obesity and ECC [ 11 , 12 ]. For example, earlier research from the Healthy Smiles Healthy Kids (HSHK) study [ 13 , 14 , 15 ] identified that 95% of infants were introduced to discretionary foods, and more specifically, almost 43% of infants were introduced to sugar beverages (SSBs) before the recommended age of 52 weeks [ 16 ]. The research team further noted that over 13% and over 76% of Sydney infants were introduced to solid foods before 17- and 26-weeks post-partum, respectively [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

Impact of Dietary Trajectories on Obesity and Dental Caries in Preschool Children: Findings from the Healthy Smiles Healthy Kids Study

et al. 2021

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This study examines the impact of longitudinal dietary trajectories on obesity and early childhood caries (ECC) in preschool children in Australia. Mother–infant dyads from the Healthy Smiles Healthy Kids study were interviewed at 4 and 8 months, and 1, 2, and 3 years of age. Children underwent anthropometric and oral health assessments between 3 and 4 years of age. Multivariable logistic regression and negative binomial regression analysis were performed for the prevalence of overweight and obesity, and the number of tooth surfaces with dental caries, respectively. The intake of core, discretionary, and sugary foods showed distinct quadratic (n = 3) trajectories with age. The prevalence of overweight or obesity was 10% (n = 72) and that of early childhood caries (ECC) was 33% (mean decayed, missing, and filled tooth surfaces (dmfs) score: 1.96). Children with the highest trajectories of discretionary foods intake were more likely to be overweight or obese (adjusted OR: 2.51, 95 %CI: 1.16–5.42). Continued breastfeeding beyond 12 months was associated with higher dmfs scores (adjusted IRR: 2.17, 95 %CI: 1.27–3.73). Highest socioeconomic disadvantage was the most significant determinant for overweight or obesity (adjusted OR: 2.86, 95 %CI: 1.11–7.34) and ECC (adjusted IRR: 2.71, 95 %CI: 1.48–4.97). Targeted health promotion interventions should be designed to prevent the incidence of two highly prevalent conditions in preschool children.

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Section: Introductionmentioning

confidence: 99%

Impact of Dietary Trajectories on Obesity and Dental Caries in Preschool Children: Findings from the Healthy Smiles Healthy Kids Study

et al. 2021

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“…Although these Australia-wide studies reported primary caregivers had a better knowledge about the effects of SSB on their children’s teeth [ 37 ], they also demonstrated that the diets of South Australian children aged 0– years contained free sugars in excess of WHO recommendations [ 26 ] and contrary to the Australian Dietary Guidelines recommendation that SSB should not be provided to children younger than 12 months [ 44 ]. This finding has been echoed in a New South Wales study on child obesity, which found 42.7% of its participant mothers reported they introduced SSB in their child’s diet before the age of 12 months [ 45 ]. Nutrition plays a significant role as the dietary experiences of a child in the first 1000 days of life have a profound impact on eating behaviours and food choices throughout life [ 46 ], thus healthy food promotion strategies need to incorporate messages about oral health appropriate foods and drinks [ 47 ].…”

Section: Discussionmentioning

confidence: 99%

Early childhood caries, primary caregiver oral health knowledge and behaviours and associated sociological factors in Australia: a systematic scoping review

et al. 2021

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Background Early childhood caries disproportionately affects vulnerable groups and remains a leading cause of preventable hospital admissions for Western Australian children. The Western Australia State Oral Health Plan seeks to improve child oral health through universal and targeted health promotion initiatives with primary caregivers. These initiatives require evidence of primary caregiver oral health knowledge and behaviours and baseline data on early childhood caries. The objective of this systematic scoping review was to understand current oral health knowledge and practices of primary caregivers of children aged 0–4 years, identify influential socioecological determinants, and identify data on early childhood caries in the Western Australian context. Methods A systematic scoping review framework identified articles published between 2010 and 2021, using Scopus, PubMed, Medline, CINAHL, PsycINFO, selected article reference lists, and oral health websites. The lack of Western Australian specific literature prompted the inclusion of Australia-wide articles. Articles were screened via author consensus, with eight selected. Results Western Australia and nation-wide data on early childhood caries are limited and mostly dated. WA data from children aged 2–3 years, collected in 2006, suggests the prevalence is 2.9% in this state, with national data of children from 0 to 3 years, collected from 2006 and 2008, suggesting an early childhood caries prevalence of 3.4–8% of children aged 18 months, rising sharply by 36 months of age. Nationally, fewer than half the primary caregivers reported following evidence-based oral health recommendations for their young children. Perceptions of the role of dental services for young children tends to be focussed on treatment, rather than surveillance and prevention. Knowledge of dietary and oral hygiene practices is inconsistent and awareness of the Child Dental Benefit Schedule low. Young children’s oral health status is clearly associated with socioecological factors, including socioeconomic status. Conclusions Recent early childhood caries data and evidence of primary care-givers’ oral health knowledge and behaviours are unavailable in Western Australia, a similar situation exists nationwide. To realise the Western Australian and National Oral Health Plans, research is required to address this knowledge gap.

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“…Although these Australia-wide studies reported primary caregivers had a better knowledge about the effects of SSB on their children's teeth (Stormon et al, 2019), they also demonstrated that the diets of South Australian children aged 0 to 2 years contained free sugars in excess of WHO recommendations (Devenish et al, 2019) and contrary to the Australian Dietary Guidelines recommendation that SSB should not be provided to children younger than 12 months (NHMRC, 2012). This nding has been echoed in a New South Wales study on child obesity, which found 42.7% of its participant mothers reported they introduced SSB in their child's diet before the age of 12 months (Irvine et al, 2020). Nutrition plays a signi cant role as the dietary experiences of a child in the rst 1000 days of life have a profound impact on eating behaviours and food choices throughout life (Moore et al, 2017), thus healthy food promotion strategies need to incorporate messages about oral health appropriate foods and drinks (Birch & Doub, 2014).…”

Section: The Oral Health Literacy Of Primary Caregivers In Australiamentioning

confidence: 95%

Early Childhood Caries and Primary Caregiver Oral Health Literacy in Western Australia: a Systematic Scoping Review

Andrew

Wallace

Wickens

et al. 2021

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Background Early childhood caries disproportionately affects vulnerable groups and remains a leading cause of preventable hospital admissions for Western Australian children. The Western Australia State Oral Health Plan seeks to improve child oral health through universal and targeted health promotion initiatives with primary caregivers. These initiatives require evidence of primary caregiver health literacy and baseline data on Early childhood caries. The objective of this systematic scoping review is to understand current oral health literacy of primary caregivers of children aged 0 to 4 years, identify influential socioecological determinants, and identify data on Early childhood caries in the Western Australian context. Methods A systematic scoping review framework identified articles published between 1980 and 2021, using Scopus, PubMed, Medline, CINAHL, PsycINFO, selected article reference lists, and oral health websites. Articles were screened via author consensus, with eight selected. Results Data on early childhood caries in Western Australia is limited; the suggested prevalence of 2.9% based on data over 15 years old, however national data suggests an Early childhood caries prevalence of 3.4–8% of children aged 18 months rising sharply by 36 months of age. Fewer than half the primary caregivers reported following evidence-based oral health recommendations for their young children. Engagement with dentists tended to be reactive. Knowledge of dietary and oral hygiene practices were inconsistent and awareness of the Child Dental Benefit Schedule low. Young children’s oral health status was clearly associated with socioecological factors including socioeconomic status. Conclusions Early childhood caries data and primary care-givers’ oral health literacy evidence are unavailable in Western Australia. To realise the Western Australia State Oral Health Plan, research is required to address this knowledge gap.

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Factors Influencing the Early Introduction of Sugar Sweetened Beverages among Infants: Findings from the HSHK Birth Cohort Study

Cited by 10 publications

References 47 publications

Impact of Dietary Trajectories on Obesity and Dental Caries in Preschool Children: Findings from the Healthy Smiles Healthy Kids Study

Impact of Dietary Trajectories on Obesity and Dental Caries in Preschool Children: Findings from the Healthy Smiles Healthy Kids Study

Early childhood caries, primary caregiver oral health knowledge and behaviours and associated sociological factors in Australia: a systematic scoping review

Early Childhood Caries and Primary Caregiver Oral Health Literacy in Western Australia: a Systematic Scoping Review

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