The Effect of Prolonged and Exclusive Breast-Feeding on Dental Caries in Early School-Age Children

Kramer, Michael S.; Vanilovich, Irina; Matush, Lidia; Bogdanovich, Natalia; Zhang, X.; Shishko, Gyorgy; Muller‐Bolla, Michèle; Platt, Robert W.

doi:10.1159/000108596

Cited by 69 publications

(42 citation statements)

References 27 publications

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“…However, children living in poverty, Mexican American children and those exposed to maternal smoking behaviors were at increased risk for poor oral health in the early years 35. Other investigators have confirmed these findings, and have identified milk-bottle feeding at night (in which the sweetened liquid remains in contact with the developing dentition) as the most significant determinant of ECC 36,37…”

Section: Parenting Practicesmentioning

confidence: 85%

The Contribution of Dietary Factors to Dental Caries and Disparities in Caries

Mobley

Marshall

Milgrom

et al. 2009

Academic Pediatrics

141

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Frequent consumption of simple carbohydrates, primarily in the form of dietary sugars is significantly associated with increased dental caries risk. Malnutrition (under or over nutrition) in children is often a consequence of inappropriate infant and childhood feeding practices and dietary behaviors associated with limited access to fresh, nutrient dense foods substituting instead, high-energy low cost and nutrient poor sugary and fatty foods. Lack of availability of quality food stores in rural and poor neighborhoods, food insecurity, and changing dietary beliefs resulting from acculturation including changes in traditional ethnic eating behaviors, can further deter healthful eating and increase risk for Early Childhood Caries and obesity. America is witnessing substantial increases in children and ethnic minorities living in poverty, widening the gap in oral health disparities noted in the Surgeon General's Report, Oral Health in America. Dental and other care providers can educate and counsel pregnant women, parents and families to promote healthy eating behaviors and should advocate for governmental policies and programs that decrease parental financial and educational barriers to achieving healthy diets. For families living in poverty, however, greater efforts are needed to facilitate access to affordable healthy foods, particularly in urban and rural neighborhoods in order to effect positive changes in children's diets and advance the oral components of general health.

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Section: Parenting Practicesmentioning

confidence: 85%

The Contribution of Dietary Factors to Dental Caries and Disparities in Caries

Mobley

Marshall

Milgrom

et al. 2009

Academic Pediatrics

141

View full text Add to dashboard Cite

show abstract

“…≥8 or ≥13 months) and have featured populations in which breastfeeding to age 2 years is uncommon, such as in Germany [42], Italy [17], and the United States [18]. A large hospital-based breastfeeding promotion intervention in Belarus did not affect caries prevalence at age 6 years [43]; however, the study did not directly compare caries outcomes among children who were or were not breastfed for extended durations (e.g. ≥24 months), which was an uncommon behavior in that trial population.…”

Section: Discussionmentioning

confidence: 99%

Association of long-duration breastfeeding and dental caries estimated with marginal structural models

Chaffee

Feldens

Vítolo

2014

Annals of Epidemiology

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Purpose Estimate the association between breastfeeding ≥24 months and severe early childhood caries (ECC). Methods Within a birth cohort (n=715) from low-income families in Porto Alegre, Brazil, the age 38-month prevalence of severe-ECC (≥4 affected tooth surfaces or ≥1 affected maxillary anterior teeth) was compared over breastfeeding duration categories using marginal structural models to account for time-dependent confounding by other feeding habits and child growth. Additional analyses assessed whether daily breastfeeding frequency modified the association of breastfeeding duration and severe-ECC. Multiple imputation and censoring weights were used to address incomplete covariate information and missing outcomes, respectively. Confidence intervals (CI) were estimated using bootstrap re-sampling. Results Breastfeeding ≥24 months was associated with the highest adjusted population-average severe-ECC prevalence (0.45, 95% CI: 0.36, 0.54) compared with breastfeeding <6 months (0.22, 95% CI: 0.15, 0.28), 6–11 months (0.38, 95% CI: 0.25, 0.53), or 12–23 months (0.39, 95% CI: 0.20, 0.56). High frequency breastfeeding enhanced the association between long-duration breastfeeding and caries (excess prevalence due to interaction: 0.13, 80% CI: −0.03, 0.30). Conclusions In this population, breastfeeding ≥24 months, particularly if frequent, was associated with severe-ECC. Dental health should be one consideration, among many, in evaluating health outcomes associated with breastfeeding ≥24 months.

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“…Caries reduction was not found following peer-led "social support" for recommended feeding practices in London (Scheiwe et al, 2010). In a large hospitalbased cluster-randomized trial of breastfeeding promotion, no caries effect was reported at age 6 yrs (Kramer et al, 2007). Study strengths included randomization and the ability to compare results with the São Leopoldo intervention, which differed by implementation scheme.…”

Section: Discussionmentioning

confidence: 99%