Fluoridated Water Modifies the Effect of Breastfeeding on Dental Caries

Ha, Diep; Spencer, A. John; Peres, Karen Glazer; Rugg-Gunn, A. J.; Scott, Jane; G, L

doi:10.1177/0022034519843487

Cited by 23 publications

(25 citation statements)

References 25 publications

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“…After all, the high cariogenicity of bottle feeding has also been confirmed by many studies [32]. One recent study has contributed evidence for the nonlinear association between breastfeeding duration and ECC and the auxiliary role of fluoridated water in reducing the negative effects of feeding on ECC [33]. This finding reminds us that more relevant variables need to be considered in future studies to elucidate the correlation between feeding methods and ECC.…”

Section: Logistic Regression Analysesmentioning

confidence: 58%

“…Limitations of the study include the issues related to the OHC knowledge and attitude items designed for the questionnaire being relatively basic and traditional. Several major risk factors have been incorporated into the current study, unlike the monographic studies that have excavated and explored sufficient detailed information about one certain targeting factor associated with ECC [29,33,52]. We also have to acknowledge that some data on detailed information is limited, such as the frequency of bedtime feedings, brushing efficiency, floss assistance status, and cariogenic microbial flora, each of which is reported to be associated with ECC.…”

Section: Logistic Regression Analysesmentioning

confidence: 99%

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Assessment of risk factors for early childhood caries at different ages in Shandong, China and reflections on oral health education: a cross-sectional study

Zhang

et al. 2020

Preprint

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Background: The high prevalence of early childhood caries (ECC) is widespread around the world, and oral health education (OHE) plays a vital role in preventing ECC. Numerous studies on ECC risk factor assessment have assisted us in enriching the content of OHE. The objective of this study was to further assess independent risk factors for ECC at different ages to provide evidence and insights for OHE. Methods : Children aged 3-5 years old (N=1301) in Shandong Province were enrolled in this cross-sectional study. Data about oral health status and caregivers’ oral health knowledge, attitude, and practice (KAP) were extracted from the 4th National Oral Health Survey of China. The associations between ECC prevalence and various KAP variables were tested with chi-square tests, bivariate analysis and multivariable logistic regression analyses. Results: The ECC prevalence in Shandong Province was 64.6%, and the dmft mean was 3.15. The independent variables with an increased risk for ECC were age, feeding method within 6 months of birth, bedtime sugar frequency, experience of toothache over the past year and dental visits (P <0.05, chi-square tests). Complete artificial feeding within 6 months of birth primarily contributed to the high risk of the 3-year-old group (OR: 0.28, 95% CI: 0.12-0.69), while high frequency bedtime sweet consumption mainly contributed to that of the 5-year-old group (OR: 3.22, 95% CI: 1.03-10.06; logistic regression analysis). Interestedly, tooth brushing was not associated with ECC in this study, and some positive knowledge and attitude variables were positively correlated with a high risk of ECC. Conclusion : These data provide evidence to suggest that the ECC-related risk factors at different ages are inconsistent, which provides some insights for OHE. We should highlight the effects of feeding methods in the early stages of deciduous dentition and sugar habits in the late stages of deciduous dentition on ECC, as well as encourage preventive dental visit and supplemental training for oral health practices.

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Section: Logistic Regression Analysesmentioning

confidence: 58%

Section: Logistic Regression Analysesmentioning

confidence: 99%

Assessment of risk factors for early childhood caries at different ages in Shandong, China and reflections on oral health education: a cross-sectional study

Zhang

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…After all, the high cariogenic of bottle feeding has also been confirmed by many studies [30]. One latest research contributes evidence for the nonlinear association between breastfeeding duration and ECC and the auxiliary role of fluoridated water in reducing the negative effects of feeding on ECC [31]. That reminds us more relevant variables need to be considered in future studies to elucidate the correlation between feeding methods and ECC.…”

Section: Logistic Regression Analysesmentioning

confidence: 70%

“…Limitations include the issues in the OHC knowledge and attitude designed for the questionnaire 15 are relatively basic and traditional. Several major risk factors are incorporated in current study, but unlike those monographic researches which excavated and explored sufficient detailed information about one certain targeting factor associated with ECC [27,31,50]. We have to say that some data on detailed information is limited, such as frequency of bedtime feeding, brushing efficiency, floss assist status, cariogenic microbial flora, each of which is reported to be associated with ECC.…”

Section: Logistic Regression Analysesmentioning

confidence: 99%

Assessment of risk factors for early childhood caries at different ages in Shandong, China and reflections on oral health education: a cross-sectional study

Wang

Zhang

et al. 2019

Preprint

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Background: The high prevalence of early childhood caries (ECC) is widespread around the world, and oral health education (OHE) plays a vital role in preventing ECC. Numerous studies on ECC risk factor assessment have assisted us enrich the content of OHE. The objective of this study, while, was to further assess independent risk factors for ECC at different ages and provide evidence and insight for OHE.Methods : Data about oral health status, and oral health knowledge, attitude, practice (KAP) from the questionnaire completed by caregivers among children 3 to 5 years of age (N=1301) in Shandong province were extracted from the 4 th National Oral Health Survey in China. The association between ECC prevalence and various KAP variables was tested in Chi-square test, bivariate analysis and by multivariable logistic regression analyses.Results: The ECC prevalence in Shandong province was 64.6%, the dmft mean was 3.15. Independent associations with increased risk for ECC were age, feeding method within 6 months of birth, bedtime sugar frequency, the experience of toothache over past one year and dental visit. And feeding methods primarily contribute to the high risk of 3-year-old group, while sugar habits mainly contribute to 5-year-old group. The association between brushing and ECC was not confirmed in this study, and correct cognition was unexpectedly positively correlated with the high risk of ECC.Conclusion: These data provide evidence to suggest that the ECC-related risk factors at different ages are inconsistent, which give some insights for OHE, that is in addition to promoting preventive dental visit, we should also highlight the effect of feeding methods in the early of deciduous dentition and sugar habits in the late stage of deciduous dentition on ECC and the supplement of practice training.

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“…The evidence however, is limited and inconsistent, with some studies finding an association only if breastfeeding continued beyond 18 or 24 months. Furthermore, a recent national study from Australia demonstrated that sustained breastfeeding (> 24 months) was not associated with ECC amongst children exposed to fluoridated water (Ha et al, 2019), indicating that the use of fluoridated water early in life moderated the relationship. The purpose of this presentation is to 1) critique the evidence related to breastfeeding practices and ECC; and 2) report the findings of an investigation into the effects of breastfeeding duration and night-time breastfeeding on ECC amongst a cohort of Australian toddlers.…”

Section: Best Beginningsmentioning

confidence: 99%

Abstracts

Raftery

Tosh

Siebelt

et al. 2020

Maternal & Child Nutrition

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Malnutrition in women and children in Bangladesh is one of the highest in the world with 33% of <5 children underweight and 36% stunted (NIPORT 2014). Imbalanced diet and inappropriate feeding practices are the major determinants of child undernutrition. Poverty, low income, and price hikes restrict poor families from accessing sufficient and diversified nutritious foods, which leads to their food and nutrition insecurity (Ghose 2014). To generate positive impacts on nutritional outcomes, agricultural interventions require more focus on nutrition and need to be linked to nutrition specific interventions (Haselow et al 2016). Improving homestead fruit and vegetable production integrating with enhanced communications about nutrition would lead to improved dietary diversity and nutritional status of children (Mulmi 2017). Combining agriculture with behaviour change communication and nutrition-sensitive interventions would improve diet and feeding quality to reduce child undernutrition. Such integrated intervention requires rigorous design and implementation strategy to generate an impact.This study aims to assess the feasibility and acceptability of an intervention package that combines nutrition-specific (nutrition counselling) and nutrition-sensitive (counselling and support for agriculture, and unconditional cash transfers) delivered on a mobile phone platform for improving maternal and child feeding behaviours among low-income families in rural Bangladesh. We conducted a mixed-methods feasibility study. The intervention included counselling on homestead gardening techniques and infant feeding by agriculture and nutrition workers using smartphone apps. Women received weekly individual counselling at home and group counselling fortnightly. Each participating woman received an unconditional monthly incentive of BDT 1200 cash transfer through a mobile banking system called bKash. The intervention took place for 6 months. We collected data through in-depth interviews and a cross sectional surveys of the participants and their family members.The women were interested in both agriculture and nutrition counselling and understood the messages clearly.They established homestead garden of seasonal vegetables successfully that included preparing beds, planting seedlings, nurturing the plans, and harvesting. Seasonal rainfall and damage by hens and ducks were major challenges but most of the families were able to find a solution. Most of the women preferred to consume own produced vegetables and spending the cash provided on purchasing nutritious foods such as fruits, egg, and milk for their children as advised in the counselling. The project implementation staff and the bKash agent did not report any difficulties in using the mobile banking system for cash transfer. Combining nutrition-specific and nutrition-sensitive interventions is a feasible and acceptable approach to the community to improve maternal and infant feeding practices. Using mobile phone technologies can provide additional benefit for the intervention to rea...

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Fluoridated Water Modifies the Effect of Breastfeeding on Dental Caries

Cited by 23 publications

References 25 publications

Assessment of risk factors for early childhood caries at different ages in Shandong, China and reflections on oral health education: a cross-sectional study

Assessment of risk factors for early childhood caries at different ages in Shandong, China and reflections on oral health education: a cross-sectional study

Assessment of risk factors for early childhood caries at different ages in Shandong, China and reflections on oral health education: a cross-sectional study

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