Is There an Association between Breastfeeding and Dental Caries among Three-Year-Old Australian Aboriginal Children?

Haag, Dandara; Jamieson, Lisa; Hedges, Joanne; Smithers, Lisa G.

doi:10.3390/nu11112811

Cited by 9 publications

(19 citation statements)

References 15 publications

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“…It was observed in this study that ECC was associated with prolonged night-time breastfeeding. This is similar to what was reported in an Australian study by Haag et al [26]. In the study, they observed an association between exclusive breastfeeding for six months and continued breastfeeding for 24 months with 1.45 higher caries prevalence.…”

Section: Discussionsupporting

confidence: 92%

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Replication of GWAS significant loci in a sub-Saharan African Cohort with early childhood caries: a pilot study

Olatosi

Alade

et al. 2021

BMC Oral Health

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Background Early childhood caries (ECC) is a rapidly progressing form of dental infection and a significant public health problem, especially among socially and economically disadvantaged populations. This study aimed to assess the risk factors for ECC among a cohort of Sub-Saharan African children and to determine the role of genetics in the etiology of ECC. Methods A sample of 691 children (338 with ECC, 353 without ECC, age < 6 years) was recruited from schools in Lagos, Nigeria. Socio-demographic, dental services utilization and infant dietary data were obtained with interviewer-administered questionnaire. Oral examination was conducted using the WHO oral health diagnostic criteria. Saliva samples were collected from the children for genetic analysis. Single nucleotide polymorphisms were selected from previous study for genotyping. Genetic association analyses to investigate the role of genetics in the etiology of ECC was done. Bivariate comparisons and Multivariate logistic regression analyses were conducted to assess associations between ECC and predictor variables, p < 0.05. Results Of the 338 children with ECC, 64 (18.9%) had Severe-Early Childhood Caries (S-ECC). Children aged 48–59 months comprised the highest proportion of subjects with ECC (165; 48.8%) and S-ECC (24; 37.5%) while female subjects had higher dt (3.13 ± 2.56) and dmft values 3.27 ± 2.64. ECC was significantly more prevalent among children who were breastfed at night ≥ 12 months (OR 3.30; CI 0.39, 4.75), those with no previous dental visit (OR 1.71; CI 0.24, 2.77), those who used sweetened pacifiers (OR 1.85; CI 0.91, 3.79) and those who daily consumed sugar-sweetened drinks/snacks (OR 1.35; CI 0.09, 18.51). A suggestive increased risk for ECC (OR 1.26, p = 0. 0.0397) was observed for the genetic variant rs11239282 on chromosome 10. We also observed a suggestive reduced risk for ECC (OR 0.80, p = 0.03) for the rs131777 on chromosome 22. None of the genetic variants were significant after correction for multiple testing (Bonferroni p value p = 0.004). Conclusions Prolonged night-time breastfeeding, poor utilization of dental services and daily consumption of sugar were risk factors for ECC. Larger sample size is needed to confirm the results of the genetic analysis and to conduct genome wide studies in order to discover new risk loci for ECC.

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Section: Discussionsupporting

confidence: 92%

“…Breastfeeding has many well-established benefits for both mother and baby, thus, potential effects of breastfeeding on caries should be mitigated by improving oral hygiene and access to oral healthcare [26].…”

Section: Discussionmentioning

confidence: 99%

Replication of GWAS significant loci in a sub-Saharan African Cohort with early childhood caries: a pilot study

Olatosi

Alade

et al. 2021

BMC Oral Health

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“… 32 Haag and others described how breast feeding >24 months was associated with higher dental caries prevalence at child age 3 years compared with children who were never breast fed. 33 This is contrary to the many findings that support prolonged breast feeding among Indigenous Australians for better child health outcomes. Santiago and colleagues demonstrated how social support was characterised among study participants, 34 and the impact of personal control on self-reported health outcomes.…”

Section: Findings To Datementioning

confidence: 87%

Cohort profile: South Australian Aboriginal Birth Cohort (SAABC)—a prospective longitudinal birth cohort

Jamieson

Hedges²,

Ju³

et al. 2021

BMJ Open

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PurposeThe South Australian Aboriginal Birth Cohort (SAABC) is a prospective, longitudinal birth cohort established to: (1) estimate Aboriginal child dental disease compared with population estimates; (2) determine the efficacy of an early childhood caries intervention in early versus late infancy; (3) examine if efficacy was sustained over time and; (4) document factors influencing social, behavioural, cognitive, anthropometric, dietary and educational attainment over time.ParticipantsThe original SAABC comprised 449 women pregnant with an Aboriginal child recruited February 2011 to May 2012. At child age 2 years, 324 (74%) participants were retained, at age 3 years, 324 (74%) participants were retained and at age 5 years, 299 (69%) participants were retained. Fieldwork for follow-up at age 7 years is underway, with funding available for follow-up at age 9 years.Findings to dateAt baseline, 53% of mothers were aged 14–24 years and 72% had high school or less educational attainment. At age 3 years, dental disease experience was higher among children exposed to the intervention later rather than earlier in infancy. The effect was sustained at age 5 years, but rates were still higher than general child population estimates. Experiences of racism were high among mothers, with impacts on both tooth brushing and toothache. Compared with population estimates, levels of self-efficacy and self-rated oral health of mothers at baseline were low.Future plansOur data have contributed to a better understanding of the environmental, behavioural, dietary, biological and psychosocial factors contributing to Aboriginal child oral and general health, and social and emotional well-being. This is beneficial in charting the trajectory of cohort participants’ health and well-being overtime, particularly in identifying antecedents of chronic diseases which are highly prevalent among Aboriginal Australians. Funding for continued follow-up of the cohort will be sought.Trial registration numberACTRN12611000111976; Post-results.

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“…Some studies reported that breast feeding is associated with higher rates of p ECC while other studies found no association [11,12]. On the other hand, a lot of studies found higher prevalence of ECC among children who were bottle fed when compared with those who were exclusively breast fed [13,14].…”

Section: Discussionmentioning

confidence: 99%

The Effect of Breast and Bottle Feeding on Dental Caries in Preschool Children

Othman¹,

Jaradat²,

Alsakarna³

et al. 2021

PJMHS

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Introduction: This study evaluates the effect of breast and bottle feeding on the severity and age of onset of early childhood caries (ECC). This prospective study conducted at the dental clinic of King Hussein Medical Center between March 2020 and July 2020. All preschool children who attended to the dental clinic suffering from dental caries were included in the study. Methodology: All preschool children who attended to the dental clinic suffering from dental caries were included in the study. A detailed history was obtained regarding age, gender, medical diseases, dental history, duration, frequency, and patterns of infant feeding. The patients were divided into 3 groups; the 1st group are those with exclusive breast feeding, the 2nd group are those with excusive bottle feeding and the 3rd group are those with mixed bottle and breast feeding. The age of onset of the caries was recorded. The severity of dental caries using DMFT index was explored in the groups. The obtained data was analyzed and compared with other studies. Results: 240 patients with aged between 3 and 6 years (mean 4.6±1.1) were enrolled in the study. A bout 55% of them was males. The commonest method of feeding for children was combined breast and bottle feeding (43%) followed by exclusive breast feeding (34%) and bottle feeding (23%). The highest DMFT score was found among patients with bottle feeding (4.9). The highest DMFT scores and earlier onset of caries were observed among patients who were breast fed (5.2, 3.2) or bottle fed (4.8,3.1) for more than 2 years respectively. Patients who were fed at night or those with frequent daily feeding at a rate of more than 6 times were associated with more sever forms of dental caries. Conclusion: Bottle feeding, nocturnal feeding and prolonged and frequent breast feeding were associated with more sever forms and earlier onset of dental caries in preschool children. Therefore, exclusive daily breast feeding at a rate not exceeding 6 times daily and for a duration not exceeding 12 months is recommended as a habit of feeding for infants. Key words: Breast feeding, Bottle feeding, Dental caries

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Is There an Association between Breastfeeding and Dental Caries among Three-Year-Old Australian Aboriginal Children?

Cited by 9 publications

References 15 publications

Replication of GWAS significant loci in a sub-Saharan African Cohort with early childhood caries: a pilot study

Replication of GWAS significant loci in a sub-Saharan African Cohort with early childhood caries: a pilot study

Cohort profile: South Australian Aboriginal Birth Cohort (SAABC)—a prospective longitudinal birth cohort

The Effect of Breast and Bottle Feeding on Dental Caries in Preschool Children

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