The association between nutritional status and dental caries in low‐income children: A multilevel analysis

Rego, Iana Nogueira; Cohen‐Carneiro, Flávia; Vettore, Mário Vianna; Herkrath, Fernando José; Herkrath, Ana Paula Corrêa de Queiroz; Rebelo, Maria Augusta Bessa

doi:10.1111/ipd.12637

Cited by 7 publications

(20 citation statements)

References 25 publications

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“…The association between consuming sugary food and beverages and ECC is well documented 20,21 . In our study, all participants were aware that consumption of sugary foods cause tooth decay, which was in contrast to the finding in some of the studies conducted on certain ethnic groups, where the parents did not perceive that sugary foods are an important cause of tooth decay 7,10,22 .…”

Section: Discussioncontrasting

confidence: 70%

Dietary practices among children with early childhood caries and the associated factors: A qualitative study

Suprabha

Shenoy

Karuna

et al. 2021

Int J Paed Dentistry

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Background Parents play a vital role in their children's dietary habits. A comprehensive understanding of the perspectives of parents of children with early childhood caries (ECC) is required for prevention program planning. Aim To describe the parental perspective of the dietary habits of children with ECC. Design In this descriptive qualitative study, the participants were parents of children with ECC receiving routine dental care. Data were collected through focus groups using an interview guide. Data were analyzed manually using the content analysis method. Results Five focus groups involving 27 participants were conducted. Two main categories emerged: cariogenic food literacy and factors that affect food choices. Most of the participants knew that sugary foods are responsible for tooth decay. Parents felt that children's snacking habits were influenced by multiple factors, such as family environment, peers, commercials on television or the Internet, and affordability of food. Conclusions Parents are not able to translate their knowledge into action to modify their children's diet as they may lack self‐efficacy and feel pressured by their children, the media and the environment in which they live. Motivational interviewing of parents and governmental and school policies to reduce sugary food consumption may be required.

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Section: Discussioncontrasting

confidence: 70%

Dietary practices among children with early childhood caries and the associated factors: A qualitative study

Suprabha

Shenoy

Karuna

et al. 2021

Int J Paed Dentistry

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“…Overall, 17 of 23 new studies showed at least 1 positive association between amount of sugars and dental caries (Masood et al 2012; Saw et al 2012; Evans et al 2013; Sheiham and James 2014; Chi et al 2015; Karjalainen et al 2015; Bernabé et al 2016; Macigo et al 2016; Olczak-Kowalczyk et al 2016; Palacios et al 2016; Saido et al 2016; Rosier et al 2017; Mukouyama et al 2018; Barrington et al 2019; Devenish et al 2020; Kaye et al 2020; Rego et al 2020). Of these, 5 studies were classified as high RoB (see Table 2, Figure 2).…”

Section: Resultsmentioning

confidence: 99%

“…The best available data came from 1 cohort study (low RoB) that had data that enabled comparison of caries development when free sugars was <5%E with >5%E and showed lower caries with intakes <5%E (Devenish et al 2020). This was supported by 2 cross-sectional studies (moderate RoB), showing lower caries with sugars intake <5%E (Saido et al 2016;Rego et al 2020). One cross-sectional study (high RoB) had graphically presented data that did not support lower caries when total sugars intake was equivalent to <5%E (Mitrakul et al 2016) (Figure 3, Table 3).…”

Section: Question 5: What Is the Effect On Dental Caries Of Restricti...mentioning

confidence: 97%

Systematic Review of the Effect on Caries of Sugars Intake: Ten-Year Update

2022

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An update of the systematic review of evidence on the association between amount of sugars intake and dental caries, as well as on the effect of restricting sugars intake to <10% and <5% energy (E) on caries, was conducted, almost 10 y since the review that informed the World Health Organization (WHO) Guideline on Sugars. The aim was to systematically review epidemiological data published from 2011 to 2020 on the amount of sugars consumption and levels of caries and to report the findings for adults and children. Data sources included MEDLINE, EMBASE, Cochrane Database, Cochrane Central Register of Controlled Trials, Latin American and Caribbean Health Sciences, China National Knowledge Infrastructure, Scopus, and Google Scholar. Eligible studies reported the amount of sugars and caries, measured as prevalence, incidence, or severity. The review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. Risk of bias was assessed using the Office of Health Assessment and Translation tool. Vote counting and harvest plots provided the basis for evidence synthesis. From 488 new papers identified, 23 studies were eligible: 4 cohort, 1 case-controlled, 12 cross-sectional, and 6 ecological. Eleven of 15 studies in children and 6 of 8 studies in adults reported at least 1 positive association between sugars and caries. Six of 7 studies in children and 4 of 4 studies in adults, with data enabling comparison of caries levels with sugars intakes >10%E and <10%E, showed lower caries when sugars intake was <10%E. Amalgamating with original studies yielded 64 of 78 studies showing at least 1 positive association, 20 of 78 a null association, and 3 of 78 a negative association between sugars and caries. GRADE profiles of new and original cohort data confirmed “moderate-quality” evidence that caries is lower when sugars intake is <10%E. Furthermore, new cohort data upgraded the quality of evidence (from “very low” to “low”) for lower caries when free sugars are <5%E. The findings support and strengthen original evidence underpinning the WHO recommendations for sugars.

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“…It is in accordance with cross‐sectional studies that reveal the influence of SES and social capital in the occurrence of dental caries . 6,7 Presumably, household income, parental education, and other parameters could limit actions of care and protection on the oral health of children by their caregivers. This would lead to an increase in the appearance of caries in early childhood which will impact on subsequent oral health outcomes 17 .…”

Section: Discussionmentioning

confidence: 99%

“…Increasing evidence suggests that a broad range of social and psychosocial determinants, not only biological risk factors and individual lifestyle, influence the health of people and should be considered risk factors 2,4‐6 . Reports indicate differences in the prevalence of the disease in relation to the socioeconomic status (SES) of the population 6,7 . Particularly, the influence of the oral health‐related quality of life (OHRQoL) and the impact of social capital in the oral health of pre‐school children have been the focus of several studies in different populations 8,9 …”

Section: Introductionmentioning

confidence: 99%

Pathways influencing dental caries increment among children: A cohort study

Reyes

Knorst

Ortiz

et al. 2020

Int J Paed Dentistry

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Background Dentists should assess pathways influencing the increment of dental caries among children to guide the prevention and treatment of the disease. Aim Evaluate the pathways that influence the increment of carious lesions in pre‐school children. Design This is a 2‐year cohort study was conducted with a random sample of 639 pre‐school children in southern Brazil. Caries experience, socioeconomic status (SES), social capital, and psychosocial characteristics were obtained at baseline. Increment of dental caries was assessed at 2 years follow‐up in 467 children (cohort retention rate of 73.1%). Previously calibrated examiners assess the caries through the International Caries Detection and Assessment System (ICDAS). Structural equation modeling (SEM) was performed to test the pathways influencing dental caries increment. Results Dental caries at baseline was heavily influenced by children's age (SC: 0.381, P < .01), tooth plaque (SC: 0.077, P = .02), parent's perception child oral health (SC: 0.295, P < .01), and household (SC: 0.148, P < .01). Increment of dental caries was directly affected by dental caries at baseline (Standardized Coefficients [SC]: 0.377, P < .01). Indirect paths were not significant. Conclusions Dental caries experience was the main factor of direct influence on the increment of caries, reinforcing the theory of risk accumulation over time.

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The association between nutritional status and dental caries in low‐income children: A multilevel analysis

Cited by 7 publications

References 25 publications

Dietary practices among children with early childhood caries and the associated factors: A qualitative study

Dietary practices among children with early childhood caries and the associated factors: A qualitative study

Systematic Review of the Effect on Caries of Sugars Intake: Ten-Year Update

Pathways influencing dental caries increment among children: A cohort study

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