The association between eating vegetables at start of meal and dental caries among Japanese children

Abstract Background Dental caries is still serious problem among Japanese children. Previous studies suggested that higher consumption of vegetables prevent dental caries. Eating order habit, such as eating vegetables at start of meal, called “Vege-first”, may increase the amount of vegetable consumption, and in turn, prevent dental caries. However, no published studies have examined the impact of “Vege-first” habit on dental caries. The aim of this study to investigate the association between “Vege-first” and dental caries among Japanese children. Methods We used the 2015 cross-sectional data from the Adachi Child Health Impact of Living Difficulty (A-CHILD) study, a population-based study of all first-grade students in Adachi City, Tokyo, Japan. The number of DMFT (decayed, missed due to decay, and filled teeth) was used as an outcome. Poisson regression analyses were applied to determine the independent association between “Vege-first” habit and the number of DMFT after controlling for the effects from child’s sex, parents’ marital status, socioeconomic status, and frequency of tooth brushing, drinking sweet beverages, and snacking. Results Of 3,689 valid Japanese children participants, 38.2% had DMFT and 11.6% were having the “Vege-first” habit. The number of DMFT decreased linearly with “Vege-first” habit (p < 0.001). After controlled for covariates, the number of DMFT was still significantly and independently decreased with “Vege-first” habit (prevalence ratio=0.89 (95% confidential interval [0.81-0.98])). Conclusions This study showed that having the “Vege-first” habit was associated with dental caries even accounting for socioeconomic status, dental health behavior, and dietary habits. Health policy introducing “Vege-first” habit may be effective to prevent pediatric dental caries. Key messages Eating habit which vegetables at start of meal called “Vege-first” may increase the amount of vegetable consumption and possibly reduce dental caries. The habituation of Vege-first was likely to reduce child’s dental caries even accounting for socioeconomic status, dental health behavior and dietary habits.

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Contributing Factors in Adolescents’ Mental Well-Being—The Role of Socioeconomic Status, Social Support, and Health Behavior

Sustainability ◽

10.3390/su12229597 ◽

2020 ◽

Vol 12 (22) ◽

pp. 9597

Author(s):

Gabriella Nagy-Pénzes ◽

Ferenc Vincze ◽

Éva Bíró

Keyword(s):

Social Support ◽

Socioeconomic Status ◽

Life Satisfaction ◽

Health Behavior ◽

Mental Health Problems ◽

Well Being ◽

Cross Sectional ◽

Unhealthy Eating ◽

The Impact ◽

Mental Well Being

Mental disorders are common in adolescents, and for effective interventions we should be aware of their determinants. However, there are only a small number of studies investigating the combined effect of multiple factors. Therefore, our aim is to assess the impact of socioeconomic status, social support, and health behavior on adolescents’ mental well-being. A cross-sectional health survey of 1641 children was carried out in accordance with the study protocol of the Hungarian Health Behavior in School-aged Children survey. Multivariate multiple regression was used to analyze the main determinants of mental well-being. The boys’ mental well-being was favorable compared to girls; lower subjective family wealth was associated with lower life satisfaction and depressive mood. Life satisfaction was positively related to healthy eating, social support, and physical activity. Unhealthy eating, sedentary lifestyle, and lower social support were associated with higher depression scores. Higher social support reduces psychosomatic symptoms, while unhealthy eating and spending a lot of time in front of the computer increase them. Both social support and healthy lifestyle seem to be protective against mental health problems among adolescents, and thus interventions should focus on these factors regardless of the socioeconomic status of the participants, with special attention given to girls.

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The Effects of Socioeconomic Status, Parental Education Level, Oral and Dental Health Practices, Dietary Habits and Anthropometric Measurements on Dental Health in 12-Year-Old School Children

10.21203/rs.3.rs-713036/v1 ◽

2021 ◽

Author(s):

Jiyan ASLAN CEYLAN ◽

YUSUF ASLAN ◽

AYSE OZFER OZCELİK

Keyword(s):

Socioeconomic Status ◽

Dental Caries ◽

Parental Education ◽

Dietary Habits ◽

Dental Health ◽

Health Indicators ◽

Education Level ◽

Anthropometric Measurements ◽

Health Practices ◽

Parental Education Level

Abstract Background Dental caries is the most common progressive chronic disease in school-age children with an increasing prevalence as children grow up. This study aims to examine the effects of socioeconomic status, parental education level, oral and dental health practices, dietary habits and anthropometric measurements on dental health in 12-year-old schoolchildren. Methods The sample of the study consisted of 254 children (44.1% boys and 55.9% girls) in three schools, which were identified as low, moderate and high socioeconomic status. Results It was found that 70.9% of the children have dental caries on their permanent teeth. The frequency of seeing a dentist, the status of receiving oral and dental health education and the frequency of changing toothbrush vary according to the socioeconomic status. Oral and dental health indicators were determined to be affected by the frequency and duration of tooth brushing. It was found that dmft values of the children consuming molasses and table sugar are higher. There is a negative correlation between oral and dental health indicators and anthropometric measurements and parental education level. Conclusions Dietary habits, anthropometric measurements, oral and dental health practices, gender, and parental socioeconomic status and education level were shown to be effective on caries risk.

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HUBUNGAN STATUS SOSIAL EKONOMI ORANG TUA DENGAN KEJADIAN KARIES GIGI SULUNG PADA ANAK UMUR 4 - 5 TAHUN DI DESA KUOK

PREPOTIF : Jurnal Kesehatan Masyarakat ◽

10.31004/prepotif.v5i1.1641 ◽

2021 ◽

Vol 5 (1) ◽

pp. 328-334

Author(s):

Rinda Fithriyana

Keyword(s):

Socioeconomic Status ◽

Dental Caries ◽

Dental Health ◽

Sampling Technique ◽

Permanent Teeth ◽

P Value ◽

Chi Square ◽

Cross Sectional ◽

Chi Square Test ◽

Cross Sectional Design

The main problem of dental and oral health in children is dental caries. Both primary and permanent teeth have a risk of caries, but the decay process of primary teeth spreads more rapidly, extends and is more severe than permanent teeth. The purpose of this study was to determine the relationship between the socioeconomic status of parents and the incidence of primary dental caries in children aged 4-5 years in Kuok Village. This type of research is analytic with cross sectional design. The population in this study were all children aged 4-5 years and parents in Kuok Village with a sample of 406 people. The sampling technique used was purposive sampling technique with a sample size of 40 people. The data collection tool used was a questionnaire with univariate and bivariate data analysis using the chi square test. The results of statistical analysis obtained a significant value of p value = 0.033 (p value ≤ α 0.05). This means that there is a significant relationship between socioeconomic status and the incidence of primary dental caries in children aged 4-5 years in Kuok Village. Parents should pay more attention to their children's dental health. Parents should routinely check their children's teeth at a dentist or health service facility every 6 months.

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BODY FATNESS AND ITS SOCIAL AND LIFESTYLE DETERMINANTS IN YOUNG WORKING MALES FROM CRACOW, POLAND

Journal of Biosocial Science ◽

10.1017/s0021932008002873 ◽

2009 ◽

Vol 41 (1) ◽

pp. 139-154 ◽

Cited By ~ 3

Author(s):

AGNIESZKA SUDER

Keyword(s):

Socioeconomic Status ◽

Dietary Habits ◽

Leisure Time Physical Activity ◽

Sport Activity ◽

Bioelectrical Impedance ◽

Place Of Residence ◽

Cross Sectional ◽

Body Fatness ◽

Motor Fitness ◽

The Impact

SummaryThe aim of this study was to determine the degree to which general body fatness variation, presented by body mass index (BMI), the sum of the three skinfold thicknesses (TST) (triceps, subscapular, abdominal) and percentage of body fat (%FAT), can be explained by socioeconomic status (SES) and lifestyle. The cross-sectional, population-based survey was of 259 healthy working males aged 20–30 from the city of Cracow, Poland. Objective anthropometric measurements, bioelectrical impedance analysis, the results of motor fitness tests and social and lifestyle data from a questionnaire were analysed. The independent variables were: age, socioeconomic status (birthplace, place of residence until the age of 14, social class, educational level and the type of work done) and lifestyle elements (smoking habits, dietary habits, family obesity resemblance, sport activity in the past, leisure time physical activity and level of motor fitness). Three separate full models were created using stepwise straightforward regression with BMI, TST and %FAT as dependent variables. The highest autonomous influence on BMI and %FAT was ascribed to age and family obesity resemblance, whereas variation in TST was explained by level of motor fitness, age, city as a place of residence until the age of 14 and family obesity resemblance. Although the analysed variables explained only from 8% (BMI) to 13% (TST) of body fatness variation, indicating at the same time that most variations are explained by other variables, the impact of lifestyle family-shared factors on body fatness seems to be significant.

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Oral health related knowledge and health behavior of parents and school children

Medicinski pregled ◽

10.2298/mpns1302070l ◽

2013 ◽

Vol 66 (1-2) ◽

pp. 70-79

Author(s):

Maja Lalic ◽

Ema Aleksic ◽

Mihajlo Gajic ◽

Djoka Malesevic

Keyword(s):

Oral Health ◽

Health Behavior ◽

Oral Hygiene ◽

Parental Behavior ◽

Dental Health ◽

Oral Health Status ◽

Oral Health Behavior ◽

Cross Sectional ◽

Dental Floss ◽

The Impact

Introduction. The family provides the background for developing behaviors, attitudes and knowledge related to oral health of children. The aim of this study was to compare oral health behavior of parents and their children and to asses the impact of parental behavior on children?s oral health. Material and Methods. This cross-sectional study included 99 parent - child pairs (12 to 15 years old). Data on oral health behavior, knowledge and attitudes regarding oral hygiene, fluorides and nutrition of parents and their children were collected by questionnaires. The parental dental health was assessed according to self-reported data on tooth loss and prosthodontic rehabilitation, while the dental status of children was determined by clinical examination. Results. The parents reported the use of dental floss (p < 0.001) and mouth rinses (p<0.05) more often than their children and they had better knowledge on fluorides. Approximately one third of parents thought they should not control sugar consumption of their child. There was a statistically significant correlation between parental oral hygiene and their habit to control the child in brushing with the child?s oral health status. Conclusion. Oral health education activities directed towards the prevention of risk factors for developing caries should involve both parents and their children, because parental behavior is a significant predictor of children?s oral health.

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Prevention of dental caries by eating vegetables at the beginning of a meal in Japanese children

European Journal of Public Health ◽

10.1093/eurpub/ckaa166.384 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

K Ito ◽

A Isumi ◽

S Doi ◽

M Ochi ◽

T Fujiwara

Keyword(s):

Socioeconomic Status ◽

Dental Caries ◽

Vegetable Consumption ◽

Health Impact ◽

Population Based ◽

Cross Sectional ◽

Child Study ◽

Cohort Data ◽

Independent Association ◽

Rate Ratios

Abstract Backgrounds Dental caries is still a worldwide serious problem among children. Previous studies showed that higher consumption of vegetables prevents dental caries. Eating order habits, such as eating vegetables at the beginning of a meal, called “Vege-first”, may increase the amount of vegetable consumption, and in turn, prevent dental caries. We used cross-sectional data in our previous study to show the association between “Vege-first” and dental caries. However, the causal relationship of “Vege-first” on dental caries is not clear. The aim of this study to investigate the effect of “Vege-first” on dental caries, using cohort data of Japanese elementary students. Methods We used cohort data from 2015 to 2016 by the Adachi Child Health Impact of Living Difficulty (A-CHILD) study, a population-based study of all first- and Second- grade students in Adachi City, Tokyo, Japan. The number of DMFT (decayed, missed due to decay, and filled teeth) in 2016 was used as an outcome. Poisson regression analyses were applied to determine the independent association between keeping the “Vege-first” habit over one year and the number of DMFT in 2016 after controlling for the effects of a child's sex, parental marital status, socioeconomic status, and child's dental caries status in 2015. Results Of 3,164 valid participants, 45.0% had dental caries and 6.3% kept the “Vege-first” habit. Children who kept the “Vege-first” habit had fewer DMFTs in 2016 than children who did not (p < 0.001). After controlled for covariates, children with having a continuous “Vege-first” habit were still significantly and independently decreased the number of DMFT in 2016 (Incidence-rate ratios=0.87 (95% confidential interval [0.75-0.98])). Conclusions This study showed that having the continuous “Vege-first” habit was associated with preventive dental caries even after accounting for socioeconomic status. Health policy introducing the “Vege-first” habit may be effective to prevent pediatric dental caries. Key messages The practice of eating vegetables at the beginning of a meal, called “Vege-first” may increase vegetable consumption and reduce dental caries. The continuous habit of 'Vege-first' was effective in preventing a child’s dental caries even if after accounting for socioeconomic status.

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Bedtime Oral Hygiene Behaviours, Dietary Habits and Children’s Dental Health

Children ◽

10.3390/children8050416 ◽

2021 ◽

Vol 8 (5) ◽

pp. 416

Author(s):

George Kitsaras ◽

Michaela Goodwin ◽

Michael P. Kelly ◽

Iain A. Pretty

Keyword(s):

Oral Hygiene ◽

Dietary Habits ◽

Dental Health ◽

Cross Sectional Study ◽

Study Data ◽

General Anaesthetic ◽

Dental Disease ◽

Cross Sectional ◽

Important Relationship ◽

Bedtime Routine

Background: Oral hygiene behaviours as well as dietary habits before bed can affect children’s dental health resulting in higher prevalence of dental disease. Dental disease can affect children’s health, development and even school performance. If left untreated, dental disease can progress and it can lead to extractions under general anaesthetic causing further distress for children and families. Consistent and appropriate oral hygiene behaviours and dietary habits can prevent dental diseases from occurring in the first place. Objective: This cross-sectional study examines the relationship between oral hygiene behaviours, dietary habits around bedtime and children’s dental health. Methods: A total of 185 parents with children between the ages of 3 and 7 years from deprived areas participated in the study. Data on bedtime routine activities were collected using an automated text-survey system. Children’s dental health status was established through examination of dental charts and dmft (decayed, missed, filled teeth) scores. Results: In total, 52.4% of parents reported that their children’s teeth were brushed every night. The majority of children (58.9%) had dmft scores over zero. In total, 51 (46.7% of children with dmft score over 0 and 27.5% of all children) children had active decay. The mean dmft score for those experiencing decay was 2.96 (SD = 2.22) with an overall mean dmft score of 1.75 (SD = 2.24). There were significant correlations between frequency of tooth brushing, frequency of snacks/drinks before bed and dmft scores (r = −0.584, p < 0.001 and r = 0.547, p = 0.001 respectively). Finally, higher brushing frequency was associated with a lower likelihood of a dmft score greater than 0 (Exp(B) = 0.9). Conclusions: Despite families implementing oral hygiene behaviours as part of their bedtime routines those behaviours varied in their consistency. Results of this study highlight the need for additional studies that consider bedtime routine-related activities and especially the combined effects of oral hygiene practices and dietary habits due to their potentially important relationship with children’s dental health.

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Association between socioeconomic status and dental caries among Chinese preschool children: a cross-sectional national study

BMJ Open ◽

10.1136/bmjopen-2020-042908 ◽

2021 ◽

Vol 11 (5) ◽

pp. e042908

Author(s):

Tingting Zhang ◽

Jialan Hong ◽

Xueting Yu ◽

Qiulin Liu ◽

Andi Li ◽

...

Keyword(s):

Socioeconomic Status ◽

Preschool Children ◽

Oral Health ◽

Dental Caries ◽

Household Income ◽

Parental Education ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Index Of Inequality

ObjectivesSocioeconomic inequalities in oral health are often neglected in oral health promotion. This cross-sectional study assessed the association between dental caries and socioeconomic status (SES) among preschool children in China.DesignCross-sectional study.SettingData from the Fourth National Oral Health Survey of China (2015), comprising of 40 360 children aged 3–5 years was used.MethodsDental caries indicators including prevalence of dental caries, dental pain experience and number of decayed, missing and filling teeth (dmft). SES indicators included parental education and household income. The associations between SES and dental caries were analysed by using negative binomial regression or Poisson regression models according to data distribution. Relative and absolute inequalities in dental caries were quantified by using the Relative Index of Inequality (RII) and Slope Index of Inequality (SII), respectively.ResultsThere were significant associations between SES and prevalence of dental caries and dmft (p<0.001). Children from lower educated (RII 1.36, 95% CI 1.3 to 1.43; SII 0.97, 95% CI 0.81 to 1.13) and lower household income (RII 1.17, 95% CI 1.11 to 1.24; SII 0.55, 95% CI 0.35 to 0.75) families had higher dmft than those from well-educated and most affluent families. Relative and absolute inequalities in dental caries were larger in urban areas by household income, and in rural areas by parental education.ConclusionsAssociation between dental caries and SES was demonstrated and socioeconomic inequalities in dental caries existed among Chinese preschool children.

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Prevalence of dental caries and associated factors among school-aged children in Tripoli, Libya: a cross-sectional study

BMC Oral Health ◽

10.1186/s12903-021-01545-9 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Hosam Alraqiq ◽

Ahmid Eddali ◽

Reema Boufis

Keyword(s):

Dental Caries ◽

Maternal Employment ◽

Dental Treatment ◽

First Grade ◽

Cross Sectional Study ◽

Arab Countries ◽

Caries Prevalence ◽

Seventh Grade ◽

Cross Sectional ◽

Factors Associated

Abstract Background In many developing countries, the prevalence of dental caries has increased due to lifestyle changes, lack of preventive services, and inadequate access to dental care. In Arab countries, the increased prevalence of caries has correlated with economic growth over the past decades, resulting in greater access to unhealthy foods and higher consumption of sugar, particularly among children. However, few studies have assessed caries prevalence among pediatric populations in Arab countries. The objective of this study was to assess the prevalence of dental caries and factors associated with caries among children in Tripoli, Libya. Methods This cross-sectional study included a convenience sample of 1934 children in first grade (age 6–7 years, n = 1000) and seventh grade (age 11–12 years, n = 934). Four health centers in Tripoli were selected for screening based on location and participation in school-entry health examinations. Data were collected through self-administered parent surveys and visual dental screenings by trained examiners from September 24 to October 15, 2019. The survey comprised questions about socioeconomic characteristics and oral health behaviors, including toothbrushing, sugar consumption, and dental care history. During screenings, untreated decay, missing teeth, and filled teeth (DMFT or dmft) were recorded. Prevalence of tooth decay was calculated as the proportion of children with high DMFT/dmft scores. Binary logistic and negative binomial regression analyses (with significance at p ≤ 0.05) were used to assess factors associated with caries. Results Among 1000 first-grade children, 78.0% had decay in their primary teeth, with a mean dmft of 3.7. Among 934 seventh-grade children, 48.2% had caries in their permanent teeth, with a mean DMFT of 1.7. The most significant factors associated with caries prevalence were socioeconomic, such as screening site (first grade, p = 0.02; seventh grade, p < 0.001) and maternal employment (seventh grade, p = 0.02), and behavioral, such as toothbrushing duration (seventh grade, p = 0.01), past dental treatment (both grades, p < 0.001), and past emergency visit (both grades, p < 0.001). Conclusions Caries prevalence was associated with several behavioral and socioeconomic factors, including screening site, maternal employment, toothbrushing duration, past dental treatment, and past emergency visit. Efforts should be made to address these factors to minimize barriers and improve oral health behavior and care utilization. These findings can be used to evaluate current public health initiatives and inform future planning.

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The Impact of Carbohydrate Quality on Dental Plaque pH: Does the Glycemic Index of Starchy Foods Matter for Dental Health?

Nutrients ◽

10.3390/nu13082711 ◽

2021 ◽

Vol 13 (8) ◽

pp. 2711

Author(s):

Fiona S. Atkinson ◽

Jouhrah Hussain Khan ◽

Jennie C. Brand-Miller ◽

Joerg Eberhard

Keyword(s):

Dental Caries ◽

Glycemic Index ◽

Dental Plaque ◽

Dental Health ◽

Oral Glucose ◽

White Bread ◽

Increased Risk ◽

Plaque Ph ◽

The Impact ◽

Starchy Foods

Sugary carbohydrate foods have long been associated with increased risk of dental caries formation, but the dental health impact of starchy carbohydrates, particularly those with a high glycemic index (GI), has not been well examined. Aim: To investigate the effect of different starchy foods varying in their GI, on acute changes in dental plaque pH. Methods: In a series of sub-studies in healthy adults, common starchy carbohydrate foods, including white bread, instant mashed potatoes, canned chickpeas, pasta, breakfast cereals, white rice, and an oral glucose solution were consumed in fixed 25 g available carbohydrate portions. The change in dental plaque pH was assessed postprandially over 1 h and capillary plasma glucose was measured at regular intervals over 2 h. Results: Higher GI starchy foods produced greater acute plaque pH decreases and larger overall postprandial glucose responses compared to lower GI starchy foods (white bread compared with canned chickpeas: −1.5 vs. −0.7 pH units, p = 0.001, and 99 ± 8 mmol/L min vs. 47 ± 7 mmol/L min, p = 0.026). Controlling for other food factors (food form and nutritional composition), lower GI versions of matched food pairs produced smaller plaque pH excursions compared to higher GI versions of the same food. Using linear regression analysis, the GI value of starchy carbohydrate foods explained 60% of the variation in maximum plaque pH nadir and 64% of the variation in overall acute dental plaque pH excursion (p < 0.01). Conclusion: The findings imply that starchy foods, in particular those with a higher GI, may play a role in increasing the risk of dental caries.

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