scholarly journals Associations between early childhood caries, malnutrition and anemia: a global perspective

2020 ◽  
Author(s):  
Morenike Folayan ◽  
Maha El Tantawi ◽  
Robert J Schroth ◽  
Ana Vukovic ◽  
Authur Kemoli ◽  
...  

Abstract Background: Malnutrition is the main risk factor for most common communicable diseases. The aim of this study is to determine the relationship between country-level prevalence of early childhood caries (ECC), malnutrition and anemia in infants and preschool children. Methods: Matched country-level ECC, malnutrition and anemia prevalence were generated from databases covering the period 2000 to 2017. Multivariate general linear models were developed to assess the relationship between outcome variables (prevalence of stunting, wasting, overweight, and anemia) and the explanatory variable (ECC prevalence) adjusted for gross national income per capita. Adjusted regression coefficients (B) and partial eta squared were computed. Results: The mean (standard deviation (SD)) ECC prevalence was 23.8 (14.8)% for 0-2 year-olds and 57.3 (22.4)% for 3-5-year-olds. The mean (SD) prevalence of wasting was 6.3 (4.8)%, overweight 7.2 (4.9)%, stunting 24.3 (13.5)%, and anemia 37.8 (18.1)%. For 0-2-year-olds, the strongest and only significant association was between the prevalence of ECC and overweight (η2= 0.21): one percent higher ECC prevalence was associated with 0.12% higher prevalence of overweight (B= 0.12, P= 0.03). In 3-5-year-olds, the strongest and only significant association was between the prevalence of ECC and anemia (η2= 0.08): one percent higher prevalence of ECC was associated with 0.14% lower prevalence of anemia (B= -0.14, P= 0.048). Conclusion: Country-level prevalence of ECC was associated with malnutrition in 0-2-year-olds and with anemia in 3-5-year-olds. The pathway for the direct relationship between ECC and overweight may be diet related. The pathway for the inverse relationship between ECC and anemia is less clear and needs further investigations.

2019 ◽  
Author(s):  
Morenike Folayan ◽  
Maha El Tantawi ◽  
Robert J Schroth ◽  
Ana Vukovic ◽  
Authur Kemoli ◽  
...  

Abstract Background To determine the relationship between country-level prevalence of early childhood caries (ECC), malnutrition and anemia in infants and preschool children.Methods Matched country level ECC, malnutrition and anemia prevalence information were generated from databases covering the period from 2000 to 2017. Multivariate general linear models were developed to assess the relationship between outcome variables (prevalence of stunting, wasting, overweight, and anemia) and the explanatory variable (ECC prevalence) adjusted for Gross National Income per capita. The adjusted regression coefficients (B) and partial eta squared were computed.Results The mean (standard deviation (SD)) ECC prevalence for 0-2 year-olds was 23.8 (14.8)% and 57.3 (22.4)% for 3-5 year-olds. The mean (SD) prevalence of wasting was 6.3 (4.8)%, overweight was 7.2 (4.9)%, stunting was 24.3 (13.5)%, and anemia was 37.8 (18.1)%. For 0-2-year-olds, the strongest and only significant association observed was between the prevalence of ECC and overweight (η2= 0.21): one percent higher ECC prevalence was associated with 0.12% higher prevalence of overweight (B= 0.12, P= 0.03). In 3-5-year-olds, the strongest and only significant association was observed between the prevalence of ECC and anemia (η2= 0.08): one percent higher prevalence of ECC was associated with 0.14% lower prevalence of anemia (B= -0.14, P= 0.048).Conclusion There were age-related disparities in the relationship between country-level prevalence of ECC, malnutrition and anemia. The relationship between ECC and overweight may be due to intake of sugars. The relationship between ECC and anemia needs further investigations.


2019 ◽  
Author(s):  
Morenike Folayan ◽  
Maha El Tantawi ◽  
Robert J Schroth ◽  
Ana Vukovic ◽  
Authur Kemoli ◽  
...  

Abstract Background: To determine the relationship between country-level prevalence of early childhood caries (ECC), malnutrition and anemia in infants and preschool children. Methods: Matched country level ECC, malnutrition and anemia prevalence information were generated from databases covering the period from 2000 to 2017. Multivariate general linear models were developed to assess the relationship between outcome variables (prevalence of stunting, wasting, overweight, and anemia) and the explanatory variable (ECC prevalence) adjusted for Gross National Income per capita. Adjusted regression coefficients (B) and partial eta squared were computed. Results: The mean (standard deviation (SD)) ECC prevalence for 0-2 year-olds was 23.8 (14.8)% and 57.3 (22.4)% for 3-5 year-olds. The mean (SD) prevalence of wasting was 6.3 (4.8)%, overweight was 7.2 (4.9)%, stunting was 24.3 (13.5)%, and anemia was 37.8 (18.1)%. For 0-2-year-olds, the strongest and only significant association observed was between the prevalence of ECC and overweight (η2= 0.21): one percent higher ECC prevalence was associated with 0.12% higher prevalence of overweight (B= 0.12, P= 0.03). In 3-5-year-olds, the strongest and only significant association was observed between the prevalence of ECC and anemia (η2= 0.08): one percent higher prevalence of ECC was associated with 0.14% lower prevalence of anemia (B= -0.14, P= 0.048). Conclusion: Age-related disparities in the relationship between country-level prevalence of ECC, malnutrition and anemia were observed. The relationship between ECC and overweight may be due to intake of sugars. The relationship between ECC and anemia needs further investigations.


2017 ◽  
Vol 50 (1) ◽  
pp. 23
Author(s):  
Wahyu Aji Wibowo ◽  
Retno Indrawati Roestamadji ◽  
Retno Pudji Rahayu

Background: The high prevalence of early childhood caries still becomes a major health problem. It is because children prefer to consume sweet foods, which are also cariogenic. The oral mucosa is a mirror of general health or any systemic disease which usually shows visible symptoms in the oral cavity. Dental caries in children is often related to the socioeconomic characteristics of the parents. Some references suggest that there is a relationship between the socioeconomic status with the incidence of caries. Purpose: The purpose of this study was to examine the relationship of socioeconomic characteristics of the parents with the risk prediction of early childhood caries by using cariogram approach to the elementary school students in Wonosobo. Method: The research is an observational analytic study with cross-sectional approach survey method. The research sampling uses proportional random sampling with 201 respondents of fifth graders. The socioeconomic status is measured through questionnaires, while the risk prediction of early childhood caries is measured by using cariogram. The research data analysis uses Spearman rank. Result: The results of the study show that the socioeconomic characteristics of the respondents’ parents mostly belong in the middle category as many as 145 respondents (72.1%), lower category as many as 31 respondents (15.4%) and in the upper category as many as 25 respondents (12.4%). Prediction of the respondents avoiding early childhood caries is 55%, while the prediction of the respondents being risked of having early childhood caries is 45%. The results of data analysis show that the relationship between the socioeconomic characteristics of the respondents’ parents and the risk of having early childhood caries for the respondents is p<0.05. Conclusion: There is a relationship between the socioeconomic characteristics of the respondents’ parents with the early childhood caries, which shows that the higher the socioeconomic status of the parents, the lower the risk of the respondents from having early childhood caries.


2014 ◽  
Vol 1 (2) ◽  
pp. 5
Author(s):  
Lisa R. Jolly ◽  
Amarshree Shetty

<strong>Introduction</strong>: Saliva, a chief player in the oral cavity, is determined by its secretion rate and quality to aid either in the development of caries, or its remineralization. The ability for saliva to function as a source of calcium and phosphate increases its supportive properties as it influences the precipitation or dissolution of calcium hydroxyapatite (HAP), the principal inorganic component of dental hard tissue.<p><strong>Materials&amp;Methods</strong>: 30 healthy children, aged between 3 and 6 years old were screened and recruited for the study at the Department of Pedodontics and Preventive Dentistry of the A.B Shetty Memorial Institute of Dental Sciences, a constituent of Nitte University. The subjects were clinically examined and scored based on their decayed, missing (due to caries) and filled surfaces (dfs) and were further categorized into two equal groups of 15.</p><p><strong>Result</strong>: In the subjects with Early Childhood Caries (ECC), the mean calcium concentration in samples of unstimulated saliva was 4.2383 ± 0.8594 and in samples of stimulated saliva was 4.1965 ± 0.6240. While, the mean inorganic phosphorous concentration in samples of unstimulated saliva was 3.219 ± 0.8540and in samples of stimulated saliva was 3.0634 ± 0.5470.</p><p><strong>Conclusion</strong>: From this study, we obtained a relationship between calcium, saliva and the caries status of children with the calcium concentration decreasing with increase in the caries status, as well as on stimulation of saliva.</p>


New Medicine ◽  
2019 ◽  
Vol 23 (4) ◽  
Author(s):  
Angelika Kobylińska ◽  
Dorota Olczak-Kowalczyk

Introduction. Odontogenesis of deciduous teeth is dependent on the intrauterine environment and shaped, among other things, by prenatal maternal nutrition. Proper deve-lopment of deciduous dentition, formation and mineralisation of the enamel and dentin determines the susceptibility to cariogenic factors. The current knowledge of the effects of prenatal nutrition and supplementation on the risk of early childhood caries (ECC) is unclear. Aim. An evaluation of the relationship between maternal nutrition in pregnancy and the risk of early childhood caries (ECC). Material and methods. A systematic review of literature on the association between prenatal maternal nutrition and early childhood caries was performed based on both electronic and manual search through medical databases, i.e. PubMed, EMBASE and MEDLINE, which allowed to identify 6 studies meeting the inclusion criteria. The risk of bias was evaluated using the ROBINS-I questionnaire and a quality assessment of original papers was performed using the Newcastle-Ottawa Scale (NOS). Results. All analysed works were at a risk of bias associated with confounders affecting the intervention and interpretation of results. Four works were considered to be of good quality (NOS > 6) and two other of medium quality. Conclusions. An increased maternal intake of vitamin D, calcium, dairy products, yoghurts and cheeses in pregnancy is an important factor reducing the risk of dental caries in their children. The risk of ECC is increased in the case of vitamin D deficiency, low intake of calcium and a diet high in fatty acids and carbohydrates.


2019 ◽  
Vol 26 (2) ◽  
pp. 8-9
Author(s):  
Lina María Villegas ◽  
Judy Elena Villavicencio ◽  
Adolfo Contreras

Early childhood caries (ECC) affect children less than 71 months of age (1) and it represents a public health problem in countries worldwide (2–4). The mean ECC prevalence in United Nations Countries was 23.8% in children younger than 36 months and 57.3% in children aged 36 to 71 months. East Asia and Latin America and the Caribbean were the worst affected by ECC among children aged 36 to 71 months (5). Dental caries pertains to a group of diseases that are estimated “complex” or “multifactorial,” with no single origin pathway (6) and it is resulted by the interaction of bacteria, mainly Streptococci mutans (SM) and  actobacilli (LB), and sugary foods on tooth enamel (6,7). Additionally, there must be a lack of oral hygiene and lack of use of fluoride (8).


2020 ◽  
Vol 6 (1) ◽  
pp. 11-22
Author(s):  
Lala Viodita ◽  
Rizanda Machmud ◽  
Hidayati Hidayati

Dental caries is the most commonly found for oral and dental diseases. It could appear in permanent and even desidual teeth. One of the oral  and dental diseases prevalent to children of age 1-5 years old is termed Early Childhood Caries (ECC) which was an acute dental infection that rapidly develop from one third of primary servical maxillary incisivus into the whole teeth making white to yellowish cavity with soft caries tissue. Diet pattern gives big influence on incidence of caries. to find the relationship between children diet pattern with the case of ECC. observational analytical using cross- sectional design. Sample size was 50 children of age 2-3 years old in three different Comprehensive Treatment Post (CTP) in working area of Tanah Garam primary healthcare in Solok City. ECC prevalence in Tanah Garam District of Solok City in 2018 was 56 %. Diet pattern found mostly was cariogenic for 52 %. There was significant relationship between diet pattern with the case of ECC in Tanah Garam District of Solok City with p = 0.01. There was significant relationship between diet pattern with the case of ECC in Tanah Garam District Solok City.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Morenike Oluwatoyin Folayan ◽  
Ayodeji Babatunde Oginni ◽  
Maha El Tantawi ◽  
Tracy L. Finlayson ◽  
Abiola Adeniyi

Abstract Background The aim of the study was to determine the prevalence and severity of early childhood caries (ECC) in children 6–71-months; identify the teeth most at risk for ECC; and identify risk indicators associated with significant caries index (SiC) score in different age groups. Methods This was a cross-sectional study that collected data (using a household survey) on the ECC risk indicators (frequency of tooth brushing, consumption of refined carbohydrate in-between-meals, daily use of fluoridated toothpaste, and dental service utilization in the 12 months) in Ile-Ife, Nigeria. We computed the prevalence of ECC using the International Caries Detection and Assessment System (ICDASI (d1–6)) index; caries severity using the ICDAS-2(d1–2) and ICDAS-3(d3–6) for non-cavitated and cavitated lesions respectively, decayed missing, filled teeth (dmft), and surfaces (dmfs) and SiC indices; and caries complications using the pulp (p), ulceration (u), fistula (f) and abscesses (a) (pufa) index, for children 6–11-months-old, 12–23-months-old, 23–35-months-old, 35–47-months-old; 48–59-months-old and 60–71-months-old. The differences in the mean dmft, dmfs, pufa scores, and ICDAS 1, 2, and 3 scores, and proportion of children with each ECC risk indicator were computed. Logistic regression analysis was conducted to identify risk indicators for the ECC SiC index score for each age group. Results The prevalence of ECC was 4.7%: 2.9% had non-cavitated lesions and 2.8% had cavitated lesions. The mean (SD) dmft, dmfs and pufa scores were 0.13 (0.92), 0.24 (1.91) and 0.04 (0.46) respectively. The dmft and dmfs scores were highest among the 24–35-months-olds while the SiC score was highest among the 12–23-months-olds. There were no significant differences in dmft, dmfs, and pufa scores between the different age groups. Toothbrushing more than once a day was the only factor associated with the SiC score: it decreases the odds for the SiC score in children 48–59-months-old. The teeth worst affected by ECC were #85 and #61. Conclusion The prevalence, severity and risk indicator for ECC seems to differ for each age group. The granular details on the risk profile of children with ECC in this population with a low ECC prevalence and burden can allow for the planning of age-targeted interventions.


2019 ◽  
Author(s):  
Liqin Mei ◽  
Zhiyuan Wei ◽  
Qiao Li ◽  
Xiping Wang

Abstract Background This study aimed to investigate the prevalence and risk factors of Early Childhood Caries (ECC) among 3-year-old children in Wenzhou China. Methods Kindergarten children aged 3 were recruited using a stratified cluster sampling method. Dental examinations were conducted by one trained dentist, and oral health-related data were collected. Examinations were surface-specific for dental caries, following World Health Organization (WHO) criteria. Bivariate tests and logistic regression models were used to assess the association between ECC and different risk factors. Results A total of 693 children were recruited for the study, and 445 completed the dental examination. Among the 445 children, the prevalence of ECC was 59.8%. The mean decayed, missing, and filled primary teeth (dmft) was 2.9, and of the total dmft, only 6.3% were filled. The mean decayed, missing, and filled primary surface (dmfs) was 4.9. Logistic regression analyses identified age and parents’ oral health knowledge level were associated with the experience of ECC (P<0.05). Conclusions A higher prevalence of ECC was observed and most of the carious teeth were untreated. The experience of ECC was related to age and parents’ oral health knowledge level.


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