Dataset Information

Feeding Practices and Early Childhood Caries in Korean Preschool Children.

ABSTRACT:

Objectives

This study aimed to investigate the association between feeding practices and early childhood caries using representative Korean national survey data.

Methods

Data of 2772 children (aged 1-3 years) from the fourth to seventh Korean National Health and Nutrition Examination Surveys (2007-2018) were analysed. Data on decayed-filled teeth (dft) were obtained, and early childhood caries was determined as dft ≥1. Chi-squared test was performed to examine the experiencing of dental caries by participant characteristics, whilst analysis of variance was performed to compare the difference in dft values amongst the 3 groups (breast-feeding, mixed-feeding, and formula-feeding groups). Logistic regression analysis was performed to evaluate the association between feeding practice and early childhood caries.

Results

Comparison of the mean dft values amongst the 3 groups showed the highest value in the breast-feeding group. Multiple logistic regression analysis results showed that the likelihood of experiencing dental caries was significantly lower in the mixed-feeding group than in the breast-feeding group, whereas no significant difference was seen between the formula-feeding and breast-feeding groups. The likelihood of early childhood caries was higher in the group that introduced weaning food at ≥6 months than that at 4- to 6-month age, whilst the introduction of cow's milk and use of nutritional supplements had no significant association with the likelihood of early childhood caries.

Conclusions

Breast-feeding and delayed introduction of weaning food were associated with a higher likelihood of early childhood caries.

SUBMITTER: Park YH

PROVIDER: S-EPMC9275199 | biostudies-literature | 2022 Jun

REPOSITORIES: biostudies-literature

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Publications

Feeding Practices and Early Childhood Caries in Korean Preschool Children.

Park You Hyun YH Choi Yoon Young YY

International dental journal 20210828 3

<h4>Objectives</h4>This study aimed to investigate the association between feeding practices and early childhood caries using representative Korean national survey data.<h4>Methods</h4>Data of 2772 children (aged 1-3 years) from the fourth to seventh Korean National Health and Nutrition Examination Surveys (2007-2018) were analysed. Data on decayed-filled teeth (dft) were obtained, and early childhood caries was determined as dft ≥1. Chi-squared test was performed to examine the experiencing of ...[more]

PMID: 34465483

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Project description:BackgroundThe prevalence of early childhood caries (ECC) varies with geographical region and population. The Uygur people, one of 55 officially recognized ethnic minorities in China, have a population of 10,069,346. We performed a preschool-based cross-sectional study of 670 Uygur children from the southern region of Xinjiang, China, to investigate the prevalence and severity of ECC and to identify factors related to the dental health condition of this population.MethodsThe study population of children ranging in age from 3 to 5 years was invited using a three-stage stratified sampling in Kashgar, the westernmost city in China. The "dmft" index was used to assess dental caries. The diagnosis of ECC or severe ECC was based on the oral health diagnostic criteria defined by the American Academy of Pediatric Dentistry. A questionnaire was completed by the children's caregivers. The survey included questions concerning the children's sociodemographic background; feeding and eating habits, particularly frequency of sweet beverage and food consumption; dental hygiene-related behaviors; the general oral health knowledge of caregivers; and the dental healthcare experience of caregivers and their children.ResultsA total of 670 Uygur children underwent complete dental caries examination. Most of the children (74.2%) had ECC, with a mean dmft ± SD of 3.95 ± 3.84. The prevalence of severe ECC was 40.1% (N =269), with a mean dmft of 7.72 ± 3.14. More than 99% of caries were untreated. Statistically significant correlations were found between higher ECC prevalence and increased age and lower socioeconomic background, while greater dental health knowledge of the caregiver and positive oral hygiene behaviors were found to be protective. Our findings confirm the multi-factorial etiology of ECC.ConclusionsThe prevalence of ECC among preschool-aged Uygur children in Kashgar was high, particularly among those from lower socioeconomic backgrounds. Caries prevalence was associated with oral hygiene behaviors of children and the general oral health knowledge of caregivers. These factors could be modified through public health strategies, including effective publicity concerning general dental health and practical health advice.

Project description:BackgroundA high prevalence of early childhood caries (ECC) has been reported in children over the past few decades making it a major health burden. The study investigated the prevalence of ECC and associated factors among the preschool children of Shimla district.MethodsAn observational cross-sectional study was carried out in various government and private preschools of district Shimla from July 2022 to November 2022 where children in the age group of 3-5 years were screened for ECC using the dmft index and their BMI (body mass index) and salivary pH was recorded. Information regarding socio-economic status (SES), feeding, dietary and oral hygiene habits were collected through questionnaire circulated to the parents. Prevalence of ECC was calculated. Association of various factors with ECC prevalence was done using chi square test and correlation of factors with prevalence of ECC was assessed using Spearman's correlation coefficient. Binomial logistic regression analysis was performed to assess these variables for prevalence of ECC. The level of statistical significance was determined at p ≤ 0.05.Results1224 school children and their parents were included in the study. The overall prevalence and mean dmf score was 61.6% and 3.21 ± 3.92 respectively. Among these 57% children had caries at 3 years, 64.7% at 4 years and 69.5% at 5 years. Increasing age was associated with increasing prevalence of ECC (OR = 1.034, p = 0.006). The upper socio economic status was significantly associated with risk of ECC than other categories (p = 0.046). Decreasing salivary pH was associated with increased prevalence of ECC (OR = 0.656, p <. 001).ConclusionThe study demonstrated a high prevalence of ECC in the district along with setting the baseline data for the region. Increasing age, upper socioeconomic status and decreasing salivary pH are significantly associated in likelihood of caries whereas other factors like BMI, dietary and feeding and oral hygiene habits are also important factors which were directly or indirectly related to the burden of this disease. Efforts should be made to create more awareness and provide oral health care facilities to help keep the disease under control.

Project description:BackgroundEarly childhood dental caries (ECC), a serious public health problem lacks information on the association between ECC, risk factors and nutritional status among children in Tanzania. Therefore, this study aimed to determine the prevalence of ECC, risk factors and nutritional status among 3-5-year-old preschool children and to assess its correlation with the form, visible plaque scores in upper anterior teeth, total sugar exposure, anthropometric measures, and socio demographic attributes.MethodsThis cross-sectional study was conducted on 831 children registered in public preschools in Kisarawe District. Assessment of ECC used the WHO (2013) criteria and anthropometric measures used the WHO Child Growth Standards (2006). Structured questionnaires were completed by children's parents through an interview. Collected information on socio-demographic attributes including oral hygiene and sugar exposure to their children was analyzed.ResultsOnly 459 children (55.2%) were recognized as caries-free. Dental caries experience in terms of decayed, missing and filled teeth (dmft) index was 2.51. Children with visible plaque were the majority (56.1%). The dmft score index was negatively and significantly associated with weight-for-age z-score [Coefficient: -0.11 (95% CI: -0.76, -0.11)] and positively significantly associated with visible plaque score index [Coefficient: 0.16 (95% CI: 0.18, 0.52)] and total sugar exposure [Coefficient: 0.19 (95% CI: 0.15, 0.38)] in the adjusted model. The prevalence of underweight was 4.2% [95% CI: (3.0-5.8)] and severe underweight was 0.2% [95% CI: (0.1-0.9)] while prevalence of stunting was 1.6% [95% CI: (0.9-2.7)] and severe stunting was 0.4% [95% CI: (0.1-1.1)].ConclusionThis study demonstrated a significant negative relationship between ECC and children's anthropometric measures indicated by weight-for-age, and positive relationship with sugar exposure and poor oral hygiene indicated by visible plaque on upper anterior teeth. Controlling risk factors will reduce the occurrence of ECC thereby catering for a healthy population of well-nourished children.

Dataset Information

Feeding Practices and Early Childhood Caries in Korean Preschool Children.

Objectives

Methods

Results

Conclusions

Publications

Feeding Practices and Early Childhood Caries in Korean Preschool Children.

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