Overweight, obese, underweight, and frequency of sugar consumption as risk indicators for early childhood caries in Brazilian preschool children
Background A possible association between being overweight or obese and early childhood caries (ECC) remains controversial. Aim To investigated this association in a developing country testing the confounding effects of socioeconomic factors and frequency of sugar consumption. Methods Historical coh...
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Published in | International journal of paediatric dentistry Vol. 27; no. 6; pp. 532 - 539 |
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Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
Published |
England
Blackwell Publishing Ltd
01.11.2017
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Subjects | |
Online Access | Get full text |
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Summary: | Background
A possible association between being overweight or obese and early childhood caries (ECC) remains controversial.
Aim
To investigated this association in a developing country testing the confounding effects of socioeconomic factors and frequency of sugar consumption.
Methods
Historical cohort study, 388 children (aged 24–71 months) living in São Luís, Brazil. A theoretical model adjusted according to income, birthweight, and nutritional status at twelve months and frequency of sugar consumption was generated with directed acyclic graphs to analyze this association. Caries were considered a discrete variable in the Poisson regression models; incidence density ratios (IRs) and 95% confidence intervals (95% CIs) were estimated.
Results
Being overweight or obese (IR = 1.52; 95% CI: 1.03–2.22) was independently associated with ECC. Being thin or very thin (IR = 1.97; 95% CI: 1.52–2.54), a high frequency of sugar consumption (IR = 1.83; 95% CI: 1.42–2.38), and age (IR = 3.62; 95% CI: 2.58–5.08) were associated with ECC.
Conclusions
Children overweight or obese, as well as children exhibiting being thin/very thin, were associated with ECC independent of socioeconomic variables and a high frequency of sugar consumption. |
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Bibliography: | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
ISSN: | 0960-7439 1365-263X |
DOI: | 10.1111/ipd.12292 |