1
|
Pizzi JF, Carrada CF, Zeferino MVDS, Doriguêtto PVT, Abreu LG, Scalioni FAR, Devito KL, Ribeiro RA. Overweight/obesity and dental caries in Brazilian children and adolescents: a systematic review and meta-analysis. Braz Oral Res 2024; 38:e015. [PMID: 38477801 PMCID: PMC11376620 DOI: 10.1590/1807-3107bor-2024.vol38.0015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2023] [Accepted: 09/13/2023] [Indexed: 03/14/2024] Open
Abstract
This review aimed to assess the association between overweight/obesity and dental caries in Brazilian children/adolescents. Searches were performed in the Web of Science, Scopus, Cochrane, PubMed, Embase and SciELO, Lilacs and Open Grey literature databases up to June 2022. The Joanna Briggs Institute checklist for analytical cross-sectional studies, the checklist for cohort studies, and the checklist for case-control studies were used. A total of 41 publications were included, and 15 meta-analyses were performed. The authors analyzed the differences in weighted mean difference (MD) and odds ratios (OR), and their corresponding confidence intervals (CI) (95%) for dental caries among eutrophic and obese and/or overweight children/adolescents. Meta-analyses showed that there was no association between overweight and/or obesity and dental caries in Brazilian children/adolescents for most anthropometric reference curves using BMI (Body Mass Index). A greater experience of dental caries was associated with well-nourished adolescents in permanent dentition, compared with obese individuals in the same dentition, as classified by the CDC 2000 curve (OR = 2.53, 95% CI;1.49-4.29; p = 0.0006; I2 = 0%) in dichotomous outcome studies, and (MD = 0.61, 95%CI: 0.08-1.15; p = 0.02; I2 = 0%) in continuous studies. The strength of the evidence of the results was classified as very low, low or moderate. It was concluded that there is no association between overweight and/or obesity and dental caries in Brazilian children/adolescents for most anthropometric reference curves using BMI. A greater experience of dental caries was associated with well-nourished adolescents in permanent dentition, compared with obese individuals in the same dentition, as classified by the CDC 2000 curve.
Collapse
Affiliation(s)
- Julia Faria Pizzi
- Universidade Federal de Juiz de Fora - UFJF, School of Dentistry, Juiz de Fora, MG, Brazil
| | - Camila Faria Carrada
- Faculdade de Ciências Médicas e da Saúde - Suprema, School of Dentistry, Department of Paediatric Dentistry, Juiz de Fora, MG, Brazil
| | | | | | - Lucas Guimarães Abreu
- Universidade Federal de Minas Gerais - UFMG, Schoool of Dentistry, Department of Oral Health for Children and Adolescents, Belo Horizonte, MG, Brazil
| | - Flávia Almeida Ribeiro Scalioni
- Universidade Federal de Juiz de Fora - UFJF, School of Dentistry, Department of Social and Paediatric Dentistry; Juiz de Fora, MG, Brazil
| | - Karina Lopes Devito
- Universidade Federal de Juiz de Fora - UFJF, School of Dentristry, Department of Dental Clinic, Juiz de Fora, MG, Brazil
| | - Rosangela Almeida Ribeiro
- Universidade Federal de Juiz de Fora - UFJF, School of Dentistry, Department of Social and Paediatric Dentistry; Juiz de Fora, MG, Brazil
| |
Collapse
|
2
|
Uribe SE, Innes N, Maldupa I. The global prevalence of early childhood caries: A systematic review with meta-analysis using the WHO diagnostic criteria. Int J Paediatr Dent 2021; 31:817-830. [PMID: 33735529 DOI: 10.1111/ipd.12783] [Citation(s) in RCA: 98] [Impact Index Per Article: 32.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/21/2020] [Revised: 02/07/2021] [Accepted: 03/01/2021] [Indexed: 12/23/2022]
Abstract
AIM To estimate the global prevalence of early childhood caries using the WHO criteria. DESIGN Systematic review of studies published from 1960 to 2019. DATA SOURCES PubMed, Google Scholar, SciELO, and LILACS. Eligibility criteria were articles using: dmft-WHO diagnostic criteria with calibrated examiners, probability sampling, and sample sizes. STUDY SELECTION Two reviewers searched, screened, and extracted information from the selected articles. All pooled analyses were based on random-effects models. The protocol is available on PROSPERO 2014 registration code CRD42014009578. RESULTS From 472 reports, 214 used WHO criteria and 125 fit the inclusion criteria. Sixty-four reports of 67 countries (published 1992-2019) had adequate data to be summarised in the meta-analysis. They covered 29 countries/59018 children. Global random-effects pooled prevalence was (percentage[95% CI]) 48[43, 53]. The prevalence by continent was Africa: 30[19, 45]; Americas: 48 [42, 54]; Asia: 52[43, 61]; Europe: 43[24, 66]; and Oceania: 82[73, 89]. Differences across countries explain 21.2% of the observed variance. CONCLUSIONS Early childhood caries is a global health problem, affecting almost half of preschool children. Results are reported from 29 of 195 countries. ECC prevalence varied widely, and there was more variance attributable to between-country differences rather than continent or change over time.
Collapse
Affiliation(s)
- Sergio E Uribe
- Department of Conservative Dentistry and Oral Health, Riga Stradins University, Riga, Latvia.,Baltic Biomaterials Centre of Excellence, Headquarters at Riga Technical University, Riga, Latvia.,School of Dentistry, Universidad Austral de Chile, Valdivia, Chile
| | - Nicola Innes
- School of Dentistry, Cardiff University of Dundee, Cardiff, UK
| | - Ilze Maldupa
- Department of Conservative Dentistry and Oral Health, Riga Stradins University, Riga, Latvia.,School of Dentistry, Universidad Austral de Chile, Valdivia, Chile
| |
Collapse
|
3
|
ARID J, ANTUNES LAA, KOCH LFDA, EVANGELISTA SS, VASCONCELOS KRF, BRANCHER JA, GABARDO MCL, MILANI AJ, DUTRA ALT, ANTUNES LS, VIEIRA AR, FELTRIN-SOUZA J, KÜCHLER EC. Association of taste receptor gene polymorphisms with dental caries. Braz Oral Res 2020; 34:e055. [DOI: 10.1590/1807-3107bor-2020.vol34.0055] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2019] [Accepted: 03/16/2020] [Indexed: 12/16/2022] Open
|
4
|
Costa LR, Daher A, Queiroz MG. Early childhood caries and body mass index in young children from low income families. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2013; 10:867-78. [PMID: 23462435 PMCID: PMC3709291 DOI: 10.3390/ijerph10030867] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/01/2012] [Revised: 02/25/2013] [Accepted: 02/25/2013] [Indexed: 11/16/2022]
Abstract
The relationship between early childhood caries (ECC) and obesity is controversial. This cross-sectional survey investigated this association in children from low-income families in Goiania, Goias, Brazil and considered the role of several social determinants. A questionnaire examining the characteristics of the children and their families was administered to the primary caregiver during home visits. In addition, children (approximately 6 years of age) had their height, weight, and tooth condition assessed. The primary ECC outcome was categorized as one of the following: caries experience (decayed, missing, filled tooth: “dmft” index > 0), active ECC (decayed teeth > 0), or active severe ECC (decayed teeth ≥ 6). Descriptive, bivariate and logistic regression analyses were conducted. The participants in the current study consisted of 269 caregiver-child dyads, 88.5% of whom were included in the Family Health Program. Caregivers were mostly mothers (67.7%), were 35.3 ± 10.0 years old on average and had 9.8 ± 3.1 years of formal education. The mean family income was 2.3 ± 1.5 times greater than the Brazilian minimum wage. On average, the children in the current study were 68.7 ± 3.8 months old. Of these, 51.7% were boys, 23.4% were overweight or obese, 45.0% had active ECC, and 17.1% had severe ECC. The average body mass index (BMI) of the children was 15.9 ± 2.2, and their dmft index was 2.5 ± 3.2. BMI was not associated with any of the three categories of dental caries (p > 0.05). In contrast, higher family incomes were significantly associated with the lack of caries experience in children (OR 1.22, 95%CI 1.01–1.50), but the mother’s level of education was not significantly associated with ECC.
Collapse
Affiliation(s)
- Luciane Rezende Costa
- Department of Preventive and Restorative Dentistry, Faculty of Dentistry, Federal University of Goias, Primeira Avenida, Setor Universitario, Goiania, GO 74605-220, Brazil
- Author to whom correspondence should be addressed; E-Mail: ; Tel.: +55-62-3209-6047; Fax: +55-62-3209-6325
| | - Anelise Daher
- Health Sciences Graduate Program, Federal University of Goias, Primeira Avenida, Setor Universitario, Goiania, GO 74605-220, Brazil; E-Mail:
| | - Maria Goretti Queiroz
- Department of Stomatological Sciences, Faculty of Dentistry, Federal University of Goias, Primeira Avenida, Setor Universitario, Goiania, GO 74605-220, Brazil; E-Mail:
| |
Collapse
|
5
|
Silva RAD, Nóia NB, Gonçalves LM, Pinho JRO, Cruz MCFND. Avaliação da participação de mães em um programa de prevenção e controle de cáries e doenças periodontais para lactentes. REVISTA PAULISTA DE PEDIATRIA 2013; 31:83-9. [DOI: 10.1590/s0103-05822013000100014] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/15/2012] [Accepted: 09/14/2012] [Indexed: 11/22/2022]
Abstract
OBJETIVO: Avaliar o conhecimento sobre saúde bucal de mães participantes de um programa educativo-preventivo para lactentes. MÉTODOS: Estudo de coorte com 112 mães e seus bebês de 0 a 18 meses, cadastrados no projeto "Promoção de Saúde Bucal na Primeira Infância", da Universidade Federal do Maranhão. Inicialmente, entrevistas semiestruturadas que contemplavam o nível de conhecimento das mães sobre a saúde bucal dos bebês foram realizadas. Também foi examinada a cavidade bucal dos bebês a fim de detectar o nível de placa bacteriana, sangramento gengival e presença de cárie. Em seguida, palestras educativo-preventivas foram ministradas e, após um ano de acompanhamento, novas entrevistas foram realizadas, bem como o exame clínico. Para analisar os dados, foram utilizados os testes de qui-quadrado e exato de Fisher com nível de significância de 5%. RESULTADOS: Antes das palestras educativas, 93% das mães executavam a higiene bucal de seus bebês e 57,3% a realizavam nos períodos diurno e noturno. Após as palestras, todas responderam executar os cuidados (p=0,02), sendo 74,7% nos períodos diurno e noturno (p=0,01). Não houve diferença quanto ao consumo de alimentos cariogênicos nos questionários inicial e final. Notou-se que, inicialmente, 5,6% das faces dentais apresentaram cárie; 29,7%, placa bacteriana; e 11,9%, sangramento gengival. Após as palestras, apenas 0,4% das faces dentais apresentaram cárie (p<0,0001); 2,4%, placa bacteriana (p<0,0001); e 10,6%, sangramento gengival (p<0,0001). CONCLUSÕES: A aquisição de conhecimentos é fundamental para melhorar as condições de saúde.
Collapse
|