The association of body mass index and severe early childhood caries in young children in Winnipeg, Manitoba: A cross-sectional study.

Abstract:

BACKGROUND:Associations between body mass index (BMI) and caries have been reported. AIM:To evaluate the direction of the relationship between BMI and severe early childhood caries (S-ECC). DESIGN:Children were recruited as part of a larger prospective cohort study assessing changes in nutritional status following dental rehabilitation under general anaesthetic. Pre-operative anthropometric measurements were used to calculate BMI z-scores (BMIz). Operative reports were reviewed to calculate caries scores based on treatment rendered. Analysis included descriptive statistics, bivariate analyses, and simple and multiple linear regression. RESULTS:Overall, 150 children were recruited with a mean age of 47.7 ± 14.2 (SD) months; 52% female. Over 42% were at risk for overweight, overweight or obese. Although simple linear regression demonstrated a significant positive association between dmfs score and BMIz, adjusted multiple linear regression found no significant relationship between BMIz and dmfs, but highlighted a relationship between BMI z-score and family income, Registered First Nations Status and physical activity. CONCLUSIONS:Although a significant relationship between BMI and S-ECC was not found, poverty was a key confounding variable. As both S-ECC and obesity are known predictors of future disease, it is important for healthcare professionals to identify children at risk. Diet and behaviour modification may play a role in disease prevention.

journal_name

Int J Paediatr Dent

authors

Kennedy T,Rodd C,Daymont C,Grant CG,Mittermuller BA,Pierce A,Moffatt MEK,Schroth RJ

doi

10.1111/ipd.12629

subject

Has Abstract

pub_date

2020-09-01 00:00:00

pages

626-633

issue

5

eissn

0960-7439

issn

1365-263X

journal_volume

30

pub_type

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