Dental caries and childhood obesity: roles of diet and socioeconomic status

Community Dentistry and Oral Epidemiology - Tập 35 Số 6 - Trang 449-458 - 2007
Teresa A. Marshall1, Julie M. Eichenberger‐Gilmore1, Barbara Broffitt1, John J. Warren1, Steven M. Levy2,1
1Department of Preventive and Community Dentistry, College of Dentistry, University of Iowa
2Department of Epidemiology, College of Public Health, University of Iowa, Iowa City, IA, USA

Tóm tắt

AbstractObjective:  Our objective was to determine (a) if caries and obesity were associated in a pediatric population and (b) if so, then to explore diet and socioeconomic status as additional risk factors.Methods:  Subjects were recruited at birth and are members of the Iowa Fluoride Study. Data such as parental age, parental education levels and family incomes were obtained by questionnaire at recruitment. Children's primary dentition was examined and their weight and height measured at 4.5–6.9 years of age. Parental weight and height were measured when children were 7.6–10.9 years of age. Beverage and nutrient intake patterns were obtained from 3‐day food and beverage diaries completed at 1, 2, 3, 4 and 5 years of age.Results:  Children with caries had lower family incomes, less educated parents, heavier mothers and higher soda‐pop intakes at 2, 3 and for 1–5 years than children without caries (P < 0.05). ‘Overweight’ children had less educated fathers and heavier parents than ‘normal’ weight children (P < 0.05). Children ‘at risk’ of overweight had higher caries rates than ‘normal’ or ‘overweight’ children (P < 0.05). In stepwise logistic regression models to predict caries experience, soda‐pop intakes were displaced by mother's education, leaving ‘at risk’ of overweight and mother's education in the final model.Conclusion:  Caries and obesity coexist in children of low socioeconomic status. Public health measures to improve dietary education and access to appropriate foodstuffs could decrease the risk of both diseases.

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Thông tin xuất bản

Community Dentistry and Oral Epidemiology

Tập 35 Số 6

449-458

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