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Dental caries and dietary patterns in low-income African American children
Justine L Kolker1, Ying Yuan, Brian A Burt
1Department of Operative Dentistry, College of Dentistry, University of Iowa, Iowa City, USA. justine-kolker@uiowa.edu
Insights
Sugared drink consumption in children is linked to increased dental caries. Promoting non-sugary drink alternatives can help prevent tooth decay in young children.
Area of Science:
- Pediatric Dentistry
- Public Health Nutrition
- Epidemiology
Background:
- Dental caries is a significant public health issue, particularly in low-income populations.
- Dietary habits play a crucial role in the development and progression of early childhood caries.
Purpose of the Study:
- To investigate the association between dietary patterns and the severity of dental caries.
- To examine these relationships in a cohort of low-income African American children.
Main Methods:
- A cross-sectional study involving 436 African American children aged 3-5 years.
- Dietary intake assessed using the Block Kids Food Questionnaire; caries severity measured by the International Caries Detection and Assessment System (ICDAS).
- Factor analysis identified dietary patterns; multinomial logistic regression analyzed associations with decayed, missing, and filled surfaces (dmfs).
Main Results:
- Positive associations were found between decayed, missing, and filled surfaces (dmfs) scores and consumption of soda and powdered/sport drinks.
- Age was also positively associated with dmfs scores.
- Consumption of milk and real juice (non-orange) showed an association with lower dmfs levels.
Conclusions:
- Frequent consumption of sugar-sweetened beverages is associated with a higher prevalence of dental caries in young children.
- Intervention programs focusing on non-cariogenic dietary alternatives are essential for caries prevention.
Purpose:
The purpose of this study was to assess the relationship between dietary patterns and dental caries severity in low-income African American children.
Methods:
The participants were 3- to 5-year-old African American children in Detroit, Mich, with household incomes below 250% of the 2000 federal poverty level (N=436). Dietary intakes were obtained using the Block Kids Food Questionnaire. Dental caries in primary teeth were measured by the International Caries Detection and Assessment System criteria. The mean number of decoyed surfaces (noncavitated and cavitated, missing, and filled surfaces [dmfs]) for each child was estimated. Factor analysis was carried out to identify the patterns of solid food consumption. The resulting factor scores and drink variables were then used as covariates in multinomial logistic regression, with 4 levels of dmfs as the outcome. Statistical analyses were conducted using SAS and SUDAAN.
Results:
Multinomial regression models found that age, soda consumption, and powdered/sport drink consumption were positively associated with dmfs scores. Milk and real juice (not orange) were associated with lower dmfs levels.
Conclusions:
Children frequently consume sugared drinks, which is associated with the prevalence of dental caries. Intervention programs that promote the adoption of noncariogenic dietary alternatives for children are needed.
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