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Exploring the risk factors for early-life sugar consumption: A birth cohort study

Carlos Alberto Feldens1, Márcia Regina Vítolo2, Renata Rocha Maciel3

  • 1Department of Pediatric Dentistry, Universidade Luterana do Brasil, Canoas, Brazil.

International Journal of Paediatric Dentistry
|August 21, 2020
PubMed

Insights

Early childhood sugar intake, linked to dental caries, is widespread by six months. Risk factors include young maternal age, lower maternal education, and maternal smoking, while early breastfeeding reduces intake.

Area of Science:

  • Pediatric Nutrition
  • Public Health
  • Early Childhood Development

Background:

  • Early childhood sugar consumption is a primary driver of adverse health outcomes, notably early childhood caries.
  • Understanding the determinants of early-life sugar intake is crucial for developing effective preventive strategies.

Purpose of the Study:

  • To identify and analyze risk factors associated with sugar consumption in infants.
  • To investigate the relationship between maternal characteristics, feeding practices, and early sugar intake.

Main Methods:

  • A birth cohort study was conducted in Porto Alegre, Southern Brazil.
  • Data on child feeding practices and sugar-containing food/beverage consumption were collected at six months.
  • Multivariate Poisson regression analysis with robust variance was employed to assess risk factors.

Main Results:

  • Nearly all infants (98.3%) had consumed sugar by six months of age.
  • Higher sugar intake was associated with maternal age under 20, non-nuclear families, maternal education below eight years, and maternal smoking.
  • Breastfeeding within the first hour of life was associated with significantly lower sugar item consumption.

Conclusions:

  • Sugar consumption commences very early in life, often before six months of age.
  • Infants of younger, less educated, and smoking mothers are at higher risk.
  • Early initiation of breastfeeding is a protective factor against early sugar consumption.
Abstract

Keywords:
breastfeedingchildhooddental cariesrisk factorssugar

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