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Feeding Practices and Early Childhood Caries in Korean Preschool Children
You Hyun Park1, Yoon Young Choi2
1Department of Biostatistics, Graduate School, Yonsei University, Korea.
Insights
Breast-feeding and delaying solid food introduction in infants are linked to increased early childhood caries. Mixed feeding, however, showed a reduced risk of dental caries compared to breast-feeding alone.
Area of Science:
- Pediatric Dentistry
- Public Health Nutrition
- Epidemiology
Background:
- Early childhood caries (ECC) is a significant public health concern.
- Feeding practices are recognized as potential risk factors for ECC.
- Understanding these associations is crucial for developing preventive strategies.
Purpose of the Study:
- To examine the relationship between infant feeding methods and the prevalence of early childhood caries.
- To analyze data from a representative Korean national survey to identify risk factors for ECC.
Main Methods:
- Analysis of data from 2772 children aged 1-3 years from the Korean National Health and Nutrition Examination Surveys (2007-2018).
- Assessment of early childhood caries based on decayed-filled teeth (dft) values (dft ≥1).
- Logistic regression models were used to determine the association between feeding practices and ECC, controlling for relevant variables.
Main Results:
- The breast-feeding group exhibited the highest mean dft values.
- Mixed feeding was associated with a significantly lower likelihood of ECC compared to breast-feeding.
- Delayed introduction of weaning foods (≥6 months) was linked to a higher likelihood of ECC.
Conclusions:
- Breast-feeding and late introduction of weaning foods are associated with an increased risk of early childhood caries.
- Mixed feeding may offer a protective effect against early childhood caries.
- These findings highlight the importance of tailored infant feeding recommendations for oral health.
Objectives:
This study aimed to investigate the association between feeding practices and early childhood caries using representative Korean national survey data.
Methods:
Data of 2772 children (aged 1-3 years) from the fourth to seventh Korean National Health and Nutrition Examination Surveys (2007-2018) were analysed. Data on decayed-filled teeth (dft) were obtained, and early childhood caries was determined as dft ≥1. Chi-squared test was performed to examine the experiencing of dental caries by participant characteristics, whilst analysis of variance was performed to compare the difference in dft values amongst the 3 groups (breast-feeding, mixed-feeding, and formula-feeding groups). Logistic regression analysis was performed to evaluate the association between feeding practice and early childhood caries.
Results:
Comparison of the mean dft values amongst the 3 groups showed the highest value in the breast-feeding group. Multiple logistic regression analysis results showed that the likelihood of experiencing dental caries was significantly lower in the mixed-feeding group than in the breast-feeding group, whereas no significant difference was seen between the formula-feeding and breast-feeding groups. The likelihood of early childhood caries was higher in the group that introduced weaning food at ≥6 months than that at 4- to 6-month age, whilst the introduction of cow's milk and use of nutritional supplements had no significant association with the likelihood of early childhood caries.
Conclusions:
Breast-feeding and delayed introduction of weaning food were associated with a higher likelihood of early childhood caries.
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