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Updated: Sep 30, 2025

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Association Between Early Childhood Caries and Obesity among Preschool Children
Insights
Early childhood caries (ECC) and childhood obesity are common in children, often linked by sugar intake. This study found a significant positive association between ECC and obesity in preschoolers.
Area of Science:
- Pediatric Health
- Dental Public Health
- Nutritional Science
Background:
- Early childhood caries (ECC) and childhood obesity are significant global public health concerns.
- Sugar consumption is a recognized common risk factor linking ECC and obesity.
- Understanding this association is crucial for developing targeted preventive strategies.
Purpose of the Study:
- To investigate the association between early childhood caries (ECC) and obesity in preschool-aged children.
- To identify potential contributing factors to ECC prevalence in relation to obesity.
Main Methods:
- A cross-sectional study involving 1250 preschool children (mean age 4.3 years).
- Body Mass Index (BMI) was calculated, and caries were diagnosed using World Health Organization criteria.
- Multivariable logistic regression analysis was employed to assess the relationship between ECC and obesity.
Main Results:
- Early childhood caries (ECC) was prevalent in 74.3% of the children, with a mean dmft of 5.91.
- A statistically significant positive association was found between ECC prevalence and obesity (adjusted OR: 2.59, P = 0.001).
- Factors such as higher family income, sugar consumption, birth weight variations, and infrequent toothbrushing were associated with ECC.
Conclusions:
- Early childhood caries (ECC) is positively associated with obesity in preschool children.
- This finding underscores the importance of addressing shared risk factors like sugar consumption for both conditions.
Purpose:
Early childhood caries (ECC) and childhood obesity are among the most prevalent health conditions affecting children. ECC is associated with obesity through the common risk factor of sugar consumption. The present study aimed to assess the association between ECC and obesity in preschool children.
Materials And Methods:
A cross-sectional study was conducted among 1250 preschool children (698 girls, 552 boys; mean age: 4.3 [1.1] years). The children's body mass index was determined (BMI: weight/height in kg/m2). The World Health Organization criteria were used for the diagnosis of caries. Multivariable logistic regression was used to analyse the relationship between ECC prevalence and childhood obesity.
Results:
ECC was detected in 929 (74.3%) children. The mean dmft and dmfs was 5.91 (1.13) and 8.92 (2.07), respectively. The multiple regression model showed a statistically significant association between ECC prevalence and obesity with an adjusted odds ratio (OR) of 2.59 (95% CI: 1.88 - 3.57; P = 0.001). The logistic regression model showed that in children with a monthly family income > $2666, sugar consumption, preterm low birth-weight/full-term low birth-weight (PTLBW/FTLBW), and toothbrushing frequency ≤ 1 time/day were statistically significantly associated with ECC prevalence.
Conclusion:
ECC was positively associated with obesity.
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