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Understanding the relationship between orofacial structures and feeding habits of preschoolers: A multivariate
Kelly Guedes Oliveira de Scudine1, Kizzy Nascimento de Moraes2, Sania Aparecida Miyagui1
1Department of Pharmaceutical Sciences, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil.
Insights
Early childhood feeding habits and orofacial function are linked. Poor oral function in preschoolers correlates with specific dietary patterns and prolonged pacifier use, impacting oral development.
Area of Science:
- Pediatric Dentistry
- Nutrition Science
- Orofacial Myology
Background:
- Understanding the interplay between orofacial structures and feeding habits is crucial for health professionals and food scientists.
- The study investigates if this relationship is established in early childhood.
Purpose of the Study:
- To determine the association between stomatognathic system form/function and dietary intake in preschoolers.
- To identify distinct clusters based on orofacial myofunctional performance and feeding habits.
Main Methods:
- Cross-sectional study of 91 healthy preschoolers (3.4-6.2 years).
- Comprehensive evaluation of stomatognathic system: diet, morphology, gustatory sensitivity, muscle forces, and orofacial functions (mastication, swallowing, breathing).
- Statistical analyses included Principal Component Analysis and K-means clustering.
Main Results:
- Two clusters emerged: 'Low orofacial myofunctional functioning' (n=51) and 'High orofacial myofunctional functioning' (n=40).
- The 'Low functioning' cluster exhibited poorer oral functions, higher sweet taste thresholds, and reported consumption of sweets/cookies, with longer pacifier/bottle use.
- The 'High functioning' cluster showed better oral function, higher gustatory sensitivity, greater jaw dimensions, and shorter pacifier/bottle use. Open bite and current pacifier use differed between clusters.
Conclusions:
- An association between the form and function of the stomatognathic system and dietary intake is evident in children with primary dentition.
- Early identification of poor orofacial function may inform dietary interventions and habits like pacifier use.
Abstract:
The understanding of the relationship between orofacial structures and feeding habits in preschoolers is helpful for health professionals and those dedicated to food science. The hypothesis tested was whether this relationship is already present even at a very young age. This cross-sectional study included 91 healthy caries-free children (50 girls/41 boys; 3.4-6.2 years; mean 4.1 years) and a comprehensive evaluation of the stomatognathic system was performed: dietary intake, facial and occlusal morphology, gustatory sensitivity, bite and lip forces, and orofacial myofunctional aspects (mastication, swallowing and breathing functions). Principal component analysis summarized the variables related to the form and function of the orofacial aspects; further, K-means analysis identified two clusters of participants with similar aspects. Cluster 1 ("Low orofacial myofunctional functioning"; n = 51) was characterized by children who showed the worst performance of mastication, swallowing and breathing functions and whose parents reported the consumption of sweets, cookies, chocolate, but not fresh fruits the day before, in addition to the higher bottle-feeding and pacifier use duration. This cluster also showed higher sweet taste threshold. Cluster 2 ("High orofacial myofunctional functioning"; n = 40) showed lower bottle-feeding and pacifier use duration, higher gustatory sensitivity, greater maxillo-mandibular dimensions, and better orofacial function performance. The variables sex and BMI did not associate to clusters profile. The frequencies of open bite and current sucking habit (pacifier) also differed between clusters. The results showed that an association between form and function of the structures that comprise the stomatognathic system and dietary intake is already present in children with primary dentition.
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