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Association between Short Stature at Grade 1 and Permanent Teeth Caries at Grade 6 in Elementary School Children in
Ayako Suzuki1, Yukako Tani2, Tatsuhiko Anzai3
1Department of Maxillofacial Orthognathics, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo 113-8519, Japan.
Insights
Children with short stature in first grade showed a higher risk of developing dental caries by sixth grade. This finding highlights the link between early growth and oral health outcomes.
Area of Science:
- Pediatric Health
- Oral Epidemiology
- Nutritional Science
Background:
- Short stature in children can indicate poor nutritional status.
- Previous research suggests a potential link between short stature and dental caries, but longitudinal data are limited.
- Understanding this association is crucial for early identification and intervention strategies.
Purpose of the Study:
- To investigate the longitudinal association between short stature in elementary school children and the development of dental caries.
- To determine if early-life short stature serves as a predictor for future dental caries.
Main Methods:
- A longitudinal study analyzed data from 3576 elementary school children in Adachi City, Tokyo, Japan.
- Height-for-age data from grade 1 and dental caries (DMFT) data from grade 6 were collected.
- Multivariable Poisson regression with robust standard error was used to examine the association, adjusting for confounders.
Main Results:
- Children identified with short stature at grade 1 exhibited a significantly higher number of decayed, missing, or filled permanent teeth (DMFT) by grade 6.
- The mean ratio of DMFT was 1.17 for children with height-for-age between -2.01 and -3.00 SD, and 2.18 for those with height-for-age below -3.00 SD.
- These results remained significant after adjusting for potential confounding factors.
Conclusions:
- Short stature in the early elementary school years may serve as a valuable marker for predicting the risk of future dental caries.
- The findings underscore the importance of monitoring growth alongside oral health in children.
- Further research could explore underlying mechanisms connecting nutritional status, growth, and dental health.
Abstract:
Short stature in children is a marker of low nutritional status and has been suggested to be associated with dental caries. However, longitudinal studies on this topic are scarce. Data from a longitudinal study of elementary school children in Adachi City, Tokyo, Japan, were analyzed. In 2015, caregivers of children at grade 1 answered questionnaires, and information on dental caries and height measured at school health checkups was merged and followed to grade 6 (N = 3576; follow up rate = 83.3%). The association between short stature at grade 1 (-2.01 standard deviation (SD)--3.00 SD, or <-3.00 SD in height-for-age according to the World Health Organization criteria) and the number of decayed, missing, or filled permanent teeth (DMFT) at grade 6 was examined using multivariable Poisson regression with robust standard error. After adjusting for confounders, children with a short stature at grade 1 had a higher DMFT number at grade 6: the mean ratios (95% confidence interval) were 1.17 (0.89-1.54) and 2.18 (1.03-4.64) for children with a height-for-age -2.01 SD--3.00 SD, and those with a height-for-age < -3.00, respectively. Short stature at grade 1 could be a marker of future dental caries in the permanent teeth at grade 6.
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