Associations between dental caries and ponderal growth in children: A Cambodian study.


Journal

Journal of global health
ISSN: 2047-2986
Titre abrégé: J Glob Health
Pays: Scotland
ID NLM: 101578780

Informations de publication

Date de publication:
18 Jun 2022
Historique:
entrez: 17 6 2022
pubmed: 18 6 2022
medline: 22 6 2022
Statut: epublish

Résumé

The evidence around the relationship between Early Childhood Caries (ECC) and undernutrition is sparse and mostly reported from cross-sectional data sets. This paper aimed to test the relationship between ECC and linear and ponderal growth trajectories. This project involves secondary data analysis from the Cambodia Longitudinal Health and Nutrition Study. The analytical sample included a 2y-cohort of 894 children who were younger than 2 years of age at the time of first height and weight measurement. Statistical analysis used both logistic regression modelling and Latent Class Analysis to examine the effect of exposure to dental caries in the first 1000 days on weight for height Z-score (WHZ) and height for age Z-score (HAZ) trajectory class groups. The presence of any cavity and pulp involvement were examined using multinomial regression adjusting for gender, socioeconomic status, maternal age and education. Within each class groupings (HAZ and WHZ groupings), there was a trend whereby those with one or more cavities had lower Z-scores across the three follow-up time points of observation. There was an association between exposure to caries and WHZ class membership whereby children with caries exposure were more likely belong to WHZ class groups with lower Z-scores over time. The study offers evidence that ECC is correlated with less favourable ponderal growth categorized by WHZ trajectory class groups.

Sections du résumé

Background UNASSIGNED
The evidence around the relationship between Early Childhood Caries (ECC) and undernutrition is sparse and mostly reported from cross-sectional data sets. This paper aimed to test the relationship between ECC and linear and ponderal growth trajectories.
Methods UNASSIGNED
This project involves secondary data analysis from the Cambodia Longitudinal Health and Nutrition Study. The analytical sample included a 2y-cohort of 894 children who were younger than 2 years of age at the time of first height and weight measurement. Statistical analysis used both logistic regression modelling and Latent Class Analysis to examine the effect of exposure to dental caries in the first 1000 days on weight for height Z-score (WHZ) and height for age Z-score (HAZ) trajectory class groups. The presence of any cavity and pulp involvement were examined using multinomial regression adjusting for gender, socioeconomic status, maternal age and education.
Findings UNASSIGNED
Within each class groupings (HAZ and WHZ groupings), there was a trend whereby those with one or more cavities had lower Z-scores across the three follow-up time points of observation. There was an association between exposure to caries and WHZ class membership whereby children with caries exposure were more likely belong to WHZ class groups with lower Z-scores over time.
Conclusions UNASSIGNED
The study offers evidence that ECC is correlated with less favourable ponderal growth categorized by WHZ trajectory class groups.

Identifiants

pubmed: 35713031
doi: 10.7189/jogh.12.04046
pmc: PMC9204672
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

04046

Informations de copyright

Copyright © 2022 by the Journal of Global Health. All rights reserved.

Déclaration de conflit d'intérêts

Competing interests: The authors completed the ICMJE Unified Competing Interest form (available upon request from the corresponding author), and declare no conflicts of interest.

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Auteurs

Bathsheba Turton (B)

University of Puthisastra, Phnom Penh, Cambodia.
Henry M. Goldman School of Dental Medicine, Boston University, Boston, Massachusetts, USA.

Tepirou Chher (T)

Oral Health Bureau, Department of Preventive Medicine, Ministry of Health, Phnom Penh, Cambodia.

Sithan Hak (S)

Oral Health Bureau, Department of Preventive Medicine, Ministry of Health, Phnom Penh, Cambodia.

Karen Sokal-Gutierrez (K)

University of California Berkely, California, USA.

Diego Lopez Peralta (D)

Centre for Epidemiology and Biostatistics and Melbourne Dental School, University of Melbourne, Melbourne, Australia.

Arnaud Laillou (A)

UNICEF Cambodia, Phnom Penh, Cambodia.

Ankur Singh (A)

Centre for Epidemiology and Biostatistics and Melbourne Dental School, University of Melbourne, Melbourne, Australia.

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Classifications MeSH