Nutritional status, dental caries and tooth eruption in children: a longitudinal study in Cambodia, Indonesia and Lao PDR
Abstract Background Untreated dental caries is reported to affect children’s nutritional status and growth, yet evidence on this relationship is conflicting. The aim of this study was to assess the association between dental caries in both the primary and permanent dentition and nutritional status (...
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BioMed Central
2018-09-01
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| Series: | BMC Pediatrics |
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| Online Access: | http://link.springer.com/article/10.1186/s12887-018-1277-6 |
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doaj-art-b21607e479aa41e7b5c9cc151a378dde2018-09-16T11:21:17ZengBioMed CentralBMC Pediatrics1471-24312018-09-0118111110.1186/s12887-018-1277-6Nutritional status, dental caries and tooth eruption in children: a longitudinal study in Cambodia, Indonesia and Lao PDRJed Dimaisip-Nabuab0Denise Duijster1Habib Benzian2Roswitha Heinrich-Weltzien3Amphayvan Homsavath4Bella Monse5Hak Sithan6Nicole Stauf7Sri Susilawati8Katrin Kromeyer-Hauschild9Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ)Department of Social Dentistry, Academic Centre for Dentistry AmsterdamDepartment of Epidemiology and Health Promotion, WHO Collaborating Center for Quality Improvement and Evidence-based Dentistry, College of Dentistry, New York UniversityDepartment of Preventive Dentistry and Pediatric Dentistry, University Hospital Jena, Friedrich Schiller University JenaFaculty of Dentistry, University of Health Sciences Ministry of HealthDeutsche Gesellschaft für Internationale Zusammenarbeit (GIZ)Department of Preventive Medicine, Ministry of HealthThe Health Bureau Ltd., Whiteleaf Business CenterDepartment of Dental Public Health, Faculty of Dentistry, Padjadjaran UniversityInstitute of Human Genetics, University Hospital Jena, Friedrich Schiller University JenaAbstract Background Untreated dental caries is reported to affect children’s nutritional status and growth, yet evidence on this relationship is conflicting. The aim of this study was to assess the association between dental caries in both the primary and permanent dentition and nutritional status (including underweight, normal weight, overweight and stunting) in children from Cambodia, Indonesia and Lao PDR over a period of 2 years. A second objective was to assess whether nutritional status affects the eruption of permanent teeth. Methods Data were used from the Fit for School - Health Outcome Study: a cohort study with a follow-up period of 2 years, consisting of children from 82 elementary schools in Cambodia, Indonesia and Lao PDR. From each school, a random sample of six to seven-year-old children was selected. Dental caries and odontogenic infections were assessed using the World Health Organization (WHO) criteria and the pufa-index. Weight and height measurements were converted to BMI-for-age and height-for-age z-scores and categorized into weight status and stunting following WHO standardised procedures. Cross-sectional and longitudinal associations were analysed using the Kruskal Wallis test, Mann Whitney U-test and multivariate logistic and linear regression. Results Data of 1499 children (mean age at baseline = 6.7 years) were analyzed. Levels of dental caries and odontogenic infections in the primary dentition were significantly highest in underweight children, as well as in stunted children, and lowest in overweight children. Dental caries in six to seven-year old children was also significantly associated with increased odds of being underweight and stunted 2 years later. These associations were not consistently found for dental caries and odontogenic infections in the permanent dentition. Underweight and stunting was significantly associated with a lower number of erupted permanent teeth in children at the age of six to seven-years-old and 2 years later. Conclusions Underweight and stunted growth are associated with untreated dental caries and a delayed eruption of permanent teeth in children from Cambodia, Indonesia and Lao PDR. Findings suggest that oral health may play an important role in children’s growth and general development. Trial registration The study was restrospectively registered with the German Clinical Trials Register, University of Freiburg (trial registration number: DRKS00004485; date of registration: 26th of February, 2013).http://link.springer.com/article/10.1186/s12887-018-1277-6Dental cariesTooth eruptionUnderweightOverweightGrowthChildren |
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English |
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Article |
| author |
Jed Dimaisip-Nabuab Denise Duijster Habib Benzian Roswitha Heinrich-Weltzien Amphayvan Homsavath Bella Monse Hak Sithan Nicole Stauf Sri Susilawati Katrin Kromeyer-Hauschild |
| spellingShingle |
Jed Dimaisip-Nabuab Denise Duijster Habib Benzian Roswitha Heinrich-Weltzien Amphayvan Homsavath Bella Monse Hak Sithan Nicole Stauf Sri Susilawati Katrin Kromeyer-Hauschild Nutritional status, dental caries and tooth eruption in children: a longitudinal study in Cambodia, Indonesia and Lao PDR BMC Pediatrics Dental caries Tooth eruption Underweight Overweight Growth Children |
| author_facet |
Jed Dimaisip-Nabuab Denise Duijster Habib Benzian Roswitha Heinrich-Weltzien Amphayvan Homsavath Bella Monse Hak Sithan Nicole Stauf Sri Susilawati Katrin Kromeyer-Hauschild |
| author_sort |
Jed Dimaisip-Nabuab |
| title |
Nutritional status, dental caries and tooth eruption in children: a longitudinal study in Cambodia, Indonesia and Lao PDR |
| title_short |
Nutritional status, dental caries and tooth eruption in children: a longitudinal study in Cambodia, Indonesia and Lao PDR |
| title_full |
Nutritional status, dental caries and tooth eruption in children: a longitudinal study in Cambodia, Indonesia and Lao PDR |
| title_fullStr |
Nutritional status, dental caries and tooth eruption in children: a longitudinal study in Cambodia, Indonesia and Lao PDR |
| title_full_unstemmed |
Nutritional status, dental caries and tooth eruption in children: a longitudinal study in Cambodia, Indonesia and Lao PDR |
| title_sort |
nutritional status, dental caries and tooth eruption in children: a longitudinal study in cambodia, indonesia and lao pdr |
| publisher |
BioMed Central |
| series |
BMC Pediatrics |
| issn |
1471-2431 |
| publishDate |
2018-09-01 |
| description |
Abstract Background Untreated dental caries is reported to affect children’s nutritional status and growth, yet evidence on this relationship is conflicting. The aim of this study was to assess the association between dental caries in both the primary and permanent dentition and nutritional status (including underweight, normal weight, overweight and stunting) in children from Cambodia, Indonesia and Lao PDR over a period of 2 years. A second objective was to assess whether nutritional status affects the eruption of permanent teeth. Methods Data were used from the Fit for School - Health Outcome Study: a cohort study with a follow-up period of 2 years, consisting of children from 82 elementary schools in Cambodia, Indonesia and Lao PDR. From each school, a random sample of six to seven-year-old children was selected. Dental caries and odontogenic infections were assessed using the World Health Organization (WHO) criteria and the pufa-index. Weight and height measurements were converted to BMI-for-age and height-for-age z-scores and categorized into weight status and stunting following WHO standardised procedures. Cross-sectional and longitudinal associations were analysed using the Kruskal Wallis test, Mann Whitney U-test and multivariate logistic and linear regression. Results Data of 1499 children (mean age at baseline = 6.7 years) were analyzed. Levels of dental caries and odontogenic infections in the primary dentition were significantly highest in underweight children, as well as in stunted children, and lowest in overweight children. Dental caries in six to seven-year old children was also significantly associated with increased odds of being underweight and stunted 2 years later. These associations were not consistently found for dental caries and odontogenic infections in the permanent dentition. Underweight and stunting was significantly associated with a lower number of erupted permanent teeth in children at the age of six to seven-years-old and 2 years later. Conclusions Underweight and stunted growth are associated with untreated dental caries and a delayed eruption of permanent teeth in children from Cambodia, Indonesia and Lao PDR. Findings suggest that oral health may play an important role in children’s growth and general development. Trial registration The study was restrospectively registered with the German Clinical Trials Register, University of Freiburg (trial registration number: DRKS00004485; date of registration: 26th of February, 2013). |
| topic |
Dental caries Tooth eruption Underweight Overweight Growth Children |
| url |
http://link.springer.com/article/10.1186/s12887-018-1277-6 |
| _version_ |
1612573579111563264 |