Impact of Dietary Trajectories on Obesity and Dental Caries in Preschool Children: Findings from the Healthy Smiles Healthy Kids Study

This study examines the impact of longitudinal dietary trajectories on obesity and early childhood caries (ECC) in preschool children in Australia. Mother–infant dyads from the Healthy Smiles Healthy Kids study were interviewed at 4 and 8 months, and 1, 2, and 3 years of age. Children underwent anth...

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Main Authors: Manohar, Narendar, Hayen, Andrew, Scott, Jane, Do, Loc, Bhole, Sameer, Arora, Amit
Format: Journal Article
Published: MDPI AG 2021
Online Access:http://purl.org/au-research/grants/nhmrc/1069861
http://hdl.handle.net/20.500.11937/84230
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author Manohar, Narendar
Hayen, Andrew
Scott, Jane
Do, Loc
Bhole, Sameer
Arora, Amit
author_facet Manohar, Narendar
Hayen, Andrew
Scott, Jane
Do, Loc
Bhole, Sameer
Arora, Amit
author_sort Manohar, Narendar
building Curtin Institutional Repository
collection Online Access
description This study examines the impact of longitudinal dietary trajectories on obesity and early childhood caries (ECC) in preschool children in Australia. Mother–infant dyads from the Healthy Smiles Healthy Kids study were interviewed at 4 and 8 months, and 1, 2, and 3 years of age. Children underwent anthropometric and oral health assessments between 3 and 4 years of age. Multivariable logistic regression and negative binomial regression analysis were performed for the prevalence of overweight and obesity, and the number of tooth surfaces with dental caries, respectively. The intake of core, discretionary, and sugary foods showed distinct quadratic (n = 3) trajectories with age. The prevalence of overweight or obesity was 10% (n = 72) and that of early childhood caries (ECC) was 33% (mean decayed, missing, and filled tooth surfaces (dmfs) score: 1.96). Children with the highest trajectories of discretionary foods intake were more likely to be overweight or obese (adjusted OR: 2.51, 95 %CI: 1.16–5.42). Continued breastfeeding beyond 12 months was associated with higher dmfs scores (adjusted IRR: 2.17, 95 %CI: 1.27–3.73). Highest socioeconomic disadvantage was the most significant determinant for overweight or obesity (adjusted OR: 2.86, 95 %CI: 1.11–7.34) and ECC (adjusted IRR: 2.71, 95 %CI: 1.48–4.97). Targeted health promotion interventions should be designed to prevent the incidence of two highly prevalent conditions in preschool children.
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spelling curtin-20.500.11937-842302021-07-22T01:51:10Z Impact of Dietary Trajectories on Obesity and Dental Caries in Preschool Children: Findings from the Healthy Smiles Healthy Kids Study Manohar, Narendar Hayen, Andrew Scott, Jane Do, Loc Bhole, Sameer Arora, Amit This study examines the impact of longitudinal dietary trajectories on obesity and early childhood caries (ECC) in preschool children in Australia. Mother–infant dyads from the Healthy Smiles Healthy Kids study were interviewed at 4 and 8 months, and 1, 2, and 3 years of age. Children underwent anthropometric and oral health assessments between 3 and 4 years of age. Multivariable logistic regression and negative binomial regression analysis were performed for the prevalence of overweight and obesity, and the number of tooth surfaces with dental caries, respectively. The intake of core, discretionary, and sugary foods showed distinct quadratic (n = 3) trajectories with age. The prevalence of overweight or obesity was 10% (n = 72) and that of early childhood caries (ECC) was 33% (mean decayed, missing, and filled tooth surfaces (dmfs) score: 1.96). Children with the highest trajectories of discretionary foods intake were more likely to be overweight or obese (adjusted OR: 2.51, 95 %CI: 1.16–5.42). Continued breastfeeding beyond 12 months was associated with higher dmfs scores (adjusted IRR: 2.17, 95 %CI: 1.27–3.73). Highest socioeconomic disadvantage was the most significant determinant for overweight or obesity (adjusted OR: 2.86, 95 %CI: 1.11–7.34) and ECC (adjusted IRR: 2.71, 95 %CI: 1.48–4.97). Targeted health promotion interventions should be designed to prevent the incidence of two highly prevalent conditions in preschool children. 2021 Journal Article http://hdl.handle.net/20.500.11937/84230 10.3390/nu13072240 http://purl.org/au-research/grants/nhmrc/1069861 http://purl.org/au-research/grants/nhmrc/1033213 http://purl.org/au-research/grants/nhmrc/1134075 http://creativecommons.org/licenses/by/4.0/ MDPI AG fulltext
spellingShingle Manohar, Narendar
Hayen, Andrew
Scott, Jane
Do, Loc
Bhole, Sameer
Arora, Amit
Impact of Dietary Trajectories on Obesity and Dental Caries in Preschool Children: Findings from the Healthy Smiles Healthy Kids Study
title Impact of Dietary Trajectories on Obesity and Dental Caries in Preschool Children: Findings from the Healthy Smiles Healthy Kids Study
title_full Impact of Dietary Trajectories on Obesity and Dental Caries in Preschool Children: Findings from the Healthy Smiles Healthy Kids Study
title_fullStr Impact of Dietary Trajectories on Obesity and Dental Caries in Preschool Children: Findings from the Healthy Smiles Healthy Kids Study
title_full_unstemmed Impact of Dietary Trajectories on Obesity and Dental Caries in Preschool Children: Findings from the Healthy Smiles Healthy Kids Study
title_short Impact of Dietary Trajectories on Obesity and Dental Caries in Preschool Children: Findings from the Healthy Smiles Healthy Kids Study
title_sort impact of dietary trajectories on obesity and dental caries in preschool children: findings from the healthy smiles healthy kids study
url http://purl.org/au-research/grants/nhmrc/1069861
http://purl.org/au-research/grants/nhmrc/1069861
http://purl.org/au-research/grants/nhmrc/1069861
http://hdl.handle.net/20.500.11937/84230