Journal of Food and Nutrition Research
ISSN (Print): 2333-1119 ISSN (Online): 2333-1240 Website: http://www.sciepub.com/journal/jfnr Editor-in-chief: Prabhat Kumar Mandal
Open Access
Journal Browser
Go
Journal of Food and Nutrition Research. 2019, 7(11), 801-804
DOI: 10.12691/jfnr-7-11-7
Open AccessArticle

Early Childhood Feeding Practices and Its Association with Early Childhood Caries

Roszanadia Rusali1, Nur Najwa Hamali1, Fadhilah Muhammad Razi1, Norashikin Mustafa1, Nor Asilah Harun2 and Nor Azwani Mohd Shukri1,

1Department of Nutrition Sciences, Kulliyyah of Allied Health Sciences, International Islamic University Malaysia (IIUM), Pahang, Malaysia

2Department of Pediatric Dentistry and Dental Public Health, Kulliyyah of Dentistry, IIUM, Pahang, Malaysia

Pub. Date: November 24, 2019

Cite this paper:
Roszanadia Rusali, Nur Najwa Hamali, Fadhilah Muhammad Razi, Norashikin Mustafa, Nor Asilah Harun and Nor Azwani Mohd Shukri. Early Childhood Feeding Practices and Its Association with Early Childhood Caries. Journal of Food and Nutrition Research. 2019; 7(11):801-804. doi: 10.12691/jfnr-7-11-7

Abstract

Early childhood caries (ECC) is one of the most prevalent dental diseases among children and is related to their early feeding practices. This multi-factorial disease involves susceptible tooth and host, fermentable carbohydrates in the diet, cariogenic micro-organisms and time (American Academy of Pediatric Dentistry, 2008). Thus, this study aimed to identify the associations between bottle-feeding and weaning practices, and ECC formation. By using convenience sampling, 201 children were recruited from the IIUM Outpatient Dental Clinic and ten kindergartens around the area of Kuantan, in the state of Pahang (Malaysia). Examination for caries was conducted visually to determine caries status (with or without caries). The caregivers were requested to fill in a questionnaire regarding feeding practices of their children. The findings of the study indicated that 67% of the children identified with caries practiced bottle-feeding in bed either sometimes or always (every night/day) (p=0.005). The prevalence of ECC was also significantly (p<0.001) the highest (48.5%) among children who had been bottle-feeding for the longest duration (>4 years) among the study population. In addition, the mean intake of sweetened drinks among children with ECC was significantly higher than those with no ECC (5.4 vs. 3.1 servings/week, p=0.001). The results of this research indicated that the increased frequency and prolonged duration of bottle-feeding practices, as well as high consumption of sweet drinks during weaning, could be associated with the formation of ECC. In conclusion, these findings would increase the awareness particularly among parents regarding bottle-feeding practices and weaning diet contents and its potential implication on their children’s oral health.

Keywords:
early childhood caries dental caries breastfeeding bottle-feeding weaning

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]  American Academy of Pediatric Dentistry. (2008). Definition of Early Childhood Caries (ECC). Retrieved from http://www.aapd.org/assets/1/7/d_ecc.pdf.
 
[2]  Oral Health Division. (2005). Dental Epidemiological Survey of Pre-school Children in Malaysia.
 
[3]  Dülgergil, Ç., Dalli, M., Hamidi, M., & Çolak, H. (2013). Early childhood caries update: A review of causes, diagnoses, and treatments. Journal of Natural Science, Biology and Medicine, 4(1), 29. https://doi.org/10.4103/0976-9668.107257
 
[4]  Dogan, D., Dülgergil, Ç., Mutluay, A., Yildirim, I., Hamidi, M., & Çolak, H. (2013). Prevalence of caries among preschool-aged children in a central Anatolian population. Journal of Natural Science, Biology and Medicine, 4(2), 325.
 
[5]  Kawashita, Y., Kitamura, M., & Saito, T. (2011). Early childhood caries. International Journal of Dentistry, 2011, 725320.
 
[6]  Casamassimo, P. S., Fields Jr, H. W., McTigue, D. J., & Nowak, A. (2013). Pediatric dentistry: infancy through adolescence. 4nd ed.St LouisMissouri: Mosby.
 
[7]  Asawa K, Sen N, Bhat N, Tak M, Sultane P, Patil V. Association of sugary foods and drinks consumption with behavioral risk and oral health status of 12- and 15-year-old Indian school children. J Educ Health Promot. 2018; 7: 19.
 
[8]  Naidu R, Nunn J, Donnelly-Swift E. Oral health-related quality of life and early childhood caries among preschool children in Trinidad. BMC Oral Health. 2016; 16: 128.
 
[9]  Petersen, P. E., Estupinan-Day, S., & Ndiaye, C. (2005). WHO's action for continuous improvement in oral health. Bulletin of the World Health Organization, 83(9), 642.
 
[10]  Bansal M., Gupta N., Gupta P., Arora V., Thakar S. (2017). Reasons for extraction in primary teeth among 5-12 year school children in Haryana, India- A cross-sectional study. J Clin Exp Dent.
 
[11]  Prakash, P., Subramaniam, P., Durgesh, B. H., & Konde, S. (2012). Prevalence of early childhood caries and associated risk factors in preschool children of urban Bangalore, India: A cross-sectional study. European Journal of Dentistry, 6(2), 141-152.
 
[12]  Almushayt, A. S., Sharaf, A. A., El-Meligy, O. A., & Tallab, H. Y. (2009). Dietary and Feeding Habits in a Sample of Preschool Children in Severe Early Childhood Caries (S-ECC). Medical Sciences, 16(4), 13-36.
 
[13]  Bissar, A., Schiller, P., Wolff, A., Niekusch, U., & Schulte, A. G. (2014). Factors contributing to severe early childhood caries in south-west Germany. Clinical Oral Investigations, 18(5), 1411-1418.
 
[14]  Witjaksono, W., Tin Oo, M. M., & Kechik, K. A. (2006). Nursing habits and early childhood caries in children attending Hospital University Science Malaysia (HUSM). Dental Journal (Majalah Kedokteran Gigi), 39(2), 54.
 
[15]  Johansson, I., Lif Holgerson, P., Kressin, N. R., Nunn, M. E., & Tanner, A. C. (2010). Snacking Habits and Caries in Young Children. Caries Research, 44(5), 421-430.
 
[16]  American Academy of Pediatrics. Bright Future: Nutrition. Retrieved from https://brightfutures.aap.org/Bright%20Futures%20Documents/BFNutrition3rdEdPocketGuide.pdf.
 
[17]  Senesombath, S., Nakornchai, S., Banditsing, P., & Lexomboon, D. (2010). Early childhood caries and related factors in Vientiane, Lao PDR. The Southeast Asian Journal of Tropical Medicine and Public Health, 41(3), 717-725.
 
[18]  Begzati, A., Berisha, M., & Meqa, K. (2010). Early childhood caries in preschool children of Kosovo - a serious public health problem. BMC Public Health, 10(1), 788.
 
[19]  Martins-Júnior, P. A., Vieira-Andrade, R. G., Corrêa-Faria, P., Oliveira-Ferreira, F., Marques, L. S., & Ramos-Jorge, M. L. (2013). Impact of Early Childhood Caries on the Oral Health-Related Quality of Life of Preschool Children and Their Parents. Caries Research, 47(3), 211-218.
 
[20]  Sunitha, Chandu, G., Pushpanjali, K., Jayashree, S., & Shafiulla, M. (2018). Journal of the Indian Association of Public Health Dentistry. Journal of Indian Association of Public Health Dentistry (Vol. 4). Medknow Publications and Media Pvt Ltd. Retrieved from http://www.jiaphd.org/article.asp?issn=2319- 5932;year=2006;volume=4;issue=7;spage=39;epage=42;aulast=Su nitha;type=0.
 
[21]  Harris R, Nicoll AD, Adair PM, Pine CM. Risk factors for dental caries in young children: a systematic review of the literature. Community Dent Health. 2004 Mar; 21(1 Suppl):71-85.
 
[22]  Evans, E. W., Hayes, C., Palmer, C. A., Bermudez, O. I., Cohen, S. A., & Must, A. (2013). Dietary intake and severe early childhood caries in low-income, young children. Journal of the Academy of Nutrition and Dietetics.
 
[23]  Parisotto, T. M., Steiner-Oliveira, C., Duque, C., Peres, R. C. R., Rodrigues, L. K. A., & Nobre-dos-Santos, M. (2010). Relationship among microbiological composition and presence of dental plaque, sugar exposure, social factors and different stages of early childhood caries. Archives of Oral Biology, 55(5), 365-373.
 
[24]  Chu, C. H., Pang, K. K. L., & Lo, E. C. M. (2010). Dietary behavior and knowledge of dental erosion among Chinese adults. BMC Oral Health, 10, 13.
 
[25]  Moynihan, P., & Petersen, P. E. (2004). Diet, nutrition and the prevention of dental diseases. Public Health Nutrition, 7(1a), 201-226.
 
[26]  Edelstein, B. L. (2006). The dental caries pandemic and disparities problem. BMC Oral Health, 6 Suppl 1(Suppl 1), S2.
 
[27]  Pahel, B. T., Rozier, R. G., & Slade, G. D. (2007). Parental perceptions of children’s oral health: The Early Childhood Oral Health Impact Scale (ECOHIS). Health and Quality of Life Outcomes, 5, 6.