Eva Peris Renggli1, Bathsheba Turton2, Karen Sokal-Gutierrez3, Gabriela Hondru4, Tepirou Chher5, Sithan Hak6, Etienne Poirot7, Arnaud Laillou8. 1. Centre for International Health Protection, Robert Koch Institute, 13353 Berlin, Germany. 2. Department of Dentistry, University Puthisistra, Phnom Penh 12211, Cambodia. 3. School of Public Health, University of California, Berkeley, CA 94720, USA. 4. Consultant, UNICEF Cambodia, Phnom Penh 12100, Cambodia. 5. Chief Dental Officer, Oral Health Bureau, Department of Preventive Medicine, Ministry of Health, Phnom Penh 12211, Cambodia. 6. Deputy Director, Department of Preventive Medicine, Ministry of Health, Phnom Penh 12211, Cambodia. 7. HIV AIDS Manager, UNICEF Chad, N'Djamena 1146, Chad. 8. Nutrition Manager, UNICEF Ethiopia, Addis Ababa 1169, Ethiopia.
Abstract
BACKGROUND: The persistently high prevalence of undernutrition in Cambodia, in particular stunting or chronic malnutrition, calls for innovative investigation into the risk factors that affect children's growth during critical phases of development. METHODS: Secondary data analysis was performed on a subgroup of children who were present at two time points within the Cambodian Health and Nutrition Monitoring Study (CAHENMS) and who were less than 24 months of age at the nominated baseline. Data consisted of parent interviews on sociodemographic characteristics and feeding practices, and clinical measures for anthropometric measures and dental status. Logistic regression modelling was used to examine the associations between severe dental caries (tooth decay)—as indicated by the Significant Caries Index—and the presence of new cases of stunting malnutrition at follow-up. RESULTS: There were 1595 children who met the inclusion criteria and 1307 (81.9%) were followed after one year. At baseline, 14.4% of the children had severe dental caries, 25.6% presented with stunted growth. 17.6% of the children transitioned from healthy status to a low height-for-age over the observation period. Children with severe dental caries had nearly double the risk (OR = 1.8; CI 1.0-3.0) of making that transition. CONCLUSION: Severe caries experience was associated with poorer childhood growth and, as such, could be an underinvestigated contributor to stunting.
BACKGROUND: The persistently high prevalence of undernutrition in Cambodia, in particular stunting or chronic malnutrition, calls for innovative investigation into the risk factors that affect children's growth during critical phases of development. METHODS: Secondary data analysis was performed on a subgroup of children who were present at two time points within the Cambodian Health and Nutrition Monitoring Study (CAHENMS) and who were less than 24 months of age at the nominated baseline. Data consisted of parent interviews on sociodemographic characteristics and feeding practices, and clinical measures for anthropometric measures and dental status. Logistic regression modelling was used to examine the associations between severe dental caries (tooth decay)—as indicated by the Significant Caries Index—and the presence of new cases of stunting malnutrition at follow-up. RESULTS: There were 1595 children who met the inclusion criteria and 1307 (81.9%) were followed after one year. At baseline, 14.4% of the children had severe dental caries, 25.6% presented with stunted growth. 17.6% of the children transitioned from healthy status to a low height-for-age over the observation period. Children with severe dental caries had nearly double the risk (OR = 1.8; CI 1.0-3.0) of making that transition. CONCLUSION: Severe caries experience was associated with poorer childhood growth and, as such, could be an underinvestigated contributor to stunting.
Entities:
Keywords:
dental; early childhood; early childhood caries; growth and development; malnutrition; severe caries; stunting; tooth decay; undernutrition
Authors: John T Wright; Malavika P Tampi; Laurel Graham; Cameron Estrich; James J Crall; Margherita Fontana; E Jane Gillette; Brian B Nový; Vineet Dhar; Kevin Donly; Edmond R Hewlett; Rocio B Quinonez; Jeffrey Chaffin; Matt Crespin; Timothy Iafolla; Mark D Siegal; Alonso Carrasco-Labra Journal: Pediatr Dent Date: 2016 Impact factor: 1.874
Authors: Habib Benzian; Bella Monse; Roswitha Heinrich-Weltzien; Martin Hobdell; Jan Mulder; Wim van Palenstein Helderman Journal: BMC Public Health Date: 2011-07-13 Impact factor: 3.295
Authors: Mohamed Mehdi Abassi; Sonia Sassi; Jalila El Ati; Houda Ben Gharbia; Francis Delpeuch; Pierre Traissac Journal: Nutr J Date: 2019-03-21 Impact factor: 3.271
Authors: Madiha Yousaf; Tahir Aslam; Sidra Saeed; Azza Sarfraz; Zouina Sarfraz; Ivan Cherrez-Ojeda Journal: Int J Environ Res Public Health Date: 2022-06-10 Impact factor: 4.614