Exploring the Risk Factors for Early-Life Sugar Consumption

 

TAKE-HOME MESSAGE

  • Data from 596 infants in Brazil were analyzed to determine the factors associated with sugar consumption in early life. It was found that nearly all infants had consumed sugar by the age of 6 months. Younger mothers, children without two parents, lower parental education, and maternal smoking status were all found to be associated with more sugar consumption. Breastfeeding in the first hour of life was found to be protective of sugar intake in infancy.

  • Sugar consumption begins early in life, likely before the infant's first dental evaluation. Sugar consumption is greater among infants in families with other high caries–risk factors. Providers should stress prevention with pregnant women and parents of newborn children.
–  James Boynton, DDS, MS

BACKGROUND

Sugar consumption in early childhood is the primary cause of negative health outcomes, including early childhood caries.

AIM

To investigate risk factors associated with early-life sugar consumption.

DESIGN

Explanatory variables were collected at baseline of a birth cohort in Porto Alegre, Southern Brazil. At six months of age, data were collected on child feeding practices, including the number of foods and beverages containing sugar. Multivariate Poisson regression analysis with robust variance was performed.

RESULTS

Virtually all children (98.3%) had consumed sugar by the age of 6 months. Multivariable analysis showed that the number of sweet items was significantly larger in children whose mothers were less than 20 years of age (MR = 1.19; 95% CI: 1.05-1.36), those from non-nuclear families (MR = 1.12; 95% CI: 1.04-1.20), those whose mothers had less than eight years of schooling (MR = 1.34; 95% CI: 1.20-1.50) and those whose mothers smoked (MR = 1.23; 95% CI: 1.13-1.35). Moreover, the number of sweet items was significantly lower among children who breastfed in the first hour of life (MR = 0.85; 95% CI: 0.76-0.95).

CONCLUSION

Sugar consumption begins very early, especially in children with no access to breastfeeding in the first hours of life and those from younger, less educated, and smoking mothers.

Comments

Post a Comment

Popular posts from this blog

Consensus Statement on the Relationship Between Centric Occlusion and the Maximal Intercuspal Position and Their Use as Treatment Positions for Complete Mouth Rehabilitation

Image
  TAKE-HOME MESSAGE This best evidence consensus statement aimed to examine the relationship between centric occlusion (CO) and maximal intercuspation position (MIP) and the use of either as a treatment position for complete mouth rehabilitations in dentate or partially dentate patients. A total of 313 articles contributed to this review, finding that CO and MIP are not coincident in a majority of the population. With regard to complete mouth rehabilitation, most reports suggest that CO provides a physiologic, reliable, and reproducible position, with limited reports finding an association between TMJ symptomatology and CO-MIP discrepancies in the treated dentition. While CO-MIP discrepancies are the norm in the natural dentition, complete rehabilitations seem to perform better at CO rather than MIP based on available evidence. It should be noted that the authors could not include lower-quality evidence supporting the use of MIP as the treatment position due to the inclusion criteria o
Read more

Impact of Lockdown on Children's Lifestyle and Their Collaboration During Dental Sessions

Image
  TAKE-HOME MESSAGE The behavior of 212 Italian children, aged 3 to 16 years, during dental visits was assessed before and after lockdown orders in Italy. The authors hypothesized that the lockdown strengthened relationships between children and parents, favorably affecting child behavior at the dental office. It was found that 82% of children had an improvement in behavior after the lockdown, especially children whose parents were home with the child during the lockdown. This study showed an improvement in child behavior at the dental office after lockdown orders. Further investigations are necessary to validate findings and evaluate child behavior during lockdown in other populations and locations. –  James  Boynton, DDS, MS AIM To analyse lifestyle of Italian families during lockdown, evaluating its possible impact on the collaboration of children with the paediatric dentist and associated predictive factors. MATERIALS AND METHODS Only patients aged between 3 and 16 years, who had s
Read more

Comparison of Coronoidectomy With Coronoidotomy for Improving Maximum Incisal Opening in Patients With Oral Submucous Fibrosis

Image
  TAKE-HOME MESSAGE A randomized controlled trial was conducted to compare coronoidectomy with coronoidotomy to improve mouth opening in oral submucous fibrosis (OSMF) patients. A total of 32 OSMF patients with grade III (moderately advanced with an interincisal opening between 15 and 25 mm) and grade IVa (advanced cases with 15 mm or less incisal opening) were randomized into two groups of 16 to undergo either coronoidectomy (surgical removal of the coronoid process) or coronoidotomy (surgical detachment of the coronoid process). Significant mouth opening was achieved in both groups, and the maximal incisal opening in both groups was comparable (approximately 30 mm in coronoidectomy group and 29 mm in coronoidotomy group at 1 year). The authors found a statistically significant difference in duration of surgery and volume of blood loss, with coronoidotomy requiring much less time (approximately 2 hours vs 3.5 hours) and leading to much less blood loss (approximately 90 mL vs 393 mL) c
Read more