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Early Childhood Dental Caries, Mouth Pain, and Malnutrition in the Ecuadorian Amazon Region

Malnutrition and dental caries in early childhood remain persistent and intertwined global health challenges, particularly for indigenous and geographically-remote populations. To examine the prevalence and associations between early childhood dental caries, parent-reported mouth pain and malnutriti...

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Autores principales: So, Marvin, Ellenikiotis, Yianni A., Husby, Hannah M., Paz, Cecilia Leonor, Seymour, Brittany, Sokal-Gutierrez, Karen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5452000/
https://www.ncbi.nlm.nih.gov/pubmed/28531148
http://dx.doi.org/10.3390/ijerph14050550
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author So, Marvin
Ellenikiotis, Yianni A.
Husby, Hannah M.
Paz, Cecilia Leonor
Seymour, Brittany
Sokal-Gutierrez, Karen
author_facet So, Marvin
Ellenikiotis, Yianni A.
Husby, Hannah M.
Paz, Cecilia Leonor
Seymour, Brittany
Sokal-Gutierrez, Karen
author_sort So, Marvin
collection PubMed
description Malnutrition and dental caries in early childhood remain persistent and intertwined global health challenges, particularly for indigenous and geographically-remote populations. To examine the prevalence and associations between early childhood dental caries, parent-reported mouth pain and malnutrition in the Amazonian region of Ecuador, we conducted a cross-sectional study of the oral health and nutrition status of 1407 children from birth through age 6 in the “Alli Kiru” program (2011–2013). We used multivariate regression analysis to examine relationships between severe caries, parent-reported mouth pain measures, and nutritional status. The prevalence of dental caries was 65.4%, with 44.7% of children having deep or severe caries, and 33.8% reporting mouth pain. The number of decayed, missing and filled teeth (dmft) increased dramatically with age. Malnutrition was prevalent, with 35.9% of children stunted, 1.1% wasted, 7.4% underweight, and 6.8% overweight. As mouth pain increased in frequency, odds for severe caries increased. For each unit increase in mouth pain frequency interfering with sleeping, children had increased odds for being underweight (Adjusted Odds Ratio (AOR): 1.27; 95% CI: 1.02–1.54) and decreased odds for being overweight (AOR: 0.76; 95% CI: 0.58–0.97). This relationship was most pronounced among 3–6 year-olds. Early childhood caries, mouth pain and malnutrition were prevalent in this sample of young children. Parent-reported mouth pain was associated with severe caries, and mouth pain interfering with sleeping was predictive of poor nutritional status. We demonstrate the utility of a parsimonious parent-reported measure of mouth pain to predict young children’s risk for severe early childhood caries and malnutrition, which has implications for community health interventions.
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spelling pubmed-54520002017-06-05 Early Childhood Dental Caries, Mouth Pain, and Malnutrition in the Ecuadorian Amazon Region So, Marvin Ellenikiotis, Yianni A. Husby, Hannah M. Paz, Cecilia Leonor Seymour, Brittany Sokal-Gutierrez, Karen Int J Environ Res Public Health Article Malnutrition and dental caries in early childhood remain persistent and intertwined global health challenges, particularly for indigenous and geographically-remote populations. To examine the prevalence and associations between early childhood dental caries, parent-reported mouth pain and malnutrition in the Amazonian region of Ecuador, we conducted a cross-sectional study of the oral health and nutrition status of 1407 children from birth through age 6 in the “Alli Kiru” program (2011–2013). We used multivariate regression analysis to examine relationships between severe caries, parent-reported mouth pain measures, and nutritional status. The prevalence of dental caries was 65.4%, with 44.7% of children having deep or severe caries, and 33.8% reporting mouth pain. The number of decayed, missing and filled teeth (dmft) increased dramatically with age. Malnutrition was prevalent, with 35.9% of children stunted, 1.1% wasted, 7.4% underweight, and 6.8% overweight. As mouth pain increased in frequency, odds for severe caries increased. For each unit increase in mouth pain frequency interfering with sleeping, children had increased odds for being underweight (Adjusted Odds Ratio (AOR): 1.27; 95% CI: 1.02–1.54) and decreased odds for being overweight (AOR: 0.76; 95% CI: 0.58–0.97). This relationship was most pronounced among 3–6 year-olds. Early childhood caries, mouth pain and malnutrition were prevalent in this sample of young children. Parent-reported mouth pain was associated with severe caries, and mouth pain interfering with sleeping was predictive of poor nutritional status. We demonstrate the utility of a parsimonious parent-reported measure of mouth pain to predict young children’s risk for severe early childhood caries and malnutrition, which has implications for community health interventions. MDPI 2017-05-22 2017-05 /pmc/articles/PMC5452000/ /pubmed/28531148 http://dx.doi.org/10.3390/ijerph14050550 Text en © 2017 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
So, Marvin
Ellenikiotis, Yianni A.
Husby, Hannah M.
Paz, Cecilia Leonor
Seymour, Brittany
Sokal-Gutierrez, Karen
Early Childhood Dental Caries, Mouth Pain, and Malnutrition in the Ecuadorian Amazon Region
title Early Childhood Dental Caries, Mouth Pain, and Malnutrition in the Ecuadorian Amazon Region
title_full Early Childhood Dental Caries, Mouth Pain, and Malnutrition in the Ecuadorian Amazon Region
title_fullStr Early Childhood Dental Caries, Mouth Pain, and Malnutrition in the Ecuadorian Amazon Region
title_full_unstemmed Early Childhood Dental Caries, Mouth Pain, and Malnutrition in the Ecuadorian Amazon Region
title_short Early Childhood Dental Caries, Mouth Pain, and Malnutrition in the Ecuadorian Amazon Region
title_sort early childhood dental caries, mouth pain, and malnutrition in the ecuadorian amazon region
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5452000/
https://www.ncbi.nlm.nih.gov/pubmed/28531148
http://dx.doi.org/10.3390/ijerph14050550
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