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Early Childhood Junk Food Consumption, Severe Dental Caries, and Undernutrition: A Mixed-Methods Study from Mumbai, India

In India, globalization has caused a nutrition transition from home-cooked foods to processed sugary snacks and drinks, contributing to increased early childhood caries (ECC). This mixed-methods study describes risk factors for ECC and associations with undernutrition in low-income communities in Mu...

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Autores principales: Athavale, Priyanka, Khadka, Nehaa, Roy, Shampa, Mukherjee, Piyasree, Chandra Mohan, Deepika, Turton, Bathsheba (Bethy), Sokal-Gutierrez, Karen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7699964/
https://www.ncbi.nlm.nih.gov/pubmed/33233797
http://dx.doi.org/10.3390/ijerph17228629
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author Athavale, Priyanka
Khadka, Nehaa
Roy, Shampa
Mukherjee, Piyasree
Chandra Mohan, Deepika
Turton, Bathsheba (Bethy)
Sokal-Gutierrez, Karen
author_facet Athavale, Priyanka
Khadka, Nehaa
Roy, Shampa
Mukherjee, Piyasree
Chandra Mohan, Deepika
Turton, Bathsheba (Bethy)
Sokal-Gutierrez, Karen
author_sort Athavale, Priyanka
collection PubMed
description In India, globalization has caused a nutrition transition from home-cooked foods to processed sugary snacks and drinks, contributing to increased early childhood caries (ECC). This mixed-methods study describes risk factors for ECC and associations with undernutrition in low-income communities in Mumbai. Interviews with mothers of 959 children, ages six-months through six-years, addressed maternal-child nutrition and oral health, and children received dental exams and anthropometric assessments. Focus groups with community health workers and mothers explored experiences and perceptions of oral health, nutrition, and ECC. Descriptive and logistic regression analyses of quantitative data, and content analysis of qualitative data were performed. Eighty percent of children lived 5 min from a junk-food store, over 50% consumed junk-food and sugary tea daily, 50% experienced ECC, 19% had severe deep tooth decay, 27% experienced mouth pain, and 56% experienced chronic and/or acute malnutrition. In children ages 3–6, each additional tooth with deep decay was associated with increased odds of undernutrition (Odds Ratio [OR] 1.10, Confidence Interval [CI] 1.02–1.21). Focus groups identified the junk-food environment, busy family life, and limited dental care as contributors to ECC. Policy interventions include limits on junk-food marketing and incorporating oral health services and counseling on junk-food/sugary drinks into maternal–child health programs.
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spelling pubmed-76999642020-11-29 Early Childhood Junk Food Consumption, Severe Dental Caries, and Undernutrition: A Mixed-Methods Study from Mumbai, India Athavale, Priyanka Khadka, Nehaa Roy, Shampa Mukherjee, Piyasree Chandra Mohan, Deepika Turton, Bathsheba (Bethy) Sokal-Gutierrez, Karen Int J Environ Res Public Health Article In India, globalization has caused a nutrition transition from home-cooked foods to processed sugary snacks and drinks, contributing to increased early childhood caries (ECC). This mixed-methods study describes risk factors for ECC and associations with undernutrition in low-income communities in Mumbai. Interviews with mothers of 959 children, ages six-months through six-years, addressed maternal-child nutrition and oral health, and children received dental exams and anthropometric assessments. Focus groups with community health workers and mothers explored experiences and perceptions of oral health, nutrition, and ECC. Descriptive and logistic regression analyses of quantitative data, and content analysis of qualitative data were performed. Eighty percent of children lived 5 min from a junk-food store, over 50% consumed junk-food and sugary tea daily, 50% experienced ECC, 19% had severe deep tooth decay, 27% experienced mouth pain, and 56% experienced chronic and/or acute malnutrition. In children ages 3–6, each additional tooth with deep decay was associated with increased odds of undernutrition (Odds Ratio [OR] 1.10, Confidence Interval [CI] 1.02–1.21). Focus groups identified the junk-food environment, busy family life, and limited dental care as contributors to ECC. Policy interventions include limits on junk-food marketing and incorporating oral health services and counseling on junk-food/sugary drinks into maternal–child health programs. MDPI 2020-11-20 2020-11 /pmc/articles/PMC7699964/ /pubmed/33233797 http://dx.doi.org/10.3390/ijerph17228629 Text en © 2020 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
Athavale, Priyanka
Khadka, Nehaa
Roy, Shampa
Mukherjee, Piyasree
Chandra Mohan, Deepika
Turton, Bathsheba (Bethy)
Sokal-Gutierrez, Karen
Early Childhood Junk Food Consumption, Severe Dental Caries, and Undernutrition: A Mixed-Methods Study from Mumbai, India
title Early Childhood Junk Food Consumption, Severe Dental Caries, and Undernutrition: A Mixed-Methods Study from Mumbai, India
title_full Early Childhood Junk Food Consumption, Severe Dental Caries, and Undernutrition: A Mixed-Methods Study from Mumbai, India
title_fullStr Early Childhood Junk Food Consumption, Severe Dental Caries, and Undernutrition: A Mixed-Methods Study from Mumbai, India
title_full_unstemmed Early Childhood Junk Food Consumption, Severe Dental Caries, and Undernutrition: A Mixed-Methods Study from Mumbai, India
title_short Early Childhood Junk Food Consumption, Severe Dental Caries, and Undernutrition: A Mixed-Methods Study from Mumbai, India
title_sort early childhood junk food consumption, severe dental caries, and undernutrition: a mixed-methods study from mumbai, india
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7699964/
https://www.ncbi.nlm.nih.gov/pubmed/33233797
http://dx.doi.org/10.3390/ijerph17228629
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