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Infant dietary patterns and early childhood caries in a multi-ethnic Asian cohort

Infant dietary patterns and early childhood caries in a multi-ethnic Asian cohort
Infant dietary patterns and early childhood caries in a multi-ethnic Asian cohort
Dental caries, although preventable, remains one of the most prevalent chronic disease worldwide. Most studies focused on the relationship between sugar intake and caries. However, examining multidimensional dietary patterns is becoming increasingly important. Here, we examined the relationship between dietary patterns from ages 6 to 12 months and early childhood caries (ECC) at age 2 to 3-years. Infant dietary data was collected from caregivers and dietary pattern trajectories from 6 to 12 months derived. Oral examinations were carried out by trained calibrated dentists at ages 2 and 3 years. Associations between dietary pattern and ECC were estimated using generalized estimating equation. We found a 3.9 fold lower prevalence of decayed surfaces among children with high Guidelines dietary pattern scores at 6-months (IRR 0.26; CI [0.12-0.53]; p-value<0.001) and 100% reduction of decayed surfaces with increased intakes of Guidelines dietary pattern foods from 6 to 12-month (IRR 2.4x10-4; CI [4.2x10-7-0.13]; p-value=0.01). Suggesting that following the Guideline dietary pattern, which corresponds most closely to current World Health Organization weaning guidelines, at 6 months and an increase in pattern score between 6 and 12 months were protective against ECC development compared to Predominantly breastmilk, Easy-to-prepare foods and Noodles (in soup) and seafood dietary patterns.
2045-2322
1-8
Hu, Shijia
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Sim, Yu Fan
3da1e855-79cc-4b5a-9f7d-ce2df4b270a0
Toh, Jia Ying
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Saw, Seang-Mei
9e2a2a95-746a-4176-bd2c-9cdbdb40a482
Godfrey, Keith
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Chong, Yap-Seng
e669c2b0-ad78-473e-9e31-636ef30b4dbd
Yap, Fabian
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Lee, Yung Seng
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Shek, Lynette Pei-Chi
ff5b44bf-5ab5-4249-8cf1-21751a4f6ae8
Tan, Kok Hian
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Chong, Mary Foong-Fong
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Chin-Ying, S.H.
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Hu, Shijia
d7a0e481-1c6a-45e1-ab6a-78be316223e3
Sim, Yu Fan
3da1e855-79cc-4b5a-9f7d-ce2df4b270a0
Toh, Jia Ying
a46b9259-cbbf-41ba-b8ba-536b66e0b28a
Saw, Seang-Mei
9e2a2a95-746a-4176-bd2c-9cdbdb40a482
Godfrey, Keith
0931701e-fe2c-44b5-8f0d-ec5c7477a6fd
Chong, Yap-Seng
e669c2b0-ad78-473e-9e31-636ef30b4dbd
Yap, Fabian
22f6b954-31fc-4696-a52b-e985a424b95b
Lee, Yung Seng
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Shek, Lynette Pei-Chi
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Tan, Kok Hian
672ae6c4-d4c8-4b1b-8512-efec36431503
Chong, Mary Foong-Fong
1e188259-b1ab-4448-9e65-5b6a0fd99502
Chin-Ying, S.H.
9fb30e5e-61d9-4de2-a1c4-8661bfe9c0d5

Hu, Shijia, Sim, Yu Fan, Toh, Jia Ying, Saw, Seang-Mei, Godfrey, Keith, Chong, Yap-Seng, Yap, Fabian, Lee, Yung Seng, Shek, Lynette Pei-Chi, Tan, Kok Hian, Chong, Mary Foong-Fong and Chin-Ying, S.H. (2019) Infant dietary patterns and early childhood caries in a multi-ethnic Asian cohort. Scientific Reports, 852, 1-8. (doi:10.1038/s41598-018-37183-5).

Record type: Article

Abstract

Dental caries, although preventable, remains one of the most prevalent chronic disease worldwide. Most studies focused on the relationship between sugar intake and caries. However, examining multidimensional dietary patterns is becoming increasingly important. Here, we examined the relationship between dietary patterns from ages 6 to 12 months and early childhood caries (ECC) at age 2 to 3-years. Infant dietary data was collected from caregivers and dietary pattern trajectories from 6 to 12 months derived. Oral examinations were carried out by trained calibrated dentists at ages 2 and 3 years. Associations between dietary pattern and ECC were estimated using generalized estimating equation. We found a 3.9 fold lower prevalence of decayed surfaces among children with high Guidelines dietary pattern scores at 6-months (IRR 0.26; CI [0.12-0.53]; p-value<0.001) and 100% reduction of decayed surfaces with increased intakes of Guidelines dietary pattern foods from 6 to 12-month (IRR 2.4x10-4; CI [4.2x10-7-0.13]; p-value=0.01). Suggesting that following the Guideline dietary pattern, which corresponds most closely to current World Health Organization weaning guidelines, at 6 months and an increase in pattern score between 6 and 12 months were protective against ECC development compared to Predominantly breastmilk, Easy-to-prepare foods and Noodles (in soup) and seafood dietary patterns.

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More information

Accepted/In Press date: 4 December 2018
e-pub ahead of print date: 29 January 2019

Identifiers

Local EPrints ID: 426664
URI: https://eprints.soton.ac.uk/id/eprint/426664
ISSN: 2045-2322
PURE UUID: 3450c107-62e0-4fe9-9a31-bf8d91db8399
ORCID for Keith Godfrey: ORCID iD orcid.org/0000-0002-4643-0618

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Date deposited: 10 Dec 2018 17:30
Last modified: 20 Jul 2019 04:04

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