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Aguida C. Atkinson, M.D.
Nemours PediatricsEmail: [email protected]
September 23, 2009
The Link Between Oral Health, Nutrition & Childhood Obesity
Is there a relationship between childhood obesity & dental caries?
Center for Disease Control & Prevention, 2007www.cdc.gov
Prevalence of Obesity in U.S. Preschool Children from Low-income
Families
Prevalence Dental Caries
Center for Disease Control & Prevention, 2007www.cdc.gov
Center for Disease Control & Prevention, 2007www.cdc.gov
Prevalence Dental Caries
I’m gonna get you! Give me that sugar!
Most prevalent infectious disease in U.S. children
“Streptococci Mutans”The Cavity Creator
streptococci mutanspoor oral hygiene
poor nutrition habits
vulnerable toothlack of flouride
protection
CAVITY
Research
LOCATION STUDY AGES FINDINGS
Finland Tuomi, 1989 +/-
Germany Willershausen, 2004 6-11 +
U.S. Dye, 2004 2-5 N/A
U.S. Hillgers, 2006 8-11 +
Brazil Kantovitz, 2006 +/-
U.S. Kopycka-Kedzierawski, 2007 2-18 +/-
Brazil Granville-Garcia, 2008 1-5 -
U.S. Hong, 2008 2-6 +/-
Research suggests…
“Neither obesity increases risk of caries nor caries increases the risk for
obesity, but rather a common risk factor increased the likelihood of both
diseases”
Marshall, et al*
*as seen in Hong, 2008
Common Risk Factors in Childhood Obesity & Dental Caries
AAP Recommendations for Prevention
The End
References: Hale, K. et al (2008). Preventative Oral Health Intervention for Pediatricians. Pediatrics, 122(6), 1387-1394. Hong, L. et al (2008). Obesity and Dental Caries in Children Aged 2-6 Years in the United States: National Health and Nutrition
Examination Survey 1999-2002. American Association of Public Health Dentistry, 68(4), 227-233. Centers for Disease Control and Prevention, (2009). Obesity Prevalence Among Low-income, Preschool-Aged Children – United
States, 1998-2008. Morbidity and Mortality Weekly Report, 58(28), 769-773. Ogden, C. et al (1997). Prevalence of Overweight Among Preschool Children in the United States, 1971 Through 1994. Pedriatrics,
99(4): http://www.pediatrics.org/cgi/content/full/99/4/el. Tuomi, T. (1989). Pilot Study on obesity in caries prediction. Community Dentistry and Oral Epidemiology, 17(6), 289-291. Willershausen, B. et al (2004). Relationship between High Weight and Caries Frequency in German Elementary School Children.
European Journal of Medical Research, 9(8), 400-404. Hillgers, K., et al. (2006). Association between Childhood Obesity and Smooth-surface Caries in Posterior Teeth: A Preliminary Study.
Pediatric Dentistry, 28(1), 23-28. Kantovitz, K. (2006). Obesity and Dental Caries – A Systematic Review. Oral Health and Preventative Dentistry, 4(2) , 137-144. Kopycka-Kedzierawski, D., et al. (2008). Caries status and overweight in 2-to-18 year-old Us children: findings from national surveys.
Community Dentistry and Oral Epidemiology, 36, 157-167. Granville-Garcia, A. (2008). Obesity and Dental Caries among Preschool Children in Brazil. Revista de Salud Pública, 10(5), 788-795. King, N. et al. (2003). Caries Prevalence and Distribution, and Oral Health Habits of Zero-to-Four Year-Old children in Macau, China.
Journal of Dentistry for Children, 70(3), 243-249. Peressini, S., et al. (2004). Prevalance of early childhood caries among First Nations children, Distrcit of Manitoulin, Ontario.
International Journal of Pediatric Dentistry, 14, 101-110. Dubois, L. et al. (2007). Problem eating behaviors related to social factors and body weight in preschool children: A lognitudinal
study. International Jounral of Behaviroal Nutrition and Physical Activity, 4(9): http://www.ijbnpa.org/content/4/1/9. Dye, B. et al. (2004). The relationship between healthful eating practices and dental caries in children aged 2-5 years in the United
States, 1988-1994. American Dental Association, 135, 55-66.