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Copyright (c) 2020 Meisser Madera Anaya, Carlos Leal Acosta, Lesbia Tirado Amador
This work is licensed under a Creative Commons Attribution 4.0 International License.
Salud bucal y estado nutricional en niños de hogares ICBF en un barrio de Cartagena
Corresponding Author(s) : Meisser Madera Anaya
Ciencia e Innovación en Salud,
2020
Abstract
Background: To describe the relationship between oral health and nutritional status among children attending the Instituto Colombiano de Bienestar Familiar (ICBF) daycare centres in El Pozón neighborhood, Cartagena.
Methods: A cross-sectional study. We randomly selected 208 participants who were between 0 and 5 years old. We extracted data on sociodemographic characteristics, oral hygiene habits and oral health conditions. Anthropometric measures were collected to determine the nutritional status through the body mass index (BMI), World Health Organization-WHO by age and sex. The data were organized and analyzed through descriptive and inferential statistics, assuming a significance level of 0.05.
Results: 51.4% of the participants were girls, the age mean was 3.3 (SD=1.6) years, 77.4% of participants brush their teeth once or twice per day, 53.4% used toothpaste for adults. 49.5% of children were classified as “normal” nutritional status, whereas 25.5% of them were classified as “overweight”. The most prevalent oral diseases were dental caries with 34.6% (CI:95%=28.1%-41.1%) and enamel hypoplasia with 13.9% (CI:95%=9.2%-18,7%). We identified a relation between nutritional status and the presence of caries (p = 0.03) and caries risk (p = 0.02).
Conclusions: Our findings suggest that there is a relation between the presence and risk of dental caries and nutritional status among 0-5 years old children attending ICBF daycare centers. Therefore, it is likely that there is some relation between nutritional status and oral health. However, more research is required to confirm these findings and to identify health´ determinants in this population.
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- Garcia S. Alteraciones bucales en pacientes con trastornos de la alimentación. Rev Argentina Prismas 2000;72:3-4.
- Martignon S, Usuga-Vacca M, Cortes F, Cortes A, Gamboa LF, Jacome-Lievano S, et al. Risk factors for early childhood caries experience expressed by ICDAS criteria in Anapoima, Colombia: a cross-sectional study. Acta odontologica latinoamericana : AOL. 2018;31:58-66. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30056468/
- Rampersaud GC, Pereira MA, Girard BL, Adams J, Metzl JD. Breakfast habits, nutritional status, body weight, and academic performance in children and adolescents. Journal of the American Dietetic Association. 2005;105:743-60; quiz 61-2. DOI: 10.1016/j.jada.2005.02.007
- Mortazavi Z, Roudbari M. Breakfast consumption and body mass index in primary, secondary and high school boys in Zahedan 2005–2006. Iranian Journal of Endocrinology and Metabolism. 2010;12:345-51. Disponible en: https://www.sid.ir/en/journal/ViewPaper.aspx?id=184161
- Ivanovic DM, Leiva BP, Perez HT, Olivares MG, Diaz NS, Urrutia MS, et al. Head size and intelligence, learning, nutritional status and brain development. Head, IQ, learning, nutrition and brain. Neuropsychologia. 2004;42:1118-31. DOI: 10.1016/j.neuropsychologia.2003.11.022
- Semba RD. The Rise and Fall of Protein Malnutrition in Global Health. Annals of nutrition & metabolism. 2016;69:79-88. DOI: 10.1159/000449175
- Harris R, Nicoll AD, Adair PM, Pine CM. Risk factors for dental caries in young children: a systematic review of the literature. Community dental health. 2004;21:71-85. Disponible en: https://pubmed.ncbi.nlm.nih.gov/15072476/
- Alvarez JO, Eguren JC, Caceda J, Navia JM. The effect of nutritional status on the age distribution of dental caries in the primary teeth. Journal of dental research. 1990;69:1564-6. DOI: 10.1177/00220345900690090501
- Moreno Y, Betancour J. Retardo en el brote dentario en el niño de bajo peso. Rev Cubana Ortod. 1998;13:99-106. Disponible en:
- https://imbiomed.com.mx/1/1/articulos.php?method=showDetail&id_articulo=11256&id_seccion=468&id_ejemplar=1162&id_revista=75
- Huppertz VAL, van der Putten GJ, Halfens RJG, Schols J, de Groot L. Association Between Malnutrition and Oral Health in Dutch Nursing Home Residents: Results of the LPZ Study. Journal of the American Medical Directors Association. 2017;18:948-54. DOI: 10.1016/j.jamda.2017.05.022
- Dommisch H, Kuzmanova D, Jonsson D, Grant M, Chapple I. Effect of micronutrient malnutrition on periodontal disease and periodontal therapy. Periodontology 2000. 2018;78:129-53. DOI: 10.1111/prd.12233
- Johansson I, Saellstrom AK, Rajan BP, Parameswaran A. Salivary flow and dental caries in Indian children suffering from chronic malnutrition. Caries research. 1992;26:38-43. DOI: 10.1159/000261425
- Ramos K, Gonzalez F, Luna L. Estado de salud oral y nutricional en niños de una institución educativa de Cartagena, 2009. Rev salud pública. 2010;12:950-60. Disponible en:
- http://www.scielo.org.co/scielo.php?pid=S0124-00642010000600007&script=sci_abstract&tlng=es
- González F, Madera M, Tirado L. Relación entre obesidad y caries dental en niños. Revista Cubana de Estomatología. 2014; 51:93-106. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_abstract&pid=S0034-75072014000100010&lng=es&nrm=iso
- Cereceda M, Faleiros S, Ormeño A. Prevalencia de Caries en Alumnos de Educación Básica y su Asociación con el Estado Nutricional. Rev Chil Pediatr 2010;8:28-36. DOI: 10.4067/S0370-41062010000100004
- Cuéllar M, Hernández I, Mondragón M. Prevalencia de caries y factores asociados en niños de estancias infantiles. Gac Med Mex. 2000;136:391-7. Disponible en:http://www.imbiomed.com/1/1/articulos.php?method=showDetail&id_articulo=27500&id_seccion=1904&id_ejemplar=2826&id_revista=48
- Díaz S, Arrieta K, González F. Factores Familiares asociados a la presencia de Caries Dental en Niños Escolares de Cartagena, Colombia. . Revista Clínica de Medicina de Familia. 2011;4:100-4. http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1699-695X2011000200003
- WHO. World Health Organization. Child Growth Standards. BMI-for-age (Birth to 5 years) by sex [Accessed on: January 7th, 2019]. Available at: https://www.who.int/childgrowth/standards.
- Goncalves Jde A, Moreira EA, Rauen MS, Rossi A, Borgatto AF. Associations Between Caries Experience, Nutritional Status, Oral Hygiene, and Diet in a Multigenerational Cohort. Pediatric dentistry. 2016;38:203-11. Disponible en: https://pubmed.ncbi.nlm.nih.gov/27306244/
- Kumar S, Kroon J, Lalloo R, Kulkarni S, Johnson NW. Relationship between body mass index and dental caries in children, and the influence of socio-economic status. International dental journal. 2017;67:91-7. DOI: 10.1016/j.gaceta.2016.09.005
- Krishna H, Manaswini E, Kumar VY, Bellamkonda P, Bhargava ASK, Jaidupally RR. Association between Nutritional Status and Early Childhood Caries in Indian Children. Journal of International Society of Preventive & Community Dentistry. 2017;7:131-5. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5452566/
- Dikshit P, Limbu S, Bhattarai R. Relationship of Body Mass Index with Dental Caries among Children attending Pediatric Dental Department in an Institute. JNMA; journal of the Nepal Medical Association. 2018;56:582-6.
- Guizar JM, Munoz N, Amador N, Garcia G. Association of Alimentary Factors and Nutritional Status with Caries in Children of Leon, Mexico. Oral health & preventive dentistry. 2016;14:563-9. DOI: 10.3290/j.ohpd.a37141
- Thippeswamy HM, Kumar N, Acharya S, Pentapati KC. Relationship between body mass index and dental caries among adolescent children in South India. The West Indian medical journal. 2011;60:581-6. Disponible en: https://pubmed.ncbi.nlm.nih.gov/22519238/
- Chakravathy KP, Thippeswamy HM, Kumar N, Chenna D. Relationship of body mass index and dental caries with oral health related quality of life among adolescents of Udupi district, South India. European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry. 2013;14:155-9. DOI: DOI: DOI: 10.1007/s40368-013-0040-9
- Colombia. Ministerio de Salud y Protección Social. IV Estudio Nacional de Salud Bucal (ENSAB IV): Situación en Salud Bucal. MinSalud. 2014.
- Naidu R, Nunn J, Kelly A. Socio-behavioural factors and early childhood caries: a cross-sectional study of preschool children in central Trinidad. BMC oral health. 2013;13:30. DOI: 10.1186/1472-6831-13-30
- Percival T, Edwards J, Barclay S, Sa B, Majumder MAA. Early Childhood Caries in 3 to 5 Year Old Children in Trinidad and Tobago. Dentistry journal. 2019;7. DOI: 10.3390/dj7010016
- Chen KJ, Gao SS, Duangthip D, Lo ECM, Chu CH. Early childhood caries and oral health care of Hong Kong preschool children. Clinical, cosmetic and investigational dentistry. 2019;11:27-35. DOI: 10.2147/CCIDE.S190993
- Correa-Faria P, Paixao-Goncalves S, Paiva SM, Pordeus IA. Incidence of dental caries in primary dentition and risk factors: a longitudinal study. Brazilian oral research. 2016;30. DOI: 10.1590/1807-3107BOR-2016.vol30.0059
- González-Pastrana Y, Díaz-Montes C. Características familiares relacionadas con el estado nutricional en escolares de la ciudad de Cartagena %J Revista de Salud Pública. 2015;17:836-47.Disponible en: https://www.redalyc.org/articulo.oa?id=42244105002
- Moreno-Ruiz D, Picon M, Marrugo-Arnedo C, Marrugo V, Alvis Guzmán N. Determinantes socioeconómicos del estado nutricional en menores de cinco años atendidos en el Hospital Infantil Napoleón Franco Pareja %J Revista de la Universidad Industrial de Santander. Salud. 2017;49:352-63. DOI: 10.18273/revsal.v49n2-2017008
- ICBF. Resolución 6400 de 21 de septiembre de 2012. Instituto Colombiano de Bienestar Familiar. 2012.
References
Garcia S. Alteraciones bucales en pacientes con trastornos de la alimentación. Rev Argentina Prismas 2000;72:3-4.
Martignon S, Usuga-Vacca M, Cortes F, Cortes A, Gamboa LF, Jacome-Lievano S, et al. Risk factors for early childhood caries experience expressed by ICDAS criteria in Anapoima, Colombia: a cross-sectional study. Acta odontologica latinoamericana : AOL. 2018;31:58-66. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30056468/
Rampersaud GC, Pereira MA, Girard BL, Adams J, Metzl JD. Breakfast habits, nutritional status, body weight, and academic performance in children and adolescents. Journal of the American Dietetic Association. 2005;105:743-60; quiz 61-2. DOI: 10.1016/j.jada.2005.02.007
Mortazavi Z, Roudbari M. Breakfast consumption and body mass index in primary, secondary and high school boys in Zahedan 2005–2006. Iranian Journal of Endocrinology and Metabolism. 2010;12:345-51. Disponible en: https://www.sid.ir/en/journal/ViewPaper.aspx?id=184161
Ivanovic DM, Leiva BP, Perez HT, Olivares MG, Diaz NS, Urrutia MS, et al. Head size and intelligence, learning, nutritional status and brain development. Head, IQ, learning, nutrition and brain. Neuropsychologia. 2004;42:1118-31. DOI: 10.1016/j.neuropsychologia.2003.11.022
Semba RD. The Rise and Fall of Protein Malnutrition in Global Health. Annals of nutrition & metabolism. 2016;69:79-88. DOI: 10.1159/000449175
Harris R, Nicoll AD, Adair PM, Pine CM. Risk factors for dental caries in young children: a systematic review of the literature. Community dental health. 2004;21:71-85. Disponible en: https://pubmed.ncbi.nlm.nih.gov/15072476/
Alvarez JO, Eguren JC, Caceda J, Navia JM. The effect of nutritional status on the age distribution of dental caries in the primary teeth. Journal of dental research. 1990;69:1564-6. DOI: 10.1177/00220345900690090501
Moreno Y, Betancour J. Retardo en el brote dentario en el niño de bajo peso. Rev Cubana Ortod. 1998;13:99-106. Disponible en:
Huppertz VAL, van der Putten GJ, Halfens RJG, Schols J, de Groot L. Association Between Malnutrition and Oral Health in Dutch Nursing Home Residents: Results of the LPZ Study. Journal of the American Medical Directors Association. 2017;18:948-54. DOI: 10.1016/j.jamda.2017.05.022
Dommisch H, Kuzmanova D, Jonsson D, Grant M, Chapple I. Effect of micronutrient malnutrition on periodontal disease and periodontal therapy. Periodontology 2000. 2018;78:129-53. DOI: 10.1111/prd.12233
Johansson I, Saellstrom AK, Rajan BP, Parameswaran A. Salivary flow and dental caries in Indian children suffering from chronic malnutrition. Caries research. 1992;26:38-43. DOI: 10.1159/000261425
Ramos K, Gonzalez F, Luna L. Estado de salud oral y nutricional en niños de una institución educativa de Cartagena, 2009. Rev salud pública. 2010;12:950-60. Disponible en:
http://www.scielo.org.co/scielo.php?pid=S0124-00642010000600007&script=sci_abstract&tlng=es
González F, Madera M, Tirado L. Relación entre obesidad y caries dental en niños. Revista Cubana de Estomatología. 2014; 51:93-106. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_abstract&pid=S0034-75072014000100010&lng=es&nrm=iso
Cereceda M, Faleiros S, Ormeño A. Prevalencia de Caries en Alumnos de Educación Básica y su Asociación con el Estado Nutricional. Rev Chil Pediatr 2010;8:28-36. DOI: 10.4067/S0370-41062010000100004
Cuéllar M, Hernández I, Mondragón M. Prevalencia de caries y factores asociados en niños de estancias infantiles. Gac Med Mex. 2000;136:391-7. Disponible en:http://www.imbiomed.com/1/1/articulos.php?method=showDetail&id_articulo=27500&id_seccion=1904&id_ejemplar=2826&id_revista=48
Díaz S, Arrieta K, González F. Factores Familiares asociados a la presencia de Caries Dental en Niños Escolares de Cartagena, Colombia. . Revista Clínica de Medicina de Familia. 2011;4:100-4. http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1699-695X2011000200003
WHO. World Health Organization. Child Growth Standards. BMI-for-age (Birth to 5 years) by sex [Accessed on: January 7th, 2019]. Available at: https://www.who.int/childgrowth/standards.
Goncalves Jde A, Moreira EA, Rauen MS, Rossi A, Borgatto AF. Associations Between Caries Experience, Nutritional Status, Oral Hygiene, and Diet in a Multigenerational Cohort. Pediatric dentistry. 2016;38:203-11. Disponible en: https://pubmed.ncbi.nlm.nih.gov/27306244/
Kumar S, Kroon J, Lalloo R, Kulkarni S, Johnson NW. Relationship between body mass index and dental caries in children, and the influence of socio-economic status. International dental journal. 2017;67:91-7. DOI: 10.1016/j.gaceta.2016.09.005
Krishna H, Manaswini E, Kumar VY, Bellamkonda P, Bhargava ASK, Jaidupally RR. Association between Nutritional Status and Early Childhood Caries in Indian Children. Journal of International Society of Preventive & Community Dentistry. 2017;7:131-5. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5452566/
Dikshit P, Limbu S, Bhattarai R. Relationship of Body Mass Index with Dental Caries among Children attending Pediatric Dental Department in an Institute. JNMA; journal of the Nepal Medical Association. 2018;56:582-6.
Guizar JM, Munoz N, Amador N, Garcia G. Association of Alimentary Factors and Nutritional Status with Caries in Children of Leon, Mexico. Oral health & preventive dentistry. 2016;14:563-9. DOI: 10.3290/j.ohpd.a37141
Thippeswamy HM, Kumar N, Acharya S, Pentapati KC. Relationship between body mass index and dental caries among adolescent children in South India. The West Indian medical journal. 2011;60:581-6. Disponible en: https://pubmed.ncbi.nlm.nih.gov/22519238/
Chakravathy KP, Thippeswamy HM, Kumar N, Chenna D. Relationship of body mass index and dental caries with oral health related quality of life among adolescents of Udupi district, South India. European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry. 2013;14:155-9. DOI: DOI: DOI: 10.1007/s40368-013-0040-9
Colombia. Ministerio de Salud y Protección Social. IV Estudio Nacional de Salud Bucal (ENSAB IV): Situación en Salud Bucal. MinSalud. 2014.
Naidu R, Nunn J, Kelly A. Socio-behavioural factors and early childhood caries: a cross-sectional study of preschool children in central Trinidad. BMC oral health. 2013;13:30. DOI: 10.1186/1472-6831-13-30
Percival T, Edwards J, Barclay S, Sa B, Majumder MAA. Early Childhood Caries in 3 to 5 Year Old Children in Trinidad and Tobago. Dentistry journal. 2019;7. DOI: 10.3390/dj7010016
Chen KJ, Gao SS, Duangthip D, Lo ECM, Chu CH. Early childhood caries and oral health care of Hong Kong preschool children. Clinical, cosmetic and investigational dentistry. 2019;11:27-35. DOI: 10.2147/CCIDE.S190993
Correa-Faria P, Paixao-Goncalves S, Paiva SM, Pordeus IA. Incidence of dental caries in primary dentition and risk factors: a longitudinal study. Brazilian oral research. 2016;30. DOI: 10.1590/1807-3107BOR-2016.vol30.0059
González-Pastrana Y, Díaz-Montes C. Características familiares relacionadas con el estado nutricional en escolares de la ciudad de Cartagena %J Revista de Salud Pública. 2015;17:836-47.Disponible en: https://www.redalyc.org/articulo.oa?id=42244105002
Moreno-Ruiz D, Picon M, Marrugo-Arnedo C, Marrugo V, Alvis Guzmán N. Determinantes socioeconómicos del estado nutricional en menores de cinco años atendidos en el Hospital Infantil Napoleón Franco Pareja %J Revista de la Universidad Industrial de Santander. Salud. 2017;49:352-63. DOI: 10.18273/revsal.v49n2-2017008
ICBF. Resolución 6400 de 21 de septiembre de 2012. Instituto Colombiano de Bienestar Familiar. 2012.