Breastfeeding, consumption of ultraprocessed foods, and dental caries at 4 years of age: A birth cohort study
Mathias FB, Cademartori MG, Buffarini R, Barros F, Bertoldi AD, Demarco FF, Goettems ML
International journal of paediatric dentistry · 7 citations
Review labels
Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.
How it was studied
- Design
- Cohort study (indexed by PubMed)
- Studied in
- People
- Main outcome
- Clinical events such as disease or death
- Intake measured by
- Not stated
Who paid for it
- Funding
- Independent funding
- Nonprofit
- Bernard van Leer Foundation
- Nonprofit
- Wellcome Trust
- Government
- Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
- Government
- Conselho Nacional de Desenvolvimento Científico e Tecnológico
- Government
- Fundação de Amparo à Pesquisa do Estado do Rio Grande do Sul
- Grants
- Conselho Nacional de Desenvolvimento Científico e Tecnológico (PRONEX 12/2014); Fundação de Amparo à Pesquisa do Estado do Rio Grande do Sul (16.0471-4); Bernard van Leer Foundation (BRA‐2018‐178); Fundação de Amparo à Pesquisa do Estado do Rio Grande do Sul (12/2014); Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (12/2014); Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (2014-5); Conselho Nacional de Desenvolvimento Científico e Tecnológico (2018‐3); Wellcome Trust (095582); Fundação de Amparo à Pesquisa do Estado do Rio Grande do Sul (PRONEX 12/2014); Conselho Nacional de Desenvolvimento Científico e Tecnológico (2014-5); Fundação de Amparo à Pesquisa do Estado do Rio Grande do Sul (BRA-2018-178); Wellcome Trust (10735_Z_18_Z)
Based on 5 listed funder(s).
Publication
- Published
- 2023-05-12 · Int J Paediatr Dent · vol. 34 · issue 2 · pp. 103–113
- Publisher
- Wiley
- Cited
- 9 citations · more than 82% of similar papers · 1.5× the field average
- References
- 32 works
- Access
- Free to read
- Research areas
- Breastfeeding Practices and Influences · Dental Health and Care Utilization · Child Nutrition and Water Access
- Keywords
- Breastfeeding, Medicine, Poisson regression, Cohort study, Demography, Confidence interval, Cohort, Pediatrics, Relative risk, Consumption (sociology), Obstetrics, Environmental health, Population, Internal medicine
- MeSH
- humans, dental caries, prevalence, cohort studies, breast feeding, child, child, preschool, brazil, female
7 authors
From BR
- Fernanda Burkert MathiasUniversidade Federal de Pelotas
- Mariana Gonzalez CademartoriUniversidade Federal de Pelotas
- Romina BuffariniUniversidade Federal de Pelotas
- Fernando C. BarrosUniversidade Federal de Pelotas
- Andréa Dâmaso BertoldiUniversidade Federal de Pelotas
- Flávio Fernando DemarcoUniversidade Federal de Pelotas
Abstract
Background
Cohort studies have demonstrated an association between prolonged and/or frequent breastfeeding and early childhood caries (ECC).
Aim
To investigate the association between prolonged breastfeeding and ECC at 48 months, while considering the interaction between prolonged breastfeeding and ultraprocessed foods (UPF).
Design
Data from a birth cohort study conducted in southern Brazil were used (n = 3645). Poisson regression was used to evaluate the influence of breastfeeding and UPF consumption on the prevalence and experience of caries. To measure the interaction on the additive scale between breastfeeding and UPF consumption on the prevalence and experience of ECC, the relative excess risk due to interaction (RERI) was calculated.
Results
Prolonged breastfeeding was associated with higher prevalence (PR = 1.82; CI:1.59-2.08) and experience (RR = 2.47; CI:1.97-3.10) of ECC. Greater prevalence (PR = 1.16; CI: 1.04-1.30) and experience of ECC (RR = 1.22; CI: 1.00-1.48) were found in children who had high consumption of UPFs. Negative RERIs were observed for the prevalence and experience of ECC (-0.25 and -0.001).
Conclusion
High UPF consumption and prolonged breastfeeding were associated with ECC. No interaction, however, was observed, showing that the two exposures have independent effects. To prevent ECC, policies and programs are needed to support breastfeeding until the age of 2 years and to limit the consumption of UPF.
Abstract via Europe PMC. Copyright remains with the authors or publisher.
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