1. Household, dietary, and clinical characteristics of childhood caries and overweight progression : a prospective cohort study
- Author
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Tavares, Mary, Chiu, Chung-Jung, Hasturk, Hatice, Lake, Kristina, O'Keefe, Anna C., De Armas, Veronica, Yaskell, Tina, Esberg, Anders, Johansson, Ingegerd, Tanner, Anne C., Tavares, Mary, Chiu, Chung-Jung, Hasturk, Hatice, Lake, Kristina, O'Keefe, Anna C., De Armas, Veronica, Yaskell, Tina, Esberg, Anders, Johansson, Ingegerd, and Tanner, Anne C.
- Abstract
Background: Childhood caries and obesity are complex chronic diseases with negative health outcomes. Aim: This study sought a risk profile for childhood caries and overweight. Design: Children were recruited into a longitudinal prospective cohort study. Caries and overweight characteristics were obtained at baseline, 6, 12, and 18 months. Sequential data modeling steps determined a disease risk profile. Results: At baseline, 50% of the children (n = 194, 3.0 to 6.9 years) had caries; 24% were overweight, of whom 50% had caries. Correlation analysis separated child characteristics from household circumstances. Principal component modeling separated child snacking from meal-eating patterns, and household smoking from parent education variables. Baseline caries and overweight were not associated, but they grouped together in the modeling of composite features. Forty-five percent of children showed caries progression, 29% overweight progression, and 10% progression of both diseases. The strongest predictors of progression were disease presence, household-based characteristics, and sugary drinks. Children with caries and overweight progression shared multiple child- and household-based features. Conclusion: Individually, caries and overweight were not associated. Children with progression of both conditions shared a profile and multiple risk characteristics suggesting these findings could be useful in assessing the risk for the most extreme cases of caries and overweight.
- Published
- 2024
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