A nutritional program involving home visits may reduce the incidence of early childhood caries

Seow, W. Kim (2011) A nutritional program involving home visits may reduce the incidence of early childhood caries. Journal of Evidence-Based Dental Practice, 11 1: 60-61. doi:10.1016/j.jebdp.2010.11.003

Author Seow, W. Kim
Title A nutritional program involving home visits may reduce the incidence of early childhood caries
Journal name Journal of Evidence-Based Dental Practice   Check publisher's open access policy
ISSN 1532-3382
Publication date 2011-03
Sub-type Article (original research)
DOI 10.1016/j.jebdp.2010.11.003
Volume 11
Issue 1
Start page 60
End page 61
Total pages 2
Place of publication Philadelphia, PA, United States
Publisher Mosby
Collection year 2012
Language eng
Formatted abstract
The study was conducted in a low socioeconomic community in Sao Leopoldo
as part of a Brazilian government program to promote healthy feeding
in children. The subjects were 200 mother-child pairs in the
intervention group who were participating in the nutritional program,
and 300 mother-child pairs who served as nonintervention controls. Of
these children, 141 (70%) who were in the intervention group and 199
(66%) who were in the control group completed the follow-up visit. The
children were apparently healthy, of single births, and of normal birth
weight and gestation.

Key Exposure/Study Factor
The primary study factor was nutritional advice given through home visits
on a monthly basis up to 6 months, and at 8, 10, and 12 months. The dietary
advice aimed at exclusive breastfeeding up to 6 months, and included advice
not to use the bottle or breastfeeding as pacifiers, and advice against
the addition of sugars in fruits, porridge, juices, and milk, as well as giving
soft drinks and snacks. The dietary information was given by university nutrition

Main Outcome Measure
The primary outcome measure was the occurrence of early childhood caries
at 4 years of age. A secondary outcome was the occurrence of severe
early childhood caries and the number of decayed, (d) (white spots and
cavities), missing (m), and filled (f) teeth.

Main Results

The main result was that 76 (53.9%) intervention children compared with
138 (69.3%) controls had early childhood caries. The incidence of caries
was reported to be reduced by 22% (relative risk [RR] 0.78; 95% confidence
interval [CI] 0.65-0.93), severe early childhood caries (dmft index
of 5 or greater) incidence was reduced by 32% (RR 0.68; 95% CI 050-
0.92), and the mean number of affected teeth was lower for the intervention
group (3.25) compared with the control group (4.15) (Mann Whitney
U test; P = .023).


General nutritional advice delivered at home, approximately 9 times during
a child’s first year of life, is associated with reduced incidence and severity
of early childhood caries at 4 years of age in a low socioeconomic
community in Brazil.

Q-Index Code CX
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Section heading: Review Analysis & Evaluation

Document type: Journal Article
Sub-type: Article (original research)
Collections: Non HERDC
School of Dentistry Publications
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Created: Tue, 20 Sep 2011, 13:06:14 EST by Professor W. Kim Seow on behalf of School of Dentistry