RESUMEN
The aim of this multicenter study was to explore the early-life sugar consumption and dietary practices in Latin America as well as to investigate the association between breastfeeding duration and the age at which foods and beverages with added sugars are introduced. A cross-sectional study was conducted with 805 1- to 3-year-old children from 10 Latin American countries, as a complementary study to the Research Observatory for Dental Caries of the Latin American Region (OICAL). A Food Frequency Questionnaire previously tested in different countries was applied to children's mothers and data on breastfeeding and age at introduction of sugary foods and beverages was collected. Statistical analysis included the Kruskal-Wallis test and Poisson regression with robust variance, with the calculation of crude and adjusted mean ratios (MR) and 95% of confidence intervals (CI). The average age at introduction of sugary foods and beverages was 10.1 months (95%CI 9.7-10.4) and 9.6 (95%CI 9.2-9.9) months, respectively, with a significant variation between countries (p < 0.001). The average daily frequency of sugary foods-beverages was 3.3 times per day (95%CI 3.1-3.5) and varied significantly between countries (p = 0.004). Breastfeeding duration of over six months was associated with an increase in the age of introduction of sweet drinks (16%; MR 1.16; 95%CI 1.05-1.28) and foods (21%; MR 1.21; 95%CI 1.10-1.33). In conclusion, most children from vulnerable settings in Latin America start consuming sugary products in the first year of life and a high frequency of consumption was reported through early childhood. Additionally, breastfeeding contributes to a delay in the introduction of sugary products.
Asunto(s)
Lactancia Materna , Caries Dental , Femenino , Humanos , Preescolar , Lactante , Azúcares , América Latina , Caries Dental/epidemiología , Caries Dental/etiología , Caries Dental/prevención & control , Estudios Transversales , Azúcares de la DietaRESUMEN
Abstract The aim of this multicenter study was to explore the early-life sugar consumption and dietary practices in Latin America as well as to investigate the association between breastfeeding duration and the age at which foods and beverages with added sugars are introduced. A cross-sectional study was conducted with 805 1- to 3-year-old children from 10 Latin American countries, as a complementary study to the Research Observatory for Dental Caries of the Latin American Region (OICAL). A Food Frequency Questionnaire previously tested in different countries was applied to children's mothers and data on breastfeeding and age at introduction of sugary foods and beverages was collected. Statistical analysis included the Kruskal-Wallis test and Poisson regression with robust variance, with the calculation of crude and adjusted mean ratios (MR) and 95% of confidence intervals (CI). The average age at introduction of sugary foods and beverages was 10.1 months (95%CI 9.7-10.4) and 9.6 (95%CI 9.2-9.9) months, respectively, with a significant variation between countries (p < 0.001). The average daily frequency of sugary foods-beverages was 3.3 times per day (95%CI 3.1-3.5) and varied significantly between countries (p = 0.004). Breastfeeding duration of over six months was associated with an increase in the age of introduction of sweet drinks (16%; MR 1.16; 95%CI 1.05-1.28) and foods (21%; MR 1.21; 95%CI 1.10-1.33). In conclusion, most children from vulnerable settings in Latin America start consuming sugary products in the first year of life and a high frequency of consumption was reported through early childhood. Additionally, breastfeeding contributes to a delay in the introduction of sugary products.
RESUMEN
El presente estudio fue del tipo descriptivo retrospectivo, teniendo como objetivo: Determinar la frecuencia de Pérdida Prematura de Dientes Temporarios en niños de 0 a 7 años que acudieron al Hospital Regional de Luque durante los años 2009-2010. Material y Método: se tomo como población todas las hojas de registro diario de los odontólogos del hospital Regional de Luque correspondiente a los años 2009-2010. Se incluyeron dentro del estudio a los niños de 0 a 7 años con pérdida prematura, caries y obturaciones de dientes temporarios registrados dentro de dicha planilla que estuvo compuesta por 1161 niños en el año 2009 y 1836 niños en el año 2010. Los resultados dentro de este estudio muestran que la Prevalencía de Perdida Prematura de Dientes Temporarios en niños de 0 a 7 años de edad corresponde al 14% en el año 2009 y al 12,6% en el año 2010. En los niños de 4 a 7 años de edad las piezas dentarias que presentaron mayor frecuencia de pérdida en ambos años fueron los dientes 75/85 con un 29,8% en el año 2009 y un 33,8% en el año 2010. En el año 2009 se encontró una frecuencia de caries en un 57,6% y en el año 2010 en un 57,3% de los niños atendidos. Teniendo en cuenta los resultados de este estudio se torna necesario implementar charlas educativas dirigidas a los padres o encargados sobre prevención y atención temprana de los niños, ya que se Concluye que a edades tempranas de 0 a 3 años, solo se presenta un 2 % de pérdida prematura, encontrándose la mayor frecuencia de perdida prematura en los niños de 4 a 7 años de edad en un 98%, si se consigue que los niños asistan a la consulta odontológica a edades tempranas, se podría contribuir a la disminución del alto índice de perdidas prematuras en niños con edades más avanzadas.
O presente estudo foi do tipo descritivo retrospectivo, tendo como objetivo: Determinar a frequência de perda prematura de dentes decíduos em crianças de 0 a 7 anos que frequentaram o Hospital Regional de Luque durante os anos 2009-2010. Material e Método: analizou-se todas as planilhas de registro diário dos odontólogos do hospital Regional de Luque referentes aos anos 2009 e 2010. Incluíram-se no estudo crianças de 0 a 7 anos com perda prematura, cárie ou restaurações de dentes decíduos registrados nas planilhas, nas quais constavam 1161 crianças em 2009 e 1836 crianças em 2010. Os resultados deste estudo mostram que a prevalência de perda prematura de dentes deciduos em crianças de 0 a 7 anos de idade foi de 14% no ano de 2009 e 12,6% no ano de 2010. Nas crianças de 4 a 7 anos de idade os elementos dentários que apresentaram, em ambos os anos, maior freqüência de perda foram os dentes 75/85, com 29,8% em 2009 e 33,8% em 2010. Em 2009 encontrou-se uma freqüência de cárie de 57,6% e em 2010 de 57,3% das crianças atendidas. Considerando os resultados deste estudo tornase necessário implementar orientações educativas dirigidas aos pais ou responsáveis sobre prevenção e atenção precoce às crianças, já que conclui-se que do total de perda precoce, apenas 2% ocorreram na faixa etária de 0 a 3 anos e 98% na faixa etária de 4 a 7 anos de idade. Assim, o comparecimentos das crianças de pouca idade à consulta odontológica, poderia contribuir para a diminuição do alto índice de perdas precoce nas crianças com maiores idades.
This descriptive study was retrospective, with the purpose to determine the frequency of premature loss of deciduous teeth in children aged 0 to 7 years who attended the Regional Hospital during the years 2009-2010 Luque. Material and Methods: population was taken as all the daily log sheets dentists Luque Regional Hospital for the years 2009-2010. Were included in the study to children from 0 to 7 years with early loss, caries and fillings of deciduous teeth recorded within that form that consisted of 1161 children in 2009 and 1836 children in 2010. The results in this study show that the prevalence of premature loss of deciduous teeth in children from 0 to 7 years of age corresponds to 14% in 2009 and 12.6% in 2010. In children 4 to 7 years old in the tooth that had a highe frequencyr of loss in both years were 75/85 teeth with 29.8% in 2009 and 33.8% in 2010. In 2009 we found a frequency of caries in 57.6% and in 2010 at 57.3% of children served. Taking into account the results of this study becomes necessary to implement educational talks aimed at parents or guardians on prevention and early treatment of children, since it was that at early concludes ages 0 to 3 years only has a 2% premature loss, with the highest frequency of premature loss in children from 4 to 7 years to 98%, if you get children to go to dentist at an early age, could help to reduce the high rate of premature loss in children with older ages.