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Int Poster J Dent Oral Med 12 (2010), No. 4     15. Dec. 2010

Int Poster J Dent Oral Med 2010, Vol 12 No 4, Poster 513

Evaluation of nutritional status in a group of children with early childhood caries

Language: English
 

Authors:
Anca Maria Raducanu, PhD, Associate Professor, Roxana Speranta Vlad, PhD, Lecturer, Ion Victor Feraru, PhD candidate, Teaching Assistent, Cristea Irina, Teaching Assistant,
Paediatric Dentistry Department, U.M.F. "Carol Davila", Faculty of Dental Medicine, Bucharest, Romania
Claudiu Herteliu, Lecturer,
Department of Statistics and Econometrics, University of Economics, Bucharest, Romania
Monica Craciuneac,
general dental practitioner, private practice

Date/Event/Venue:
April 22nd-25th, 2010
The 15th Congress of the Balkan Stomatological Society (BaSS)
Thessaloniki, Greece
 

Introduction

Some data from the speciality literature show that S-ECC is associated with a low weight [1, 2, 3, 4, 5], or a low height [6] or with an overweight of the small child [3, 5] and other data show that (S) ECC does not lead to modifications of the body weight [6].
 

Objectives

Objective Comparative evaluation of the nutritional status of two preschool children groups with/without (severe) early childhood caries (S)-ECC.
 

Material and Methods

Material
Two groups of patients randomly selected: a) study group, with ECC (SG) selected from the Paedodontics clinic: 100 F and 100 M, medium age 45.2 months b) control group, without ECC (CG) selected from some kindergartens, 100 F and 100 M, 54.7 months
The inclusion criteria for the study subjects were: children until 71 months old, without general disabilities, whose parents gave their written consent for project involvement.

Methods
a. Data collection
Collected data were: identification data, age, sex, decay diagnose: with/without (S)-ECC, measured height and weight at the first visit of the patient, by the same person, in standard conditions.
b. General development assessment method
The nutritional status was evaluated with several indexes: ponderal index (PI), statural index (SI), nutritional index (NI). NI is the most accurate one because it appreciates the children's weight correlated with their height7. The growth assessment of each child with/without ECC was done comparing the measured values to the ideal mean values obtained from growth tables or graphics.
c. For the statistical analysis chi-square test and some of its derivates (e.g. Phi coefficient) were used (95% probability). The statistic data were analysed using the SPSS 15 software.
 

Results

  1. Affected subjects younger than 3 years predominate (33%) (S-ECC) Fig. 1
  2. Medium height (100.02 cm) and weight (14.96 kg) of SG were smaller than of CG: 107.4 cm for medium height and 17.8 kg for medium weight.
  3. Weight modifications are presented in Fig. 2 for both groups - the proportion of the patients in the SG with normal weight is 39.8% at the patients aged between 5 and 6 years, compared to 57.4% in the patients aged between 4 and 5 years, 64.3% in the patients aged between 3 and 4 years and 54% in patients under 3 years of age Fig. 3.
  4. Height modifications are presented for both groups in Fig. 4. - the proportion of the patients in the SG with normal height is 68.6% at the patients aged between 5 and 6 years, compared to 92.6% in the patients aged between 4 and 5 years, 91.5% in the patients aged between 3 and 4 years and 82.9% in patients under 3 years of age (Fig.5)
  5. Nutrition modifications are presented for both groups in Fig. 6.
Fig. 1: The groups' distribution by age Fig. 2: The groups' distribution by the ponderal index
Fig. 3: The groups' distribution by the ponderal index and age Fig. 4: The groups' distribution by the statural index
Fig. 5: The study group distribution by statural index and age Fig. 6: The study samples distribution by the nutritional index
 

Conclusions

Our results suggest that the presence of ECC is related with reduced general growth (weight and height) at the preschool children:
- the probability of the patients with ECC to develop a ponderal deficit is over 1.5 time higher than in healthy patients and to develop a degree I statural deficit is almost three times higher than in healthy patients (p=0.01); the healthy patients are more likely to develop a ponderal excess (p=0.01)
- the probability of the patients with ECC to develop a degree II nutritional deficit is over two times higher than in healthy patients (p=0.01)
- the probability of the affected patients to present a normal weight and height decreases with the increase of the ECC's severity (p=0.02), especially in the group age of 5-6 years (p=0.01)
 

Literature

  1. Oral Health Program, Rhode Island Department of Health Position Paper: Early Childhood Caries, January 2001, accessed in 22.01.2010, http://www.health.ri.gov/publications/healthriskreports/ EarlyChildhoodCaries.pdf.
  2. Platt L.J., Cabezas M.C., Early Childhood Dental Caries, 2000, http://www.healthychild.ucla.edu/Publications/ Documents/Early%20childhood % 20 dental%20 report 0300.pdf.
  3. Ru-Shing Tang, Shun-Te Huang, Meng-Chuan Huang, Fu-Hsiung Chuang, Horng-Sen Chen, The nutritional status of young children with S-ECC in southern Taiwan, accessed in 22.01.2010, http://ciae2.kmu.edu.tw/ezcatfiles/b012/img/img/572/648895981.pdf.
  4. Hayes C., Graham J., Cha A., Tate A., Haynes M., Johnson J.E., Casamassimo P.S. and Garcia R., Severe early childhood caries and growth: Baseline data, Abstract, accessed in 22.01.2010, http://apha.confex.com/apha/134am/techprogram/paper_139678.htm.
  5. Clarke M.L., The nutritional status of a population of young children undergoing dental rehabilitation for severe early childhood caries, Abstract, http://openlibrary.org/b/OL19216009M/nutritional_status_of_a_population_of_young_children_undergoing_dental_rehabilitation_for_severe_early_childhood_caries.
  6. Hayes C., Graham J., Cha A., Tate A., Haynes M., Johnson J.E., Casamassimo P.S., Garcia R., The Effect of Severe Early Childhood Caries and Comprehensive Dental Intervention on Weight of Children: Baseline Data, accessed in 10.12.2009, http://creedd.org/2005_Abstracts.pdf.
  7. Ciofu E, Ciofu C, Esentialul in pediatrie, ed. a II-a, Bucuresti, Editura Medicala Amaltea, 2002, 13-22, 85-91.
     

This Poster was submitted by Prof. Dr. Anca Maria Raducanu.
 

Correspondence address:
Prof. Dr. Anca Maria Raducanu U.M.F. Carol Davila
Clinica de Pedodontie
Str. Ionel Perlea Nr. 12
Bucuresti, Romania