Malnutrition, enamel defects, and early childhood caries in preschool children in a sub-urban Nigeria population.

OBJECTIVES:The study tried to determine if malnutrition (underweight, stunting, wasting, overweight) and enamel defects (enamel hypoplasia, hypomineralized second molar, amelogenesis imperfecta, fluorosis) were associated with early childhood caries (ECC). The study also examined whether malnutritio...

Full description

Bibliographic Details
Main Authors: Morenike Oluwatoyin Folayan, Maha El Tantawi, Ayodeji Babatunde Oginni, Michael Alade, Abiola Adeniyi, Tracy L Finlayson
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2020-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0232998
id doaj-7c8019edc3584436abe69dd5a3c13b14
record_format Article
spelling doaj-7c8019edc3584436abe69dd5a3c13b142021-03-03T21:53:59ZengPublic Library of Science (PLoS)PLoS ONE1932-62032020-01-01157e023299810.1371/journal.pone.0232998Malnutrition, enamel defects, and early childhood caries in preschool children in a sub-urban Nigeria population.Morenike Oluwatoyin FolayanMaha El TantawiAyodeji Babatunde OginniMichael AladeAbiola AdeniyiTracy L FinlaysonOBJECTIVES:The study tried to determine if malnutrition (underweight, stunting, wasting, overweight) and enamel defects (enamel hypoplasia, hypomineralized second molar, amelogenesis imperfecta, fluorosis) were associated with early childhood caries (ECC). The study also examined whether malnutrition was associated with the presence of enamel defects in 0-5-year-old children. METHODS:The study was a secondary analysis of primary data of a cross-sectional study assessing the association between maternal psychosocial health and ECC in sub-urban Nigerian population collected in December 2018 and January 2019. One hundred and fifty nine children were recruited. Exploratory variables were malnutrition and enamel defects. The outcome variables were the prevalence of ECC in 0-2-year-old, 3-5-year-old, and 0-5-year-old children. Multivariable Poisson regression analysis was used to determine the associations, and socioeconomic status, oral hygiene status, and frequency of in-between-meals sugar consumption were adjusted for. The adjusted prevalence ratios, 95% confidence intervals, and p values were calculated. RESULTS:The prevalence of ECC was 2.1% in 0-2-year-old children and 4.9% in 3-5-year-old children. In adjusted models, underweight, stunting, and wasting/overweight were not significant risk indicators for ECC in either age group. 0-2-year-old children who had amelogenesis imperfecta (p<0.001) and fluorosis (p<0.001) were more likely to have ECC than were children who did not have these lesions. 3-5-year-old children who had hypoplasia (p = 0.004), amelogenesis imperfecta (p<0.001) and fluorosis (p<0.001) were more likely to have ECC than were children who did not have these lesions. 0-5-year-old children with hypoplasia (p<0.001) and fluorosis (p<0.001) were more likely to have ECC than were children who did not have these lesions. There were significant associations between various types of malnutrition and various types of enamel defects. CONCLUSION:Although different types of malnutrition were associated with enamel defects, and enamel defects were associated with ECC, malnutrition was not associated with ECC. Further studies are needed to clarify the association between malnutrition and genetically and toxin-induced enamel defects.https://doi.org/10.1371/journal.pone.0232998
collection DOAJ
language English
format Article
sources DOAJ
author Morenike Oluwatoyin Folayan
Maha El Tantawi
Ayodeji Babatunde Oginni
Michael Alade
Abiola Adeniyi
Tracy L Finlayson
spellingShingle Morenike Oluwatoyin Folayan
Maha El Tantawi
Ayodeji Babatunde Oginni
Michael Alade
Abiola Adeniyi
Tracy L Finlayson
Malnutrition, enamel defects, and early childhood caries in preschool children in a sub-urban Nigeria population.
PLoS ONE
author_facet Morenike Oluwatoyin Folayan
Maha El Tantawi
Ayodeji Babatunde Oginni
Michael Alade
Abiola Adeniyi
Tracy L Finlayson
author_sort Morenike Oluwatoyin Folayan
title Malnutrition, enamel defects, and early childhood caries in preschool children in a sub-urban Nigeria population.
title_short Malnutrition, enamel defects, and early childhood caries in preschool children in a sub-urban Nigeria population.
title_full Malnutrition, enamel defects, and early childhood caries in preschool children in a sub-urban Nigeria population.
title_fullStr Malnutrition, enamel defects, and early childhood caries in preschool children in a sub-urban Nigeria population.
title_full_unstemmed Malnutrition, enamel defects, and early childhood caries in preschool children in a sub-urban Nigeria population.
title_sort malnutrition, enamel defects, and early childhood caries in preschool children in a sub-urban nigeria population.
publisher Public Library of Science (PLoS)
series PLoS ONE
issn 1932-6203
publishDate 2020-01-01
description OBJECTIVES:The study tried to determine if malnutrition (underweight, stunting, wasting, overweight) and enamel defects (enamel hypoplasia, hypomineralized second molar, amelogenesis imperfecta, fluorosis) were associated with early childhood caries (ECC). The study also examined whether malnutrition was associated with the presence of enamel defects in 0-5-year-old children. METHODS:The study was a secondary analysis of primary data of a cross-sectional study assessing the association between maternal psychosocial health and ECC in sub-urban Nigerian population collected in December 2018 and January 2019. One hundred and fifty nine children were recruited. Exploratory variables were malnutrition and enamel defects. The outcome variables were the prevalence of ECC in 0-2-year-old, 3-5-year-old, and 0-5-year-old children. Multivariable Poisson regression analysis was used to determine the associations, and socioeconomic status, oral hygiene status, and frequency of in-between-meals sugar consumption were adjusted for. The adjusted prevalence ratios, 95% confidence intervals, and p values were calculated. RESULTS:The prevalence of ECC was 2.1% in 0-2-year-old children and 4.9% in 3-5-year-old children. In adjusted models, underweight, stunting, and wasting/overweight were not significant risk indicators for ECC in either age group. 0-2-year-old children who had amelogenesis imperfecta (p<0.001) and fluorosis (p<0.001) were more likely to have ECC than were children who did not have these lesions. 3-5-year-old children who had hypoplasia (p = 0.004), amelogenesis imperfecta (p<0.001) and fluorosis (p<0.001) were more likely to have ECC than were children who did not have these lesions. 0-5-year-old children with hypoplasia (p<0.001) and fluorosis (p<0.001) were more likely to have ECC than were children who did not have these lesions. There were significant associations between various types of malnutrition and various types of enamel defects. CONCLUSION:Although different types of malnutrition were associated with enamel defects, and enamel defects were associated with ECC, malnutrition was not associated with ECC. Further studies are needed to clarify the association between malnutrition and genetically and toxin-induced enamel defects.
url https://doi.org/10.1371/journal.pone.0232998
work_keys_str_mv AT morenikeoluwatoyinfolayan malnutritionenameldefectsandearlychildhoodcariesinpreschoolchildreninasuburbannigeriapopulation
AT mahaeltantawi malnutritionenameldefectsandearlychildhoodcariesinpreschoolchildreninasuburbannigeriapopulation
AT ayodejibabatundeoginni malnutritionenameldefectsandearlychildhoodcariesinpreschoolchildreninasuburbannigeriapopulation
AT michaelalade malnutritionenameldefectsandearlychildhoodcariesinpreschoolchildreninasuburbannigeriapopulation
AT abiolaadeniyi malnutritionenameldefectsandearlychildhoodcariesinpreschoolchildreninasuburbannigeriapopulation
AT tracylfinlayson malnutritionenameldefectsandearlychildhoodcariesinpreschoolchildreninasuburbannigeriapopulation
_version_ 1714814441912008704