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Prolonged breastfeeding, sugar consumption and dental caries at 2 years of age: A birth cohort study

Abanto, Jenny ; Maruyama, Jessica Mayumi ; Pinheiro, Emanuella ; Matijasevich, Alicia ; Antunes, José L. F. ; Bönecker, Marcelo ; Cardoso, Marly A. ; Lourenço, Bárbara H. ; Malta, Maíra B. ; Ferreira, Marcelo U. ; Neves, Paulo A. R. ; Damasceno, Ana A. ; Silva, Bruno P. ; Souza, Rodrigo M. ; Andrade, Simone L. ; Castro, Marcia Caldas

Community dentistry and oral epidemiology, 2023-06, Vol.51 (3), p.575-582 [Periódico revisado por pares]

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Título:
Prolonged breastfeeding, sugar consumption and dental caries at 2 years of age: A birth cohort study
Autor: Abanto, Jenny ; Maruyama, Jessica Mayumi ; Pinheiro, Emanuella ; Matijasevich, Alicia ; Antunes, José L. F. ; Bönecker, Marcelo ; Cardoso, Marly A. ; Lourenço, Bárbara H. ; Malta, Maíra B. ; Ferreira, Marcelo U. ; Neves, Paulo A. R. ; Damasceno, Ana A. ; Silva, Bruno P. ; Souza, Rodrigo M. ; Andrade, Simone L. ; Castro, Marcia Caldas
Assuntos: birth cohort ; Breast Feeding - adverse effects ; Child ; Child, Preschool ; Cohort Studies ; dental caries ; Dental Caries - epidemiology ; Dental Caries - etiology ; Dental Caries - prevention & control ; Dietary Sugars - adverse effects ; Female ; Humans ; infant sugar consumption ; prolonged breastfeeding ; Sugars
É parte de: Community dentistry and oral epidemiology, 2023-06, Vol.51 (3), p.575-582
Notas: A full list of members of the MINA‐Brazil Study Working Group is provided in the Acknowledgements section.
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Descrição: Objectives Previous cohort studies have found a positive association between prolonged breastfeeding (≥12 months) on dental caries, but few of them analysed the mediated effect of sugar consumption on this association. This study investigated whether prolonged breastfeeding is a risk factor for caries at 2‐year follow‐up assessment (21–27 months of age) and whether this effect is mediated by sugar consumption. Methods A birth cohort study was performed in the Brazilian Amazon (n = 800). Dental caries was assessed using the dmf‐t index. Prolonged breastfeeding was the main exposure. Data on baseline covariables and sugar consumption at follow‐up visits were analysed. We estimated the OR for total causal effect (TCE) and natural indirect effect (NIE) of prolonged breastfeeding on dental caries using the G‐formula. Results The prevalence of caries was 22.8% (95% CI: 19.8%–25.8%). Children who were breastfed for 12–23 months (TCE = 1.13, 95% CI: 1.05–1.20) and for ≥24 months (TCE = 1.27, 95% CI: 1.14–1.40) presented a higher risk of caries at age of 2 years than those breastfed <12 months. However, this risk was slightly mediated by a decreased frequency of sugar consumption at age of 2 years only for breastfeeding from 12 to 23 months (NIE; OR = 0.95, 95% CI: 0.91–0.97). Conclusions In this study, the effect of prolonged breastfeeding on the increased risk of dental caries was slightly mediated by sugar consumption. Early feeding practices for caries prevention and promoting breastfeeding while avoiding sugar consumption should be targeted in the first 2 years of life.
Editor: Denmark
Idioma: Inglês

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Prolonged breastfeeding, sugar consumption and dental caries at 2 years of age: A birth cohort study

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