The Link Between Oral Health, Nutrition & Childhood Obesity

1. The Link Between Oral Health, Nutrition & Childhood Obesity Aguida C. Atkinson, M.D. Nemours Pediatrics Email: aatkins@nemours.org September 23, 2009

2. Is there a relationship between childhood obesity & dental caries?

3. Center for Disease Control & Prevention, 2007www.cdc.gov

4. Prevalence of Obesity in U.S. Preschool Children from Low-income Families

5. Prevalence Dental Caries Center for Disease Control & Prevention, 2007www.cdc.gov

6. Center for Disease Control & Prevention, 2007www.cdc.gov Prevalence Dental Caries

7. Most prevalent infectious disease in U.S. children “Streptococci Mutans” The Cavity Creator I’m gonna get you! Give me that sugar!

8. vulnerable toothlack of flouride protection streptococci mutans poor oral hygiene poor nutrition habits CAVITY

9. Research

10. Research suggests… “Neither obesity increases risk of caries nor caries increases the risk for obesity, but rather a common risk factor increased the likelihood of both diseases” Marshall, et al* *as seen in Hong, 2008

11. Common Risk Factors in Childhood Obesity & Dental Caries

12. AAP Recommendations for Prevention

13. The End

14. References: • Hale, K. et al (2008). Preventative Oral Health Intervention for Pediatricians. Pediatrics, 122(6), 1387-1394. • Hong, L. et al (2008). Obesity and Dental Caries in Children Aged 2-6 Years in the United States: National Health and Nutrition Examination Survey 1999-2002. American Association of Public Health Dentistry, 68(4), 227-233. • Centers for Disease Control and Prevention, (2009). Obesity Prevalence Among Low-income, Preschool-Aged Children – United States, 1998-2008. Morbidity and Mortality Weekly Report, 58(28), 769-773. • Ogden, C. et al (1997). Prevalence of Overweight Among Preschool Children in the United States, 1971 Through 1994. Pedriatrics, 99(4): http://www.pediatrics.org/cgi/content/full/99/4/el. • Tuomi, T. (1989). Pilot Study on obesity in caries prediction. Community Dentistry and Oral Epidemiology, 17(6), 289-291. • Willershausen, B. et al (2004). Relationship between High Weight and Caries Frequency in German Elementary School Children. European Journal of Medical Research, 9(8), 400-404. • Hillgers, K., et al. (2006). Association between Childhood Obesity and Smooth-surface Caries in Posterior Teeth: A Preliminary Study. Pediatric Dentistry, 28(1), 23-28. • Kantovitz, K. (2006). Obesity and Dental Caries – A Systematic Review. Oral Health and Preventative Dentistry, 4(2) , 137-144. • Kopycka-Kedzierawski, D., et al. (2008). Caries status and overweight in 2-to-18 year-old Us children: findings from national surveys. Community Dentistry and Oral Epidemiology, 36, 157-167. • Granville-Garcia, A. (2008). Obesity and Dental Caries among Preschool Children in Brazil. Revista de SaludPública, 10(5), 788-795. • King, N. et al. (2003). Caries Prevalence and Distribution, and Oral Health Habits of Zero-to-Four Year-Old children in Macau, China. Journal of Dentistry for Children, 70(3), 243-249. • Peressini, S., et al. (2004). Prevalance of early childhood caries among First Nations children, Distrcit of Manitoulin, Ontario. International Journal of Pediatric Dentistry, 14, 101-110. • Dubois, L. et al. (2007). Problem eating behaviors related to social factors and body weight in preschool children: A lognitudinal study. International Jounral of Behaviroal Nutrition and Physical Activity, 4(9): http://www.ijbnpa.org/content/4/1/9. • Dye, B. et al. (2004). The relationship between healthful eating practices and dental caries in children aged 2-5 years in the United States, 1988-1994. American Dental Association, 135, 55-66.