Association between nutritional status and early childhood caries risk profile in a suburban Nigeria community
Abstract
BACKGROUND: Malnutrition is associated with oral health problems. AIM: To determine the association between malnutrition (undernourished and over-nourished) and early childhood caries (ECC) in a suburban population in Nigeria. DESIGN: Data were extracted from a database of a household survey of 1549 under 6-year-old children. Explanatory variables were nutritional status (normal, undernourished [wasted, stunted and underweight], or over-nourished). The outcome measure was the prevalence of ECC. Children's sociodemographic characteristics (socio-economic status, sex, age) and caries-risk variables (frequency of sugar consumption in-between-meals, oral hygiene status) were the confounders. Association between ECC and malnutrition was determined using the Poisson regression analysis. Statistical significance was set at P ≤ .05. RESULTS: About one-third (31.4%) of children had expected height/weight for age; 848 (54.7%) were undernourished; and 215 (13.9%) were over-nourished. Nutritional status was not significantly associated with the prevalence of ECC. Children who consumed sugar in-between-meals three or more times a day were twice as likely to have ECC as were those who consumed sugar less often in-between-meals (APR: 2.23; 95% CI: 1.30-3.81; P = .003). Children 3-5 years old were more likely to have ECC than were those 0-2 years old (APR: 2.40; 95% CI: 1.10-5.22; P = .03). CONCLUSIONS: ECC was not associated with undernourished and over-nourished in a suburban population in Nigeria.
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Nutritional transition to a Western diet has been linked to an increased prevalence of caries in the WHO African Region.
“nutritional transition to a Western diet has been linked to an increased prevalence of caries [6]”
From Oral health workforce in Africa: a scarce resource (2023) · cites this paper as [6]
Cites
The Simplified Oral Hygiene Index
Greene, J. G., & Vermillion, J. R. (1964) · The Journal of the American Dental Association · doi:10.14219/jada.archive.1964.0034 · Cited by 2,676 · see citing works
Nigeria Demographic and Health Survey 2008
Macro, I. (2009) · Cited by 2,131 · see citing works
Global Burden of Untreated Caries: A Systematic Review and Metaregression
Kassebaum, N. J., Bernabé, E., Dahiya, M., Bhandari, B., Murray, C. J. L., & Marcenes, W. (2015) · Journal of Dental Research · doi:10.1177/0022034515573272 · Cited by 1,679 · see citing works
The nutrition transition: worldwide obesity dynamics and their determinants
Popkin, B. M., & Gordon-Larsen, P. (2004) · International Journal of Obesity · doi:10.1038/sj.ijo.0802804 · Cited by 1,538 · see citing works
The Common Risk Factor Approach: a rational basis for promoting oral health
Sheiham, A., & Watt, R. G. (2000) · Community Dentistry and Oral Epidemiology · doi:10.1034/j.1600-0528.2000.028006399.x · Cited by 1,165 · see citing works
de Onís, M., Onyango, A. W., Borghi, E., Garza, C., & Hong, Y. (2006) · Public Health Nutrition · doi:10.1017/phn20062005 · Cited by 691 · see citing works
The importance of social class in voluntary fertility control in a developing country
Olusany, A., Okpere, E. E., Ezimokhai, M., Olusanya, O., & Okpere, O. (1985) · Medical Entomology and Zoology · Cited by 322 · see citing works
Tantawi, M. E., Foláyan, M. O., Mehaina, M., Vuković, A., Castillo, J. L., Gaffar, B. O., Arheiam, A., Al-Batayneh, O. B., Kemoli, A., Schroth, R. J., et al. (2018) · American Journal of Public Health · doi:10.2105/ajph.2018.304466 · Cited by 185 · see citing works
Relationships between Caries Bacteria, Host Responses, and Clinical Signs and Symptoms of Pulpitis
HAHN, C., & LIEWEHR, F. (2007) · Journal of Endodontics · doi:10.1016/j.joen.2006.11.008 · Cited by 184 · see citing works
Nutrition, tooth development, and dental caries
Alvarez, J. O. (1995) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/61.2.410s · Cited by 166 · see citing works
Sugar Restriction for Caries Prevention: Amount and Frequency. Which Is More Important?
van Loveren, C. (2018) · Caries Research · doi:10.1159/000489571 · Cited by 162 · see citing works
The Shape of the Dose-Response Relationship between Sugars and Caries in Adults
Bernabé, E., Vehkalahti, M. M., Sheiham, A., Lundqvist, A., & Suominen, A. L. (2016) · Journal of Dental Research · doi:10.1177/0022034515616572 · Cited by 145 · see citing works
Li, Y., Navia, J. M. A., & Bian, J. Y. (2009) · Caries Research · doi:10.1159/000262130 · Cited by 138 · see citing works
Prevalence, and early childhood caries risk indicators in preschool children in suburban Nigeria
Foláyan, M. O., Kolawole, K. A., Oziegbe, E. O., Oyedele, T. A., Oshomoji, O. V., Chukwumah, N. M., & Onyejaka, N. K. (2015) · BMC Oral Health · doi:10.1186/s12903-015-0058-y · Cited by 119 · see citing works
Dimaisip-Nabuab, J., Duijster, D., Benzian, H., Heinrich‐Weltzien, R., Homsavath, A., Monse, B., Hak, S., Stauf, N., Susilawati, S., & Kromeyer-Hauschild, K. (2018) · BMC Pediatrics · doi:10.1186/s12887-018-1277-6 · Cited by 108 · see citing works
Acs, G., Pretzer, S., Foley, M., & Ng, M. W. (2001) · PubMed · Cited by 106 · see citing works
Malnutrition and Developmental Defects of Enamel in 2- to 6 -Year-Old Saudi Boys
Rugg-Gunn, A. J., Al-Mohammadi, S. M., & Butler, T. J. (1998) · Caries Research · doi:10.1159/000016451 · Cited by 95 · see citing works
Foláyan, M. O., Idehen, E. E., & Ufomata, D. (2003) · International Journal of Paediatric Dentistry · doi:10.1046/j.1365-263x.2003.00411.x · Cited by 91 · see citing works
Esan, A. O., Foláyan, M. O., Egbetade, G. O., & Oyedele, T. A. (2014) · International Journal of Paediatric Dentistry · doi:10.1111/ipd.12143 · Cited by 58 · see citing works
Association between early childhood caries and malnutrition in a sub-urban population in Nigeria
Foláyan, M., Arije, O., Tantawi, M. E., Kolawole, K., Obiyan, M. O., Arowolo, O., & Oziegbe, E. (2019) · BMC Pediatrics · doi:10.1186/s12887-019-1810-2 · Cited by 44 · see citing works
Insulin Resistance and Obesity Affect Lipid Profile in the Salivary Glands
Matczuk, J., Zalewska, A., Łukaszuk, B., Knaś, M., Maciejczyk, M., Garbowska, M., Ziembicka, D., Waszkiel, D., Chabowski, A., Żendzian‐Piotrowska, M., et al. (2016) · Journal of Diabetes Research · doi:10.1155/2016/8163474 · Cited by 38 · see citing works
Sokal‐Gutierrez, K., Turton, B. J., Husby, H. M., & Paz, C. L. (2016) · BMC Nutrition · doi:10.1186/s40795-016-0110-6 · Cited by 29 · see citing works
Xavier, A., Bastos, R. D. S., Arakawa, A. M., Caldana, M. D. L., & Bastos, J. R. D. M. (2013) · Revista de Odontologia da UNESP · doi:10.1590/s1807-25772013000500010 · Cited by 17 · see citing works
Kennedy, T. T., Rodd, C. J., Daymont, C. B., Grant, C. G., Mittermuller, B.-A., Pierce, A., MOFFATT, M. E. K., & Schroth, R. J. (2020) · International Journal of Paediatric Dentistry · doi:10.1111/ipd.12629 · Cited by 16 · see citing works
Association between nutritional status and early childhood caries in Indian children
Krishna, H. V. N. S., Manaswini, E., Kumar, V., Bellamkonda, P., Bhargava, A. S., & Jaidupally, R. (2017) · Journal of International Society of Preventive and Community Dentistry · doi:10.4103/jispcd.jispcd_25_17 · Cited by 12 · see citing works
Flagged first, then by citations
1 of the 26 references couldn’t be matched to a known paper.
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Oral health workforce in Africa: a scarce resource
Gallagher, J. E., Mattos Savage, G. C., Crummey, S. C., Sabbah, W., Varenne, B., & Makino, Y. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20032328 · Cited by 54 · see citing works
Does Growth Stunting Correlate with Oral Health in Children?: A Systematic Review
Sadida, Z. J., Indriyanti, R., & Setiawan, A. S. (2021) · European Journal of Dentistry · doi:10.1055/s-0041-1731887 · Cited by 54 · see citing works
Exploring the risk factors for early‐life sugar consumption: A birth cohort study
Feldens, C. A., Vítolo, M. R., Maciel, R. R., Baratto, P. S., Rodrigues, P. H., & Kramer, P. F. (2020) · International Journal of Paediatric Dentistry · doi:10.1111/ipd.12713 · Cited by 32 · see citing works
Alade, M. A., Foláyan, M. O., Tantawi, M. E., Oginni, A. B., Adeniyi, A. A., & Finlayson, T. L. (2021) · BMC Oral Health · doi:10.1186/s12903-020-01324-y · Cited by 30 · see citing works
Self-citationEarly Childhood Caries and Nutritional Status of Children: A Review
Nadeeshani, H., Kudagammana, S. T., Herath, C., Jayasinghe, R. D., & Liyanage, R. (2023) · Food and Nutrition Bulletin · doi:10.1177/03795721231209358 · Cited by 27 · see citing works
Foláyan, M. O., Adeniyi, A. A., Arowolo, O., Chukwumah, N. M., Alade, M., & Tantawi, M. E. (2022) · BMC Oral Health · doi:10.1186/s12903-022-02470-1 · Cited by 23 · see citing works
Self-citationA Review on Maternal Parenting, Child's Growth Stunting, and Oral Health
Abdulaziz, R., Suryanti, N., & Setiawan, A. S. (2023) · European Journal of Dentistry · doi:10.1055/s-0043-1764428 · Cited by 21 · see citing works
Epidemiological profile of early childhood caries in a sub-urban population in Nigeria
Foláyan, M. O., Oginni, A. B., Tantawi, M. E., Finlayson, T. L., & Adeniyi, A. A. (2021) · BMC Oral Health · doi:10.1186/s12903-021-01780-0 · Cited by 15 · see citing works
Self-citationGou, C., Wang, Y., Yang, R., Huang, R., Zhang, Q., & Zou, J. (2021) · BMC Oral Health · doi:10.1186/s12903-021-01994-2 · Cited by 13 · see citing works
The bi-directional relationship between growth stunting and early childhood caries: a rapid review
Aulia, R. N., Indriyanti, R., & Setiawan, A. S. (2023) · Frontiers in Public Health · doi:10.3389/fpubh.2023.1234893 · Cited by 10 · see citing works
Prevalence of Early Childhood Caries in Africa: A Systematic Review
Kimmie‐Dhansay, F., Nkambule, N. R., Schoonraad, N., Albougy, H., & Bhayat, A. (2025) · International Journal of Paediatric Dentistry · doi:10.1111/ipd.70038 · Cited by 8 · see citing works
The Role of Mothers Knowledge Regarding Nutritional Needs of Toddlers Nutritional Status
Rahmawati, W., & Retnaningrum, D. N. (2022) · Jurnal MID-Z (Midwivery Zigot) Jurnal Ilmiah Kebidanan · doi:10.56013/jurnalmidz.v5i2.1638 · Cited by 8 · see citing works
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Sari, R. P., Rahayuwati, L., & Setiawan, A. S. (2022) · European Journal of Dentistry · doi:10.1055/s-0042-1758069 · Cited by 7 · see citing works
Akinsolu, F. T., Gbaja-Biamila, T. A., Salako, A. O., Adewole, I. E., Olagunju, M. T., Abodunrin, O. R., Ola, O. M., Abel, C., Eleje, G. U., Ezechi, O., et al. (2024) · BMC Oral Health · doi:10.1186/s12903-024-05309-z · Cited by 6 · see citing works
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Syafriani, S., Haryati, H., Fitri, R. P., & Afiah, A. (2025) · Journal of Health and Nutrition Research · doi:10.56303/jhnresearch.v4i1.348 · Cited by 3 · see citing works
Phogat, R., Rani, G., Manjunath, B. C., Kumar, A. M., & Rani, V. (2023) · Journal of Indian Association of Public Health Dentistry · doi:10.4103/jiaphd.jiaphd_285_22 · Cited by 2 · see citing works
Ononye, B. U., Kalu, C. R., Okeke, T. E., Akunne, C. E., Onyewuchi, K. C., Okafor, K. P., Chidi, C. A., Ugonkwo, K. M., Ekwebene, O. C., Okoli, C. A., et al. (2022) · Annual Research & Review in Biology · doi:10.9734/arrb/2022/v37i330496 · Cited by 2 · see citing works
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Ferreira, L. G., Lamarque, G. D. C. C., & Paula‐Silva, F. W. G. (2022) · Dentistry · doi:10.5772/intechopen.105123 · Cited by 2 · see citing works
Ramli, M. Z., Azmi, N. S., & Ismail, A. F. (2024) · medRxiv · doi:10.1101/2024.07.04.24309980 · Cited by 2 · see citing works
Oral health and nutritional status of children in developing countries: A scoping review
Putriyani, Y., Shaluhiyah, Z., & Winarni, S. (2024) · Jurnal kedokteran dan kesehatan Indonesia · doi:10.20885/jkki.vol15.iss3.art12 · Cited by 1 · see citing works
Seng, F. H., Ahmad, W. M. A. W., Adnan, M. N., Ghazali, F. M. M., & Aleng, N. A. (2025) · Galician Medical Journal · doi:10.21802/e-gmj2025-a06 · Cited by 1 · see citing works
Okafor, C. A., Oziegbe, E. O., & Foláyan, M. O. (2025) · BMC Oral Health · doi:10.1186/s12903-025-06897-0 · Cited by 1 · see citing works
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- Authors
- Folayan, M. O., Oginni, A. B., El Tantawi, M., Alade, M., Adeniyi, A. A., & Finlayson, T. L.
- Affiliations
- Obafemi Awolowo University Ile‐Ife Nigeria
- Innovative Aid Abuja Nigeria
- Faculty of Dentistry Alexandria University Alexandria Egypt
- Lagos State University (NG)
- Obafemi Awolowo University Teaching Hospitals Complex (NG)
- San Diego State University (US)
- ORCID
- Venue
- International Journal of Paediatric Dentistry
- Publisher
- Wiley
- Published
- 2020-04-16
- Volume
- 30
- Issue
- 6
- Pages
- 798-804
- ISSN
- 0960-7439 (ISSN-L)
- 1365-263X
- OpenAlex
- W3015040214
- Cited by
- 25
- References
- 26
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 3 · 2023: 6 · 2022: 5 · 2021: 5 · 2020: 1
- FWCI
- 4.34
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Paediatric Dentistry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
- Health Sciences › Nursing › Nutrition and Dietetics › Child Nutrition and Water Access
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Keywords
- early childhood caries, nutritional status, malnutrition, overnutrition, stunting, wasting, underweight, sugar consumption, caries risk factors, oral hygiene, children under 6 years
- MeSH terms
- Child, Child, Preschool, Cross-Sectional Studies, Dental Caries, Humans, Infant, Infant, Newborn, Nigeria, Nutritional Status, Oral Health, Prevalence
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