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Title: Infant dietary patterns and early childhood caries in a multi-ethnic Asian cohort
Authors: Hu, Shijia
Sim, Yu Fan
Toh, Jia Ying
Saw, Seang Mei
Godfrey, Keith M.
Chong, Yap-Seng
Yap, Fabian
Lee, Yung Seng
Shek, Lynette Pei-Chi
Tan, Kok Hian
Chong, Mary Foong-Fong
Hsu, Stephen Chin-Ying
Keywords: DRNTU::Science::Medicine
Paediatric Dentistry
Issue Date: 2019
Source: Hu, S., Sim, Y. F., Toh, J. Y., Saw, S. M., Godfrey, K. M., Chong, Y.-S., . . . Hsu, S. C.-Y. (2019). Infant dietary patterns and early childhood caries in a multi-ethnic Asian cohort. Scientific Reports, 9, 852-. doi:10.1038/s41598-018-37183-5
Series/Report no.: Scientific Reports
Abstract: Dental caries, although preventable, remains one of the most prevalent chronic disease worldwide. Most studies focused on the relationship between sugar intake and caries. However, examining multidimensional dietary patterns is becoming increasingly important. Here, we examined the relationship between dietary patterns from ages 6 to 12 months and early childhood caries (ECC) at age 2 to 3-years. Infant dietary data was collected from caregivers and dietary pattern trajectories from 6 to 12 months derived. Oral examinations were carried out by trained calibrated dentists at ages 2 and 3 years. Associations between dietary pattern and ECC were estimated using generalized estimating equation. We found a 3.9 fold lower prevalence of decayed surfaces among children with high Guidelines dietary pattern scores at 6-months (IRR 0.26; CI [0.12–0.53]; p-value < 0.001) and 100% reduction of decayed surfaces with increased intakes of Guidelines dietary pattern foods from 6 to 12-month (IRR 2.4 × 10−4; CI [4.2 × 10−7–0.13]; p-value = 0.01). Suggesting that following the Guideline dietary pattern, which corresponds most closely to current World Health Organization weaning guidelines, at 6 months and an increase in pattern score between 6 and 12 months were protective against ECC development compared to Predominantly breastmilk, Easy-to-prepare foods and Noodles (in soup) and seafood dietary patterns.
DOI: 10.1038/s41598-018-37183-5
Rights: © 2019 The Author(s) (Nature Publishing Group). Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit
Fulltext Permission: open
Fulltext Availability: With Fulltext
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