@article{f769fee16e074dd48f93db1af0d18104,
title = "A longitudinal study of the relationship between dental caries and obesity in late childhood and adolescence",
abstract = "OBJECTIVES: To determine whether caries experience in late childhood (aged 7-9 years) was predictive of adolescent obesity (ages 12-16 years) to inform the use of a common risk factor approach (CRFA) for prevention.METHODS: A cohort study was conducted in an area of North West England. Clinical assessment of caries took place using the same methodology at ages 7-9 years and 12-16 years. Body mass index (BMI) category was calculated from height and weight measurements using age and gender specific cut-offs at 12-16 years only. The association between dependent variable (BMI category dichotomized as underweight/normal and overweight/obese) and explanatory variables (baseline and follow-up dental caries and sociodemographic status) adjusted for age, was assessed.RESULTS: At baseline, 5,470 (96.8 percent) participants took part and information was available for 2,958 (54.1 percent) participants at follow-up. Univariate analysis indicated that BMI category in adolescence was not shown to be significantly associated with: the presence or absence of caries in late childhood (P = 0.61); in adolescence (P = 0.06); gender (P = 0.91); or deprivation (P = 0.35). Multivariate logistic regression indicated that BMI category in adolescence was not predicted by caries in late childhood or adolescence, after adjusting for sociodemographic variables.CONCLUSION: Caries and obesity were highly prevalent in this population. Caries in childhood was not shown to be associated with obesity in adolescence and there was no cross-sectional association between the two diseases in adolescence. A CRFA is not precluded, however, the results suggest that additional interventions, specific for each disease, are required to prevent obesity and caries.",
keywords = "child health, cohort, common risk factor, dental caries, longitudinal, obesity",
author = "Hall-Scullin, {Emma Patricia} and Hilary Whitehead and Helen Rushton and Keith Milsom and Martin Tickle",
note = "Funding Information: The study design was a cohort study conducted in state-funded schools in an area of North West England from February 2006 to July 2013. The area was chosen because of the comparatively high caries prevalence in children and the absence of a fluoridated water program (16,17). The protocol was externally peer-reviewed and accepted for inclusion on the NIHR UK Clinical Research Network Study Portfolio (Ref: 10315). The study was granted ethical approval by the National Research Ethics Service (Ref: 11/NE/0006) and the University of Manchester Ethics Committee. Research Governance approval was provided by the Research and Development Department at Lancashire Care NHS Foundation Trust. Funding Information: The authors would like to thank the staff and participants at schools in East Lancashire and Blackburn with Darwen. We also wish to acknowledge the Salaried Dental Service, Lancashire Care NHS Foundation Trust led by Catherine Morley; Joe Fielding, Uriana Boye, Angela Willasey, and Sarah Proctor acted as Gold Standard examiners for the calibration and training events; Janet Neville at The Dental Observatory; Matthew Sperrin (Institute of Population Health) and Tanya Walsh (School of Dentistry) at the University of Manchester. The authors declare there were no competing interests. This work was funded by a grant from Colgate-Palmolive. Support cost funding was obtained from Cumbria and Lancashire Comprehensive Local Research Network (CLCLRN). At baseline, a National Institute for Health Research Grant funded data collection (NIHR NCCRCD PHI/03/C1/017). HR{\textquoteright}s was supported by the University of Manchester{\textquoteright}s Health eResearch Centre (HeRC) funded by the Medical Research Council Grant (MR/ K006665/1). The funders had no role in the design of the study, data collection, analysis or interpretation of the paper submitted for publication. Publisher Copyright: {\textcopyright} 2017 American Association of Public Health Dentistry",
year = "2018",
month = mar,
day = "1",
doi = "10.1111/jphd.12244",
language = "English",
volume = "78",
pages = "100--108",
journal = "Journal of Public Health Dentistry",
issn = "0022-4006",
publisher = "John Wiley & Sons Ltd",
number = "2",
}
