- 期刊
Effect of Feeding Practices on Dental Caries among Preschool Children: A Hospital Based Analytical Cross Sectional Study
喂养方式对学龄前儿童龋齿的影响：一项以医院为基础的分析横断面研究
摘要
幼儿期的喂养方式对幼儿龋齿发挥着重要的病因学作用。喂养方式与幼儿龋齿的因果关系存在争议。本研究的目的是评估喂养方式对幼儿龋齿的病因学作用。这是在斯里兰卡儿科病房完成的一项描述性的横断面研究。住院的285名月龄在36-60个月之间的儿童被随机选入该研究。面试人员采用问卷调查的方法询问儿童的社会人口学特征和喂养方式，检查了儿童的龋齿情况。在285个儿童中，有61%的幼儿完全母乳喂养到六个月，69%继续母乳喂养超过两年，82%两岁之后仍存在夜间喂养。136个有龋齿的儿童（47.7%）平均龋齿活动度得分为1.81。夜间喂养任何类型的奶超过两年都显著增加龋齿的发生率和严重程度。完全母乳喂养六个月或母乳喂养超过两年的儿童，龋齿的发生率高于不完全母乳喂养或母乳喂养不超过两年的儿童，但这种差别不显著。任何类型奶的夜间喂养都不应该超过两年。
並列摘要
Feeding practices during early childhood play an important aetiological role in early childhood caries (ECC). The role of feeding practices in causation of ECC is debated. The objective of this study was to assess the aetiological role of feeding practices on ECC. A descriptive cross sectional study was conducted at a paediatric unit in Sri Lanka. Two hundred and eighty-five children between 36 to 60 months, admitted to the unit were randomly selected for the study. An interviewer administered questionnaire asked about socio-demographic characteristics and feeding practices. The mouths of children were examined for dental caries. Out of 285 children, 61% had exclusive breast feeding up to six months, 69% continued breast feeding beyond two years and 82% had overnight feeding after two years of age. One hundred and thirty-six children (47.7%) had dental caries with a mean deft score of 1.81. Overnight feeding with any type of milk beyond two years significantly increased dental caries incidence and severity. Children exclusively breast fed for six months or had breast feeding beyond two years had a higher prevalence of caries than children not exclusively breast fed or who were not breast feed beyond two years, but the difference was not significant. Overnight feeding with any type of milk beyond two years should be discouraged.