Alrashdi Murad
Department of Orthodontic and Pediatric Dentistry, College of Dentistry, Qassim University, Burayadh 52571, Saudi Arabia.
Children (Basel). 2024 Sep 10;11(9):1107. doi: 10.3390/children11091107.
This systematic review and meta-analysis examined the impact of maternal nutrition and lifestyle factors on early childhood oral health. The review focused on the effects of maternal vitamin D levels and smoking during pregnancy on children's dental health outcomes.
A comprehensive literature search was conducted across PubMed, Scopus, and Web of Science, yielding 23 that were included for analysis. The quality of the studies was assessed using the Newcastle-Ottawa Scale. The effect estimates were pooled through a random effect model. All analyses were carried out using the R program.
Most studies in our systematic review showed a significant association between maternal vitamin D and smoking during pregnancy and childhood dental health outcomes. Meta-analysis revealed a significant association between maternal vitamin D levels and children's dental health (OR = 1.30, 95% CI: 0.49 to 3.45, < 0.001). Maternal smoking during pregnancy was strongly linked to an increased risk of childhood dental caries (OR = 0.3290, 95% CI: 0.2089-0.4491, < 0.0001).
These findings underscore the crucial role of maternal health behaviors in shaping children's oral health trajectories. This study emphasizes the need for integrated public health interventions promoting healthier maternal behaviors and early preventive dental care.
本系统评价和荟萃分析探讨了母亲营养和生活方式因素对幼儿口腔健康的影响。该评价聚焦于孕期母亲维生素D水平和吸烟对儿童牙齿健康结局的影响。
在PubMed、Scopus和Web of Science上进行了全面的文献检索，筛选出23项研究纳入分析。使用纽卡斯尔-渥太华量表评估研究质量。通过随机效应模型汇总效应估计值。所有分析均使用R程序进行。
我们系统评价中的大多数研究表明，孕期母亲维生素D水平和吸烟与儿童牙齿健康结局之间存在显著关联。荟萃分析显示，母亲维生素D水平与儿童牙齿健康之间存在显著关联（比值比=1.30，95%置信区间：0.49至3.45，P<0.001）。孕期母亲吸烟与儿童患龋齿风险增加密切相关（比值比=0.3290，95%置信区间：0.2089 - 0.4491，P<0.0001）。
这些发现强调了母亲健康行为在塑造儿童口腔健康轨迹方面的关键作用。本研究强调需要采取综合公共卫生干预措施，促进更健康的母亲行为和早期预防性牙科护理。
