Souza Tainá Fontes de, Freitas Aline Gama, Martins Mariana Leonel, Fonseca-Gonçalves Andréa
Universidade Federal do Rio de Janeiro - UFRJ, School of Dentistry, Department of Pediatric Dentistry and Orthodontics, Rio de Janeiro, RJ, Brazil.
Universidade Federal do Rio de Janeiro - UFRJ, School of Dentistry, Rio de Janeiro, RJ, Brazil.
Braz Oral Res. 2025 Jun 2;39:e062. doi: 10.1590/1807-3107bor-2025.vol39.062. eCollection 2025.
This study evaluated the influence of socioeconomic factors, caregiver characteristics, and early feeding practices on sugar consumption frequency (FSC) during early childhood. Data were collected from dental records of children aged 1 to 5 years old, who were attended at CliBin®, including sex, age, skin color, income level, mother's age and years of education, primary caregiver, prior instructions on caries prevention, type of early feeding practices (breastfeeding/formula/mixed), exclusive breastfeeding (EB) up to 6 months, children's dental care and their consumption of sugar-sweetened beverages (SSB) and cookies/sugar (CS), with frequency classified as: never (2 points), ≤ 3 times/day (1 point) and > 3 times/day (0 points). The lower the median score the higher the FSC. Descriptive analysis, Kruskal-Wallis test, and ANOVA were applied considering p < 0.05. A total of 123 records were included. The children were predominantly male (56.1%), and brown (46.5%), with an average age of 2.1 (± 0.9) years. The mother was the primary caregiver (86.1%), with ≤ 30 years of age (52.0%), < 12 years of education (75.2%), and previously instructed on caries prevention (58.2%). Most children were breastfed (45.5%) for 23.2 (±9.7) months on average, received EB (87.1%), consumed SSB (87.6%) and CS (90.9%) 3 times/day. The total FSC mean score was 1.6 ± 0.9 (95%CI: 1.4-1.7). Children of younger mothers (≤ 30 years) had the lowest FSC scores (1.4 ± 0.9; 95%CI: 1.0-1.6; p=0.01). It was observed that among the factors studied, only mothers in the younger age range influenced high sugar consumption during early childhood.
本研究评估了社会经济因素、照料者特征和早期喂养方式对幼儿期糖消费频率(FSC)的影响。数据收集自1至5岁儿童在CliBin®的牙科记录,包括性别、年龄、肤色、收入水平、母亲年龄和受教育年限、主要照料者、龋齿预防的先前指导、早期喂养方式类型(母乳喂养/配方奶/混合喂养)、6个月内纯母乳喂养(EB)、儿童口腔护理以及他们对含糖饮料(SSB)和饼干/糖(CS)的消费,频率分类为:从不(2分)、≤3次/天(1分)和>3次/天(0分)。中位数得分越低,FSC越高。采用描述性分析、Kruskal-Wallis检验和方差分析,显著性水平设定为p<0.05。共纳入123份记录。儿童以男性(56.1%)和棕色人种(46.5%)为主,平均年龄为2.1(±0.9)岁。母亲是主要照料者(86.1%),年龄≤30岁(52.0%),受教育年限<12年(75.2%),且先前接受过龋齿预防指导(58.2%)。大多数儿童平均母乳喂养(45.5%)23.2(±9.7)个月,接受纯母乳喂养(87.1%),每天消费含糖饮料(87.6%)和饼干/糖(90.9%)3次。FSC总平均分是1.6±0.9(95%置信区间:1.4 - 1.7)。年轻母亲(≤30岁)的孩子FSC得分最低(1.4±0.9;95%置信区间:1.0 - 1.6;p = 0.01)。研究发现,在所研究的因素中,只有年龄较小的母亲会影响幼儿期的高糖消费。