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Childhood Obesity and Dental Caries in Homeless Children

Published:January 13, 2012DOI:https://doi.org/10.1016/j.pedhc.2011.11.007

      Abstract

      Introduction

      Childhood obesity and dental caries are increasing epidemics, especially among children who are living below the poverty level. This study was conducted to determine the relationship between body mass index (BMI) and caries in homeless children.

      Methods

      A secondary data analysis with a correlational design was used. A convenience sample of 157 children was recruited from a homeless shelter.

      Results

      Pearson’s and partial correlations were used to explore the relationships among age, BMI, and caries. Most of the children were girls and were African American. Slightly more than half of the children were overweight (19.7%) or obese (30.6%) and had caries (50.3%). Significant positive correlations between age and BMI (p = .03) as well as between age and caries (p = .003) were found. As BMI increased, so did caries (p = .08).

      Discussion

      Consistent with reports from the Centers for Disease Control and Prevention, homeless children had higher BMI and caries rates than the national averages. Although a definitive conclusion between obesity and dental caries cannot be drawn, these two health issues are important areas for all pediatric health care providers to address at every visit.

      Key Words

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      References

        • Acs G.
        • Londolini G.
        • Kaminsky S.
        • Cisneros G.J.
        Effect of nursing caries on body weight in a pediatric population.
        Pediatric Dentistry. 1992; 14: 302-305
        • Alm A.
        • Fahraeus C.
        • Wendt L.
        • Koch G.
        • Andersson-Gare B.
        • Birkhed D.
        Body adiposity status in teenagers and snacking habits in early childhood in relation to approximal caries at 15 years of age.
        International Journal of Pediatric Dentistry. 2008; 18: 189-196
        • American Academy of Pediatrics Committee on Community Health Services
        Policy statement: Providing care for immigrant, homeless, and migrant children.
        Pediatrics. 2005; 115: 1095-1100
        • Bailleul-Forestier I.
        • Lopes K.
        • Souames M.
        • Azoguy-Levy S.
        • Frelut M.L.
        • Boy-Lefevre M.L.
        Caries experience in a severely obese adolescent population.
        International Journal of Paediatric Dentistry. 2007; 17: 358-363
        • Beltran E.D.
        • Malvitz D.M.
        • Eklund S.A.
        Validaity of two methods for assessing oral health status of populations.
        Journal of Public Health Dentistry. 1997; 57: 206-214
        • Casamassimo P.
        • Holt K.
        Bright futures in practice: Oral health—pocket guide.
        National Maternal and Child Oral Health Resource Center, Washington, DC2004
      1. Centers for Disease Control and Prevention. (2000). CDC growth charts: United States. Retrieved from http://www.cdc.gov/growthcharts/

      2. Centers for Disease Control and Prevention. (2009). Body mass index measurement in schools: BMI executive summary. Retrieved from http://www.cdc.gov/HealthyYouth/obesity/BMI/pdf/BMI_execsumm.pdf

      3. Centers for Disease Control and Prevention. (2011a). Oral health. Preventing cavities, gum disease, tooth loss, and oral cancers. Retrieved from http://www.cdc.gov/chronicdisease/resources/publications/aag/pdf/2011/Oral-Health-AAG-PDF-508.pdf

      4. Centers for Disease Control and Prevention. (2011b). Children’s oral health. Retrieved from http://www.cdc.gov/oralhealth/topics/child.htm

        • Clark M.
        Homeless and oral health.
        National Maternal and Child Oral Health Resource Center, National Center for Education in Maternal and Child Health, Washington, DC1999
      5. DiMarco, M. (2007). Access/utilization of dental care by homeless children (Unpublished doctoral dissertation). Case Western Reserve University, Cleveland, OH.

        • DiMarco M.A.
        • Ludington S.M.
        • Menke E.M.
        Access to and utilization of oral health care by homeless children/families.
        Journal of Health Care for the Poor & Underserved. 2010; 21: 67-81
        • D’Mello G.
        • Chia L.
        • Hamilton S.D.
        • Thomson W.M.
        • Drummon B.K.
        Childhood obesity and dental caries among paediatric dental clinic attenders.
        International Journal of Paediatric Dentistry. 2011; 21: 217-222
      6. Dye, B. A., Tan, S., Smith, V., Lewis, B. G., Barker, L. K., Thornton-Evans, G., … Li, C. H. (2007). Trends in oral health status: United States, 1988–1994 and 1999–2004. Vital Health Statistics 11, Apr(248), 1–92.

        • Gelberg L.
        • Andersen R.M.
        • Leake B.D.
        The behavioral model for vulnerable populations: Application to medical care use and outcomes for homeless people.
        Health Service Research. 2000; 34: 1273-1302
        • Gerdin E.W.
        • Angbratt M.
        • Aronsson K.
        • Eriksson E.
        • Johansson I.
        Dental caries and body mass index by socio-economic status in Swedish children.
        Community Dentistry and Oral Epidemiology. 2008; 36: 459-465
        • Hatton D.
        • Kleffel D.
        • Bennett S.
        • Gaffrey E.
        Homeless women and children’s access to health care: A paradox.
        Journal of Community Health Nursing. 2001; 18: 25-34
        • Hong L.
        • Ahmed A.
        • McCunniff M.
        • Overman P.
        • Mathew M.
        Obesity and dental caries in children age 2-6 years in the United States: National health and nutrition examination survey 1999-2002.
        American Association of Public Health Dentistry. 2008; 68: 227-233
        • Jamelli S.R.
        • Rodrigues C.S.
        • de Lira P.I.
        Nutritional status and prevalence of dental caries among 12-year-old children at public schools: A case-control study.
        Oral Health & Preventive Dentistry. 2010; 8: 77-84
        • Kanellis M.J.
        The impact of poor health on children’s ability to function.
        Journal of Southeastern Social Pediatric Dentistry. 2000; 6: 12-13
        • Kopycka-Kedzierawski T.D.
        • Auinger P.
        • Billings J.R.
        • Weitzman M.
        Caries status and overweight in 2-to 18-year-old US children: Findings from national surveys.
        Community Dentistry and Oral Epidemiology. 2008; 36: 157-167
        • Macek M.
        • Mitola D.
        Exploring the association between overweight and dental caries among US children.
        Pediatric Dental Journal. 2006; 28: 375-380
        • Majewski R.F.
        Dental caries in adolescents associated with caffeinated carbonated beverages.
        Pediatric Dental Journal. 2001; 23: 198-203
        • Marshall T.A.
        • Eichenberger-Gilmore J.M.
        • Broffitt B.A.
        • Warren J.J.
        • Levy S.M.
        Dental caries and childhood obesity: Roles of diet and socioeconomic status.
        Community Dentistry and Oral Epidemiology. 2007; 35: 449-458
        • Marshall T.A.
        • Levy S.M.
        • Broffitt B.
        • Warren J.J.
        • Eichenberger-Gilmore J.M.
        • Burns T.L.
        • Stumbo P.
        Dental caries and beverage consumption in children.
        Pediatrics. 2003; 112: e184-e191
        • Morris R.
        • Strong L.
        The impact of homelessness on the health of families.
        The Journal of School Nursing. 2004; 20: 221-227
        • Moses J.
        • Rangeeth B.N.
        • Gurunathan D.
        Prevalence of dental caries, socio-economic status and treatment needs among 5 to 15 year old school going children of Chidambaram.
        Dentistry. 2011; 5: 146-151
      7. National Association of Pediatric Nurse Practitioners. (2009). HEAT clinical practice guidelines. Retrieved from http://www.napnap.org/ProgramsAndInitiatives/ChildhoodObesity/HEATClinicalPracticeGuideline.aspx

        • Nihiser A.J.
        • Lee S.M.
        • Wechsler H.
        • McKenna M.
        • Odom E.
        • Reinold C.
        • Grummer-Strawn L.
        • et al.
        Body mass index measurement in schools.
        Journal of School Health. 2007; 77: 651-671
        • Ogden C.L.
        • Carroll M.D.
        • Flegal K.M.
        High body mass index for age among U.S. children and adolescents, 2003-2006.
        Journal of the America Medical Association. 2008; 299: 2401-2405
        • Pinto A.
        • Kim S.
        • Wadenya R.
        Is there an association between weight and dental caries among pediatric patients in an urban dental school? A correlation study.
        Journal of Dental Education. 2007; 71: 1435-1440
        • Reifsnider E.
        • Mobley C.
        • Mendez D.
        Childhood obesity and early childhood caries in a WIC population.
        The Journal of Multicultural Nursing & Health. 2004; 10: 24-31
        • Sánchez-Pérez L.
        • Irigoyen M.E.
        • Zepeda M.
        Dental caries, tooth eruption timing and obesity: A longitudinal study in a group of Mexican schoolchildren.
        Acta Odontologica Scandinavica. 2010; 68: 57-64
        • Schelter N.
        The impact of acute pain and chronic pain on child development.
        Journal of Southeastern Society of Pediatric Dentistry. 2000; 6: 16-17
        • Schwarz K.B.
        • Garrett B.
        • Hampsey J.
        • Thompson D.
        High prevalence of overweight and obesity in homeless Baltimore children and their caregivers: A pilot study.
        Medscape General Medicine. 2007; 9: 48
      8. Smiles for Life. (n.d.). State varnish training information. Retrieved from http://www.smilesforlife2.org/default.aspx?tut=555&pagekey=62948&s1=1234767

        • Tramini P.
        • Molinari N.
        • Tentscher M.
        • Demattei C.
        • Schulte A.G.
        Association between caries experience and body mass index in 12-year-old French children.
        Caries Research. 2009; 43: 468-473
        • Vargas C.M.
        • Ronzio C.R.
        Disparities in early childhood caries [Electronic version].
        Biology Medical Central: Oral Health. 2006; 6: S3
        • Vazquez-Nava F.
        • Vazquez-Rodriguez E.M.
        • Saldivar-Gonzalez A.H.
        • Lin-Ochoa D.
        • Martinez-Perales G.M.
        • Joffre-Velazquez V.M.
        Association between obesity and dental caries in a group of preschool children in Mexico.
        Journal of Public Health Dentistry. 2010; 70: 124-130
        • Villalobos-Rodelo J.J.
        • Medina-Solis C.E.
        • Molina-Frechero N.
        • Vallejos-Sanchez A.A.
        • Pontigo-Loyola A.P.
        • Espinoza-Beltran J.
        Dental caries in school children aged 6-12 in years in Navolato, Mexico: Experience, prevalence, severity, and treatment needs.
        Biomedica. 2006; 26: 224-233
        • Weintraub J.A.
        • Ramos-Gomez F.
        • Jue B.
        • Shain S.
        • Hoover C.I.
        • Featherstone J.D.B.
        • Gansky S.A.
        Fluoride varnish efficacy in preventing childhood caries.
        Journal of Dental Research. 2006; 85: 172-176
        • Wright J.D.
        Children in and of the streets. Health, social policy, and the homeless young.
        American Journal of Disabled Child. 1991; 145: 516-519

      Biography

      Sheau-Huey Chiu, Assistant Professor, College of Nursing, University of Akron, Akron, OH.

      Biography

      Marguerite A. DiMarco, Associate Professor, College of Nursing, University of Akron, Akron, OH.

      Biography

      Jessica L. Prokop, PhD Student and Graduate Assistant, College of Nursing, University of Akron, Akron, OH.