Influência de aspectos comportamentais e alimentares na saúde bucal infantil
DOI:
https://doi.org/10.33448/rsd-v10i5.14753Palavras-chave:
Aleitamento; Desmame; Nutrição da Criança; Dieta Cariogênica; Registros de Dieta; Streptococcus mutans.Resumo
O presente estudo teve como objetivo verificar a associação de aspectos microbiológicos, comportamentais e hábitos alimentares que afetam a saúde bucal de pré-escolares. Este é um corte transversal de um estudo longitudinal, com uma amostra de 42 pré-escolares aos 30 meses de idade. Foi realizada visita domiciliar para realização de entrevista sobre aspectos da amamentação, desmame precoce, hábitos de higiene bucal da criança, como frequência e hábitos de escovação, compartilhamento de escovas de dente e utensílios de cozinha e recordatório alimentar 24 horas do pré-escolar. Foi coletado 0,5 ml de saliva do assoalho oral da mãe e do pré-escolar por meio de pipetas descartáveis estéreis para cultura em placa de Petri. Observou-se que houve associação entre desmame precoce (p = 0,046) e uso de mamadeira (p = 0,018) com a presença de cárie; entretanto, não houve associação entre o consumo de alimentos açucarados entre as refeições (p = 0,302). A unidade formadora de colônias (UFC) média / ml de S. mutans encontrada na saliva das mães foi 974421 e a pré-escola foi 135341,9. O polímero extracelular foi encontrado nas UFC das amostras de 61,90% das mães e 09,52% dos pré-escolares. Hábitos alimentares como desmame precoce e uso de mamadeira estiveram associados à presença de cárie. Não houve associação entre aspectos microbiológicos e comportamentais que afetam a saúde bucal e o consumo de alimentos açucarados entre as refeições com a presença de cárie em pré-escolares.
Referências
Arikpo, D., Edet, E. S., Chibuzor, M. T., Odey, F., & Caldwell, D. M. (2018). Educational interventions for improving primary caregiver complementary feeding practices for children aged 24 months and under. The Cochrane database of systematic reviews, 5(5), CD011768. https://doi.org/10.1002/14651858.CD011768.pub2
Arweiler, N. B., & Netuschil, L. (2016). The Oral Microbiota. Advances in experimental medicine and biology, 902, 45–60. https://doi.org/10.1007/978-3-319-31248-4_4
Barone, A., Giannoni, M., Ortu, E., Monaco, A., & Pietropaoli, D. (2018). Short-term and Long-lasting Effects of Hypo-Cariogenic Dietary Advice and Oral Care on Oral Flora: a Randomised Clinical Trial. Oral health & preventive dentistry, 16(4), 315–325. https://doi.org/10.3290/j.ohpd.a40779
Bell, L. K., Jansen, E., Mallan, K., Magarey, A. M., & Daniels, L. (2018). Poor dietary patterns at 1-5 years of age are related to food neophobia and breastfeeding duration but not age of introduction to solids in a relatively advantaged sample. Eating behaviors, 31, 28–34. https://doi.org/10.1016/j.eatbeh.2018.06.005
Bernabé, E., Ballantyne, H., Longbottom, C., & Pitts, N. B. (2020). Early Introduction of Sugar-Sweetened Beverages and Caries Trajectories from Age 12 to 48 Months. Journal of dental research, 99(8), 898–906. https://doi.org/10.1177/0022034520917398.
Bowen, W. H., & Koo, H. (2011). Biology of Streptococcus mutans-derived glucosyltransferases: role in extracellular matrix formation of cariogenic biofilms. Caries research, 45(1), 69–86. https://doi.org/10.1159/000324598
Brazil (2012). Resolution no. 466, of December 12. Approves guidelines and regulatory standards for research involving human beings.
https://bvsms.saude.gov.br/bvs/saudelegis/cns/2013/res0466_12_12_2012.html
Brazil. (2019). Ministry of Health. Secretariat of Primary Health Care. Department of Health Promotion. Food guide for Brazilian children under 2 years old. Brasília: Ministry of Health.
Chomitz, V. R., Park, H. J., Koch-Weser, S., Chui, K., Sun, L., Malone, M. E., et al. (2019). Modifying dietary risk behaviors to prevent obesity and dental caries in very young children: results of the Baby Steps to Health pediatric dental pilot. Journal of Public Health Dentistry, 79, 207–214. https://doi.org/10.1111/jphd.12311
Cinar, A. B., Christensen, L. B., & Hede, B. (2011). Clustering of obesity and dental caries with lifestyle factors among Danish adolescents. Oral health & preventive dentistry, 9(2), 123–130.
Colley, P., Myer, B., Seabrook, J., & Gilliland, J. (2019). The Impact of Canadian School Food Programs on Children's Nutrition and Health: A Systematic Review. Canadian journal of dietetic practice and research : a publication of Dietitians of Canada = Revue canadienne de la pratique et de la recherche en dietetique : une publication des Dietetistes du Canada, 80(2), 79–86. https://doi.org/10.3148/cjdpr-2018-037
Feldens, C. A., Rodrigues, P. H., de Anastácio, G., Vítolo, M. R., & Chaffee, B. W. (2018). Feeding frequency in infancy and dental caries in childhood: a prospective cohort study. International dental journal, 68(2), 113–121. https://doi.org/10.1111/idj.12333
Fidler Mis, N., Braegger, C., Bronsky, J., Campoy, C., Domellöf, M., Embleton, N. D., et al. (2017). Sugar in infants, children and adolescents: a position paper of the European Society for Paediatric Gastroenterology, Hepatology and Nutrition Committee on Nutrition. Journal of Pediatric Gastroenterology and Nutrition, 65, 681–696. https://doi.org/10.1097/MPG.0000000000001733
Franzin, L. C. S., Pereira, L. A. B., Saab, F. J., Santin, G. C., & Freitas, K. M. S. (2020). Factors associated with early weaning in babies seen at a health unit in southern Brazil. Research, Society and Development, 9, e79091110327. https://doi.org/10.33448/rsd-v9i11.10327
Gibson, S., & Williams, S. (1999). Dental caries in pre-school children: associations with social class, toothbrushing habit and consumption of sugars and sugar-containing foods. Further analysis of data from the National Diet and Nutrition Survey of children aged 1.5-4.5 years. Caries Research, 33, 101–113. https://doi.org/10.1159/000016503
Gorgulho, B. M., Pot, G. K., Sarti, F. M., & Marchioni, D. M. (2016). Indices for the assessment of nutritional quality of meals: a systematic review. The British Journal of Nutrition, 115, 2017–2024. https://doi.org/10.1017/S0007114516000994
Holgerson, P. L., Vestman, N. R., Claesson, R., Ohman, C., Domellöf, M., Tanner, A. C., et al. (2013). Oral microbial profile discriminates breast-fed from formula-fed infants. Journal of Pediatric Gastroenterology and Nutrition, 56, 127–136. https://doi.org/10.1097/MPG.0b013e31826f2bc6
Hwang, G., Marsh, G., Gao, L., Waugh, R., & Koo, H. (2015). Binding Force Dynamics of Streptococcus mutans-glucosyltransferase B to Candida albicans. Journal of Dental Research, 94, 1310–1317. https://doi.org/10.1177/0022034515592859
Kassebaum, N. J., Smith, A., Bernabé, E., Fleming, T. D., Reynolds, A. E., Vos, T., et al. (2017). Global, regional, and national prevalence, incidence, and disability-adjusted life years for oral conditions for 195 countries, 1990-2015: a systematic analysis for the global burden of diseases, injuries, and risk factors. Journal of Dental Research, 96, 380–387. https://doi.org/10.1177/0022034517693566
Kolodziejczyk, J. K., Merchant, G., & Norman, G. J. (2012). Reliability and validity of child/adolescent food frequency questionnaires that assess foods and/or food groups. Journal of Pediatric Gastroenterology and Nutrition, 55, 4–13. https://doi.org/10.1097/MPG.0b013e318251550e
Korkalo, L., Vepsäläinen, H., Ray, C., Skaffari, E., Lehto, R., Hauta-Alus, H. H., et al. (2019). Parents' reports of preschoolers' diets: relative validity of a food frequency questionnaire and dietary patterns. Nutrients, 11, 159. https://doi.org/10.3390/nu11010159
Lima, A. T. A., Lima, C. L. S., Barboza, A. A. A., Lima, V. S., Viana, K. K. G., & Lira, S. M. (2020). Influência da introdução precoce de alimentos no desenvolvimento da obesidade infantil: uma revisão da literatura. Research, Society and Development, 9, e56984925. https://doi.org/10.33448/rsd-v9i8.4925
Liu, Y., Zou, J., Shang, R., & Zhou, X. D. (2007). Genotypic diversity of Streptococcus mutans in 3- to 4-year-old Chinese nursery children suggests horizontal transmission. Archives of Oral Biology, 52, 876–881. https://doi.org/10.1016/j.archoralbio.2007.03.004
Marques, V. G. P. S., Silva, M. P. B., Silva, P. I. O., Alves, R. S. S., Jesus, G. L. S., Sousa , A. B., et al. (2020). Breastfeeding: importance and benefits of breastfeeding. Research, Society and Development, 9(10), e2299108405. https://doi.org/10.33448/rsd-v9i10.8405
Marshall, T. A., Broffitt, B., Eichenberger-Gilmore, J., Warren, J. J., Cunningham, M. A., & Levy, S. M. (2005). The roles of meal, snack, and daily total food and beverage exposures on caries experience in young children. Journal of Public Health Dentistry, 65, 166–173. https://doi.org/10.1111/j.1752-7325.2005.tb02807.x
Mattos-Graner, R. O., Li, Y., Caufield, P. W., Duncan, M., & Smith, D. J. (2001). Genotypic diversity of mutans streptococci in Brazilian nursery children suggests horizontal transmission. Journal of Clinical Microbiology, 39, 2313–2316. https://doi.org/10.1128/JCM.39.6.2313-2316.2001
Mohebbi, S. Z., Virtanen, J. I., Vahid-Golpayegani, M., & Vehkalahti, M. M. (2008). Feeding habits as determinants of early childhood caries in a population where prolonged breastfeeding is the norm. Community Dentistry and Oral Epidemiology, 36, 363–369. https://doi.org/10.1111/j.1600-0528.2007.00408.x
Moreno, L. A., Bel-Serrat, S., Santaliestra-Pasías, A. M., & Rodríguez, G. (2013). Obesity prevention in children. World Review of Nutrition and Dietetics, 106, 119–126. https://doi.org/10.1159/000342560
Moynihan, P., Tanner, L. M., Holmes, R. D., Hillier-Brown, F., Mashayekhi, A., Kelly, S., et al. (2019). Systematic review of evidence pertaining to factors that modify risk of early childhood caries. JDR Clinical and Translational Research, 4, 202–216. https://doi.org/10.1177/2380084418824262
Nicksic, N. E., Massie, A. W., Byrd-Williams, C. E., Kelder, S. H., Sharma, S. V., Butte, N. F., et al. (2018). Dietary intake, attitudes toward healthy food, and dental pain in low-income youth. JDR Clinical and Translational Research, 3, 279–287. https://doi.org/10.1177/2380084418774039
Nishide, R., Mizutani, M., Tanimura, S., Kudo, N., Nishii, T., & Hatashita, H. (2018). Homecare protective and risk factors for early childhood caries in Japan. Environmental Health and Preventive Medicine, 23, 57. https://doi.org/10.1186/s12199-018-0746-8
Norlyk, A., Larsen, J. S., & Kronborg, H. (2019). Infants' transition from milk to solid foods - the lived experiences of first-time parents. International Journal of Qualitative Studies on Health and Well-Being, 14, 1693483. https://doi.org/10.1080/17482631.2019.1693483
Paglia, L. (2019). Oral prevention starts with the mother. European Journal of Paediatric Dentistry, 20, 173. https://doi.org/10.23804/ejpd.2019.20.03.01
Rocha, N. B., Garbin, A. J. I., Garbin, C. A. S., & Moimaz, S. A. S. (2010). O ato de amamentar: um estudo qualitativo. Physis: Revista de Saúde Coletiva, 20, 1293-1305. https://doi.org/10.1590/S0103-73312010000400012
Rocha, N. B., Garbin, A. J. I., Garbin, C. A. S., Saliba, O., & Moimaz, S. A. S. (2013). Longitudinal study on the practice of breastfeeding and factors associated with early weaning. Brazilian Research in Pediatric Dentistry and Integrated Clinic, 13, 337-342. https://doi:10.4034/PBOCI.2013.134.06
Sociedade Brasileira de Pediatria. (2012). Guidance manual for feeding infants, preschoolers, schoolchildren, adolescents and at school (3rd ed.). Brazilian Society of Pediatrics.
Sousa, F. L. L., Alves, R. S. S., Leite, A. C., Silva, M. P. B., Veras, C. A., Santos, R. C. A., et al. (2021). Benefits of breastfeeding for women and newborns. Research, Society and Development, 10, e12710211208. https://doi.org/10.33448/rsd-v10i2.11208
Tham, R., Bowatte, G., Dharmage, S. C., Tan, D. J., Lau, M. X., Dai, X., et al. (2015). Breastfeeding and the risk of dental caries: a systematic review and meta-analysis. Acta Paediatrica, 104, 62–84. https://doi.org/10.1111/apa.13118
Tinanoff, N., & Palmer, C. A. (2000). Dietary determinants of dental caries and dietary recommendations for preschool children. Journal of Public Health Dentistry, 60, 197–209. https://doi.org/10.1111/j.1752-7325.2000.tb03328.x
Tully, L., Allen-Walker, V., Spyreli, E., McHugh, S., Woodside, J. V., Kearney, P. M., et al. (2019). Solid advice: complementary feeding experiences among disadvantaged parents in two countries. Maternal & Child Nutrition, 15, e12801. https://doi.org/10.1111/mcn.12801
Verduci, E., Banderali, G., Montanari, C., Berni Canani, R., Cimmino Caserta, L., Corsello, G., et al. (2019). Childhood dietary intake in italy: the epidemiological "MY FOOD DIARY" survey. Nutrients, 11, 1129. https://doi.org/10.3390/nu11051129
Weker, H., Brudnicka, E., Barańska, M., Rowicka, G., Strucińska, M., Więch, M., et al. (2019). Dietary patterns of children aged 1-3 years in Poland in two population studies. Annals of Nutrition & Metabolism, 75, 66–76. https://doi.org/10.1159/000501422
World Health Organization. (2001). The World Health Organization's infant feeding recommendation. World Health Organization.
World Health Organization. (2015). New evidence cuts ideal sugar consumption in half. World Health Organization.
Downloads
Publicado
Como Citar
Edição
Seção
Licença
Copyright (c) 2021 Gleice Tibauje Vicente Ramirez; Ana Cláudia Okamoto; Tânia Adas Saliba; Suzely Adas Saliba Moimaz
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Autores que publicam nesta revista concordam com os seguintes termos:
1) Autores mantém os direitos autorais e concedem à revista o direito de primeira publicação, com o trabalho simultaneamente licenciado sob a Licença Creative Commons Attribution que permite o compartilhamento do trabalho com reconhecimento da autoria e publicação inicial nesta revista.
2) Autores têm autorização para assumir contratos adicionais separadamente, para distribuição não-exclusiva da versão do trabalho publicada nesta revista (ex.: publicar em repositório institucional ou como capítulo de livro), com reconhecimento de autoria e publicação inicial nesta revista.
3) Autores têm permissão e são estimulados a publicar e distribuir seu trabalho online (ex.: em repositórios institucionais ou na sua página pessoal) a qualquer ponto antes ou durante o processo editorial, já que isso pode gerar alterações produtivas, bem como aumentar o impacto e a citação do trabalho publicado.