모유수유와 유아기 우식증과의 관련성: 국민건강보험공단 영유아 구강검진 자료 분석
Association between breastfeeding and early childhood caries: analysis of National Health Insurance Corporation’s oral examination data for infants and toddlers
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Objectives: The aim of this study was to investigate the effect of breastfeeding on the occurrence of early childhood caries in Korean infants and toddlers. Methods: Data on oral examinations of infants and toddlers of the National Health Insurance Service were analyzed. The study subjects were children who participated in both the first, second, and third oral examinations and the first general health examination in 2008-2017 (n=142,185). Based on the responses to the questionnaire, the subjects were classified into breastfeeding, formula feeding, and mixed feeding groups. The participants were monitored for the development of early childhood caries in three sequential oral examinations. Results: Based on the oral examination results conducted at 54-65 months old, the decayed-filled teeth index of the breastfeeding group was the highest (2.03±3.08), followed by the mixed (1.96±3.03) and the formula feeding groups (1.82±2.91). The Cox proportional hazard regression model including all the variables showed that the risk of developing dental caries was significantly lower in the formula (hazard ratio [HR], 0.85) and mixed feeding groups (HR, 0.91) than in the breastfeeding group. Conclusions: Breastfeeding children have a higher risk of early childhood caries; therefore, oral hygiene education and regular dental check-ups are necessary.
Abstract
Objectives: The aim of this study was to investigate the effect of breastfeeding on the occurrence of early childhood caries in Korean infants and toddlers. Methods: Data on oral examinations of infants and toddlers of the National Health Insurance Service were analyzed. The study subjects were children who participated in both the first, second, and third oral examinations and the first general health examination in 2008-2017 (n=142,185). Based on the responses to the questionnaire, the subjects were classified into breastfeeding, formula feeding, and mixed feeding groups. The participants were monitored for the development of early childhood caries in three sequential oral examinations. Results: Based on the oral examination results conducted at 54-65 months old, the decayed-filled teeth index of the breastfeeding group was the highest (2.03±3.08), followed by the mixed (1.96±3.03) and the formula feeding groups (1.82±2.91). The Cox proportional hazard regression model including all the variables showed that the risk of developing dental caries was significantly lower in the formula (hazard ratio [HR], 0.85) and mixed feeding groups (HR, 0.91) than in the breastfeeding group. Conclusions: Breastfeeding children have a higher risk of early childhood caries; therefore, oral hygiene education and regular dental check-ups are necessary.
참고문헌 (26)
- Stefan Listl, "Early Life Conditions, Adverse Life Events, and Chewing Ability at Middle and Later Adulthood", American Journal of Public Health, 104(5), pp.e55~e61 (2014), American Public Health Association[DOI]
- M.S. Pearce, "Lifecourse Socio-economic Mobility and Oral Health in Middle Age", Journal of Dental Research, 88(10), pp.938~941 (2009), SAGE Publications[DOI]
- 이수나, "1차 영유아 구강검진을 경험한 부모의 심층면담", 치위생과학회지, 17(6), pp.543~551 (2017), 한국치위생과학회[DOI]
- Tinanoff N, "Early childhood caries : overview and recent findings", Pediatr Dent, 19(1), pp.12~16 (1997)
- Drury TF, "Diagnosing and reporting early childhood caries for research purposes. A report of a workshop sponsored by the national institute of dental and craniofacial research, the health resources and services administration, and the health care financing administration", J Public Health Dent, 59(3), pp.192~197 (1999)[DOI]
- A Sheiham, "Dental caries affects body weight, growth and quality of life in pre-school children", British Dental Journal, 201(10), pp.625~626 (2006), Springer Science and Business Media LLC[DOI]
- "2018 Korean children’s oral health survey" (2019)[URL]
- 박지혜, "모유수유가 유아기 우식증에 미치는 영향", 한국치위생학회지, 14(4), pp.571~576 (2014), 한국치위생학회[DOI]
- Perera PJ, "Effect of feeding practices on dental caries among preschool children : a hospital based analytical cross sectional study", Asia Pac J Clin Nutr, 23(2), pp.272~277 (2014)[DOI]
- Qadri G, "Early childhood caries and feeding practices in kindergarten children", Quintessence Int, 43(6), pp.503~510 (2012)
- al-Dashti AA, "Breast feeding, bottle feeding and dental caries in Kuwait, a country with low-fluoride levels in the water supply", Community Dent Health, 12(1), pp.42~47 (1995)
- M. Du, "Caries patterns and their relationship to infant feeding and socio-economic status in 2–4-year-old Chinese children", International Dental Journal, 50(6), pp.385~389 (2000), Elsevier BV[DOI]
- Du M, "Caries in preschool children and its risk factors in 2 provinces in China", Quintessence Int, 38(2), pp.143~151 (2007)
- Roberts GJ, "Patterns of breast and bottle feeding and their association with dental caries in 1- to 4-year-old South African children. 2. A case control study of children with nursing caries", Community Dent Health, 11(1), pp.38~41 (1994)
- "Health Examination for Infants and Toddlers" (2020)[URL]
- 안은숙, "영유아 구강검진의 효과: 치과방문횟수 및 치료 비용을 중심으로", 대한구강보건학회지, 41(2), pp.73~79 (2017), 대한예방치과·구강보건학회
- P.J. Moynihan, "Effect on Caries of Restricting Sugars Intake", Journal of Dental Research, 93(1), pp.8~18 (2014), SAGE Publications[DOI]
- Norman Tinanoff, "Early childhood caries epidemiology, aetiology, risk assessment, societal burden, management, education, and policy: Global perspective", International Journal of Paediatric Dentistry, 29(3), pp.238~248 (2019), Wiley[DOI]
- Carlos Alberto Feldens, "Feeding frequency in infancy and dental caries in childhood: a prospective cohort study", International Dental Journal, 68(2), pp.113~121 (2018), Elsevier BV[DOI]
- Du MQ, "Dental caries status and its associated factors among 3-to 5-year-old children in China : a national survey", Chin J Dent Res, 21(3), pp.167~179 (2018)[DOI]
- T. Kato, "Association of breast feeding with early childhood dental caries: Japanese population-based study", BMJ Open, 5(3), pp.e006982~e006982 (2015), BMJ[DOI]
- Peres KG, "Impact of prolonged breastfeeding on dental caries: a population-based birth cohort study", Pediatrics, 140(1), pp.e20162943~ (2017)[DOI]
- British Society of Paediatric Dentistry, "New advice on feeding and weaning babies to reduce tooth decay risk", British Dental Journal, 224(6), pp.399~399 (2018), Springer Science and Business Media LLC[DOI]
- "Long-term effects of breastfeeding" (2013)[URL]
- Cácia SIGNORI, "The role of human milk and sucrose on cariogenicity of microcosm biofilms", Brazilian Oral Research, 32, pp.e109~ (2018), FapUNIFESP (SciELO)[DOI]
- Arokiaraj Stephen, "The Association between Cariogenic Factors and the Occurrence of Early Childhood Caries in Children from Salem District of India", JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, 11(7), pp.ZC63~ZC66 (2017), JCDR Research and Publications[DOI]