Malnutrition-related early childhood exposures and enamel defects in the permanent dentition: A longitudinal study from the Bolivian Amazon
| Autor: | Erin E. Masterson, Daniel A. Enquobahrie, Lloyd Mancl, Philippe P. Hujoel, Esther Conde, Annette L. Fitzpatrick |
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| Rok vydání: | 2017 |
| Předmět: |
Pediatrics
medicine.medical_specialty Anemia Dentistry Biology 03 medical and health sciences 0302 clinical medicine stomatognathic system medicine 030212 general & internal medicine Dental Enamel Hypoplasia Enamel paint business.industry 030206 dentistry Enamel hypoplasia medicine.disease stomatognathic diseases Malnutrition Anthropology visual_art visual_art.visual_art_medium Anatomy Underweight medicine.symptom Stunted growth business Cohort study |
| Zdroj: | American Journal of Physical Anthropology. 164:416-423 |
| ISSN: | 0002-9483 |
| DOI: | 10.1002/ajpa.23283 |
| Popis: | Objectives We investigated the relationship between early childhood malnutrition-related measures and subsequent enamel defects in the permanent dentition. Materials and Methods This cohort study included 349 Amerindian adolescents (10–17 years, 52% male) from the Bolivian Amazon. Exposures included: stunted growth (height-for-age z-scores), underweight (weight-for-age z-scores), anemia (hemoglobin), acute inflammation (C-reactive protein) and parasitic infection (hookworm). We measured the occurrence (no/yes) and extent ( 2/3) of enamel defects. We estimated associations between childhood exposures and enamel defect measures using log-binomial and multinomial logistic regression. Results The prevalence of an enamel defect characterized by an orange peel texture on a large central depression on the labial surface of the central maxillary incisors was 92.3%. During childhood (1–4 years), participants had a high prevalence of stunted growth (75.2%), anemia (56.9%), acute inflammation (39.1%), and hookworm infection (49.6%). We observed associations between childhood height-for-age (OR = 0.65; P = 0.028 for >2/3 extent vs. no EH) and gastrointestinal hookworm infection (OR = 3.43; P = 0.035 for >2/3 extent vs. no defects or |
| Databáze: | OpenAIRE |
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