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Nutrients
Volume 13
Issue 2
10.3390/nu13020290
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Article

Stunting Malnutrition Associated with Severe Tooth Decay in Cambodian Toddlers

by
Eva Peris Renggli
1,*,
Bathsheba Turton
2,
Karen Sokal-Gutierrez
3,
Gabriela Hondru
4,
Tepirou Chher
5,
Sithan Hak
6,
Etienne Poirot
7 and
Arnaud Laillou
8
1
Centre for International Health Protection, Robert Koch Institute, 13353 Berlin, Germany
2
Department of Dentistry, University Puthisistra, 12211 Phnom Penh, Cambodia
3
School of Public Health, University of California, Berkeley, CA 94720, USA
4
UNICEF Cambodia, 12100 Phnom Penh, Cambodia
5
Oral Health Bureau, Department of Preventive Medicine, Ministry of Health, 12211 Phnom Penh, Cambodia
6
Department of Preventive Medicine, Ministry of Health, 12211 Phnom Penh, Cambodia
7
UNICEF Chad, 1146 N’Djamena, Chad
8
UNICEF Ethiopia, 1169, Addis Ababa, Ethiopia
*
Author to whom correspondence should be addressed.
Nutrients 2021, 13(2), 290; https://doi.org/10.3390/nu13020290
Submission received: 9 December 2020 / Revised: 14 January 2021 / Accepted: 15 January 2021 / Published: 20 January 2021
(This article belongs to the Special Issue Nutrition and Human Oral Health)
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Abstract

Background: The persistently high prevalence of undernutrition in Cambodia, in particular stunting or chronic malnutrition, calls for innovative investigation into the risk factors that affect children’s growth during critical phases of development. Methods: Secondary data analysis was performed on a subgroup of children who were present at two time points within the Cambodian Health and Nutrition Monitoring Study (CAHENMS) and who were less than 24 months of age at the nominated baseline. Data consisted of parent interviews on sociodemographic characteristics and feeding practices, and clinical measures for anthropometric measures and dental status. Logistic regression modelling was used to examine the associations between severe dental caries (tooth decay)—as indicated by the Significant Caries Index—and the presence of new cases of stunting malnutrition at follow-up. Results: There were 1595 children who met the inclusion criteria and 1307 (81.9%) were followed after one year. At baseline, 14.4% of the children had severe dental caries, 25.6% presented with stunted growth. 17.6% of the children transitioned from healthy status to a low height-for-age over the observation period. Children with severe dental caries had nearly double the risk (OR = 1.8; CI 1.0–3.0) of making that transition. Conclusion: Severe caries experience was associated with poorer childhood growth and, as such, could be an underinvestigated contributor to stunting.
Keywords: severe caries; tooth decay; dental; early childhood; early childhood caries; malnutrition; undernutrition; stunting; growth and development severe caries; tooth decay; dental; early childhood; early childhood caries; malnutrition; undernutrition; stunting; growth and development

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MDPI and ACS Style

Renggli, E.P.; Turton, B.; Sokal-Gutierrez, K.; Hondru, G.; Chher, T.; Hak, S.; Poirot, E.; Laillou, A. Stunting Malnutrition Associated with Severe Tooth Decay in Cambodian Toddlers. Nutrients 2021, 13, 290. https://doi.org/10.3390/nu13020290

AMA Style

Renggli EP, Turton B, Sokal-Gutierrez K, Hondru G, Chher T, Hak S, Poirot E, Laillou A. Stunting Malnutrition Associated with Severe Tooth Decay in Cambodian Toddlers. Nutrients. 2021; 13(2):290. https://doi.org/10.3390/nu13020290

Chicago/Turabian Style

Renggli, Eva Peris, Bathsheba Turton, Karen Sokal-Gutierrez, Gabriela Hondru, Tepirou Chher, Sithan Hak, Etienne Poirot, and Arnaud Laillou. 2021. "Stunting Malnutrition Associated with Severe Tooth Decay in Cambodian Toddlers" Nutrients 13, no. 2: 290. https://doi.org/10.3390/nu13020290

APA Style

Renggli, E. P., Turton, B., Sokal-Gutierrez, K., Hondru, G., Chher, T., Hak, S., Poirot, E., & Laillou, A. (2021). Stunting Malnutrition Associated with Severe Tooth Decay in Cambodian Toddlers. Nutrients, 13(2), 290. https://doi.org/10.3390/nu13020290

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