Parental Feeding Styles, Sugary Drinks Intake, and Early Childhood Caries in Egyptian Children: A Mediation Analysis.

IF 2.3 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

International journal of paediatric dentistry Pub Date : 2025-06-04 DOI:10.1111/ipd.13324

Aya Taha, Wafaa Essam, Maha El Tantawi

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引用次数: 0

Abstract

Background: Early childhood caries (ECC) is associated with unhealthy eating.

Aim: To assess the relationship of parental feeding styles (PFS) with ECC and the mediating effect of sugary drinks.

Design: A cross-sectional study was conducted at a hospital in Egypt (2022-2023) including 2-6-year-old children. Clinical examination assessed ECC and plaque. Children's feeding habits were assessed by the PFS questionnaire. The World Health Organization Child Questionnaire assessed children's oral hygiene practices. A standardized questionnaire assessed the frequency and quantity of daily sugary drinks. Negative binomial regression assessed the relation between dmfs, PFS, and sugary drinks, controlling for confounders. PROCESS macro was used to assess mediation by sugary drinks.

Results: The study included 412 children. Most children (80.8%) had ECC and consumed sugary drinks daily (84.2%). There were significantly higher odds of dmfs with instrumental feeding (AOR = 2.35, 95% CI: 1.82, 3.03) and lower odds with encouragement-to-eat (AOR = 0.62, 95% CI: 0.50, 0.77). Sugary drinks significantly mediated the relationship of control-over-feeding and emotional feeding with ECC.

Conclusion: ECC was significantly associated with encouragement-to-eat and instrumental feeding. Sugary drinks significantly mediated the association with emotional feeding and control-over-feeding. Identifying PFS helps children at risk through preventive and health education programs.

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父母的喂养方式，含糖饮料的摄入量，和早期儿童龋齿在埃及：中介分析。

背景：儿童早期龋齿（ECC）与不健康饮食有关。目的：探讨亲代喂养方式与幼崽ECC的关系及含糖饮料的中介作用。设计：在埃及的一家医院进行横断面研究（2022-2023），包括2-6岁的儿童。临床检查评估ECC和斑块。采用PFS问卷对儿童的喂养习惯进行评估。世界卫生组织儿童调查表评估了儿童的口腔卫生习惯。一份标准化的调查问卷评估了每天饮用含糖饮料的频率和数量。负二项回归评估dmfs、PFS和含糖饮料之间的关系，控制混杂因素。PROCESS宏用于评估含糖饮料的中介作用。结果：纳入412名儿童。大多数儿童（80.8%）患有ECC，每天饮用含糖饮料（84.2%）。辅助喂食组dmfs发生率显著增高（AOR = 2.35, 95% CI: 1.82, 3.03），鼓励进食组dmfs发生率显著降低（AOR = 0.62, 95% CI: 0.50, 0.77）。含糖饮料显著调节了控制性过度喂养和情绪性喂养与ECC之间的关系。结论：ECC与进食鼓励和辅助喂养有显著相关性。含糖饮料显著调节了情绪性进食和控制性过度进食的关联。识别PFS可以通过预防和健康教育项目帮助处于危险中的儿童。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International journal of paediatric dentistry 医学-小儿科

CiteScore

5.50

自引率

2.60%

发文量

审稿时长

6-12 weeks

期刊介绍： The International Journal of Paediatric Dentistry was formed in 1991 by the merger of the Journals of the International Association of Paediatric Dentistry and the British Society of Paediatric Dentistry and is published bi-monthly. It has true international scope and aims to promote the highest standard of education, practice and research in paediatric dentistry world-wide. International Journal of Paediatric Dentistry publishes papers on all aspects of paediatric dentistry including: growth and development, behaviour management, diagnosis, prevention, restorative treatment and issue relating to medically compromised children or those with disabilities. This peer-reviewed journal features scientific articles, reviews, case reports, clinical techniques, short communications and abstracts of current paediatric dental research. Analytical studies with a scientific novelty value are preferred to descriptive studies. Case reports illustrating unusual conditions and clinically relevant observations are acceptable but must be of sufficiently high quality to be considered for publication; particularly the illustrative material must be of the highest quality.