奶瓶喂养超过12个月的睡眠与澳大利亚儿童蛀牙和超重的风险增加有关：来自健康微笑健康儿童队列研究的发现。

IF 2.6 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Australian and New Zealand Journal of Public Health Pub Date : 2025-04-01 DOI:10.1016/j.anzjph.2025.100224

Heilok Cheng , James John , Jane Scott , Elizabeth Denney-Wilson , Loc Do , Sameer Bhole , Louise Baur , Amit Arora

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引用次数: 0

摘要

目的：奶瓶喂养可能通过糖暴露和过度喂养增加儿童早期龋齿（ECC）和超重风险。这项研究调查了24个月和36个月时进食到睡觉与3-4岁时超重之间的关系。方法：参与者为健康微笑健康儿童纵向出生队列中的儿童。分别在24个月和36个月大时用奶瓶喂养。结果为ECC(患病率；3-4岁时受龋齿影响的牙面数目（dmfs）和超重。结果：718名儿童进行了口腔检查，729名儿童进行了人体测量。分别有30.3%和21.7%的孩子在24个月和36个月时用奶瓶喂养入睡。24个月时喂养睡眠与较高的超重几率相关（OR 1.90, 95%CI 1.06-3.38），与较高的龋齿发生率中度相关（dmfs 1.48, 95%CI 1.00-2.20）。36月龄喂养至睡眠与较高的龋齿相关（dmfs 1.88, 95%CI 1.22-2.91）。结论：睡觉前进食与超重的几率和受龋齿影响的牙面数量增加有关。在儿童早期传播适当的睡眠、安定和停止奶瓶的方法可以预防ECC和超重。对公共卫生的影响：解决奶瓶喂养的早期干预措施可以减轻ECC和肥胖的双重负担。

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Bottle feeding to sleep beyond 12 months is associated with higher risk of tooth decay and overweight in Australian children: Findings from the Healthy Smiles Healthy Kids cohort study

Objective

Bottle feeding to sleep may increase early childhood caries (ECC) and overweight risk through sugar exposure and overfeeding. This study examined the association between feeding to sleep at 24 and 36 months on both ECC and overweight at 3-4 years.

Methods

Participants were children in the Healthy Smiles Healthy Kids longitudinal birth cohort. Exposure was bottle feeding to sleep at 24 and 36 months. Outcomes were ECC (prevalence; number of caries-affected tooth surfaces, dmfs) and overweight at 3-4 years.

Results

718 and 729 children had dental examinations and anthropometric measurements, respectively. 30.3% and 21.7% of children were bottle-fed to sleep at 24 and 36 months, respectively. Feeding to sleep at 24 months was associated with higher odds of overweight (OR 1.90, 95%CI 1.06-3.38) and moderately associated with higher caries (dmfs 1.48, 95%CI 1.00-2.20). Feeding to sleep at 36 months was associated with higher caries (dmfs 1.88, 95%CI 1.22-2.91).

Conclusions

Feeding to sleep was associated with higher odds of overweight and higher numbers of caries-affected tooth surfaces. Communicating appropriate sleep, settling and bottle cessation methods throughout early childhood may prevent ECC and overweight.

Implications for Public Health

Early interventions addressing bottle feeding could reduce the dual burden of ECC and obesity.

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来源期刊

Australian and New Zealand Journal of Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.20

自引率

5.70%

发文量

121

审稿时长

6-12 weeks

期刊介绍： The Australian and New Zealand Journal of Public Health (ANZJPH) is concerned with public health issues. The research reported includes formal epidemiological inquiries into the correlates and causes of diseases and health-related behaviour, analyses of public policy affecting health and disease, and detailed studies of the cultures and social structures within which health and illness exist. The Journal is multidisciplinary and aims to publish methodologically sound research from any of the academic disciplines that constitute public health.