Evidence map›Paper›PMID 30217185›Full record

ArticleBMC pediatrics2018

Nutritional status, dental caries and tooth eruption in children: a longitudinal study in Cambodia, Indonesia and Lao PDR.

Jed Dimaisip-Nabuab, Denise Duijster, Habib Benzian, Roswitha Heinrich-Weltzien, Amphayvan Homsavath, Bella Monse, Hak Sithan, Nicole Stauf, Sri Susilawati, Katrin Kromeyer-Hauschild

Open access · goldAbstract read
In one paragraph

Article in BMC pediatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 2 pooled it
7.4field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 2 syntheses or guidelines pooled it, 106 citations in OpenAlex.

  1. Pooled it
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  6. Association of asparagine in saliva with a lower risk of early childhood caries in undernourished children: a cross-sectional study.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2025
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  15. Sugar-Sweetened Beverages, Foods of Low Nutritional Value, and Child Undernutrition in Cambodia.International journal of environmental research and public health · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 8 institutions in 6 countries.

Jed Dimaisip-NabuabDeutsche Gesellschaft für Internationale Zusammenarbeit (GIZ), L.P. Leviste corner Rufino Street, Makati City, Metro Manila, Philippines.
Denise DuijsterDepartment of Social Dentistry, Academic Centre for Dentistry Amsterdam, Gustav Mahlerlaan 3004, 1081LA, Amsterdam, The Netherlands. D.Duijster@acta.nl.
Habib BenzianDepartment of Epidemiology and Health Promotion, WHO Collaborating Center for Quality Improvement and Evidence-based Dentistry, College of Dentistry, New York University, 433 First Avenue, New York, NY, 10010, USA.
Roswitha Heinrich-WeltzienDepartment of Preventive Dentistry and Pediatric Dentistry, University Hospital Jena, Friedrich Schiller University Jena, Bachstraße 18, 07743, Jena, Germany.
Amphayvan HomsavathFaculty of Dentistry, University of Health Sciences Ministry of Health, 7444 Mahosot Rd, Vientiane, Lao People's Democratic Republic.
Bella MonseDeutsche Gesellschaft für Internationale Zusammenarbeit (GIZ), L.P. Leviste corner Rufino Street, Makati City, Metro Manila, Philippines.
Hak SithanDepartment of Preventive Medicine, Ministry of Health, 151-153 Kampuchea Krom Avenue, Phnom Penh, Cambodia.
Nicole StaufThe Health Bureau Ltd., Whiteleaf Business Center, 11 Little Balmer, Buckingham, MK18 1TF, UK.
Sri SusilawatiDepartment of Dental Public Health, Faculty of Dentistry, Padjadjaran University, Sekelda Selatan I, Bandung, Indonesia.
Katrin Kromeyer-HauschildInstitute of Human Genetics, University Hospital Jena, Friedrich Schiller University Jena, Am Klinikum 1, 07740, Jena, Germany.
Friedrich Schiller University Jena · DEAcademic Center for Dentistry Amsterdam · NLDeutsche Gesellschaft für Internationale Zusammenarbeit · PHMinistry of Health · KHPadjadjaran University · IDUniversity of Health Science · KHUniversity of the Philippines Manila · PHYork University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUntreated dental caries is reported to affect children's nutritional status and growth, yet evidence on this relationship is conflicting. The aim of this study was to assess the association between dental caries in both the primary and permanent dentition and nutritional status (including underweight, normal weight, overweight and stunting) in children from Cambodia, Indonesia and Lao PDR over a period of 2 years. A second objective was to assess whether nutritional status affects the eruption of permanent teeth.

methodsData were used from the Fit for School - Health Outcome Study: a cohort study with a follow-up period of 2 years, consisting of children from 82 elementary schools in Cambodia, Indonesia and Lao PDR. From each school, a random sample of six to seven-year-old children was selected. Dental caries and odontogenic infections were assessed using the World Health Organization (WHO) criteria and the pufa-index. Weight and height measurements were converted to BMI-for-age and height-for-age z-scores and categorized into weight status and stunting following WHO standardised procedures. Cross-sectional and longitudinal associations were analysed using the Kruskal Wallis test, Mann Whitney U-test and multivariate logistic and linear regression.

resultsData of 1499 children (mean age at baseline = 6.7 years) were analyzed. Levels of dental caries and odontogenic infections in the primary dentition were significantly highest in underweight children, as well as in stunted children, and lowest in overweight children. Dental caries in six to seven-year old children was also significantly associated with increased odds of being underweight and stunted 2 years later. These associations were not consistently found for dental caries and odontogenic infections in the permanent dentition. Underweight and stunting was significantly associated with a lower number of erupted permanent teeth in children at the age of six to seven-years-old and 2 years later.

conclusionsUnderweight and stunted growth are associated with untreated dental caries and a delayed eruption of permanent teeth in children from Cambodia, Indonesia and Lao PDR. Findings suggest that oral health may play an important role in children's growth and general development.

trial registrationThe study was restrospectively registered with the German Clinical Trials Register, University of Freiburg (trial registration number: DRKS00004485 ; date of registration: 26th of February, 2013).

Indexed as

Nutritional StatusTooth EruptionAsia, SoutheasternChildDental CariesDentition, PermanentFemaleHumansLongitudinal StudiesMaleOverweightThinnessTooth, DeciduousChildrenDental cariesGrowthOverweightTooth eruptionUnderweight

Identifiers

PMID30217185
PMCPMC6137874
OpenAlexW2890326482

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.