Evidence map›Paper›PMID 31014292›Full record

SynthesisBMC pediatrics2019

Body mass index and dental caries in young people: a systematic review.

Martha Paisi, Elizabeth Kay, Cathy Bennett, Irene Kaimi, Robert Witton, Robert Nelder, Debra Lapthorne

Abstract readSystematic Review
In one paragraph

Synthesis in BMC pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 6 pooled it
–field-weighted citation impact
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

53 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
  2. Obesity/overweight and dental caries experience in children and adolescents: an umbrella review.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 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

7 authors.

Martha PaisiFaculty of Medicine and Dentistry, University of Plymouth, Peninsula Dental School, room C507, Portland Square, Plymouth, Plymouth, Devon, PL4 8AA, UK. martha.paisi@plymouth.ac.uk.ORCID 0000-0001-5718-008X
Elizabeth KayFaculty of Medicine and Dentistry, University of Plymouth, Peninsula Dental School, room C507, Portland Square, Plymouth, Plymouth, Devon, PL4 8AA, UK.
Cathy BennettOffice of Research and Innovation, Royal College of Surgeons in Ireland, Dublin, Ireland.
Irene KaimiSchool of Computing, Electronics and Mathematics, Plymouth University, Plymouth, PL4 8AA, UK.
Robert WittonFaculty of Medicine and Dentistry, University of Plymouth, Peninsula Dental School, room C507, Portland Square, Plymouth, Plymouth, Devon, PL4 8AA, UK.
Robert NelderOffice of the Director of Public Health, Plymouth City Council, Plymouth, PL6 5UF, UK.
Debra LapthornePublic Health England, South West, Follaton House, Plymouth Road, Totnes, Devon, TQ9 5NE, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObesity and caries in young people are issues of public health concern. Even though research into the relationship between the two conditions has been conducted for many years, to date the results remain equivocal. The aim of this paper was to determine the nature of the relationship between Body Mass Index (BMI) and caries in children and adolescents, by conducting a systematic review of the published literature.

methodsA systematic search of studies examining the association between BMI and caries in individuals younger than 18 years old was conducted. The electronic bibliographic databases PubMed, MEDLINE, Embase, CINAHL, CENTRAL and Google Scholar were searched. References of included studies were checked to identify further potential studies. Internal and external validity as well as reporting quality were assessed using the validated Methodological Evaluation of Observational Research checklist. Results were stratified based on the risk of flaws in 14 domains 10 of which were considered major and four minor.

resultsOf the 4208 initially identified studies, 84 papers met the inclusion criteria and were included in the review; conclusions were mainly drawn from 7 studies at lower risk of flaws. Three main types of association between BMI and caries were found: 26 studies showed a positive relationship, 19 showed a negative association, and 43 found no association between the variables of interest. Some studies showed more than one pattern of association. Assessment of confounders was the domain most commonly found to be flawed, followed by sampling and research specific bias. Among the seven studies which were found to be at lower risk of being flawed, five found no association between BMI and caries and two showed a positive association between these two variables.

conclusionsEvidence of an association between BMI and caries was inconsistent. Based on the studies with a low risk lower risk of being flawed, a positive association between the variables of interest was found mainly in older children. In younger children, the evidence was equivocal. Longitudinal studies examining the association between different indicators of obesity and caries over the life course will help shed light in their complex relationship.

Indexed as

Body Mass IndexAdolescentAge DistributionChildChild, PreschoolComorbidityDental CariesFemaleHumansIncidenceMalePediatric ObesityPrognosisRisk AssessmentSex DistributionAdolescentsCariesChildrenObesity

Identifiers

PMID31014292
PMCPMC6480798

What OpenQuestion holds

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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.