Evidence map›Paper›PMID 32847638›Full record

Trial reportPublic health nutrition2021

Ultra-processed foods and early childhood caries in 0-3-year-olds enrolled at Primary Healthcare Centers in Southern Brazil.

Maurício Santos de Souza, Juliana Dos Santos Vaz, Thais Martins-Silva, Rafael Aiello Bomfim, Andreia Morales Cascaes

Erratum issuedOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Public health nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 10% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Evolution of income inequalities in the caries experience of 5-year-old children in Brazil between 2010 and 2023.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2026
    Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Maurício Santos de SouzaSchool of Dentistry, Department of Social and Preventive Dentistry, Federal University of Pelotas, Pelotas, RS, Brazil.
Juliana Dos Santos VazSchool of Nutrition, Department of Nutrition, Federal University of Pelotas, Pelotas, RS, Brazil.
Thais Martins-SilvaSchool of Medicine, Department of Social Medicine, Federal University of Pelotas, Pelotas, RS, Brazil.
Rafael Aiello BomfimSchool of Dentistry, Department of Dentistry and Community Health, Federal University of Mato Grosso do Sul, Campo Grande, MS, Brazil.ORCID 0000-0002-6478-8664
Andreia Morales CascaesDepartment of Public Health, Federal University of Santa Catarina, Florianópolis, SC, Brazil.ORCID 0000-0001-9412-8299
Universidade Federal de Pelotas · BRUniversidade Federal de Mato Grosso do Sul · BRUniversidade Federal de Santa Catarina · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the relationship between ultra-processed food consumption and early childhood caries.

designCross-sectional analysis of baseline data from a cluster randomised controlled study. Outcomes included the prevalence of children with non-cavitated and cavitated caries. The main exposure was the total daily consumption of ultra-processed foods (up to three times and four times or more), assessed through a FFQ. Potential confounders were socio-demographic characteristics of the child and caregiver/family, child breast-feeding, oral hygiene and use of dental services. Poisson regression using robust variance adjustment was used to estimate prevalence ratios (PR) and their respective 95 % CI.

settingPrimary Healthcare Centers in an urban area of Pelotas, Southern Brazil.

participantsChildren aged 0-3 years (n 309).

resultsConsumption of ultra-processed foods four times or more a day was found in 67·6 % of children; 24·4 and 12·0 % presented non-cavitated and cavitated caries, respectively. After adjustment, children who consumed ultra-processed foods four times or more a day were more likely to present both non-cavitated caries (PR 2·25, 95 % CI 1·19, 4·27, P = 0·013) and cavitated caries (PR 3·48, 95 % CI 1·18, 10·30, P = 0·024) compared with those who have consumed them up to three times a day.

conclusionsConsumption of ultra-processed foods is associated with early childhood caries. Interventions aiming at reducing ultra-processed food consumption should be implemented to improve children's oral health.

Indexed as

Dental CariesDental Caries SusceptibilityBrazilChildChild, PreschoolCross-Sectional StudiesFast FoodsFemaleHumansPrimary Health CareChildDental cariesPrimary careUltra-processed foods

Identifiers

PMID32847638
PMCPMC10195266
OpenAlexW3080265906

What OpenQuestion holds

Textmetadata
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.