ArticlePeerJ2020
Early childhood caries and its associations with sugar consumption, overweight and exclusive breastfeeding in low, middle and high-income countries: an ecological study.
Article in PeerJ, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Addressing Research Gaps in Early Childhood Caries: A Comprehensive Review.Dentistry journal · 2026Review
- Environmental Determinants of Early Childhood Caries: A Narrative Synthesis of Observational Evidence and Implications for Global Policy.Dentistry journal · 2025Article
- Early-life snack and drink consumption patterns among children: findings from a U.S. birth cohort study.BMC oral health · 2025Article
- Article
- Early Childhood Caries-Prevalence, Associated Factors, and Severity: A Hospital-Based Study in Riyadh, Saudi Arabia.Healthcare (Basel, Switzerland) · 2024Article
- Association between early childhood caries and parental education and the link to the sustainable development goal 4: a scoping review.BMC oral health · 2024Article
- Relationship between Nutrition and Development of the Jaws in Children: A Pilot Study.Children (Basel, Switzerland) · 2024Article
- Biofilm accumulation and sucrose rinse modulate calcium and fluoride bioavailability in the saliva of children with early childhood caries.Scientific reports · 2022Article
- Regulations on nutrition in Indonesia and its relation to early childhood caries.Frontiers in public health · 2022Review
- Replication of GWAS significant loci in a sub-Saharan African Cohort with early childhood caries: a pilot study.BMC oral health · 2021Article
- The Burden of Early Childhood Caries in Children under 5 Years Old in the European Union and Associated Risk Factors: An Ecological Study.Nutrients · 2021Article
- Prevalence and Severity of Dental Caries Among Schoolchildren in Libya: A Systematic Review and Meta-Analysis.Journal of International Society of Preventive & Community DentistryReview
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Authors and funding
4 authors.
Funding
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Abstract
aimThis ecological study examined the associations between the prevalence of early childhood caries (ECC), overweight, country's per capita sugar consumption and duration of exclusive breastfeeding.
methodsPer capita consumption of sugar in kilograms, percentage of children exclusively breastfed until 6 months of age, percentage of 0-5-year-old children with overweight status, and percentage of 3-5-year-old children with ECC were compared among low-income countries (LICs), middle-income countries (MICs) and high-income countries (HICs). The association between the prevalence of ECC and the study variables, and the effect modification by income region were assessed using multivariable linear regression models. Regression coefficients, confidence intervals, partial eta squared and
resultsThe per capita sugar consumption in LICs was significantly lower than in MICs (
conclusionThough the quantity of sugar consumption and exclusive breastfeeding may be a significant risk indicator for ECC in MICs, sugar consumption may be more of a risk indicator for ECC in HICs than in LICs, and vice versa for exclusive breastfeeding. Although ECC and overweight are both sugar-related diseases, we found no significant relationship between them.
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