Evidence map›Paper›PMID 41259577›Full record

SynthesisBrazilian oral research2025

Sugar consumption and early childhood caries: a systematic review and meta-analysis of cohort studies.

Mariana Silveira Echeverria, Fernanda Burkert Mathias, Helena Silveira Schuch, Maximiliano Sérgio Cenci, Marcos Britto Correa, Marie-Charlotte Huysmans, Flávio Fernando Demarco

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Brazilian oral research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Observational
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.

Mariana Silveira EcheverriaUniversidade Federal de Pelotas - UFPel, Graduate Program in Epidemiology, Pelotas, RS, Brazil.ORCID http://orcid.org/0000-0002-2045-4232
Fernanda Burkert MathiasUniversidade Federal de Pelotas - UFPel, Graduate Program in Epidemiology, Pelotas, RS, Brazil.ORCID http://orcid.org/0000-0002-1617-6727
Helena Silveira SchuchUniversidade Federal de Pelotas - UFPel, Graduate Program in Epidemiology, Pelotas, RS, Brazil.ORCID http://orcid.org/0000-0001-9932-9698
Maximiliano Sérgio CenciRadboud University Medical Center, Department of Dentistry, Nijmegen, The Netherlands.ORCID http://orcid.org/0000-0002-2543-6201
Marcos Britto CorreaUniversidade Federal de Pelotas - UFPel, Graduate Program in Epidemiology, Pelotas, RS, Brazil.ORCID http://orcid.org/0000-0002-1797-3541
Marie-Charlotte HuysmansRadboud University Medical Center, Department of Dentistry, Nijmegen, The Netherlands.ORCID http://orcid.org/0000-0002-3036-7554
Flávio Fernando DemarcoUniversidade Federal de Pelotas - UFPel, Graduate Program in Epidemiology, Pelotas, RS, Brazil.ORCID http://orcid.org/0000-0003-2276-491X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of this systematic literature review and meta-analysis was to answer the following research question: "Is sugar consumption associated with early childhood caries among children under 6 years of age in cohort studies?". The following electronic databases were accessed from December 2020 to May 2025 to identify the existing literature: Bireme, Pubmed/Medline, Scielo, Scopus, and Web of Science. Studies considered eligible for this systematic review were those that investigated sugar consumption as the main exposure and early childhood caries (ECC) as the outcome. Study selection and data extraction were performed independently by two reviewers. Study quality was assessed using the Joanna Briggs Institute (JBI) checklist for cohort studies scale. The search strategy retrieved 718 studies. After title and abstract screening, 59 were selected for full-text review, leading to the inclusion of 17 original studies in this systematic review. Finally, nine studies provided sufficient data for a meta-analysis. The association between sugar consumption and ECC was consistent across most of the cohort studies included in this review, which reported that higher sugar consumption was associated with higher prevalence of dental caries. The pooled effect estimate from the meta-analysis yielded an OR of 1.59 and a 95% CI (1.50-1.68), indicating that children who consumed sugar in early childhood were 59% more likely to develop caries compared to those who did not consume sugar. The included studies had a low risk of bias. Our systematic review and meta-analysis confirmed the association between sugar consumption and ECC in longitudinal cohort studies.

Indexed as

Dental CariesDietary SugarsChild, PreschoolCohort StudiesFemaleHumansInfantMalePrevalenceRisk FactorsDietary Sugars

Identifiers

PMID41259577
PMCPMC12628725

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.