Evaluation of the Impact of Mothers' Attitudes Towards Healthy Eating on their Children's Dietary Habits and Oral Health

Year 2024, , 1056 - 1065, 29.12.2024

Ayça Kurt , Fatma Yanık Şılbır , İrem Okumuş

https://doi.org/10.33808/clinexphealthsci.1489637

Abstract

Objective: This study aims to determine the effects of mothers' attitudes towards healthy eating on children's dietary behaviour and oral health.
Methods: A total of 328 children and mothers, including 180 girls and 148 boys aged between 3-10 years, were included in the study. After recording socio-demographic data of mothers and their children, Attitude Scale for Healthy Nutrition (ASHN) was administered to mothers, and Children's Heart Health Promotion Attitude Scale (CCHAS) was administered to children face-to-face. Intraoral examinations of children were performed, and Decay, Missing, Filling, Teeth (DMFT, dmft), Plaque Index (PI), Gingival Index (GI), and Bleeding on Probing Index (BPI) were calculated. The effects of all parameters on verbal indexes were evaluated using hierarchical linear regression analysis for statistical analysis.
Results: The mean DMFT score of children was found to be 0-2, and the mean dmft score was 7-6. The mean PI, GI, and BPI scores were 1-1.20, 0.60-0.70, and 10 respectively. The mean Attitude Scale for Healthy Nutrition score of mothers in the study was 71-70, and the average score for Nutrition Knowledge was 21-20 respectively. There was a positive significant relationship between mothers' ASHN and CCHAS.
Conclusion: Based on this study's results, we can conclude that mothers' positive attitudes towards nutrition contribute to the development of their children's positive dietary attitudes. ASHN of the mother is a risk determinant for the child's DMFT score. Therefore, it can be said that proving healthy eating behaviour by mothers is important for their children's oral health.

Keywords

Oral health, mother, dietary behaviour, child

Ethical Statement

This study was approved by Ethics Committee of Recep Tayyip Erdoğan University, Noninvasive Clinic Ethics Committee (Approval date:16.03.2023; Number: 2023/80)

Supporting Institution

The authors received no financial support for the research

References

• Barr RD, Stevens MC. The influence of nutrition on clinical outcomes in children with cancer. Pediatric Blood & Cancer 2020;67:e28117. DOI: 10.1002/pbc.28117
• Savage JS, Fisher JO, Birch LL. Parental influence on eating behavior: Conception to adolescence. The Journal of Law, Medicine & Ethics 2007;35(1):22-34. DOI:10.1111/j.1748-720X.2007.00111.x
• Zyśk B, Stefańska E, Ostrowska L. Effect of dietary components and nutritional status on the development of pre-school children. Rocz Panstw Zakl Hig. 2020;71(4):393-403. DOI: 10.32394/rpzh.2020.0133
• Marcinek K, Wójciak RW, Krejpcio Z. Assessment of the nutritional value daily food rations of children aged 1-4 years. Rocz Panstw Zakl Hig. 2016;67(2):169-177.
• Kumaraguru N, Mantegazza C, Köglmeier J. A survey of oral and dental health in children on home parenteral nutrition. Eur J Paediatr Dent. 2016;17(1):57-59.
• Kowash MB. Severity of early childhood caries in preschool children attending Al-Ain Dental Centre, United Arab Emirates. Eur Arch Paediatr Dent. 2015;16(4):319-324. DOI: 10.1007/s40368-014-0164-6
• Wardle J, Sanderson S, Guthrie CA, Rapoport L, Plomin R. Parental feeding style and the inter‐generational transmission of obesity risk. Obesity Research 2002;10(6):453-462. DOI: 10.1038/oby.2002.63
• Grey K, Gonzales GB, Abera M, Lelijveld N, Thompson D, Berhane M, Abdissa A, Girma T, Kerac M. Severe malnutrition or famine exposure in childhood and cardiometabolic non-communicable disease later in life: A systematic review. BMJ Global Health 2021;6(3):e003161. DOI: 10.1136/bmjgh-2020-003161
• Lo EC, Schwarz E, Wong MC. Arresting dentine caries in Chinese preschool children. Int J Paediatr Dent. 1998;8(4):253-260. DOI: 10.1046/j.1365-263x.1998.00094.x
• Hujoel PP, Lingström P. Nutrition, dental caries and periodontal disease: A narrative review. Journal of Clinical Periodontology 2017;44:S79-S84. DOI: 10.1111/jcpe.12672
• Shah T, Sugumaran S, Mehta A. The relationship between insulin-dependent Diabetes Mellitus (Type 1 Diabetes) and dental caries: A meta-analysis. J Endod Restor Dent. 2023;2(1):1-7. DOI:10.5281/zenodo.10701672
• Farooq I, Bugshan A. The role of salivary contents and modern technologies in the remineralization of dental enamel: A narrative review. F1000Res. 2020;9:171. DOI: 10.12688/f1000research.22499.3
• Mobley CC. Nutrition and dental caries. Dental Clinics 2003;47(2):319-336. DOI: 10.1016/s0011-8532(02)00102-7
• Dawes C. What is the critical pH and why does a tooth dissolve in acid? Journal Canadian Dental Association 2003;69(11):722-725.
• Ilie O, van Loosdrecht MCM, Picioreanu C. Mathematical modelling of tooth demineralisation and pH profiles in dental plaque. Journal of Theoretical Biology 2012;309:159-175. DOI: 10.1016/j.jtbi.2012.05.024
• Rhee K. Childhood overweight and the relationship between parent behaviors, parenting style, and family functioning. The Annals of the American Academy of Political and Social Science 2008;615(1):11-37. DOI: 10.1177/0002716207308400
• Scaglioni S, Arrizza C, Vecchi F, Tedeschi S. Determinants of children’s eating behavior. The American Journal of Clinical Nutrition 2011;94:S2006-S2011. DOI: 10.3945/ajcn.110.001685
• Mahan LK. Krause's Food & the Nutrition Care Process-E-Book: Krause's Food & the Nutrition Care Process-E-Book: Elsevier Health Sciences; 2016.
• Arora A, Chew L, Kang K, Tang L, Estai M, Thepsourinthone J, Chandio N, Parmar J, Doyizode AM, Jain KV, Sameer B. Diet, nutrition, and oral health: What influences mother’s decisions on what to feed their young children? International Journal of Environmental Research and Public Health 2021;18(15):8159. DOI: 10.3390/ijerph18158159
• Birch L, Savage JS, Ventura A. Influences on the development of children's eating behaviours: from infancy to adolescence. Canadian journal of dietetic practice and research: A publication of Dietitians of Canada 2007;68(1):s1.
• Fışkın G, Ölçer Z. Annelerin beslenme davranışları ve çocuklarının beslenme sürecine yönelik tutumları arasındaki ilişki. Online Turkish Journal of Health Sciences 2022;7(1):53-61 DOI: 10.26453/otjhs.1010231 DOI: 10.26453/otjhs.1010231(Turkish).
• Aydın G, Akay D, İbiş E. 3-7 yaş çocuğa sahip annelerin beslenmeyle ilgili davranışlarının incelenmesi. Trakya Üniversitesi Eğitim Fakültesi Dergisi 2017;7(2):683-700. (Turkish).
• Demir GT, Cicioğlu Hİ. Sağlıklı beslenmeye ilişkin tutum ölçeği (SBİTÖ): Geçerlik ve güvenirlik çalışması. Gaziantep Üniversitesi Spor Bilimleri Dergisi 2019;4(2):256-274. https://doi.org/10.31680/gaunjss.559462 (Turkish).
• Haney MÖ, Bahar Z. Çocuk kalp sağlığını geliştirme tutum ölçeği'nin geçerlik ve güvenirliği. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi 2014;7(2):92-97. (Turkish).
• Arvidson CR. Children's cardiovascular health promotion attitude scale: An instrument development: Texas Woman's University; 1990.
• Organization WHO. Oral health surveys: Basic methods: World Health Organization; 2013.
• Doğan M, Şahiner ÜM, Ataç AS, Ballıkaya E, Soyer ÖU, Şekerel BE. Oral health status of asthmatic children using inhaled corticosteroids. The Turkish Journal of Pediatrics 2021;63(1):77-85. DOI: 10.24953/turkjped.2021.01.009.
• Löe H. The gingival index, the plaque index and the retention index systems. The Journal of Periodontology 1967;38(6):610-616. DOI: 10.1902/jop.1967.38.6.610
• Ainamo J, Bay I. Problems and proposals for recording gingivitis and plaque. International Dental Journal 1975;25(4):229-235.
• Duruk G, Gümüşboğa ZŞ. Parents' Ability to distinguish between primary and permanent teeth. Journal of Dentistry for Children 2020;87(3):159-165.
• Ismail AI, Sohn W, Lim S, Willem JM. Predictors of dental caries progression in primary teeth. J Dent Res. 2009;88(3):270-275. DOI: 10.1177/0022034508331011
• Du M, Bian Z, Guo L, Holt R, Champion J, Bedi R. Caries patterns and their relationship to infant feeding and socio-economic status in 2-4-year-old Chinese children. Int Dent J. 2000;50(6):385-389. DOI: 10.1111/j.1875-595x.2000.tb00573.x
• Zhou N, Ding H, Liu J, Chen J, Zhang S, Chu CH. Dental Caries Status among Yi Preschool Children in Yunnan Province, China: A Cross-Sectional Study. Int J Environ Res Public Health. 2021;18(16):8393. DOI: 10.3390/ijerph18168393
• Lin PY, Lee YC, Hsu LY, Chang HJ, Chi LY. Association between sugary drinks consumption and dental caries incidence among Taiwanese schoolchildren with mixed dentition. Community Dent Oral Epidemiol. 2022;50(5):384-390. DOI: 10.1111/cdoe.12683
• Smith R, Badner VM, Morse DE, Freeman K. Maternal risk indicators for childhood caries in an inner city population. Community Dentistry and Oral Epidemiology 2002;30(3):176-181. DOI: 10.1034/j.1600-0528.2002.300303.x
• Yousaf M, Aslam T, Saeed S, Sarfraz A, Sarfraz Z, Cherrez-Ojeda I. Individual, family, and socioeconomic contributors to dental caries in children from low- and middle-income countries. Int J Environ Res Public Health. 2022;19(12): 7114. DOI: 10.3390/ijerph19127114
• Abbass MMS, Mahmoud SA, El Moshy S, Rady D, AbuBakr N, Radwan IA, Ahmed A, Abddou A, Al-Jawaldeh A. The prevalence of dental caries among Egyptian children and adolescences and its association with age, socioeconomic status, dietary habits and other risk factors: A cross-sectional study. F1000Res. 2019;8:8. DOI: 10.12688/f1000research.17047.1
• Migale D, Barbato E, Bossu M, Ferro R, Ottolenghi L. Oral health and malocclusion in 10-to-11 years-old children in Southern Italy. European Journal of Paediatric Dentistry 2009;10(1):13.
• Saraiva MC, Bettiol H, Barbieri MA, Silva AA. Are intrauterine growth restriction and preterm birth associated with dental caries? Community Dent Oral Epidemiol. 2007;35(5):364-376. DOI: 10.1111/j.1600-0528.2006.00345.x
• Fraiz FC, Walter LR. Study of the factors associated with dental caries in children who receive early dental care. Pesqui Odontol Bras. 2001;15(3):201-207. DOI: 10.1590/s1517-74912001000300005
• Hallett KB, O'Rourke PK. Pattern and severity of early childhood caries. Community Dentistry and Oral Epidemiology 2006;34(1):25-35. DOI: 10.1111/j.1600-0528.2006.00246.x
• Alghamdi SA, Aljohar A, Almulhim B, Alassaf A, Bhardwaj SS, Thomas JT, Almalki A, Aljuaid AO, Mallineni SK. Correlation between BMI and oral health status (DMFT, PI, mSBI, and salivary 1, 5-AG) among the pediatric population in Saudi Arabia: A clinico-biochemical study. Children 2022;9(7):1017. DOI: 10.3390/children9071017
• Nicolau B, Castonguay G, Madathil S, Vuong T, Almeida TDD. Periodontal diseases and traumatic dental injuries in the pediatric population. Pediatric Clinics 2018;65(5):1051-1061. DOI: 10.1016/j.pcl.2018.05.010
• Bozorgmehr E, Hajizamani A, Malek Mohammadi T. Oral health behavior of parents as a predictor of oral health status of their children. International Scholarly Research Notices 2013;8:741783. DOI: 10.1155/2013/741783
• Farah H, Ghandour I. Periodontal health status of 12-year-old Sudanese schoolchildren and educational level of parents in Khartoum province. Odonto-stomatologie tropicale= Tropical Dental Journal 2009;32(127):25-33.
• Akçakoca A, Meşeli ÖÜSE, Yıldırım ÖÜHS, Mungan DNC, Akyüz S, Kuru L. Çocuklarda beslenme ve ağız bakım alışkanlıkları ile etkileyen faktörlerin değerlendirilmesi. 7tepe Klinik Dergisi 2021;17(1):54-61. DOI: 10.5505/yeditepe.2021.48403 (Turkish).
• Mahmood L, Flores-Barrantes P, Moreno LA, Manios Y, Gonzalez-Gil EM. The influence of parental dietary behaviors and practices on children’s eating habits. Nutrients 2021;13(4):1138. DOI: 10.3390/nu13041138.
• Ansari G, Jain S, Bhatia N. Association of maternal dietary diversity and nutritional status with child’s dietary diversity and nutritional status (2-5 years) in India. World Nutrition 2020;11(1):110-128. DOI: 10.26596/wn.2020111110-128
• Beckerman JP, Slade E, Ventura AK. Maternal diet during lactation and breast-feeding practices have synergistic association with child diet at 6 years. Public Health Nutrition 2020;23(2):286-294. DOI: 10.1017/S1368980019001782
• Ramos M, Stein LM. Development children’s eating behavior. J Pediatr (Rio J). 2000;76(Supl 3):229-237. DOI: 10.2223/jped.160