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Secular trends 2013–2017 in overweight and visible dental decay in New Zealand preschool children: influence of ethnicity, deprivation and the Under-5-Energize nutrition and physical activity programme

Published online by Cambridge University Press:  31 October 2018

Elaine Rush*
Affiliation:
1Centre for Child Health Research, Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland 0640, New Zealand
Madeline Kirk
Affiliation:
Sport Waikato, Hamilton 3200, New Zealand
Priya Parmar
Affiliation:
Department of Biostatistics and Epidemiology, Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland 0640, New Zealand
Leanne Young
Affiliation:
1Centre for Child Health Research, Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland 0640, New Zealand
Vladimir Obolonkin
Affiliation:
1Centre for Child Health Research, Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland 0640, New Zealand
*
Address for correspondence: Elaine Rush, Centre for Child Health Research, Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland 0640, New Zealand. E-mail: [email protected]

Abstract

Early-life intervention to reduce obesity and poor dental health through early-life nutrition will improve health outcomes in later life. This study examined the prevalence of overweight and obesity and visual dental decay in 4-year old children in New Zealand between 2013 and 2017, and the impact of a nutrition and physical activity intervention programme, Under-5-Energize (U5E), on prevalence of these conditions within ethnic groups and by deprivation. The data set included 277,963 4-year-old children, including 25,140 from the Waikato region children of whom 8067 attended one of the 121 early childhood centres (ECC) receiving the U5E programme from 2014. Purposively the U5E-ECC selected were attended by higher proportions of indigenous Māori children and children living in higher deprivation areas than non-U5E-ECC. From 2013 to 2017, the overall prevalence of obesity, as defined by World Health Organisation criteria, declined slightly but rates of dental decay did not change. In the Waikato region, the prevalence of obesity declined in non-Māori children from 2015 to 2017 and children attending U5E-ECC had lower rates of dental decay than non-U5E children. Binary logistic regression showed that between 2015 and 2017 visible dental decay was more likely in children who were Māori (3.06×3.17), living in high deprivation (1.54×1.66) and male (1.10) but less likely if attending an U5E-ECC (0.83×0.79). Early-life intervention had efficacy at reducing dental decay, and demonstrated that the origins of disparities in health such as ethnicity and deprivation need to be addressed further to break the intergenerational cycles of poor health.

Type
Original Article
Copyright
© Cambridge University Press and the International Society for Developmental Origins of Health and Disease 2018 

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References

1. Heindel, JJ, Balbus, J, Birnbaum, L, et al. Developmental origins of health and disease: integrating environmental influences. Endocrinology. 2015; 156, 34163421.CrossRefGoogle ScholarPubMed
2. Wang, Y, Cai, L, Wu, Y, et al. What childhood obesity prevention programmes work? A systematic review and meta-analysis. Obes Rev. 2015; 16, 547565.CrossRefGoogle Scholar
3. Gluckman, P, Nishtar, S, Armstrong, T. Ending childhood obesity: a multidimensional challenge. Lancet. 2015; 385, 10481050.CrossRefGoogle ScholarPubMed
4. Nishtar, S, Gluckman, P, Armstrong, T. Ending childhood obesity: a time for action. Lancet. 2016; 387, 825827.CrossRefGoogle Scholar
5. World Health Organization. Report of the commission on ending childhood obesity. World Health Organization: Geneva, 2016, p. 68.Google Scholar
6. World Health Organization. Guideline: sugars intake for adults and children. 2015. World Health Organization: Geneva.Google Scholar
7. Ministry of Health. Childhood obesity plan. 2015. Retrieved April 2018 from https://www.health.govt.nz/our-work/diseases-and-conditions/obesity/childhood-obesity-planGoogle Scholar
8. Thornley, S, Marshall, RJ, Bach, K, et al. Sugar, dental caries and the incidence of acute rheumatic fever: a cohort study of Maori and Pacific children. J Epidemiol Community Health. 2017; 71, 364370.CrossRefGoogle ScholarPubMed
9. Ministry of Health. Regional Data Explorer 2014–17: New Zealand Health Survey [Data File]. 2018. Retrieved May 2018 from https://minhealthnz.shinyapps.io/nz-health-survey-2014-17-regional-updateGoogle Scholar
10. Ministry of Health. Annual Data Explorer 2016/17: New Zealand Health Survey [Data File] 2017. Retrieved May 2018 from https://minhealthnz.shinyapps.io/nz-health-survey-2016-17-annual-updateGoogle Scholar
11. Rush, E, Cairncross, C, Williams, MH, et al. Project Energize: intervention development and 10 years of progress in preventing childhood obesity. BMC Res Notes. 2016; 9, 44.CrossRefGoogle ScholarPubMed
12. Rush, E, Obolonkin, V, Young, L, Kirk, M, Tseng, M. Under 5 Energize: Tracking progress of a preschool nutrition and physical activity programme with regional measures of body size and dental health at age of four years. Nutrients. 2017; 9, 456.CrossRefGoogle ScholarPubMed
13. Ministry of Health. B4 school check information for the health sector. 2015. Retrieved July 2018 from http://www.health.govt.nz/our-work/life-stages/child-health/b4-school-check/b4-school-check-information-health-sectorGoogle Scholar
14. World Health Organisation. WHO Child Growth Standards: length/height -for-age, weight-for-length, weight-for-height and body mass index-for-age: Methods and development World Health Organisation: Geneva, 2006.Google Scholar
15. Statistics New Zealand. IDI Data Dictionary: B4 School Check data. 2017. Retrieved May 2018 from http://archive.stats.govt.nz/browse_for_stats/snapshots-of-nz/integrated-data-infrastructure/idi-data/b4-school-check-data.aspxGoogle Scholar
16. Atkinson, J, Salmond, C, Crampton, P. NZDep2013 index of deprivation. 2014. Retrieved May 2018 from https://www.otago.ac.nz/wellington/otago069936.pdfGoogle Scholar
17. R Development Core Team. R: A language and environment for statistical computing. 2010. www.R-project.orgGoogle Scholar
18. Shackleton, N, Milne, BJ, Audas, R, et al. Improving rates of overweight, obesity and extreme obesity in New Zealand 4-year-old children in 2010-2016. Pediatr Obes. 2017; doi:10.1111/ijpo.12260.Google ScholarPubMed
19. Sheller, B, Churchill, SS, Williams, BJ, Davidson, B. Body mass index of children with severe early childhood caries. Pediatr Dent. 2009; 31, 216221.Google ScholarPubMed
20. Vazquez-Nava, F, Vazquez-Rodriguez, EM, Saldivar-Gonzalez, AH, Lin-Ochoa, D, Martinez-Perales, GM, Joffre-Velazquez, VM. Association between obesity and dental caries in a group of preschool children in Mexico. J Public Health Dent. 2010; 70, 124130.Google Scholar
21. Hayden, C, Bowler, JO, Chambers, S, et al. Obesity and dental caries in children: a systematic review and meta-analysis. Community Dent Oral Epidemiol. 2013; 41, 289308.CrossRefGoogle ScholarPubMed
22. Hanson, M, Gluckman, P. Developmental origins of noncommunicable disease: population and public health implications. Am J Clin Nutr. 2011; 94, 1754S1758S.CrossRefGoogle ScholarPubMed
23. Lynch, RJ. The primary and mixed dentition, post-eruptive enamel maturation and dental caries: a review. Int Dent J. 2013; 63(Suppl 2), 313.CrossRefGoogle ScholarPubMed
24. Tzioumis, E, Adair, LS. Childhood dual burden of under- and overnutrition in low- and middle-income countries: a critical review. Food Nutr Bull. 2014; 35, 230243.CrossRefGoogle ScholarPubMed
25. Li, LW, Wong, HM, Sun, L, Wen, YF, McGrath, CP. Anthropometric measurements and periodontal diseases in children and adolescents: a systematic review and meta-analysis. Adv Nutr. 2015; 6, 828841.CrossRefGoogle ScholarPubMed
26. Hu, FB. Resolved: there is sufficient scientific evidence that decreasing sugar-sweetened beverage consumption will reduce the prevalence of obesity and obesity-related diseases. Obes Rev. 2013; 14, 606619.CrossRefGoogle ScholarPubMed
27. Food and Agriculture Organisation of the United Nations. Food-based dietary guidelines. 2018. Retrieved April 2018 from http://www.fao.org/nutrition/nutrition-education/food-dietary-guidelines/en/Google Scholar
28. Moynihan, PJ, Kelly, SA. Effect on caries of restricting sugars intake: systematic review to inform WHO guidelines. J Dent Res. 2014; 93, 818.CrossRefGoogle ScholarPubMed
29. Moynihan, P, Makino, Y, Petersen, PE, Ogawa, H. Implications of WHO guideline on sugars for dental health professionals. Community Dent Oral Epidemiol. 2018; 46, 17.CrossRefGoogle ScholarPubMed
30. Gerdin, EW, Angbratt, M, Aronsson, K, Eriksson, E, Johansson, I. Dental caries and body mass index by socio-economic status in Swedish children. Community Dent Oral Epidemiol. 2008; 36, 459465.CrossRefGoogle ScholarPubMed
31. Sheiham, A, Watt, RG. The common risk factor approach: a rational basis for promoting oral health. Community Dent Oral Epidemiol. 2000; 28, 399406.CrossRefGoogle ScholarPubMed
32. Diderichsen, F, Andersen, I, Manuel, C, Working Group of Danish Review on Social Determinants of H, Andersen, AM, Bach, E, et al. Health inequality—determinants and policies. Scand J Public Health. 2012; 40, 12105.CrossRefGoogle Scholar
33. Becares, L, Cormack, D, Harris, R. Ethnic density and area deprivation: neighbourhood effects on Maori health and racial discrimination in Aotearoa/New Zealand. Soc Sci Med. 2013; 88, 7682.CrossRefGoogle ScholarPubMed
34. Rush, EC, Scragg, R, Schaaf, D, Juranovich, G, Plank, LD. Indices of fatness and relationships with age, ethnicity and lipids in New Zealand European, Maori and Pacific children. Eur J Clin Nutr. 2009; 63, 627633.CrossRefGoogle ScholarPubMed
36. Hawkes, C, Jewell, J, Allen, K. A food policy package for healthy diets and the prevention of obesity and diet-related non-communicable diseases: the NOURISHING framework. Obes Rev. 2013; 14(Suppl 2), 159168.CrossRefGoogle ScholarPubMed