Exploring the risk factors for early‐life sugar consumption: A birth cohort study

Background Sugar consumption in early childhood is the primary cause of negative health outcomes, including early childhood caries. Aim To investigate risk factors associated with early‐life sugar consumption. Design Explanatory variables were collected at baseline of a birth cohort in Porto Alegre,...

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Published in:International journal of paediatric dentistry 2021-03, Vol.31 (2), p.223-230
Main Authors: Feldens, Carlos Alberto, Vítolo, Márcia Regina, Maciel, Renata Rocha, Baratto, Paola Seffrin, Rodrigues, Priscila Humbert, Kramer, Paulo Floriani
Format: Article
Language:English
Subjects:
Age
Beverages
Brazil - epidemiology
Breast Feeding
breastfeeding
Child
Child, Preschool
childhood
Children
Cohort analysis
Cohort Studies
Dental caries
Dental Caries - epidemiology
Dental Caries - etiology
Dietary Sugars - adverse effects
Female
Humans
Infant
Risk Factors
Sugar
Sugars - adverse effects
Sweet taste
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Summary:Background Sugar consumption in early childhood is the primary cause of negative health outcomes, including early childhood caries. Aim To investigate risk factors associated with early‐life sugar consumption. Design Explanatory variables were collected at baseline of a birth cohort in Porto Alegre, Southern Brazil. At six months of age, data were collected on child feeding practices, including the number of foods and beverages containing sugar. Multivariate Poisson regression analysis with robust variance was performed. Results Virtually all children (98.3%) had consumed sugar by the age of 6 months. Multivariable analysis showed that the number of sweet items was significantly larger in children whose mothers were less than 20 years of age (MR = 1.19; 95% CI: 1.05‐1.36), those from non‐nuclear families (MR = 1.12; 95% CI: 1.04‐1.20), those whose mothers had less than eight years of schooling (MR = 1.34; 95% CI: 1.20‐1.50) and those whose mothers smoked (MR = 1.23; 95% CI: 1.13‐1.35). Moreover, the number of sweet items was significantly lower among children who breastfed in the first hour of life (MR = 0.85; 95% CI: 0.76‐0.95). Conclusion Sugar consumption begins very early, especially in children with no access to breastfeeding in the first hours of life and those from younger, less educated, and smoking mothers.
ISSN:0960-7439
1365-263X
DOI:10.1111/ipd.12713