Cariogenic Dietary and Toothbrushing Practices of Children During the COVID-19 Outbreak
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Keywords

COVID-19
coronavirus
children
diet
questionnaire
dental caries
Oral health
Toothbrushing

How to Cite

Aksit Bicak, D. (2021). Cariogenic Dietary and Toothbrushing Practices of Children During the COVID-19 Outbreak. Iranian Red Crescent Medical Journal, 23(3). https://doi.org/10.32592/ircmj.2021.23.3.331

Abstract

Background: The implemented COVID-19 prevention measures exert negative effects on children’s nutrition and education, with approximately 1.5 billion children kept away from schools during this time.

Objectives: The present study aimed to assess the changes in toothbrushing and cariogenic dietary practices of children who spent most of their time at home during the COVID-19 pandemic.

Methods: The study was conducted on parents with children aged 1-15 years in Turkey from 1-26 May 2020 which was a period of confinement and self-isolation. A web-based questionnaire was prepared and distributed via email and social media upon the request of parents. The questionnaire consisted of 10 items divided into three parts. The first part of the questionnaire included items regarding the demographic data of the parents and children, the second part contained some items about the cariogenic dietary practices of children, and the last part encompassed items on children's toothbrushing frequency before and during the outbreak. Statistical analyses were performed using the Number Cruncher Statistical Systems (NCSS) software.

Results: A total of 1013 questionnaires were incorporated into the final analysis. Based on the results, children’s intake of jam, honey, and molasses increased; nonetheless, their intake of sugar-sweetened, fruit-flavored juices, flavored milk, candy, and chocolate reduced during the COVID-19 outbreak (P<0.05). Moreover, no difference was found in the consumption frequencies of other foods and the frequency of toothbrushing of the children before and after the COVID-19 outbreak (P> 0.05).

Conclusion: As evidenced by the obtained results, the cariogenic food consumption of children was not high and even decreased during the pandemic. Although not perfect, it is evident that parents did not experience much trouble managing their children’s consumption of cariogenic foods and beverages during the time spent at home.

https://doi.org/10.32592/ircmj.2021.23.3.331
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References

  1. Mohapatra RK, Pintilie L, Kandi V, Sarangi AK, Das D, Sahu R, et al. The recent challenges of highly contagious COVID-19, causing respiratory infections: symptoms, diagnosis, transmission, possible vaccines, animal models, and immunotherapy. Chem Biol Drug Des. 2020;96(5):1187-208. doi: 10.1111/cbdd.13761. [PubMed: 32654267].
  2. Duruk G, Gümüşboğa ZŞ, Çolak C. Investigation of Turkish dentists' clinical attitudes and behaviors towards the COVID-19 pandemic: a survey study. Braz Oral Res. 2020;34:e054. doi: 10.1590/1807-3107bor-2020.vol34.0054. [PubMed: 32490887].
  3. Güner R, Hasanoğlu I, Aktaş F. COVID-19: Prevention and control measures in community. Turk J Med Sci. 2020;50(SI-1):571-7. doi: 10.3906/sag-2004-146. [PubMed: 32293835].
  4. World Food Programme, Food and Agriculture Organization of the United Nations. Interim guidance note: mitigating the effects of the COVID-19 pandemic on food and nutrition of schoolchildren. Rome, Italy: World Food Programme, Food and Agriculture Organization of the United Nations; 2020. doi: 10.4060/ca8434en.
  5. Dunn CG, Kenney E, Fleischhacker SE, Bleich SN. Feeding low-ıncome children during the Covid-19 pandemic. N Engl J Med. 2020;382(18):e40. doi: 10.1056/NEJMp2005638. [PubMed: 32227759].
  6. Food and Agriculture Organization. Maintaining a healthy diet during the COVID-19 pandemic. Rome, Italy: Food and Agriculture Organization; 2020. doi: 10.4060/ca8380en.
  7. World Food Programme, Food and Agriculture Organization of the United Nations. Interim guidance note: mitigating the effects of the COVID-19 pandemic on food and nutrition of schoolchildren. Rome, Italy: World Food Programme, Food and Agriculture Organization of the United Nations; 2020. doi: 10.4060/ca8434en.
  8. Luzzi V, Ierardo G, Bossù M, Polimeni A. Paediatric Oral Health during and after the COVID-19 pandemic. Int J Paediatr Dent. 2021;31(1):20-6. doi: 10.1111/ipd.12737. [PubMed: 33012056].
  9. Mathur VP, Dhillon JK. Dental caries: a disease which needs attention. Indian J Pediatr. 2018;85(3):202-6. doi: 10.1007/s12098-017-2381-6. [PubMed: 28643162].
  10. Mallineni SK, Innes NP, Raggio DP, Araujo MP, Robertson MD, Jayaraman J. Coronavirus disease (COVID-19): Characteristics in children and considerations for dentists providing their care. Int J Paediatr Dent. 2020;30(3):245-50. doi: 10.1111/ipd.12653. [PubMed: 32250505].
  11. Spagnuolo G, De Vito D, Rengo S, Tatullo M. COVID-19 outbreak: an overview on dentistry. Int J Environ Res Public Health. 2020;17(6):2094. doi: 10.3390/ijerph17062094. [PubMed: 32235685].
  12. Al-Halabi M, Salami A, Alnuaimi E, Kowash M, Hussein I. Assessment of paediatric dental guidelines and caries management alternatives in the post COVID-19 period. A critical review and clinical recommendations. Eur Arch Paediatr Dent. 2020;21(5):543-56. doi: 10.1007/s40368-020-00547-5. [PubMed: 32557183].
  13. Hu Z, Yang Z, Li Q, Zhang A. The COVID-19 ınfodemic: ınfodemiology study analyzing stigmatizing search terms. J Med Internet Res. 2020;22(11):e22639. doi: 10.2196/22639. [PubMed: 33156807].
  14. Mahmut ÖZ. Educational policy actions by the ministry of national education in the times of COVID-19 pandemic in Turkey. Kastamonu Eğitim Dergisi. 2020;28(3):1124-9. doi: 10.24106/kefdergi.722280.
  15. Iddir M, Brito A, Dingeo G, Fernandez Del Campo SS, Samouda H, et al. Strengthening the ımmune system and reducing ınflammation and oxidative stress through diet and nutrition: considerations during the COVID-19 crisis. Nutrients. 2020;12(6):1562. doi: 10.3390/nu12061562. [PubMed: 32471251].
  16. Johansson I, Holgerson PL, Kressin NR, Nunn ME, Tanner AC. Snacking habits and caries in young children. Caries Res. 2010;44(5):421-30. doi: 10.1159/000318569. [PubMed: 20720422].
  17. Ong MM, Ong RM, Reyes GK, Sumpaico-Tanchanco LB. Addressing the COVID-19 nutrition crisis in vulnerable communities: applying a primary care perspective. J Prim Care Community Health. 2020;11:2150132720946951. doi: 10.1177/2150132720946951. [PubMed: 32715893].
  18. World Health Organization. Feeding babies and young children during the COVID-19 outbreak. Geneva: World Health Organization; 2020.
  19. Calcaterra V, Vandoni M, Pellino VC, Cena H. Special attention to diet and physical activity in children and adolescents with obesity during the coronavirus disease-2019 pandemic. Front Pediatr. 2020;8:407. doi: 10.3389/fped.2020.00407. [PubMed: 32676491].
  20. Marshall TA. Dietary ımplications for dental caries: a practical approach on dietary counseling. Dent Clin North Am. 2019;63(4):595-605. doi: 10.1016/j.cden.2019.06.005. [PubMed: 31470915].
  21. Touger-Decker R, van Loveren C. Sugars and dental caries. Am J Clin Nutr. 2003;78(4):881S-92S. doi: 10.1093/ajcn/78.4.881S. [PubMed: 14522753].
  22. Juul F, Martinez-Steele E, Parekh N, Monteiro CA, Chang VW. Ultra-processed food consumption and excess weight among US adults. Br J Nutr. 2018;120(1):90-100. doi: 10.1017/S0007114518001046. [PubMed: 29729673].
  23. Tahmassebi JF, BaniHani A. Impact of soft drinks to health and economy: a critical review. Eur Arch Paediatr Dent. 2020;21(1):109-17. doi: 10.1007/s40368-019-00458-0. [PubMed: 31177478].
  24. Medrano M, Cadenas-Sanchez C, Oses M, Arenaza L, Amasene M, Labayen I. Changes in lifestyle behaviours during the COVID-19 confinement in Spanish children: a longitudinal analysis from the MUGI project. Pediatr Obes. 2021;16(4):e12731. doi: 10.1111/ijpo.12731. [PubMed: 32975052].
  25. Rodrigo CP, Citores MG, Bárbara GH, Litago FR, Saenz LC, Bartrina JA, et al. Changes in eating habits during the period of confinement due to the COVID-19 pandemic in Spain. Spanish J Community Nutr. 2020;26(2):6.
  26. Rodríguez-Pérez C, Molina-Montes E, Verardo V, Artacho R, García-Villanova B, Guerra-Hernández EJ, et al. Changes in dietary behaviours during the COVID-19 outbreak confinement in the Spanish COVIDiet study. Nutrients. 2020;12(6):1730. doi: 10.3390/nu12061730. [PubMed: 32531892].
  27. Sidor A, Rzymski P. Dietary Choices and Habits during COVID-19 lockdown: experience from Poland. Nutrients. 2020;12(6):1657. doi: 10.3390/nu12061657. [PubMed: 32503173].
  28. Batlle-Bayer L, Aldaco R, Bala A, Puig R, Laso J, Margallo M, et al. Environmental and nutritional impacts of dietary changes in Spain during the COVID-19 lockdown. Sci Total Environ. 2020;748:141410. doi: 10.1016/j.scitotenv.2020.141410. [PubMed: 32798877].
  29. Di Renzo L, Gualtieri P, Pivari F, Soldati L, Attinà A, Cinelli G, et al. Eating habits and lifestyle changes during COVID-19 lockdown: an Italian survey. J Transl Med. 2020;18(1):229. doi: 10.1186/s12967-020-02399-5. [PubMed: 32513197].
  30. Scarmozzino F, Visioli F. Covid-19 and the subsequent lockdown modified dietary habits of almost half the population in an Italian sample. Foods. 2020;9(5):675. doi: 10.3390/foods9050675. [PubMed: 32466106].
  31. Pietrobelli A, Pecoraro L, Ferruzzi A, Heo M, Faith M, Zoller T, et al. Effects of COVID-19 lockdown on lifestyle behaviors in children with obesity living in Verona, Italy: a longitudinal study. Obesity (Silver Spring). 2020;28(8):1382-5. doi: 10.1002/oby.22861. [PubMed: 32352652].
  32. Ruiz-Roso MB, de Carvalho Padilha P, Mantilla-Escalante DC, Ulloa N, Brun P, Acevedo-Correa D, et al. Covid-19 confinement and changes of adolescent's dietary trends in Italy, Spain, Chile, Colombia and Brazil. Nutrients. 2020;12(6):1807. doi: 10.3390/nu12061807. [PubMed: 32560550].
  33. International Association of Paediatric Dentistry. APD foundational articles and consensus recommendations: use of fluoride for caries prevention. Available at: URL: http://www.iapdworld.org/03_use-of-fluoride-for-caries-prevention; 2020.