Protein-energy malnutrition during early childhood and periodontal disease in the permanent dentition of Haitian adolescents aged 12-19 years: a retrospective cohort study.
OBJECTIVE
The aim of this retrospective cohort study was to examine whether exposure to early childhood protein-energy malnutrition (ECPEM) is related to worsened periodontal status in the permanent dentition during adolescence.


METHODS
A trained clinician/researcher examined the periodontal status of 96 persons aged 12-19 living in rural Haiti using WHO diagnostic criteria (Community Periodontal Index, WHO 1997). Malnutrition data of the study participants had been collected during the years 1988-1993 by a nongovernmental organization. We compared those who had been malnourished in early childhood, based on z-scores for anthropomorphic data collected during the first 5 years of life, with those who had not been malnourished, regarding mean Community Periodontal Index (CPI) score, controlling for age, sex, socioeconomic status, and smoking.


RESULTS
Overall, 57.3% of the participants demonstrated a CPI score of 3 or greater in at least one sextant. ECPEM was independently and positively related to mean CPI score, when controlling for sex and smoking.


CONCLUSIONS
More than half of these young Haitians demonstrated CPI scores of 3 or greater, and ECPEM was related to poorer periodontal status, as measured by CPI, in the permanent dentition.
Russell
Stefanie L
SL
Department of Epidemiology & Health Promotion, New York University College of Dentistry, New York, NY 10010, USA. stefanie.russell@nyu.edu
Psoter
Walter J
WJ
Jean-Charles
Germain
G
Prophte
Samuel
S
Gebrian
Bette
B
D000293:Adolescent; D000367:Age Factors; D002648:Child; D015362:Child Nutrition Disorders / Q000150:complications*; D002675:Child, Preschool; D015331:Cohort Studies; D005260:Female; D006801:Humans; D007223:Infant; D007228:Infant Nutrition Disorders / Q000150:complications; D008297:Male; D010510:Periodontal Diseases / Q000150:complications*; D010512:Periodontal Index; D011502:Protein-Energy Malnutrition / Q000150:complications*; D012189:Retrospective Studies; D012959:Socioeconomic Factors; D055815:Young Adult
J Pediatr Gastroenterol Nutr. 1994 Jul;19(1):118-20
7965462
PLoS Med. 2007 May;4(5):e115
17472433
J Clin Periodontol. 1992 Jul;19(6):367-72
1634625
Community Dent Oral Epidemiol. 1983 Oct;11(5):302-7
6578899
Community Dent Oral Epidemiol. 2008 Apr;36(2):179-89
18333882
J Can Dent Assoc. 1990 Nov;56(11):1025-8
2261589
J Periodontol. 1967 Mar-Apr;38(2):100-4
5227503
Trop Med Int Health. 2005 Jan;10(1):65-73
15655015
S Afr Med J. 2000 Jun;90(6):631-5
10918896
J Periodontol. 2005 Sep;76(9):1450-4
16171431
J Allergy Clin Immunol. 2005 Jun;115(6):1119-28; quiz 1129
15940121
J Dent Res. 1990 Sep;69(9):1564-6
2398183
Bull World Health Organ. 1993;71(6):703-12
8313488
Am J Trop Med Hyg. 1999 Feb;60(2):223-32
10072140
Am J Clin Nutr. 2004 Jul;80(1):108-13
15213036
Soc Sci Med. 1996 Aug;43(4):479-88
8844949
J Periodontal Res. 1994 Sep;29(5):324-7
7799212
J Int Acad Periodontol. 2005 Apr;7(2):55-63
15912925
Am J Clin Nutr. 1997 Aug;66(2):464S-477S
9250134
Odontostomatol Trop. 1999 Dec;22(88):18-22
11372121
J Periodontol. 2000 Jul;71(7):1057-66
10960010
ASDC J Dent Child. 1985 Mar-Apr;52(2):141-5
3857247
Community Dent Oral Epidemiol. 1986 Oct;14(5):250-2
3466743
J Public Health Dent. 2005 Fall;65(4):209-14
16468462
Int J Tuberc Lung Dis. 2004 Mar;8(3):286-98
15139466