Low birth weight and the delay on the eruption of deciduous teething in children

Castro, Cristiane Ribeiro da Silva; Cabral, Maria Beatriz Barreto de Sousa; Mota, Eduardo Luiz Andrade; Cangussu, Maria Cristina Teixeira; Vianna, Maria Isabel Pereira

doi:10.1590/1806-93042019000300012

Acessibilidade / Reportar erro

Brasil

Revista Brasileira de Saúde Materno Infantil

Español English

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

ORIGINAL ARTICLES • Rev. Bras. Saude Mater. Infant. 19 (3) • Jul-Sep 2019 • https://doi.org/10.1590/1806-93042019000300012 copy

Low birth weight and the delay on the eruption of deciduous teething in children

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objectives:

To analyze the association between low birth weight (LBW) and the occurrence of the delay on the eruption of deciduous teething (DEDT) in children from 04 to 30 months, living in Salvador, Bahia.

Methods:

A cross-sectional study involved 520 children at four to thirty months of age, from public, private and philanthropic daycares from two districts in Salvador. A descriptive analysis and unconditional logistic regression were done to estimate the odds ratios (ORs), using the Confidence Interval of 95% as a criterion for accepting associations. Poisson regression was used as an analytical strategy to obtain the prevalence ratio.

Results:

the prevalence of the delay on the eruption was 10.29%. There was a positive association between LBW and occurrence of DEDT among children with less than 24 months, both in the unadjusted model (PR=2.07, 95%CI= 0.96 4.44) as in the adjusted (adjusted PR=2, 27, 95%CI= 1.02 5.07).

Conclusions:

the variables of development and nutritional at birth and during the early life may be important predictors of the chronology of eruption. Further investigations should be carried out towards the adequate evaluation of the LBW role in the occurrence of the delay on the eruption.

Key words
Tooth eruption; Deciduous tooth; low birth weight newborn; Epidemiology

Covariables	Low Birth Weight				p ¹ 1 Mantel Haenszel's Chi-Square Test p value, MW= Minimum Wage, LBW=Low Birth Weight.
	LBW absent		LBW present
	(n=452)		(n=68)
	n	%	n	%
Delay in the eruption					0.210
Absent	408	90.17	58	85.29
Present	44	9.73	10	14.71
Age					0.357
>24 months	186	41.15	32	47.06
≤24 months	266	58.85	36	52.64
Sex					0.116
Female	213	47.12	39	57.35
Male	239	52.88	29	42.65
Ethnicity					0.105
White	66	14.60	5	7.35
Black / Mixed	386	85.40	63	92.65
Maternal schooling^* * Missing data,					0.939
High school or higher	246	54.91	37	54.41
Up to elementary level	202	45.09	31	45.59
Family income					0.269
More than 1 MW	143	31.64	17	25
Up to 1 MW	309	68.36	51	75
Maternal age ^* * Missing data,					0.684
21 to 39	330	73.83	47	69.12
≤20	108	24.16	19	27.94
≥40	9	2.01	2	2.94
Maternal marital status					0.826
Married / Lives with a partner	292	64.60	43	63.24
Single / separated / widow	160	35.40	25	36.76

Covariables^* * There were missing data in all the variables, LBW=Low Birth Weight.	Low Birth Weight				p ¹ 1 Mantel Haenszel's Chi-Square Test p-value,
	LBW absent (n=452)		LBW present (n=68)
	n	%	n	%
Hypertension during pregnancy					0.272
Absent	413	92.19	60	88.24
Present	35	7.81	8	11.76
Urinary tract infection during pregnancy					0.001
Absent	416	92.86	55	80.88
Present	32	7.14	13	19.12
Smoking during pregnancy					0.016
Absent	414	92.62	57	83.82
Present	33	7.38	11	16.18
Alcohol consumption uring pregnancy					0.155
No	426	95.30	62	91.18
Yes	21	4.70	6	8.82
Use of drug during pregnancy					0.009
No	403	90.16	54	79.41
Yes	44	9.84	14	20.59
Uneventful pregnancy					0.017
Yes	338	75.45	42	61.76
No	110	24.55	26	38.24
Prenatal care					0.861
Yes	404	90.38	61	89.71
No	43	9.62	7	10.29

Covariables	Low Birth Weight				p ¹ 1 Mantel Haenszel's Chi-Square Test p- value, LBW=Low Birth Weight.
	LBW absent (n=452)		LBW present (n=68)
	n	%	n	%
Prematurity					<0.00 1
Absent	431	95.35	39	57.35
Present	21	4.65	29	42.5
Height at birth ^* * Missing data,					<0.00 1
≥50 cm	154	45.56	3	5.88
≤50 cm	184	54.44	48	94.12
Need of hospitalization at childbirth					0.018
No	389	86.06	51	75.00
Yes	63	13.94	17	25.00
Use of Probe					<0.00 1
No	447	98.89	61	89.71
Yes	5	1.11	7	1.29
Need to be intubated					0 860
No	444	98.23	67	98.53
Yes	8	1.77	1	1.47
Breastfeeding					0.304
Yes	393	86.95	56	82.35
No	59	13.05	12	17.65
Breastfeeding duration (months)					0.835
More than or equal to 6	152	33.63	22	32.35
Less than 6	300	66.37	46	67.65
Artificial feeding					0.822
No	127	28.10	20	29.41
Yes	325	71.90	48	70.59
Use of medication					<0.00 1
No	418	92.48	53	77.94
Yes	34	7.52	15	22.06

Variables	N	%	RP¹ 1 Prevalence Ratio,	CI95%² 2 95% Confidence Interval,	p ³ 3 Mantel Haenszel's Chi-Square Test p-value.
Low birth weight				0.79-2.86	0.21
No	44	9.73	1.00
Yes	10	14.71	1.51
Age				0.61-1.67	0.96
24 months or more	24	1.21	1.00
Less than 24 months	33	10.34	1.01
Skin color				0.65-3.82	0.29
White	5	6.86	1.00
Black / Mixed	52	1.81	1.58
Sex				0.83-2.24	0.22
Male	25	8.74	1.00
Female	32	11.94	1.37
Maternal schooling^* * Missing data,				1.14-3.18	0.01
High school or higher	21	7.27	1.00
Elementary level or less	36	13.85	1.90
Uneventful Pregnancy ^* * Missing data,				0.45-1.48	0.51
Yes	44	10.92	1.00
No	13	8.97	0.82
Gestational age				0.6 2-2.71	0.49
At term	50	10.02	1.00
Premature	7	12.96	1.29
Exclusive breastfeeding				0.65-2.36	0.51
Yes	47	9.94	1.00
No	10	12.35	1.24
Breastfeeding duration				0.68-2.01	0.57
6 months or more	17	9.24	1.00
Less than 6 months	40	10.81	1.17

Delay in eruption	Child's age
	More than 24 months (n=218)		Up to 24 months (n=302)
	RP¹ 1 Prevalence Ratio,	CI95%² 2 95% Confidence Interval.	RP¹ 1 Prevalence Ratio,	CI95%² 2 95% Confidence Interval.
Model 1 (delayed eruption)
Present	0,92	0,29-2,93	2,07	0,96-4,44
Model 2 (delayed, adjusted for uneventful pregnancy and breastfeeding)
Present	0,89	0,28-2,82	2,27	1,02-5,07

Instituto de Medicina Integral Prof. Fernando Figueira Rua dos Coelhos, 300. Boa Vista, 50070-550 Recife PE Brasil, Tel./Fax: +55 81 2122-4141 - Recife - PR - Brazil
E-mail: revista@imip.org.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Authors' Contributions:

Castro CRS, Vianna MIP, Cabral MBBS e Mota ELA - elaboration of the article, analysis and interpretation of the data, writing the draft manuscript, critical revision of the content and elaboration of the final version of the manuscript. Cangussu MCT - writing the draft manuscript, critical review of the content and preparation of the final version of the manuscript. All authors approved the final version of the manuscript.