{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T19:24:43Z","timestamp":1791401083587,"version":"4.3.3"},"reference-count":48,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T00:00:00Z","timestamp":1771545600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T00:00:00Z","timestamp":1771545600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100018809","name":"Universidade Federal de Pelotas","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100018809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100012418","name":"Associa\u00e7\u00e3o Brasileira de Sa\u00fade Coletiva","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100012418","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010269","name":"Wellcome Trust","doi-asserted-by":"publisher","award":["095582"],"award-info":[{"award-number":["095582"]}],"id":[{"id":"10.13039\/100010269","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010269","name":"Wellcome Trust","doi-asserted-by":"publisher","award":["10735_Z_18_Z"],"award-info":[{"award-number":["10735_Z_18_Z"]}],"id":[{"id":"10.13039\/100010269","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003593","name":"Conselho Nacional de Desenvolvimento Cient\u00edfico e Tecnol\u00f3gico","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003593","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004263","name":"Funda\u00e7\u00e3o de Amparo \u00e0 Pesquisa do Estado do Rio Grande do Sul","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004263","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007409","name":"Bernard van Leer Foundation","doi-asserted-by":"publisher","award":["BRA\u20102018\u2010178"],"award-info":[{"award-number":["BRA\u20102018\u2010178"]}],"id":[{"id":"10.13039\/100007409","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Comm Dent Oral Epid"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Nutritional disorders and dental caries share common risk factors, including diet and socioeconomic position, but the association between these two conditions remains unclear. The aim of this study was to investigate the potential association between overweight\/obesity and the occurrence of dental caries in primary dentition.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This longitudinal study, conducted using data from the 2015 Pelotas Birth Cohort, utilised information collected at birth, 24\u2009months and 4\u2009years of age. The exposure variable was the obesity collected by BMI (body mass index), at 24\u2009months, using anthropometric measures (weight and height) and classified according to WHO guidelines. Covariates included sex, child's and maternal age, socioeconomic factors (family income and maternal education) and sugar consumption data. The outcome was dental caries at the age of four, assessed using several variables: early childhood caries (ECC), encompassing all activity including white spots and restorations; severe early childhood caries (S\u2010ECC), which refers exclusively to cavitated lesions; and the dmft (Decayed, Missing and Filled Teeth) index. Descriptive analysis was carried out and regression models were tested.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>From the 4275 eligible participants, 3374 children (50.5% boys and 49.5% girls) composed the analytical sample. At 24\u2009months, 2474 (73.3%) children were healthy weight (95% CI 71.8; 74.8) and 900 (26.7%) presented overweight\/obesity (18.8% overweight and 7.9% obese). Concerning dental caries at the age of four, 37.6% had ECC (including white spots and restorations) and 21.4% had S\u2010ECC. Among children classified as healthy weight at 24\u2009months, 38.6% presented ECC at 4\u2009years of age. Among obese children, the prevalence of ECC was 34.8%. A similar pattern was observed for S\u2010ECC: the prevalence was 22.0% among healthy weight children, 19.9% among overweight and 19.1% among obese children. The Poisson regression analysis adjusting for confounding factors showed no difference between groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In conclusion, this cohort study in Brazilian children at the age of four did not observe meaningful associations between overweight\/obesity and dental caries in primary dentition. The findings suggest that obesity in childhood should not be considered a risk factor for caries development in children.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/cdoe.70056","type":"journal-article","created":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T05:12:58Z","timestamp":1771650778000},"page":"427-435","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Is Obesity Associated With Dental Caries in Primary Dentition? Findings From a Birth Cohort in Southern Brazil"],"prefix":"10.1111","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1568-783X","authenticated-orcid":false,"given":"Yorrana","family":"Martins Corr\u00eaa","sequence":"first","affiliation":[{"name":"Graduate Program in Dentistry Federal University of Pelotas  Pelotas Rio Grande do Sul Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5148-4274","authenticated-orcid":false,"given":"Cinthia","family":"Fonseca Araujo","sequence":"additional","affiliation":[{"name":"Graduate Program in Epidemiology Federal University of Pelotas  Pelotas Rio Grande do Sul Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2045-4232","authenticated-orcid":false,"given":"Mariana","family":"Silveira Echeverria","sequence":"additional","affiliation":[{"name":"Graduate Program in Epidemiology Federal University of Pelotas  Pelotas Rio Grande do Sul Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4680-3197","authenticated-orcid":false,"given":"Andr\u00e9a","family":"D\u00e2maso Bertoldi","sequence":"additional","affiliation":[{"name":"Graduate Program in Epidemiology Federal University of Pelotas  Pelotas Rio Grande do Sul Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4979-2099","authenticated-orcid":false,"given":"Geert J. M. G.","family":"van der Heijden","sequence":"additional","affiliation":[{"name":"Oral Public Health Department ACTA, Academic Center for Dentistry, University of Amsterdam  Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2276-491X","authenticated-orcid":false,"given":"Fl\u00e1vio","family":"Fernando Demarco","sequence":"additional","affiliation":[{"name":"Graduate Program in Dentistry Federal University of Pelotas  Pelotas Rio Grande do Sul Brazil"},{"name":"Graduate Program in Epidemiology Federal University of Pelotas  Pelotas Rio Grande do Sul Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9932-9698","authenticated-orcid":false,"given":"Helena","family":"Silveira Schuch","sequence":"additional","affiliation":[{"name":"Graduate Program in Dentistry Federal University of Pelotas  Pelotas Rio Grande do Sul Brazil"},{"name":"Population Oral Health, School of Dentistry The University of Queensland  Herston Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,2,20]]},"reference":[{"key":"e_1_2_11_2_1","volume-title":"Global Oral Health Status Report: Towards Universal Health Coverage for Oral Health by 2030","author":"WHO, World Health Organization","year":"2022"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(19)31146-8"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)32279-7"},{"key":"e_1_2_11_5_1","volume-title":"SBBrasil 2023: Pesquisa Nacional de Sa\u00fade Bucal","author":"Brasil, Minist\u00e9rio da Sa\u00fade","year":"2024"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1159\/000529210"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034517693566"},{"key":"e_1_2_11_8_1","unstructured":"IBGE Instituto Brasileiro de Geografia e Estat\u00edstica \u201cPesquisa Nacional de Sa\u00fade 2019: Aten\u00e7\u00e3o Prim\u00e1ria \u00e0 Sa\u00fade e Informa\u00e7\u00f5es Antropom\u00e9tricas \u201d(2020)."},{"key":"e_1_2_11_9_1","volume-title":"Global Nutrition Targets 2025: Childhood Overweight Policy Brief (WHO\/NMH\/NHD\/14.6)","author":"WHO, World Health Organization","year":"2014"},{"key":"e_1_2_11_10_1","unstructured":"Brasil Minist\u00e9rio da Sa\u00fade \u201cAcompanhadas Pelo SUS Mais de 340 Mil Crian\u00e7as Brasileiras Entre 5 e 10 Anos Possuem Obesidade \u201d(2021) https:\/\/www.gov.br\/saude\/pt\u2010br\/assuntos\/noticias\/2022\/setembro\/acompanhadas\u2010pelo\u2010sus\u2010mais\u2010de\u2010340\u2010mil\u2010criancas\u2010brasileiras\u2010entre\u20105\u2010e\u201010\u2010anos\u2010possuem\u2010obesidade."},{"key":"e_1_2_11_11_1","volume-title":"Alimenta\u00e7\u00e3o Infantil I: Preval\u00eancia de Indicadores de Alimenta\u00e7\u00e3o de Crian\u00e7as Menores de 5 Anos: Estudo Nacional de Alimenta\u00e7\u00e3o e Nutri\u00e7\u00e3o Infantil (ENANI 2019)","author":"UFRJ, Universidade Federal do Rio de Janeiro","year":"2021"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(17)32129-3"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12014"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.5005\/jp-journals-10024-1983"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.4103\/ijpvm.IJPVM_528_18"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.26719\/2016.22.9.687"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1590\/1807-3107bor-2017.vol31.0083"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/ipd.12565"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1590\/1807-3107bor-2019.vol33.0056"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.29219\/fnr.v63.1682"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-020-01329-7"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.4103\/JISPPD.JISPPD_140_18"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.5005\/jp-journals-10005-2458"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1590\/1807-3107bor-2024.vol38.0015"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1590\/S1806-83242014.50000006"},{"issue":"4","key":"e_1_2_11_26_1","first-page":"344","article-title":"The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: Guidelines for Reporting Observational Studies","volume":"61","author":"Elm E.","year":"2008","journal-title":"Lancet"},{"key":"e_1_2_11_27_1","unstructured":"IBGE Instituto Brasileiro de Geografia e Estat\u00edstica \u201cCenso Pelotas 2022 \u201d(2022)."},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyx219"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyae048"},{"key":"e_1_2_11_30_1","unstructured":"WHO World Health Organization \u201cMulticentre Growth Reference Study \u201d(2004) https:\/\/www.who.int\/toolkits\/child\u2010growthstandards\/standards\/body\u2010mass\u2010index\u2010for\u2010age\u2010bmi\u2010for\u2010age."},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0528.2007.00347.x"},{"key":"e_1_2_11_32_1","volume-title":"Oral Health Surveys: Basic Methods","author":"WHO, World Health Organization","year":"2013"},{"key":"e_1_2_11_33_1","unstructured":"ICEH International Center for Equity in Health \u201cEquiplot.ado \u201dhttps:\/\/www.equidade.org\/en\/equiplot."},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph192316160"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2023.07.013"},{"key":"e_1_2_11_36_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.13006"},{"issue":"3","key":"e_1_2_11_37_1","first-page":"11","article-title":"Association of Early Childhood Caries and Nutritional Status: A Scoping Review","volume":"47","author":"Lui D.\u2010T.","year":"2023","journal-title":"Journal of Clinical Pediatric Dentistry"},{"key":"e_1_2_11_38_1","doi-asserted-by":"publisher","DOI":"10.4034\/PBOCI.2019.191.27"},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-022-14004-z"},{"key":"e_1_2_11_40_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034514557546"},{"key":"e_1_2_11_41_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41366-021-00899-y"},{"key":"e_1_2_11_42_1","volume-title":"As Causas Sociais Das Iniq\u00fcidades em Sa\u00fade no Brasil","author":"WHO, World Health Organization","year":"2008"},{"key":"e_1_2_11_43_1","doi-asserted-by":"publisher","DOI":"10.1159\/000484988"},{"key":"e_1_2_11_44_1","doi-asserted-by":"publisher","DOI":"10.1111\/obr.12960"},{"key":"e_1_2_11_45_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12887-019-1511-x"},{"key":"e_1_2_11_46_1","unstructured":"WHO World Health Organization \u201cOverweight and Obesity \u201d(2024) https:\/\/www.who.int\/news\u2010room\/fact\u2010sheets\/detail\/obesity\u2010and\u2010overweight."},{"key":"e_1_2_11_47_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0528.2000.028006399.x"},{"key":"e_1_2_11_48_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0528.2010.00540.x"},{"key":"e_1_2_11_49_1","volume-title":"Nutritional Guidelines for Under 5's in Child Care: Report of an Expert Working Group","author":"Trust, CW","year":"1998"}],"container-title":["Community Dentistry and Oral Epidemiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/cdoe.70056","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/cdoe.70056","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/cdoe.70056","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T04:47:38Z","timestamp":1785559658000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/cdoe.70056"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,20]]},"references-count":48,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["10.1111\/cdoe.70056"],"URL":"https:\/\/doi.org\/10.1111\/cdoe.70056","archive":["Portico"],"relation":{},"ISSN":["0301-5661","1600-0528"],"issn-type":[{"value":"0301-5661","type":"print"},{"value":"1600-0528","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,20]]},"assertion":[{"value":"2024-02-11","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-22","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-20","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}