{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T23:46:57Z","timestamp":1780530417488,"version":"3.54.1"},"reference-count":23,"publisher":"SAGE Publications","issue":"7_suppl","license":[{"start":{"date-parts":[[2013,5,20]],"date-time":"2013-05-20T00:00:00Z","timestamp":1369008000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Dent Res"],"published-print":{"date-parts":[[2013,7]]},"abstract":"<jats:p>The objective of this study was to estimate the caries impact of providing training in infant feeding guidelines to workers at Brazilian public primary care clinics. In a cluster-randomized controlled trial (n = 20 clinics), health care workers either were trained in guidelines for infant nutrition, stressing healthful complementary feeding, or were assigned to a \u2018usual practices\u2019 control, which allowed for maternal counseling at practitioner discretion. Training occurred once; the amount of counseling provided to mothers was not assessed. Eligible pregnant women were enrolled to follow health outcomes in their children. Early childhood caries (ECC) was measured at age three years (n = 458 children). The overall reductions in ECC (relative risk, 0.92; 95%CI, 0.75, 1.12) and severe ECC (RR, 0.87; 95%CI, 0.64, 1.19) were not statistically significant. There was a protective effect among mothers who remained exclusively at the same health center (S-ECC RR, 0.68; 95%CI, 0.47, 0.99) and among those naming the health center as their principal source of feeding advice (S-ECC RR, 0.53; 95%CI, 0.29, 0.97). Health care worker training did not yield a statistically significant reduction in caries overall, although caries was reduced among children of mothers more connected to their health centers (ClinicalTrials.gov NCT00635453).<\/jats:p>","DOI":"10.1177\/0022034513484331","type":"journal-article","created":{"date-parts":[[2013,5,21]],"date-time":"2013-05-21T00:57:07Z","timestamp":1369097827000},"page":"S29-S36","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":35,"title":["Cluster-randomized Trial of Infant Nutrition Training for Caries Prevention"],"prefix":"10.1177","volume":"92","author":[{"given":"B.W.","family":"Chaffee","sequence":"first","affiliation":[{"name":"Division of Epidemiology, School of Public Health, University of California Berkeley, Berkeley, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.A.","family":"Feldens","sequence":"additional","affiliation":[{"name":"Department of Pediatric Dentistry, Universidade Luterana do Brasil, Canoas, RS, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.R.","family":"V\u00edtolo","sequence":"additional","affiliation":[{"name":"Nutrition Research Group (NUPEN), Universidade Federal de Ci\u00eancias da Sa\u00fade de Porto Alegre, Porto Alegre, RS, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2013,5,20]]},"reference":[{"key":"bibr1-0022034513484331","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0528.2010.00580.x"},{"key":"bibr2-0022034513484331","doi-asserted-by":"publisher","DOI":"10.1590\/S0102-311X2011000600018"},{"key":"bibr3-0022034513484331","unstructured":"Brazilian Ministry of Health and Pan American Health Organization (2002). Guia alimentar para crian\u00e7as menores de 2 anos [Feeding guide for children less than 2 years of age]. 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Relat\u00f3rios mensais de qualidade da \u00e1gua [Monthly water quality reports]. URL accessed on 2\/11\/2013 at: http:\/\/www2.portoalegre.rs.gov.br\/dmae\/default.php?reg=3&p_secao=176."},{"key":"bibr16-0022034513484331","doi-asserted-by":"publisher","DOI":"10.1177\/0022034509334043"},{"key":"bibr17-0022034513484331","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2010-1457"},{"key":"bibr18-0022034513484331","doi-asserted-by":"publisher","DOI":"10.1111\/j.1740-8709.2009.00231.x"},{"key":"bibr19-0022034513484331","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)60031-2"},{"key":"bibr20-0022034513484331","doi-asserted-by":"publisher","DOI":"10.1177\/0022034508328629"},{"key":"bibr21-0022034513484331","doi-asserted-by":"publisher","DOI":"10.1590\/S0102-311X2005000500018"},{"key":"bibr22-0022034513484331","unstructured":"World Health Organization (1997). Oral health surveys, basic methods. 4th ed. 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