Abstract
Purpose
The present umbrella review aimed to synthesize and critically assess the methodological and reporting quality of previous systematic reviews about the potential relationship between obesity or overweight and caries dental experience in pediatric patients.
Method
Electronic database and manual searches were conducted in PubMed, Embase, and Cochrane Library up to July 2023. The risk of bias assessment of eligible systematic reviews was performed using the Risk Of Bias In Systematic reviews (ROBIS) tool. A systematization of the results was carried out in order to understand the possible relationship between the two conditions.
Results
Electronic and manual searches identified 136 titles and abstracts. After the removal of duplicates, 15 full-text articles were assessed for eligibility. Six studies were excluded, resulting in 8 systematic reviews and 1 sco** review that met the inclusion criteria. Five were systematic reviews without meta-analysis and the rest were conducted with quantitative analysis.
Conclusion
Conflicting findings to date from this umbrella review suggest that the relationship between obesity and dental caries in children is still inconclusive and likely to be complex.
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References
Aceves-Martins M, Godina-Flores NL, Gutiérrez-Gómez YY, Richards D, López-Cruz L, García-Botello M, Moreno-García CF. Obesity and oral health in Mexican children and adolescents: Systematic review and meta-analysis. Nutr Rev. 2022;80:1694–710.
Angelopoulou MV, Beinlich M, Crain A. Early childhood caries and weight status: a systematic review and meta-analysis. Pediatr Dent. 2019;41:261–72.
Aromataris E, Munn Z (Editors) (2020) JBI Manual for evidence synthesis. JBI. Available at: https://synthesismanual.jbi.global. https://doi.org/10.46658/JBIMES-20-01.
Carson SJ, Abuhaloob L, Richards D, Hector MP, Freeman R. The relationship between childhood body weight and dental caries experience: an umbrella systematic review protocol. Syst Rev. 2017;6:216–20.
Chen D, Zhi Q, Zhou Y, Tao Y, Wu L, Lin H. Association between dental caries and BMI in children: a systematic review and meta-analysis. Caries Res. 2018;52:230–45.
Frias-Bulhosa J, Barbosa P, Gomes E, Vieira MR, Conceição-Manso M. Association between body mass index and caries among 13-year-old population in Castelo de Pavia, Portugal. Rev Port Estomatol Med Dent Cir Maxilofac. 2015;56:3–8.
Fusar-Poli P, Radua J. Ten simple rules for conducting umbrella reviews. Evid Based Ment Health. 2018;21:95–100.
González-Muñoz M, Adobes-Martín M, González-de DJ. Revisión sistemática sobre la caries en niños y adolescentes con obesidad y/o sobrepeso. Nutr Hosp. 2013;28(5):1372–83.
Hayden C, Bowler JO, Chambers S, Freeman R, Humphris G, Richards D, Cecil JE. Obesity and dental caries in children: a systematic review and meta-analysis. Community Dent Oral Epidemiol. 2013;41:289–308.
Hooley M, Skouteris H, Boganin C, Satur J, Kilpatrick N. Body mass index and dental caries in children and adolescents: a systematic review of literature published 2004 to 2011. Syst Rev. 2012;1:57.
Kansra AR, Lakkunarajah S, Jay MS. Childhood and adolescent obesity: a review. Front Pediatr. 2021;8:581461.
Li LW, Wong HM, Peng SM, McGrath CP. Anthropometric measurements and dental caries in children: a systematic review of longitudinal studies. Adv Nutr. 2015;6:52–63.
Manohar N, Hayen A, Fahey P, Arora A. Obesity and dental caries in early childhood: a systematic review and meta-analyses. Obes Rev. 2020;21:e12960.
Mazariegos-Ramos E, Guerrero-Romero F, Rodríguez-Morán M, Lazcano-Burciaga G, Paniagua R, Amato D. Consumption of soft drinks with phosphoric acid as a risk factor for the development of hypocalcemia in children: a case-control study. J Pediatr. 1995;126:940–2.
Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, Shamseer L, Tetzlaff JM, Akl EA, Brennan SE, Chou R, Glanville J, Grimshaw JM, Hróbjartsson A, Lalu MM, Li T, Loder EW, Mayo-Wilson E, McDonald S, McGuinness LA, Stewart LA, Thomas J, Tricco AC, Welch VA, Whiting P, Moher D. The PRISMA 2020 Statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372:71.
Paisi M, Kay E, Bennett C, Witton R, Nelder R, Lapthorne D. Body mass index and dental caries in young people: a systematic review. BMC Pediatr. 2019;19:122–30.
Pannunzio E, Amancio OM, Vitalle MS, Souza DN, Mendes FM, Nicolau J. Analysis of the stimulated whole saliva in overweight and obese school children. Rev Assoc Med Bras. 1992;2010(56):32–6.
Shivakumar S, Srivastava A, Shivakumar GC. Body mass index and dental caries: a systematic review. Int J Clin Pediatr Dent. 2018;11:228–32.
Silveira MG, Schneider BC, Tillmann TF, Silva AE. Excess weight and dental caries throughout childhood and adolescence: systematic review of longitudinal studies. Int J Clin Pediatr Dent. 2022;15:691–8.
Talluri D, Panga GSK, Shaik PS, Pavani NPM, Yaddanapalli SC, Bommireddy VS, Bhavani VD. Correlation of dental caries status with BMI in school children of age 3–16 years—An institutional study. J Family Med Prim Care. 2023;12:649–53.
Whiting P, Savović J, Higgins JP, Caldwell DM, Reeves BC, Shea B, Davies P, Kleijnen J, Churchill R, ROBIS group. ROBIS. A new tool to assess risk of bias in systematic reviews was developed. J Clin Epidemiol. 2016;69:225–34.
World Health Organization. Obesity and overweight. 2021. Available at: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight
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AG-R and IM-L conceived the research idea. IM-L, CB-TG, and AP-G collected the data. AG-R, VZ-A, and AP-G analyzed the data. VZ-A, AG-R, and AP-G led the writing. All authors read, revised, and agreed with the final version of the manuscript.
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The present umbrella review did not require ethical approval.
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This umbrella review was registered at the International Prospective Register of Systematic Reviews (PROSPERO), with the ID 2023: CRD42023447561.
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Garrocho-Rangel, A., Martínez-López, I., Butrón-Téllez Girón, C. et al. Obesity/overweight and dental caries experience in children and adolescents: an umbrella review. Eur Arch Paediatr Dent (2024). https://doi.org/10.1007/s40368-024-00920-8
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DOI: https://doi.org/10.1007/s40368-024-00920-8