Tooth decay in children is also linked to obesity. Childhood obesity increases the risk of developing other diseases throughout childhood and into adulthood, including diabetes, high blood pressure and non-alcoholic fatty liver disease.
My research, conducted with colleagues at Loughborough University, explores how acceptable and feasible it is for dental teams to offer weight checks and support, such as referral to weight loss programmes, to patients during routine appointments. In my job as a paediatric dentist, I discuss weight and health with families and offer referral to local healthy lifestyle services.
The World Health Organization estimates that 43% of children have decay worldwide and 20% of children aged 5-19 years are overweight or living with obesity.
In England, 29.3% of five-year-olds have tooth decay and 21.3% of four and five year olds are overweight or living with obesity. A diet high in sugary foods and drinks increases the risk of developing both conditions. and evidence suggests that children who are overweight or living with obesity are more likely to have tooth decay.
Mouth disease is also linked with disease in other parts of the body. Gum disease, for example, is an infection of the tissues that support teeth, which has links with type 2 diabetes. When one disease is poorly controlled, it can make the other worse. The number of children with type 2 diabetes is increasing, with excess weight increasing the risk of developing this condition.
Given the links between diet, tooth decay, obesity, type 2 diabetes, as well as other diseases that can develop when living with obesity, dental teams may be ideal professionals to tackle both tooth decay and obesity. It can be difficult to see an NHS dentist in the UK but NHS dental teams do see millions of children every year and already advise families on reducing sugary foods and drinks in the diet to reduce the risk of tooth decay.
Dental teams taking body measurements is not new. Height and weight measurements to calculate body mass index (BMI), a measure of body fat, are already collected by some dental teams. These measurements are helpful when prescribing medication and for planning dental treatment for children who need a general anaesthetic or sedation.
Some hospital dental teams, such as in Edinburgh and Dundee in Scotland, also offer weight and height checks for children and young people as part of routine appointments. The child’s weight is discussed with the child’s parent or carer in a sensitive way and families are offered referral to a local service to support healthy lifestyle changes.
This opportunity to support a child with their oral health as well as weight aligns with the NHS initiative, Making Every Contact Count. Making Every Contact Count calls on all health care professionals to take every opportunity within their appointments with patients to help improve patient health.
Children living in more deprived areas of the UK are at least twice as likely to be living with overweight and obesity. They’re also three times as likely to have tooth decay. The NHS aims to reduce these inequalities among children and has chosen oral health and diabetes as two key areas to improve care for children and young people.
Continues…
For the full article by Jessica Large, Doctoral Researcher at Loughborough University’s Centre for Lifestyle Medicine and Behaviour (CLiMB), visit The Conversation here:
www.theconversation.com/how-dentists-could-help-tackle-obesity-in-children-252258
