Correlation between caries and hemoglobin level among primary school children suffering from iron deficiency anemia

Hossam Mohamed Hassan Soliman

doi:10.18203/2320-6012.ijrms20231600

Authors

Hossam Mohamed Hassan Soliman Department of Clinical Research, North-West Branch of Health Insurance Organization, Ministry of Health, Alexandria, Egypt

DOI:

https://doi.org/10.18203/2320-6012.ijrms20231600

Keywords:

Anemia, Children, Dental caries, Hb, IDA

Abstract

Background: Iron deficiency anemia (IDA) is a severe health problem that affects over two billion people worldwide. Data has shown that IDA is intrinsically related to dental caries. However, few studies have been performed on their relationship. Our study aimed to assess the correlation between a caries index score and hemoglobin (Hb) level in primary school students in the age group 6-12 years.

Methods: A cross-sectional study was done. A sample of forty patients; suffering from IDA; was selected from three pediatric outpatient clinics by simple random technique and interviewed with a final questionnaire.

Results: Our findings concluded that there was a significant moderate negative correlation between caries index score and Hb level (r=-0.475, p=0.0019). There was a statistically significant Hb level mean difference between the high and low caries index groups. There was also a significant moderate negative correlation between caries index score and age, and height. Parameters predicting caries index score were identified as Hb level and frequency of sugar intake.

Conclusions: In conclusion, patients of three pediatric outpatient clinics have a significant moderate negative correlation between caries index score and Hb level and need implementation of proper dental screening and preventive programs.

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References

Abdel-Rasoul GM, El Bahnasy RE, El Shazly HM, Gabr HM, Abdel-Aaty NB. Epidemiology of iron-deficiency anemia among primary school children (6-11 years), Menoufia governorate, Egypt. Menoufia Med J. 2015;28(3):663-9.

Liu R, Hu T, Li JH. Diagnosis of Fanconi anemia in children with atypical clinical features: a primary study. Chin Med J (Engl). 2013;126(23):4483-6.

Gardner W, Kassebaum N. Global, regional, and national prevalence of anemia and its causes in 204 countries and territories, 1990-2019. Curr Dev Nutr. 2020;4(2):830.

Safiri S, Kolahi AA, Noori M. Burden of anemia and its underlying causes in 204 countries and territories, 1990-2019: results from the Global Burden of Disease Study. J Hematol Oncol. 2021;14(1):185.

Abdallah MA, Abed HH, Hamza G, Alsahafi EN. The association between DMFT index and haemoglobin levels in 3-6 year-old Saudi children with anaemia: A cross sectional study. J Taibah Univ Med Sci. 2013;11(1):72-6.

Kale S, Kakodkar P, Shetiya S, Abdulkader R. Prevalence of dental caries among children aged 5-15 years from 9 countries in the Eastern Mediterranean Region: a meta-analysis. East Mediterr Health J. 2020;26(6):726-35.

Mohamed WE, Abou El Fadl RK, Thabet RA, Helmi M, Kamal SH. Iron deficiency anaemia and early childhood caries: a cross-sectional study. Aust Dent J. 2021;66(1): S27-36.

Al-Darwish M, El Ansari W, Bener A. Prevalence of dental caries among 12-14 year old children in Qatar. Saudi Dent J. 2014;26(3):115-25.

Kalra G, Bansal K, Sultan A. Prevalence of early childhood caries and assessment of its associated risk factors in preschool children of urban Gurgaon, Haryana. Indian J Dent Sci. 2011;3(2):12-6.

Faheem S, Maqsood S, Hasan A, Imtiaz F, Shaikh F, Farooqui WA. Associations of early childhood caries with salivary beta defensin-3 and childhood anemia: a case-control study. BMC Oral Health. 2021;21(1):445.

Delimont NM, Carlson BN, Nickel S. Dental Caries Are Associated with Anemia in Pediatric Patients: A Systematic Literature Review. J Allied Health. 2021;50(1):73-83.

Ji S, Guan X, Ma L, Huang P, Lin H, Han R. Iron deficiency anemia associated factors and early childhood caries in Qingdao. BMC Oral Health. 2022;22(1):104.

World Health Organization. Serum ferritin concentrations for the assessment of iron status and iron deficiency in populations. Available at: http://apps.who.int/iris/bitstream/10665/85843/1/WHO_NMH_NHD_MNM_11.2_eng.pdf. Accessed on 6 May 2022.

Cappellini MD, Comin-Colet J, De Francisco A, Dignass A, Doehner W, Lam CS et al. Iron deficiency across chronic inflammatory conditions: International expert opinion on definition, diagnosis, and management. Am J hematol. 2017;92(10):1068-78.

Hamudeng AM, Fadhillah F. The prevalence of caries and gingivitis in elementary school children in grade IV, V and VI in east Sinjai district. J Int Dent Med Res. 2019;12(2):695-9.

Clarke M, Locker D, Berall G, Pencharz P, Kenny DJ, Judd P. Malnourishment in a population of young children with severe early childhood caries. Pediatr Dent. 2006;28(3):254-9.

Shen A, Bernabé E, Sabbah W. The bidirectional relationship between weight, height and dental caries among preschool children in China. PLoS One. 2021;14(4):e0216227.

Lempert SM, Froberg K, Christensen LB, Kristensen PL, Heitmann BL. Association between body mass index and caries among children and adolescents. Community Dent Oral Epidemiol. 2014;42(1):53-60.

Hong J, Whelton H, Douglas G, Kang J. Consumption frequency of added sugars and UK children's dental caries. Community Dent Oral Epidemiol. 2018;46(5):457-64.