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Dental Care: Prolonged Baby Bottle Feeding: a Health Risk Factor

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Dental Care: Prolonged Baby Bottle Feeding: a Health Risk Factor
Dental Care:
Prolonged Baby Bottle Feeding: A Health Risk Factor

Abstract

Deysi is a 2-year-old girl who lives with her parents in a one-bedroom apartment. Her mother and father work outside of the home, approximately 10 hours/day. Child care is provided by a network of women who include licensed home-based providers and a variety of friends and extended family members. On most evenings, Deysi's father picks her up from the child care site and gives her a fresh bottle of chocolate-flavored milk for the 45- minute trip home. She usually falls asleep while drinking it; Deysi's parents see this routine as a comfort for their daughter that usually results in a most welcomed, quiet car ride home at the end of a busy day.

Maintaining Continuity of Care
Prolonged baby bottle use (beyond 12 months of age) is a common feeding practice that is often accompanied by recumbent feeding at nap or night-time sleep. Kaste and Gift (1995) reported that 19.9% of U.S. children at age 2 years use a baby bottle at bedtime with contents other than water. In their review of the 1991 National Health Interview data set, they found that 9.3% of 3 year olds continued to use a bottle. Further, prolonged bottle use was most often associated with Hispanic ethnicity, poverty, urban residence, and low parental education levels. A more recent community based study found that 40% of 2 year olds continued to use a bottle as did 16% of 3 year olds and 8% of 4 year olds. In this smaller study (N = 191), the significant contributing factor for late bottle weaning was mothers' return to work. Their findings were derived from a sample of children with middle class, well-educated parents (Hammer, Bryson, & Agras, 1999).
A systematic review of published research on prolonged baby bottle use yielded several studies that confirmed a significant association between prolonged bottle feeding and/or bottle feeding at sleep time and the



References: Agency for Healthcare Research and Quality (2003). Prolonged bottle feeding of young children may lead to childhood obesity and iron deficiency anemia. Research Activities, 270, 6. American Academy of Pediatric Dentistry (1999). Oral health policies. Pediatric Dentistry, 21, 18-37 (http://www.aapd.org). American Academy of Pediatrics,Committee on Nutrition (1998). Pediatric nutrition handbook, 4"^ ed. Elk Grove Village, IL: American Academy of Pediatrics. Beaulieu, E., & DuFour, L A. (2000). Early childhood caries: How you can help preserve teeth for life. Consuitant,40(6), 1129-?. Bonuck, K.A., & Kahn, R. (2002). Prolonged bottle use and its association with iron deficiency anemia and overweight: A preliminary study. Ciinicai Pediatrics, 41, 603-607. Celedon, J.C, Litonjua, A. A., Weiss, S.T, Gold, D.R. (1999). Day care attendance in the first year of life and illnesses of the upper and lower respiratory tract in children with familial history of atopy. Pediatrics, 704(3), 495-500. Creedon, M.I., & O 'Mullane, D.M. (2001). Factors affecting caries levels amonst 5-year-old children in County Kerry, Ireland. Community Dental Health, 78(2), 72-78. Hallett, K.B., & O 'Rourke, PK. (2002). Early childhood caries and infant feeding practice. Community Dental Health, 79(4), 237-242. Hammer, L. D., Bryson, S., & Agras, W. S. (1999). Development of feeding practices during the first 5 years of life. Archives of Pediatric and Adolescent Medicine, 153, 189-194. Huntington, N.L, Kim, I.J., & Hughes, C.V. (2002). Caries-risk factors for Hispanic children affected by early childhood caries. Pediatric Dentistry,24{6], 536-542. Kaste, L.M., & Gift, H.C. (1995). Inappropriate bottle feeding: Status of Healthy People 2000 objective. Lampe, J.B., & Velez, N. (1997). The effect of prolonged bottle feeding on cow 's milk intake and iron stores at 18 months of age. Clinical Pediatrics, 36, 569-572. Story, M., Holt, K., & Sofka, D. (Eds.) (2000). Bright Futures in Practice: Nutrition (2nd ed.). Bethesda, MD: Department of Health and Human Services, Health Resources and Services Administration.

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