@article{fdi:010088817, title = {{I}mpact of unhealthy food and beverage consumption on children's risk of dental caries : a systematic review}, author = {{L}arge, {J}. {F}. and {M}adigan, {C}. and {P}radeilles, {R}ebecca and {M}arkey, {O}. and {B}oxer, {B}. and {R}ousham, {E}. {K}.}, editor = {}, language = {{ENG}}, abstract = {{C}ontext: {T}he impact of unhealthy foods and beverages, namely those high in sugar, salt, and saturated or trans fats, has been studied extensively in relation to weight, body composition, and noncommunicable diseases, but less so in relation to the risk of dental caries. {F}ew previous reviews have examined the evidence from all countries globally. {O}bjective: {A} systematic review was conducted to assess the impact of unhealthy food and beverage consumption on the risk of dental caries in children aged <= 10 years, commissioned by the {W}orld {H}ealth {O}rganization to inform updated complementary feeding recommendations. {D}ata sources: {S}ystematic searches were conducted in the {P}ub{M}ed, {C}ochrane, and {E}mbase databases for articles meeting the inclusion criteria dating from {J}anuary 1971 to {M}arch 2022; supplementary searches were undertaken for articles from that period to {J}une 2022. {D}ata extraction: {U}nhealthy foods and beverages were identified using nutrient- and food-based approaches. {R}isk of bias was assessed using the {R}isk {O}f {B}ias {I}n {N}on-randomized {S}tudies of {I}nterventions ({ROBINS}-{I}).{D}ata analysis: {A} total of 30 023 unique citations were screened, yielding 37 studies for inclusion. {S}tudies were conducted in high-income (n = 23 [62.2%]) or middle-income countries (n = 14 [37.8%]). {E}vidence synthesis was performed narratively, stratified by age (0 years to <2 years, 2 years to <5 years, and 5 years to <= 10 years) and exposure (unhealthy foods and unhealthy beverages). {T}he heterogeneity of the exposures and comparators across studies was high. {A}lmost all studies (n = 34) reported positive associations between the consumption of sugar-sweetened beverages or foods high in free sugars and dental caries. {H}owever, 67.6% of studies were assessed as having serious risk of bias. {C}onclusion: {T}he evidence indicates that the consumption of unhealthy food and beverages in children <= 10 years appears to increase the risk of dental caries. {F}urther longitudinal studies with high-quality dietary assessments, including studies in low-income countries and children aged >5 years at baseline, are recommended in order to build a more robust evidence base for use in the development of policy recommendations.}, keywords = {children ; dental caries ; sugar-sweetened beverages ({SSB}s) ; systematic review ; ultra-processed foods ; unhealthy foods}, booktitle = {}, journal = {{N}utrition {R}eviews}, volume = {[{E}arly access]}, numero = {}, pages = {[17 p.]}, ISSN = {0029-6643}, year = {2023}, DOI = {10.1093/nutrit/nuad147}, URL = {https://www.documentation.ird.fr/hor/fdi:010088817}, }