Overweight Kids Have Better Teeth
The NY Times Wellness Blog points to an intriguing study. It seems that overweight kids have better teeth than their normal weight peers.
Confounding?
The data (from NHANES) suggests that among those aged 12-18: "overweight children were less likely to have caries experience in the permanent dentition than normal weight children." (Here overweight was determined by using upper percentiles rather than BMI).
The comments on the NY Time Blog (before descending into a flame-war) are fascinating:
- "[...] I don't think children get obese on candy and other high-sugar confections (which are relatively small and take time to eat) so much as they do on massive-fat "meals" they can scarf."
- "Why why why wouldn't they control for children's height? The heavier kids may just be the taller ones with MORE ROBUST BONE GROWTH!"
- "[...] While overweight kids may overeat on fatty foods, is there any reason they would eat fewer cavity causing sweets?"
- "This would support my hypothesis that the problem of obese kids isn't about over-eating but about lack of exercise [...]"
The study did not look at diet at all - so we are left with pure speculation.
More like this in Teens and Kids

doesn't seem like they did much studying... seems to me they picked some obese kids, measured dental health and called it a study. didn't see diet mentioned in there much. usually there is a huge difference in what a kid eats at school (depending which stage of school) and what they eat at home with family. there are so many more factors not considered here. i remember reading an article somewhere that said that poor dental care can cause obesity... so, did the chicken come before the egg?
ReplyI was a stocky kid, but never overweight, and I have great teeth, to the point any dentist comments on them. I'm in the top 3 percentile for bone density for my age and ethnicity, so the robust bone growth hypothesis seems like it could be true - though I'm short myself.
It would be interest to compare wrist or thumb circumference, which are often used to estimate skeletal mass, with dental health.
ReplyI think a lot of it could be genetics, pure and simple. Like Jan, I was a stocky robust kid and I never had cavities. Genetically, my whole family had very few cavities, which could be linked to our bone structure. My sis and I have both had bone density tests done and our skeletal frames are roughly the same size, although my bones were slightly more dense than hers (probably due to the fact that I'm a lot more active than she is). I don't eat a ton of candy or anything, but I seriously wonder just how much that affects cavities in your teeth. I think more of it is based on how often you brush and floss, how acidic/dry your mouth is, etc.
It looks like this study was probably a correlation, not causation thing. They need to look at more variables, like calcium intake of each group, how often each group brushed/flossed, what kind of diet each group ate, etc.
ReplyPlus you can be fat and not be a snacker. I'm not a snacker; never was. Left to my own devices, I'd eat 3 large meals a day, and brush after each of them. A lot of people eat a bit here, a bit there, all day nonstop (like reaching for the office cookie jar), so I am guessing frequency of eating is more related to cavities than total calorie consumption.
ReplyThat is very strange. I would agree that serious weight gain in children isnt' caused by candy, but by large amounts of foods laden with unhealthy fats.
Replyhmm. well, at my school where i teach, many (maybe most)students eat a plethora of candies daily! Most are even over weight. Hot cheetos and pork skins are the "in- food" around here. By the way, this is a problem among the thin and fat alike.
ReplyFatty food isn't usually bad for your teeth. Hard candies, jelly beans, and sodas are. Could a conclusion be drawn from this?
ReplyMeant to add that hard candies, jelly beans, and sodas are low fat -- just high sugar and calorie.
ReplyMaybe it's because they drink less juice? Overweight kids = unhealthy diet = drinking more softdrink and less fruit juice = less of the fruit acids that weaken your teeth enamel? Just another idea!
A little (poorly conducted) research is a dangerous thing!
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