CC BY 4.0 · Eur J Dent
DOI: 10.1055/s-0043-1764428
Review Article

A Review on Maternal Parenting, Child's Growth Stunting, and Oral Health

Rasyid Abdulaziz
1   Faculty of Dentistry, Universitas Padjadjaran, Bandung, Indonesia
Netty Suryanti
2   Department of Community Dentistry, Faculty of Dentistry, Universitas Padjadjaran, Bandung, Indonesia
3   Department of Pediatric Dentistry, Faculty of Dentistry, Universitas Padjadjaran, Bandung, Indonesia
› Author Affiliations
Funding We thank Universitas Padjadjaran for the Academic Leadership Grant (No. 2203/UN6.3.1/PT.00/2022) for funding this study.


Stunting has gained global attention as one of the most critical problems in public health. As the first and dominant figure in a child's life, the mother is responsible for determining the proper parenting behaviors to apply to maintain the child's physical health. Stunting is often associated with early childhood caries (ECC) and molar incisor hypomineralization, which can be manifested into each other through various mechanisms. Therefore, it is crucial to explore how far maternal parenting behaviors affect stunting and oral health. This study aims to determine which maternal parenting behaviors can affect stunting and oral health. A systematic search was used through PubMed and Google Scholar to search for published articles between 2011 and 2021. The articles analyze maternal parenting behaviors with stunting and poor oral health. Final analysis was used on 21 articles containing 18 cross-sectional studies, 2 cohort studies, and 1 randomized controlled trial. The result implied that the high prevalence of stunting and ECC is the combined result of prolonged breastfeeding practices (7 articles), poor complementary feeding practice (6 articles), high consumption of sugar (5 articles), and poor oral hygiene practices (5 articles). Maternal parenting styles in the aspect of fulfilling nutrition and maintaining oral health affect the occurrence of stunting and ECC in children.

Publication History

Article published online:
27 April 2023

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  • References

  • 1 Campisi SC, Cherian AM, Bhutta ZA. World perspective on the epidemiology of stunting between 1990 and 2015. Horm Res Paediatr 2017; 88 (01) 70-78
  • 2 de Onis M, Branca F. Childhood stunting: a global perspective. Matern Child Nutr 2016; 12 (Suppl. 01) 12-26
  • 3 Prendergast AJ, Humphrey JH. The stunting syndrome in developing countries. Paediatr Int Child Health 2014; 34 (04) 250-265
  • 4 Habimana S, Biracyaza E. Risk factors of stunting among children under 5 years of age in the eastern and western provinces of Rwanda: analysis of Rwanda Demographic And Health Survey 2014/2015. Pediatric Health Med Ther 2019; 10: 115-130
  • 5 Mzumara B, Bwembya P, Halwiindi H, Mugode R, Banda J. Factors associated with stunting among children below five years of age in Zambia: evidence from the 2014 Zambia demographic and health survey. BMC Nutr 2018; 4 (01) 51
  • 6 Viswanath S, Asokan S, Geethapriya PR, Eswara K. Parenting styles and their influence on child's dental behavior and caries status: an analytical cross-sectional study. J Clin Pediatr Dent 2020; 44 (01) 8-14
  • 7 Mistry SK, Hossain MB, Arora A. Maternal nutrition counselling is associated with reduced stunting prevalence and improved feeding practices in early childhood: a post-program comparison study. Nutr J 2019; 18 (01) 47
  • 8 Indriyanti R, Nainggolan TR, Sundari AS, Chemiawan E, Gartika M, Setiawan AS. Modelling the maternal oral health knowledge, age group, social-economic status, and oral health-related quality of life in stunting children. Int J Stat Med Res 2021; 10 (01) 200-207
  • 9 Castilho AR, Mialhe FL, Barbosa TdeS, Puppin-Rontani RM. Influence of family environment on children's oral health: a systematic review. J Pediatr (Rio J) 2013; 89 (02) 116-123
  • 10 Snell AK, Burgette JM, Weyant RJ. et al. Association between a child's caries experience and the mother's perception of her child's oral health status. J Am Dent Assoc 2019; 150 (06) 540-548
  • 11 Yohana S, Indriyanti R, Suryanti N, Rahayuwati L, Juniarti N, Setiawan AS. Caries experience among children with history of neonatal stunting. Eur J Dent 2022; DOI: 10.1055/s-0042-1750775.
  • 12 Setiawan AS, Indriyanti R, Suryanti N, Rahayuwati L, Juniarti N. Neonatal stunting and early childhood caries: a mini-review. Front Pediatr 2022; 10 (July): 871862
  • 13 Sadida ZJ, Indriyanti R, Setiawan AS. Does growth stunting correlate with oral health in children?: a systematic review.. Eur J Dent 2022; 16 (01) 32-40
  • 14 Ibrahim HAA, Nasr RA, Salama AA, Amin AA. Childhood malnutrition and hypo mineralized molar defects; a cross sectional study, Egypt. F1000 Res 2021; 10: 1307
  • 15 Sokol RL, Qin B, Poti JM. Parenting styles and body mass index: a systematic review of prospective studies among children. Obes Rev 2017; 18 (03) 281-292
  • 16 Sheetal A, Hiremath VK, Patil AG, Sajjansetty S, Kumar SR. Malnutrition and its oral outcome: a review. J Clin Diagn Res 2013; 7 (01) 178-180
  • 17 Vieira KA, Rosa-Júnior LS, Souza MAV, Santos NB, Florêncio TMMT, Bussadori SK. Chronic malnutrition and oral health status in children aged 1 to 5 years: an observational study. Medicine (Baltimore) 2020; 99 (18) e19595
  • 18 Setiawan AS, Abhista N, Andisetyanto P, Indriyanti R, Suryanti N. Growth stunting implication in children: a review on primary tooth eruption. Eur J Gen Dent 2022; 11 (01) 7-16
  • 19 Black RE, Victora CG, Walker SP. et al; Maternal and Child Nutrition Study Group. Maternal and child undernutrition and overweight in low-income and middle-income countries. Lancet 2013; 382 (9890): 427-451
  • 20 Page MJ, McKenzie JE, Bossuyt PM. et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ 2021;372
  • 21 Ndekero TS, Carneiro LC, Masumo RM. Prevalence of early childhood caries, risk factors and nutritional status among 3-5-year-old preschool children in Kisarawe, Tanzania. PLoS One 2021; 16 (02) e0247240
  • 22 Renggli EP, Turton B, Sokal-Gutierrez K. et al. Stunting malnutrition associated with severe tooth decay in Cambodian toddlers. Nutrients 2021; 13 (02) 1-16
  • 23 Zahid N, Khadka N, Ganguly M. et al. Associations between child snack and beverage consumption, severe dental caries, and malnutrition in Nepal. Int J Environ Res Public Health 2020; 17 (21) 1-13
  • 24 Shen A, Bernabé E, Sabbah W. Undernutrition is associated with change in severe dental caries. J Public Health Dent 2020; 80 (03) 236-243
  • 25 Shen A, Bernabé E, Sabbah W. The bidirectional relationship between weight, height and dental caries among preschool children in China. PLoS One 2019; 14 (04) e0216227
  • 26 Tsang C, Sokal-Gutierrez K, Patel P. et al. Early childhood oral health and nutrition in urban and rural Nepal. Int J Environ Res Public Health 2019; 16 (14) 783-790
  • 27 Huang D, Sokal-Gutierrez K, Chung K. et al. Maternal and child nutrition and oral health in urban Vietnam. Int J Environ Res Public Health 2019; 16 (14) 5-8
  • 28 Khanh LN, Ivey SL, Sokal-Gutierrez K. et al. Early childhood caries, mouth pain, and nutritional threats in Vietnam. Am J Public Health 2015; 105 (12) 2510-2517
  • 29 Folayan MO, Oginni AB, El Tantawi M, Alade M, Adeniyi AA, Finlayson TL. Association between nutritional status and early childhood caries risk profile in a suburban Nigeria community. Int J Paediatr Dent 2020; 30 (06) 798-804
  • 30 Wakhungu HK, Were GM, Serrem CA, Kibosia CJ. Dietary intake and prevalence of dental caries among five-year-old children in urban and rural areas of Uasin-Gishu County, Kenya. Eur J Agri Food Sci 2020; 2 (04) 1-6
  • 31 Walters CN, Rakotomanana H, Komakech JJ, Stoecker BJ. Maternal determinants of optimal breastfeeding and complementary feeding and their association with child undernutrition in Malawi (2015-2016). BMC Public Health 2019; 19 (01) 1503
  • 32 Melaku YA, Gill TK, Taylor AW, Adams R, Shi Z, Worku A. Associations of childhood, maternal and household dietary patterns with childhood stunting in Ethiopia: proposing an alternative and plausible dietary analysis method to dietary diversity scores. Nutr J 2018; 17 (01) 14
  • 33 Muhoozi GKM, Atukunda P, Skaare AB. et al. Effects of nutrition and hygiene education on oral health and growth among toddlers in rural Uganda: follow-up of a cluster-randomised controlled trial. Trop Med Int Health 2018; 23 (04) 391-404
  • 34 Tessema M, Belachew T, Ersino G. Feeding patterns and stunting during early childhood in rural communities of Sidama, South Ethiopia. Pan Afr Med J 2013; 14: 75
  • 35 Achalu P, Bhatia A, Turton B, Luna L, Sokal-Gutierrez K. Sugary liquids in the baby bottle: risk for child undernutrition and severe tooth decay in rural El Salvador. Int J Environ Res Public Health 2020; 18 (01) 260
  • 36 So M, Ellenikiotis YA, Husby HM, Paz CL, Seymour B, Sokal-Gutierrez K. Early childhood dental caries, mouth pain, and malnutrition in the Ecuadorian amazon region. Int J Environ Res Public Health 2017; 14 (05) 1-12
  • 37 Roche ML, Gyorkos TW, Blouin B, Marquis GS, Sarsoza J, Kuhnlein HV. Infant and young child feeding practices and stunting in two highland provinces in Ecuador. Matern Child Nutr 2017; 13 (02) e12324
  • 38 Sokal-Gutierrez K, Turton B, Husby H, Paz CL. Early childhood caries and malnutrition: baseline and two-year follow-up results of a community-based prevention intervention in Rural Ecuador. BMC Nutr 2016; 2 (01) 1-11
  • 39 Cortes JZ, Trejo Osti LE, Ocampo Torres M, Maldonado Vargas L, Ortiz Gress AA. Poor breastfeeding, complementary feeding and dietary diversity in children and their relationship with stunting in rural communities. Nutr Hosp 2018; 35 (02) 271-278
  • 40 Athavale P, Khadka N, Roy S. et al. Early childhood junk food consumption, severe dental caries, and undernutrition: a mixed-methods study from Mumbai, India. Int J Environ Res Public Health 2020; 17 (22) 1-17
  • 41 Vilcins D, Sly PD, Jagals P. Environmental risk factors associated with child stunting: a systematic review of the literature. Ann Glob Health 2018; 84 (04) 551-562
  • 42 de Onis M, Blössner M. The World Health Organization Global Database on Child Growth and Malnutrition: methodology and applications. Int J Epidemiol 2003; 32 (04) 518-526
  • 43 Folayan MO, El Tantawi M, Oginni AB, Alade M, Adeniyi A, Finlayson TL. Malnutrition, enamel defects, and early childhood caries in preschool children in a sub-urban Nigeria population. PLoS One 2020; 15 (07) e0232998
  • 44 Atef H, Abdel-Raouf R, Zeid AS. et al. Development of a simple and valid nutrition screening tool for pediatric hospitalized patients with acute illness. F1000 Res 2021; 10: 173
  • 45 Osendarp SJM, Roche ML. Behavioral change strategies for improving complementary feeding and breastfeeding. World Rev Nutr Diet 2016; 115: 184-192
  • 46 Cetthakrikul N, Topothai C, Suphanchaimat R, Tisayaticom K, Limwattananon S, Tangcharoensathien V. Childhood stunting in Thailand: when prolonged breastfeeding interacts with household poverty. BMC Pediatr 2018; 18 (01) 395
  • 47 Tham R, Bowatte G, Dharmage SC, Tan DJ, Lau MX, Dai X, Allen KJ, Lodge CJ. Breastfeeding and the risk of dental caries: a systematic review and meta-analysis. Acta Paediatr 2015 Dec;104(467):62–84. Doi: 10.1111/apa.13118. PMID: 26206663
  • 48 Wandera M, Kayondo J, Engebretsen IM, Okullo I, Astrøm AN. Factors associated with caregivers' perception of children's health and oral health status: a study of 6- to 36-month-olds in Uganda. Int J Paediatr Dent 2009; 19 (04) 251-262
  • 49 Hermont AP, Martins CC, Zina LG, Auad SM, Paiva SM, Pordeus IA. Breastfeeding, bottle feeding practices and malocclusion in the primary dentition: a systematic review of cohort studies. Int J Environ Res Public Health 2015; 12 (03) 3133-3151
  • 50 Mzumara B, Bwembya P, Halwiindi H, Mugode R, Banda J. Factors associated with stunting among children below five years of age in Zambia: evidence from the 2014 Zambia demographic and health survey. BMC Nutr 2018; 4: 51
  • 51 English LK, Obbagy JE, Wong YP. et al. Timing of introduction of complementary foods and beverages and growth, size, and body composition: a systematic review. Am J Clin Nutr 2019; 109: 935-955