Childhood obesity and dental caries in homeless children.

INTRODUCTION: Childhood obesity and dental caries are increasing epidemics, especially among children who are living below the poverty level. This study was conducted to determine the relationship between body mass index (BMI) and caries in homeless children. METHODS: A secondary data analysis with a correlational design was used. A convenience sample of 157 children was recruited from a homeless shelter. RESULTS: Pearson's and partial correlations were used to explore the relationships among age, BMI, and caries. Most of the children were girls and were African American. Slightly more than half of the children were overweight (19.7%) or obese (30.6%) and had caries (50.3%). Significant positive correlations between age and BMI (p = .03) as well as between age and caries (p = .003) were found. As BMI increased, so did caries (p = .08). DISCUSSION: Consistent with reports from the Centers for Disease Control and Prevention, homeless children had higher BMI and caries rates than the national averages. Although a definitive conclusion between obesity and dental caries cannot be drawn, these two health issues are important areas for all pediatric health care providers to address at every visit.

Healthy, hunger-free kids act of 2010: an opportunity for school nurses to make a difference.

Implementation of the Healthy Hunger-Free Kids Act of 2010 will provide an opportunity for school nurses to intervene in the serious childhood obesity problem in the United States. Major changes in the management of the National School Lunch Program (NSLP) will likely challenge schools yet may provide the impetus for a collaborative effort by the interdisciplinary school staff and parents to make a real difference for children. School nurses must use this occasion for a change to promote healthy eating habits and increased physical activity levels for students to carry into adulthood.