Influence of BMI percentile on craniofacial morphology and development in adolescents,Part II: elevated BMI is associated with larger final facial dimensions.
Influence of BMI percentile on craniofacial morphology and development in adolescents,Part II: elevated BMI is associated with larger final facial dimensions.
复制标题
BMI百分位数对青少年颅面形态和发育的影响，第二部分：BMI升高与较大的最终面部尺寸相关。
DOI：
10.1093/ejo/cjad043
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发表时间：
2024-01-01
影响因子：
2.6
通讯作者：
Jacox, Laura Anne
中科院分区：
文献类型：
--
作者：
Hancock, Steven;Carmack, Andrea;Kocher, Mallory;Silva, Erika Rezende;Sulkowski, Taylor;Nanney, Eleanor;Graves, Christina;Mitchell, Kelly;Jacox, Laura Anne
关键词：
青少年肥胖的患病率从1974年的5.2%显著增加到2021年的19.7%。了解肥胖的影响对肥胖学家来说很重要，因为在体重指数（BMI）升高的儿童中可以看到生长加速和青春期前更大的面部尺寸。为了确定青少年肥胖是否改变了颅面生长的时间和速度，导致治疗后尺寸更大，我们评估了超重/肥胖（BMI > 85%，n = 168）和正常体重（n = 158）青少年（N = 326）的头影测量结果。从治疗前和治疗后的记录中获得头影测量值，以测量生长速率和最终尺寸，并采用重复测量方差分析和线性回归模型进行统计学评价。超重和肥胖青少年开始和结束治疗时，双颌颅面尺寸显著增大，下颌长度[关节-颌（Ar-Gn）]、上颌长度[髁突-前鼻棘（Co-ANS）、后鼻棘-ANS（PNS-ANS）]和前下面部高度（ANS-Me）升高，表明超重儿童总体生长更快。然而，治疗期间体重队列之间的头影测量变化量没有差异，回归分析表明治疗期间生长变化与BMI之间没有相关性。BMI百分位数是治疗后头影测量结果的显著线性预测因子（P < 0.05），包括Ar-Gn、Co-ANS、ANS-Me、上面部高度百分比（UFH：总FH，反比关系）、下面部高度百分比（LFH：总FH）、鞍点A点（SNA）和SN-B点（SNB）。这项研究是回顾性的。超重和肥胖青少年的生长开始较早，并在正畸治疗期间以与正常体重儿童相似的速度继续生长，导致最终骨骼尺寸较大。正畸治疗可以在超重患者中更早开始，以便在生长的同时进行护理，临床医生可以预期超重/肥胖患者将以比例更大的双颌-双颌颅面尺寸完成治疗。
Prevalence of adolescent obesity has markedly increased from 5.2% in 1974 to 19.7% in 2021. Understanding the impacts of obesity is important to orthodontists, as growth acceleration and greater pre-pubertal facial dimensions are seen in children with elevated body mass index (BMI). To identify whether adolescent obesity shifts the timing and rate of craniofacial growth resulting in larger post-treatment dimensions, we evaluated cephalometric outcomes in overweight/obese (BMI > 85%, n = 168) and normal weight (n = 158) adolescents (N = 326 total). Cephalometric measurements were obtained from pre- and post-treatment records to measure growth rates and final dimensions and were statistically evaluated with repeated measures analysis of variance and linear regression models. Overweight and obese adolescents began and finished treatment with significantly larger, bimaxillary prognathic craniofacial dimensions, with elevated mandibular length [articulare-gnathion (Ar-Gn)], maxillary length [condylion-anterior nasal spine (Co-ANS), posterior nasal spine-ANS (PNS-ANS)], and anterior lower face height (ANS-Me), suggesting overweight children grow more overall. However, there was no difference between weight cohorts in the amount of cephalometric change during treatment, and regression analyses demonstrated no correlation between change in growth during treatment and BMI. BMI percentile was a significant linear predictor (P < 0.05) for cephalometric post-treatment outcomes, including Ar-Gn, Co-ANS, ANS-Me, upper face height percentage (UFH:total FH, inverse relationship), lower face height percentage (LFH:total FH), sella-nasion-A-point (SNA), and SN-B-point (SNB). The study is retrospective. Growth begins earlier in overweight and obese adolescents and continues at a rate similar to normal-weight children during orthodontic treatment, resulting in larger final skeletal dimensions. Orthodontics could begin earlier in overweight patients to time care with growth, and clinicians can anticipate that overweight/obese patients will finish treatment with proportionally larger, bimaxillary-prognathic craniofacial dimensions.
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影响因子：
--
作者：
Stierman, Bryan;Afful, Joseph;Akinbami, Lara J
通讯作者：
Akinbami, Lara J
影响因子：
1.9
作者：
Kaipatur, Neelambar R.;Flores-Mir, Carlos
通讯作者：
Flores-Mir, Carlos
影响因子：
2.9
作者：
Stovitz, Steven D.;Demerath, Ellen W.;Hannan, Peter J.;Lytle, Leslie A.;Himes, John H.
通讯作者：
Himes, John H.
影响因子：
2.2
作者：
Narang I;Mathew JL
通讯作者：
Mathew JL
DOI：
10.1016/j.ajodo.2012.09.015
发表时间：
2013-02-01
影响因子：
3
作者：
Mack, Kervin B.;Phillips, Ceib;Koroluk, Lorne D.
通讯作者：
Koroluk, Lorne D.