Effect of aging in periocular appearances by comparison of anthropometry between early and middle adulthoods in Chinese Han population

Effect of aging in periocular appearances by comparison of anthropometry between early and middle adulthoods in Chinese Han population
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人体测量学比较中国汉族早中期眼周外观衰老的影响

DOI:
10.1016/j.bjps.2019.07.030
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发表时间:
2019-12-01
影响因子:
2.7
通讯作者:
Lu, Rong
Lu, Rong
中科院分区:
医学3区
文献类型:
--
作者:
Ma, Huan;Chen, Ying;Lu, Rong

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目的:与年龄相关的眼部外观改变发生在整个成年期,眼周组织的年代性改变在中年或老年人中很常见。本研究旨在探讨中国汉族青壮年和中年人眼周人体测量的显著差异。方法:共招募589名中国汉族成年人进行横断面调查,其中青年(20 ~ 30岁)309名,中年(50 ~ 70岁)280名。从每位受试者处拍摄标准化的正面视图照片,测量17个眼部人体测量参数(11个线性参数,3个角度参数和3个指标参数),详细说明睑裂和眉毛的尺寸。眼睑折痕形态也被评估。结果:眼睑折痕亚型的分布在两个年龄组之间存在差异,其中一种眼睑亚型(VI型闭月牙型)仅在中年人中发现。在大多数的眼部参数中发现了显著的差异。对于大多数与裂缝相关的测量,年轻人的数值更高。对于眼睛和眉毛之间的一些距离维度,中年人的数值更大。对两名不同年龄的受试者分别进行了详细的眼周参数评估,体现了横断面分析的结果。结论:通过比较不同年龄组的人体测量,我们发现在衰老的影响下,眼周和眼睑的形态发生了变化,与眼周组织松弛和弹性丧失有关。本研究首次提供了中国汉族中早期成人的标准眼周尺寸,为该人群的美容手术决策提供了参考。(C) 2019年英国整形、重建和美容外科医生协会。Elsevier Ltd.出版。
Purpose: Age-related change in ocular appearance occurs throughout adulthood, and involutional alterations in periocular tissues are common in middle-aged or older adults. This study sought to investigate significant differences in periocular anthropometry between young and middle-aged adults of Chinese Han ethnic group.Methods: A total of 589 Chinese Han adults were recruited for cross-sectional investigation: 309 young adults (20 to 30 years), and 280 middle adulthood (50 to 70 years). Standardized, frontal view photographs were taken from each subject for measurements of 17 ocular anthropometric parameters (11 linear, three angular and three indicial parameters) detailing dimensions of palpebral fissures, and eyebrows. Eyelid crease morphologies were also evaluated.Findings: Distribution of eyelid crease subtypes were different between the two age-groups, and an eyelid subtype (Type VI Closed Crescent) was uniquely found in middle-aged adults. Significant differences were found in majority of the ocular parameters. For most of the fissure-related measurements, values were greater in young adults. For some distance-dimensions between eyes and eyebrows, values were greater in the middle-aged adults. Detailed evaluation of periocular parameters of different age was individually performed for two subjects, which embodied findings from the cross-sectional analysis.Conclusions: By comparison of anthropometries between age-groups, we found alterations in periocular and eyelid morphologies under effect of aging, with association of laxity and loss of elasticity in periocular tissues. This study was the first to provide normative periocular dimensions of early and middle adulthoods in Chinese Han, which is useful for considerations in esthetic surgical decision-making for this population. (C) 2019 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd.