Dental and Medical Problems

Dent Med Probl
Index Copernicus (ICV 2020) – 128.41
MEiN – 70 pts
CiteScore (2021) – 2.0
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Average rejection rate (2021) – 81.35%
ISSN 1644-387X (print)
ISSN 2300-9020 (online)
Periodicity – quarterly

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Dental and Medical Problems

2015, vol. 52, nr 2, April-June, p. 131–136

Publication type: editorial article

Language: English

Creative Commons BY-NC-ND 3.0 Open Access

Obesity in Children and Adolescents – a New Challenge in Orthodontic Practice

Otyłość u dzieci i młodzieży – nowe wyzwanie w praktyce ortodontycznej

Katarzyna Olszewska1,A,B,C,D,E,F, Maria Ważna-Olszewska2,A,B,C,D,E,F, Izabella Dunin-Wilczyńska1,A,C,E,F

1 Chair and Department of Jaw Orthopaedics, Medical University in Lublin, Lublin, Poland

2 Department of Pediatrics, Specialistic Hospital in Lublin, Lublin, Poland

Abstract

Obesity is one of the most common chronic disorders affecting the health and well-being of children and adolescents and its prevalence is increasing steadily and dramatically all over the world. Because of the growing number of overweight or obese children and adolescents in orthodontic practice, the aim of the study was to discuss a variety of medical and psychosocial issues associated with childhood obesity which may have an impact on orthodontic therapy. Overweight and obesity are usually associated with the early onset of puberty and earlier pubertal growth spurt. Obesity has been hypothesized to impact craniofacial growth and lead to more precocious skeletal maturation of the maxilla and the mandible, which has a fundamental significance in dentofacial orthopaedics. An acceleration of dental development in obese children may alter the diagnosis and timing of orthodontic treatment. In fact, when incorporating orthodontic therapies such as growth modification or serial extractions, the timing of intervention may require recalculation to consider also the weight status of the patient. Based on available literature, obesity seems to impact bone metabolism through several mechanisms, which may considerably affect the orthodontic tooth movement. Obesity in childhood and adolescence is associated with significant psychosocial problems, which are probably more common than medical consequences. Most typical complications are related to psychosocial dysfunction and social isolation. Obesity in childhood and adolescence should be considered as a chronic medical condition associated with a multitude of medical and psychosocial consequences, which may influence orthodontic therapy.

Key words

obesity, children, overweight, orthodontic treatment, adolescents

Słowa kluczowe

dzieci, młodzież, otyłość, nadwaga, leczenie ortodontyczne

References (37)

  1. World Health Organization: Prioritizing areas for action in the field of population-based prevention of childhood obesity. WHO, Geneva 2012.
  2. Ng M., Fleming T., Robinson M.: Global, regional and national prevalence of overweight and obesity in children and adults during 1980–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet 2014, 384, 9945, 766–781.
  3. Aypak C., Türedi Ö., Yüce A.: The association of vitamin D status with cardiometabolic risk factors, obesity and puberty in children. Eur. J. Pediatr. 2014, 173, 367–373.
  4. Garcia E.G., Lopez M.A.V., Martinez R.G.: Prevalence of overweight and obesity in children and adolescents aged 2–16 years. Endocrinol. Nutr. 2013, 60, 121–126.
  5. Livingstone B.: Epidemiology of childhood obesity in Europe. Eur. J. Pediatr. 2000, 159 (Suppl 1), 14–34.
  6. Bac A., Woźniacka R., Matusik S., Golec J., Golec E.: Prevalence of overweight and obesity in children aged 6–13 years – alarming increase in obesity in Cracow, Poland. Eur. J. Pediatr. 2012, 171, 245–251.
  7. Oblacińska A., Jodkowska M.: Obesity among Polish adolescents: epidemiology, eating behaviours, dieting, physical activity and well-being among overweight and obese adolescents. Instytut Matki i Dziecka, Warszawa 2007 [in Polish].
  8. Lo J.C., Chandra M., Sinaiko A., Daniels S.R., Prineas R.J., Maring B., Parker E.D., Sherwood N.E., Daley M.F., Kharbanda E.O., Adams K.F., Magid D.J., O’Connor P.J., Greenspan L.C.: Severe obesity in children: prevalence, persistence and relation to hypertension. Int. J. Pediatr. Endocrinol. 2014, 62, 3–11.
  9. Cole T.J., Bellizzi M.C., Flegal K.M., Dietz W.H.: Establishing a standard definition for child overweight and obesity worldwide: International survey. BMJ 2000, 320, 1240–1243.
  10. Palczewska I., Szilagyi-Pągowska I.: Assessment of the somatic development in children and adolescents. Med. Prakt. Ped. 2002, 3, 1–7 [in Polish].
  11. Sandhu J., Ben-Shlomo Y., Cole T.J., Holly J., Smith G.D.: The impact of childhood body mass index on timing of puberty, adult stature and obesity: a follow-up study based on adolescent anthropometry recorded at Christ’s Hospital. Int. J. Obesity 2006, 30, 14–22.
  12. Ahmed M.L., Ong K.K., Dunger D.B.: Childhood obesity and the timing of puberty. Trends Endocrinol. Met. 2009, 20, 237–242.
  13. Dunger D.B., Ahmed M.L., Ong K.K.: Effects of obesity on growth and puberty. Best Pract. Res. Clin. Endocrinol. Metab. 2005, 19, 375–390.
  14. Bradner Jasik C., Lustig L.H.: Adolescent obesity and puberty: the perfect storm. Ann. NY Acad. Sci. 2008, 1135, 265–279.
  15. Frisch R.E., Revelle R.: Height and weight at menarche and a hypothesis of critical body weights and adolescent events. Sci. 1970, 169, 397–399.
  16. Zhang Y., Proenca R., Maffei M.: Positional cloning of the mouse obese gene and its human homologue. Nature 1994, 372, 425–432.
  17. Ahmed M.L., Ong K.K., Morrell D.J.: Longitudinal study of leptin concentrations during puberty: sex differences and relationships to changes in body composition. J. Clin. Endocrinol. Metab. 1999, 84, 899–905.
  18. Neeley W.W., Gonzales D.A.: Obesity in adolescence: Implications in orthodontic treatment. Am. J. Orthod. Dentofacial. Orthop. 2007, 131, 581–588.
  19. De Leonibus C., Marcovecchio M.L., Chiavaroli V., de Giorgis T., Chiarelli F.: Timing of puberty and physical growth in obese children: a longitudinal study in boys and girls. Pediatr. Obes. 2013, 9, 292–299.
  20. Giuca M.R., Pasini M., Tecco S., Marchetti E., Giannotti E., Marzo G.: Skeletal maturation in obese patients. Am. J. Orthod. Dentofacial. Orthop. 2012, 142, 774–779.
  21. Różyło-Kalinowska I., Kolasa-Rączka A., Kalinowski P.: Relationship between dental age according to Demirjian and cervical vertebrae maturity in Polish children. Eur. J. Orthod. 2011, 33, 75–83.
  22. Demirjian A., Goldstein H., Tanner J.M.: A new system of dental age assessment. Hum. Biol. 1973, 45, 211–227.
  23. Baccetti T., Franchi L., McNamara J.: An improved version of the cervical vertebral maturation (CVM) method for the assessment of mandibular growth. Angle Orthod. 2002, 72, 316–323.
  24. Hilgers K.K., Akridge M., Scheetz J.P., Kinane D.F.: Childhood obesity and dental development. Pediatr. Dent. 2006, 28, 18–22.
  25. Eid R.M., Simi R., Friggi M.N., Fisberg M.: Assessment of dental maturity of Brazilian children aged 6 to 14 years using Demirjian’s method. Int. J. Paediatr. Dent. 2002, 12, 423–428.
  26. Mack K., Philips C., Jain N., Koroluk L.D.: Relationship between body mass index percentile and skeletal maturation and dental development in orthodontic patients. Am. J. Orthod. Dentofac. Orthop. 2013, 143, 228–234.
  27. ] Öhrn K., Al-Kahlili B., Huggare J., Forsberg C.M., Marcus C.: Craniofacial morphology in obese adolescents. Acta Odontol. Scand. 2002, 60, 193–197.
  28. Sadeghianrizi A., Forsberg C.M., Marcus C., Dahllöf G.: Craniofacial development in obese adolescents. Eur. J. Orthod. 2005, 27, 550–555.
  29. Ferrario V., Dellavia C., Tartaglia G., Turci M., Sforza C.: Soft tissue facial morphology in obese adolescents: a three dimensional non-invasive assessment. Angle Orthod. 2004, 74, 37–42.
  30. Holecki M., Wiecek A.: Relationship between body fat mass and bone metabolism. Pol. Arch. Med. Wewn. 2010, 120, 361–367 [in Polish].
  31. Cao J.J.: Effects of obesity on bone metabolism. J. Orthop. Surg. Res. 2011, 6, 30–37.
  32. Misra M., Klibanski A.: Anorexia nervosa, obesity and bone metabolism. Pediatr. Endocrinol. Rev. 2013, 11, 21–23.
  33. Shapses S.A., Sukumar D.: Bone metabolism in obesity and weight loss. Ann. Rev. Nutr. 2012, 21, 287–309.
  34. French S., Story M., Perry C.: Self-esteem and obesity in children and adolescents: a literature review. Obes. Res. 1995, 3, 479–490.
  35. Strauss R.: Childhood obesity and self-esteem. Pediatrics, 2000, 105, e15–e20.
  36. Israel A., Ivanova M.: Global and dimensional self-esteem in pre-adolescent and early adolescent children who are overweight: age and gender differences. Int. J. Eat. Disord. 2002, 31, 424–429.
  37. Renman C., Engstrom I., Silfverdal S., Aman J.: Mental health and psychosocial characteristics in adolescent obesity: a population based case-control study. Acta Pediatr. 1999, 88, 998–1003.