Diana Katerine Cardona Salazar1, Jennifer Caplin2, Pamela Whyms3, Sahar Alrayyes4, Efthymia Nikita5, Maria Therese Galang-Boquiren1, Deric Truskoski4, Afsar Naqvi6, Christina L Nicholas1,3. 1. Department of Orthodontics, University of Illinois Chicago, Chicago, Illinois, USA. 2. Department of Preventative, Pediatric, and Community Dentistry, University of New England, Portland, Maine, USA. 3. Department of Anthropology, University of Illinois Chicago, Chicago, Illinois, USA. 4. Department of Pediatric Dentistry, University of Illinois Chicago, Chicago, Illinois, USA. 5. Science and Technology in Archaeology and Culture Research Center, The Cyprus Institute, Nicosia, Cyprus. 6. Department of Periodontics, University of Illinois Chicago, Chicago, Illinois, USA.
Abstract
OBJECTIVES: Childhood obesity is a systemic disease with multiple downstream consequences, including shifts in timing of growth and development. It has been documented that children with high body mass index (BMI) show accelerated timing of dental development, but the mechanism for this acceleration is unknown. Prior work has suggested that inflammation and/or nutrition may play a role. We investigate the potential association between diet (caloric intake, macronutrients), obesity, and accelerated dental development. METHODS: Children and adolescents (age 10-15; n = 112) were recruited from dental clinics at the University of Illinois Chicago. We collected subjects' height, weight, panoramic radiographic records, and each subject filled out a Block Food Frequency Questionnaire. RESULTS: The only macronutrient level associated with BMI was a negative correlation to Total Fat consumption (p = .01), though this relationship was not significant in the path analysis (p > .05). Regression analyses indicated that BMI (p = .003) and total caloric intake (controlling for BMI; rho = 0.19; p = .04) were both significantly correlated with timing of dental development. However, when a path analysis was conducted, it was revealed that only BMI was statistically significant (p = .008). CONCLUSIONS: Body mass index percentile, regardless of caloric intake, is positively associated with accelerated dental development. While it is possible that excess caloric intake itself plays a minor role in timing of dental development, we do not see unambiguous evidence for this in our sample. We posit that another mechanism, such as inflammation, may be the link between obesity status and dental development.
OBJECTIVES: Childhood obesity is a systemic disease with multiple downstream consequences, including shifts in timing of growth and development. It has been documented that children with high body mass index (BMI) show accelerated timing of dental development, but the mechanism for this acceleration is unknown. Prior work has suggested that inflammation and/or nutrition may play a role. We investigate the potential association between diet (caloric intake, macronutrients), obesity, and accelerated dental development. METHODS: Children and adolescents (age 10-15; n = 112) were recruited from dental clinics at the University of Illinois Chicago. We collected subjects' height, weight, panoramic radiographic records, and each subject filled out a Block Food Frequency Questionnaire. RESULTS: The only macronutrient level associated with BMI was a negative correlation to Total Fat consumption (p = .01), though this relationship was not significant in the path analysis (p > .05). Regression analyses indicated that BMI (p = .003) and total caloric intake (controlling for BMI; rho = 0.19; p = .04) were both significantly correlated with timing of dental development. However, when a path analysis was conducted, it was revealed that only BMI was statistically significant (p = .008). CONCLUSIONS: Body mass index percentile, regardless of caloric intake, is positively associated with accelerated dental development. While it is possible that excess caloric intake itself plays a minor role in timing of dental development, we do not see unambiguous evidence for this in our sample. We posit that another mechanism, such as inflammation, may be the link between obesity status and dental development.
Authors: Chunxue Yang; Hin Kiu Lee; Alice Pik Shan Kong; Lee Ling Lim; Zongwei Cai; Arthur C K Chung Journal: Ann Pediatr Endocrinol Metab Date: 2018-12-31