Overweight and obesity affect skeletal maturation and dental development in children and adolescents – a retrospective study

Katarzyna Olszewska, Maria Mielnik-Błaszczak, Paula Plechawska, Joanna Przybyś


Introduction: There are many questions concerning the relationship between childhood obesity and childhood growth and development. The aim of the study was to determine if overweight and obese children and adolescents show accelerated dentition development and skeletal maturity in comparison with the normal weight individuals.
Material and Methods: In total, 109 patients divided into three groups were selected for the retrospective study. The OW group included 34 overweight patients (mean age: 10.91 ± 2.43). The OB group comprised 23 obese individuals (mean age: 10,67 ± 2.54). The control group (NW) included 52 normal weight subjects (mean age: 10.19 ± 1.81). Dental age and skeletal maturity were assessed. The data was analyzed by STATISTICA 10 for Windows Software (StatSoft Inc., Tulsa, USA).
Results: The mean dental age acceleration was 0.38 ± 1.13 in the NW group, 1,79 ± 0.96 in the OW group and 1.88 ± 0.75 in the OB group and was significantly greater in the OW and OB group than in the NW group (P<0.05). The mean CVM score accounted for 2.01 ± 1.16 in the NW group, 2.95 ± 1.47 in the OW group and 2.97 ± 1.49 in the OB group. The mean CVM score was significantly greater in the OW and OB group than in the NW group (P<0.05). Conclusions: The study revealed accelerated dentition development and skeletal maturity in overweight and obese children and adolescents. BMI percentile is an important data that healthcare professionals should consider in the context of growth and development assessment in paediatric patients.


children, overweight, obesity, dentition development, skeletal maturity

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World Health Organization: Report of the commission on ending childhood obesity. WHO, Geneva 2016.

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. doi:10.1016/S0140-6736(14)60460-8.

Bentham J, Bilano V, Bixby H. Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128•9 million children, adolescents, and adults. Lancet 2017; 390(10113): 2627-2642.

Żukiewicz-Sobczak W, Wróblewska P, Zwoliński J. Obesity and poverty paradox in developed countries. Ann Agric Environ Med 2014; 21(3): 590–594. doi: 10.5604/12321966.1120608.

Garcia EG, Lopez MAV, Martinez RG. Prevalence of overweight and obesity in children and adolescents aged 2-16 years. Endocrinol Nutr 2013; 60(3): 121-126. doi:10.1016/j.endonu.2012.09.014.

Bac A, Woźniacka R, Matusik S. 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. doi: 10.1007/s00431-011-1519-1.

Mazur A, Klimek K, Telega G. Ten-year secular trend of overweight and obesity in school children in South-Eastern Poland. Ann Agric Environ Med 2014; 21(3): 634–638. doi: 10.5604/12321966.1120616.

Gnacińska M, Małgorzewicz S, Guzek M. Adipose tissue activity in relation to overweight or obesity. Pol J Endocrinol 2010; 61 (2): 160–168.

Sandhu J, Ben-Shlomo Y, Cole TJ. 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. doi: 10.1038/sj.ijo.0803156.

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. doi:10.1093/ejo/cjq031.

Kuczmarski RJ, Ogden CL, Guo SS, Grummer-Strawn LM, Flegal KM, Mei Z. 2000 CDC growth charts for the United States: methods and development. Vital Health Stat 2002; 246: 1-190.

Palczewska I, Szilagyi-Pągowska I. Assessment of somatic development of children and adolescents. Med Prakt Ped 2002; 3: 1–7 (in Polish).

Demirjian A, Goldstein H, Tanner JM. A new system of dental age assessment. Hum Biol 1973; 45: 211–227.

Baccetti T, Franchi L, McNamara Jr JA. The cervical vertebral maturation (CVM) method for the assessment of optimal treatment timing in dentofacial orthopedics. Semin Orthod 2005; 11: 119-129. doi: 10.1053/j.sodo.2005.04.005.

Dunger DB, Ahmed ML, Ong KK. Effects of obesity on growth and puberty. Best Pract Res Clin Endocrinol Metab 2005; 19(3): 375-390. doi:10.1016/j.beem.2005.04.005.

Tanner J: Growth at Adolescence. Blackwell Scientific Publications, 1st ed., Oxford, 1955.

Frisch RE, Revelle R. Height and weight at menarche and a hypothesis of critical body weights and adolescent events. Science 1970; 69: 397–399.

Zhang Y, Proenca R, Maffei M. Positional cloning of the mouse obese gene and its human homologue. Nature 1994; 372: 425–432.

Ahima RS, Dushay J, Flier SN. Leptin accelerates the onset of puberty in normal female mice. J Clin Invest. 1997; 99: 391–395. doi:10.1172/JCI119172.

Ahmed ML, Ong KK, Morrell DJ. Longitudinal study of leptin concentrations during puberty: sex differences and relationships to changes in body composition. J Clin Endocr Metab. 1999; 84: 899–905. doi:10.1210/jcem.84.3.5559.

Giuca MR, Pasini M, Tecco S. Skeletal maturation in obese patients. Am J Orthod Dentofacial Orthop 2012; 142: 774-9. doi: 10.1016/j.ajodo.2012.07.011.

Mack K, Philips C, Jain N. Relationship between body mass index percentile and skeletal maturation and dental development in orthodontic patients. Am J Orthod Dentofac Orthop 2013; 143: 228-234. doi: 10.1016/j.ajodo.2012.09.015.

Hilgers KK, Akridge M, Scheetz JP. Childhood obesity and dental development. Pediatr Dent 2006; 28: 18-22.

Eid RM, Simi R, Friggi MN. Assessment of dental maturity of Brazilian children aged 6 to 14 years using Demirjian's method. Int J Paediatr Dent 2002; 12: 423-428. doi: 10.1046/j.1365-263X.2002.00403.x.

Zatylna N, Rogowska K, Kozanecka A. Comparison of 6-12 year old girls’ and boys’ dental age using Demirijan method. Dent Med Probl 2013; 50(1): 64-70.

Fudalej P, Chrostowska E, Maciejewska A. Validity of Nolla’s and Demirjian’s method of dental age assessment in children with a normal craniofacial structure. Czas Stomatol 2007; 11: 744–751.

Różyło-Kalinowska I, Kiworkowa-Rączkowska E, Kalinowski P. Dental age in Central Poland. Forensic Sci Int 2008; 174: 207–216. doi:10.1016/j.forsciint.2007.04.219.

DOI: http://dx.doi.org/10.5281/zenodo.1254151


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