Anthropometric finding in Nigerian children with sickle cell disease
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Published on: February 19, 2017
Folakemi A Oredugba1, Kofo O Savage
1Department of Child Dental Health, College of Medicine, University of Lagos, Nigeria. tored@nova.net.ng
Insights
Sickle cell disease (SCD) patients show higher rates of maxillary protrusion and Class II malocclusion. While overall height and weight were similar, SCD subjects weighed less at 18 years old.
Area of Science:
- Medical Science
- Genetics
- Pediatrics
Background:
- Sickle cell disease (SCD) is associated with anthropometric deficits like malocclusion and stunting.
- Previous reports suggest variations in physical development among SCD patients.
Purpose of the Study:
- To investigate the prevalence of anthropometric deficits in children with sickle cell disease in Lagos.
- To compare facial profile and occlusion between SCD subjects and unaffected controls.
Main Methods:
- A cross-sectional study involving 177 SCD subjects (ages 1-18) and 122 controls.
- Measurements included facial profile, occlusion, height, weight, and head and mid-upper arm circumference.
- Data collected from outpatient SCD units and well-baby/surgical emergency clinics.
Main Results:
- SCD subjects exhibited a higher prevalence of prognathic maxillary profile (21% vs 4%) and Class II malocclusion (21% vs 2%).
- No significant differences in overall mean height, weight, or head circumference between groups.
- SCD subjects at 18 years weighed significantly less than controls, and controls had higher MUA circumference.
Conclusions:
- Sickle cell disease is linked to increased maxillary protrusion and Class II malocclusion.
- Height and weight differences were minimal, except for lower weight in 18-year-old SCD subjects.
- Anthropometric variations in SCD patients warrant further investigation.
Purpose:
Sickle cell disease (SCD) subjects have been widely reported to present with various anthropometric deficits, including malocclusion and stunting, compared to their unaffected peers. This study was carried out to examine these reports in Lagos.
Methods:
A hospital-based cross-sectional study was carried out in 3 outpatient SCD units of one teaching and two general hospitals. All established SCD subjects aged 1 to 18 years (n = 177) were examined on consecutive clinic days. Controls (unaffected subjects; n = 122) were obtained from well-baby and surgical emergency clinics. Facial profile, occlusion, height, weight, head and mid-upper arm (MUA) circumference measurements were noted.
Results:
A prognathic maxillary profile was found to be more prevalent in SCD subjects (21%) than controls (4%; P < .05). Class II malocclusion was found in 21% of SCD subjects compared to 2% of controls (P < .05). The overall mean height, weight and head circumference of SCD subjects and controls were not significantly different (P > .05). However, at age 18 years, the weight of the SCD group was significantly less than that of the control group (P < .05). The mean MUA circumference was significantly higher in the control group (20.04 cm +/- 3.80) than in SCD subjects (17.91 cm +/- 2.96; P < .05).
Conclusions:
There was a higher prevalence of maxillary protrusion. and Class II malocclusion in SCD subjects than controls. Height and weight were not significantly different in both groups except at 18 years when SCD subjects weighed less than controls.
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