Effect of birth weight and nutritional status on transverse maxillary growth: Implications for maternal and infant

Laura Jackeline Garcia Rincon1, Gizelton Pereira Alencar2, Marly Augusto Cardoso3

  • 1Department of Politics, Management and Health, School of Public Health, University of São Paulo, São Paulo, Brazil.

Plos One
|January 31, 2020
PubMed

Insights

Birth weight, sex, and nutritional status significantly impact children's transverse maxillary growth. Early interventions supporting adequate birth weight and nutrition are crucial for healthy jaw development and preventing malocclusion.

Area of Science:

  • Pediatric Dentistry
  • Public Health
  • Human Growth and Development

Background:

  • Transverse maxillary growth is crucial for dental arch development and overall facial structure.
  • Factors such as birth weight and nutritional status may influence craniofacial development.
  • Understanding these associations can inform early public health interventions.

Purpose of the Study:

  • To analyze the association between birth weight, nutritional status, and transverse maxillary growth in schoolchildren.
  • To investigate the influence of sex, birth weight, bottle-feeding patterns, and Body Mass Index-for-age z-score (BAZ) on maxillary growth.

Main Methods:

  • Cross-sectional survey of 158 schoolchildren aged 7-9 years in the Western Brazilian Amazon.
  • Transverse maxillary growth measured by upper intermolar distance (mm).
  • Structural Equation Modeling (SEM) with path analysis used to assess direct, indirect, and total effects of exposures.

Main Results:

  • Significant direct positive effects on transverse maxillary growth were found for sex (SC = 0.203), birth weight (SC = 0.155), and BAZ (SC = 0.165).
  • Sex demonstrated significant indirect (SC = 0.057) and total (SC = 0.261) effects.
  • Birth weight showed a significant total effect (SC = 0.174) on transverse maxillary growth.

Conclusions:

  • Sex, birth weight, age of bottle introduction, and BAZ are associated with transverse maxillary bone growth.
  • Policies promoting adequate birth weight, prenatal care, and full-term birth can positively influence maxillary development.
  • Children with low birth weight, inadequate breastfeeding, or nutritional deficits may be at higher risk for jaw atrophy and malocclusion.

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