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Nakagawa T, Horiuchi K, Kagami K, Kondo S, Isaji M, Matsuhashi Y, Kitamura K, Adachi T, Chiba K. The alteration of LBX1 expression is associated with changes in parameters related to energy metabolism in mice. PLoS One 2024; 19:e0308445. [PMID: 39110747 PMCID: PMC11305531 DOI: 10.1371/journal.pone.0308445] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2024] [Accepted: 07/23/2024] [Indexed: 08/10/2024] Open
Abstract
The LBX1 gene is located near a single nucleotide polymorphism that is highly associated with susceptibility to adolescent idiopathic scoliosis and is considered one of the strongest candidate genes involved in the pathogenesis of this condition. We have previously found that loss of LBX1 from skeletal muscle results not only in spinal deformity but also in lean body mass, suggesting a potential role for LBX1 in energy metabolism. The purpose of the present study was to test this hypothesis by analyzing the phenotype of mice lacking LBX1 in skeletal muscle with a focus on energy metabolism. We found that loss of LBX1 rendered mice more resistant to high-fat diet-induced obesity, despite comparable food intake between mutant and control mice. Notably, the mutant mice exhibited improved glucose tolerance, increased maximal aerobic capacity, and higher core body temperature compared to control mice. In addition, we found that overexpression of LBX1 decreased glucose uptake in cultured cells. Taken together, our data show that LBX1 functions as a negative regulator of energy metabolism and that loss of LBX1 from skeletal muscle increases systemic energy expenditure resulting in lean body mass. The present study thus suggests a potential association between LBX1 dysfunction and lean body mass in patients with adolescent idiopathic scoliosis.
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Affiliation(s)
- Takahiro Nakagawa
- Department of Orthopedic Surgery, National Defense Medical College, Tokorozawa, Saitama, Japan
| | - Keisuke Horiuchi
- Department of Orthopedic Surgery, National Defense Medical College, Tokorozawa, Saitama, Japan
| | - Kazuki Kagami
- Division of Cardiovascular Medicine, Department of Internal Medicine I, National Defense Medical College, Tokorozawa, Saitama, Japan
| | - Shinya Kondo
- Department of Orthopedic Surgery, National Defense Medical College, Tokorozawa, Saitama, Japan
| | - Masashi Isaji
- Department of Orthopedic Surgery, National Defense Medical College, Tokorozawa, Saitama, Japan
| | - Yusuke Matsuhashi
- Department of Orthopedic Surgery, National Defense Medical College, Tokorozawa, Saitama, Japan
| | - Kazuya Kitamura
- Department of Orthopedic Surgery, National Defense Medical College, Tokorozawa, Saitama, Japan
| | - Takeshi Adachi
- Division of Cardiovascular Medicine, Department of Internal Medicine I, National Defense Medical College, Tokorozawa, Saitama, Japan
| | - Kazuhiro Chiba
- Department of Orthopedic Surgery, National Defense Medical College, Tokorozawa, Saitama, Japan
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Ng PTT, Tucker K, Zahir SF, Izatt MT, Straker L, Claus A. Comparison of physiological and behavioral nutrition-related factors in people with and without adolescent idiopathic scoliosis, from cohort data at 8 to 20 years. JBMR Plus 2024; 8:ziad013. [PMID: 38505221 PMCID: PMC10945716 DOI: 10.1093/jbmrpl/ziad013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/05/2023] [Revised: 11/16/2023] [Accepted: 11/29/2023] [Indexed: 03/21/2024] Open
Abstract
Nutrition-related variables including lower body mass index (BMI), lower bone mineral density (BMD), altered body composition and hormone levels have been reported in adolescent idiopathic scoliosis (AIS). The aims of this study were to determine if physiological and behavioral nutrition-related factors differ between people with and without AIS, and to quantify their relationship with AIS, in unbiased cohort sample. BMI, presence of an eating disorder, leptin, adiponectin, BMD, vitamin D, lean mass, and fat mass were compared between those with and without AIS at ages 8, 10, 14, 17, and 20 years, and multiple logistic regression was performed between these variables and AIS. Lower total body BMD (median, 1.0 g/cm2 vs 1.1 g/cm2; p = .03) and lean mass (median, 38.8 kg vs 46.0 kg; p = .04) at age 20 years were observed in those with AIS compared to those without scoliosis. At age 20, the odds of AIS were 3.23 times higher for adolescents with an eating disorder compared to those with no eating disorder (95% CI, 1.02-8.63) when adjusted for BMI. Every 1 kg/m2 increase in BMI decreased the odds of AIS by 0.88 times (95% CI, 0.76-0.98), after adjusting for eating disorder diagnosis. In conclusion, lower BMI in mid-adolescence and presence of eating disorder outcomes, lower BMD, and lower lean mass in late adolescence were associated with the presence of AIS. Current data do not explain the mechanisms for these associations but suggest that serum leptin, adiponectin, and vitamin D are unlikely to be contributing factors. Conclusive determination of the prevalence of eating disorders in AIS will require further studies with larger sample sizes.
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Affiliation(s)
- Phoebe T T Ng
- The University of Queensland, Laboratory for Motor Control and Pain Research, School of Biomedical Sciences, St. Lucia, 4072, QLD, Australia
- KK Women’s and Children’s Hospital, Physiotherapy Department, 229899, Singapore
| | - Kylie Tucker
- The University of Queensland, Laboratory for Motor Control and Pain Research, School of Biomedical Sciences, St. Lucia, 4072, QLD, Australia
| | - Syeda Farah Zahir
- The University of Queensland, Centre for Health Services Research, Faculty of Medicine, Woolloongabba, 4102, QLD, Australia
| | - Maree T Izatt
- Queensland University of Technology at the Centre for Children’s Health Research, Biomechanics and Spine Research Group, South Brisbane, 4101, QLD, Australia
| | - Leon Straker
- Curtin University, School of Allied Health, Perth, 6102, WA, Australia
| | - Andrew Claus
- The University of Queensland, School of Health and Rehabilitation Sciences, St. Lucia, 4072, QLD, Australia
- Royal Brisbane and Women’s Hospital, Tess Cramond Pain and Research Centre, Herston, 4029, QLD, Australia
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Limbers CA, Baskin A, Cohen LA. Disordered Eating and Body Image Concerns in Young Adult Women With Scoliosis. CLINICAL MEDICINE INSIGHTS. ARTHRITIS AND MUSCULOSKELETAL DISORDERS 2023; 16:11795441231166010. [PMID: 37122586 PMCID: PMC10134120 DOI: 10.1177/11795441231166010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/12/2022] [Accepted: 03/06/2023] [Indexed: 05/02/2023]
Abstract
Background Researchers have called for more investigation into disordered eating behaviors in females with scoliosis. Objective The objective of the current study was to assess the associations between body image concerns, disease-specific indicators of scoliosis (ie, age of diagnosis, having undergone bracing treatment, being told by a physician your scoliosis required surgery, having a spinal fusion), quality of life, and disordered eating in a sample of young adult women diagnosed with idiopathic scoliosis during adolescence. Design This study was cross-sectional in design. Methods Participants were 177 young adult women ages 18 to 30 years diagnosed with idiopathic scoliosis by a physician who completed questionnaires online. Results Undergoing bracing treatment (r = -.440; P < .001), greater age at scoliosis diagnosis (r = .563; P < .001), being told scoliosis required surgery (r = -.196; P < .050), annual income (r = .306; P < .001), level of education (r = .228; P < .010), and race/ethnicity (r = -.213; P < .050) were associated with the EDE-Q Global Score. The Body Shape Questionnaire Total Score and EDE-Q Global Score (r = .848; P < .001) and EDE-Q Weight Concern Score (r = .813; P < .001) were associated. The strongest correlations between the EDE-Q and the SRS-22-Revised Subscales were generally evidenced on the SRS-22-Revised Mental Health Subscale (rs ranged from -.200 to -.371; P < .001). After controlling for annual income, highest level of education, undergoing bracing treatment, and age of scoliosis diagnosis, the Body Shape Questionnaire Total Score was significantly correlated with the EDE-Q Eating Concern Score (standardized beta coefficient = .618; P < .001). Conclusions These findings underscore the importance of assessing body image concerns in young adult women with scoliosis experiencing disordered eating as this information may provide valuable information relevant to treatment planning.
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Affiliation(s)
- Christine A Limbers
- Christine A Limbers, Department of Psychology and Neuroscience, Baylor University, One Bear Place #97334, Waco, TX 76798, USA.
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Mitsiaki I, Thirios A, Panagouli E, Bacopoulou F, Pasparakis D, Psaltopoulou T, Sergentanis TN, Tsitsika A. Adolescent Idiopathic Scoliosis and Mental Health Disorders: A Narrative Review of the Literature. CHILDREN 2022; 9:children9050597. [PMID: 35626775 PMCID: PMC9139262 DOI: 10.3390/children9050597] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/15/2022] [Revised: 04/15/2022] [Accepted: 04/19/2022] [Indexed: 11/16/2022]
Abstract
Adolescent idiopathic scoliosis (AIS) is the most common type of scoliosis. The condition begins in puberty, affects 1–4% of adolescents, and disproportionately affects young women. Our aim was to comprehensively examine the association between AIS and risk for depression, anxiety, eating disorders, psychotic disorders, and personality dysfunctional mechanisms. Methods: Literature review of related articles published in PubMed, Google Scholar, and Scopus up to 15 July 2021. Results: A total of 30 studies were deemed eligible, examining the effects of AIS upon mental health, and using appropriate psychometric inventories. Studies highlighted the association of brace treatment with elevated anxiety. In addition, mental health conditions and traits (e.g., anxiety and depressive symptoms, neuroticism) were detected more frequently amongst AIS patients compared to healthy controls. Conclusions: AIS represents a risk factor for mental health disorders. More longitudinal studies, utilizing accurate psychometric instruments, are warranted, to reveal the current impact of AIS on the mental health of youngsters, along with the tailoring of well-targeted interventions to reduce the burden of mental health issues in adulthood.
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Affiliation(s)
- Ioanna Mitsiaki
- MSc Program “Strategies of Developmental and Adolescent Health”, School of Medicine, National and Kapodistrian University of Athens, 115 27 Athens, Greece; (I.M.); (A.T.); (E.P.); (T.N.S.)
| | - Athanasios Thirios
- MSc Program “Strategies of Developmental and Adolescent Health”, School of Medicine, National and Kapodistrian University of Athens, 115 27 Athens, Greece; (I.M.); (A.T.); (E.P.); (T.N.S.)
| | - Eleni Panagouli
- MSc Program “Strategies of Developmental and Adolescent Health”, School of Medicine, National and Kapodistrian University of Athens, 115 27 Athens, Greece; (I.M.); (A.T.); (E.P.); (T.N.S.)
| | - Flora Bacopoulou
- Center for Adolescent Medicine and UNESCO Chair Adolescent Health Care, First Department of Pediatrics, “Agia Sophia” Children’s Hospital, School of Medicine, National and Kapodistrian University of Athens, 115 27 Athens, Greece;
| | - Dimitris Pasparakis
- Pediatric Orthopaedic Department, Athens Medical Center, 151 25 Athens, Greece;
| | - Theodora Psaltopoulou
- Department of Clinical Therapeutics, “Alexandra” Hospital, School of Medicine, National and Kapodistrian University of Athens, 115 28 Athens, Greece;
| | - Theodoros N. Sergentanis
- MSc Program “Strategies of Developmental and Adolescent Health”, School of Medicine, National and Kapodistrian University of Athens, 115 27 Athens, Greece; (I.M.); (A.T.); (E.P.); (T.N.S.)
- Department of Clinical Therapeutics, “Alexandra” Hospital, School of Medicine, National and Kapodistrian University of Athens, 115 28 Athens, Greece;
| | - Artemis Tsitsika
- MSc Program “Strategies of Developmental and Adolescent Health”, School of Medicine, National and Kapodistrian University of Athens, 115 27 Athens, Greece; (I.M.); (A.T.); (E.P.); (T.N.S.)
- Correspondence:
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An Analysis of Eating Disorders in Adolescent Idiopathic Scoliosis: A Prospective Cross-sectional Study in a Female Population. Spine (Phila Pa 1976) 2021; 46:440-446. [PMID: 33337684 DOI: 10.1097/brs.0000000000003885] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
STUDY DESIGN Prospective cross-sectional study. OBJECTIVE We designed this study to investigate whether adolescent girls with idiopathic scoliosis show a predisposition for eating disorders (EDs) and alterations of the quality of life and body image self-perception, compared to same-age healthy females. SUMMARY OF BACKGROUND DATA Idiopathic scoliosis is the most common spinal deformity of adolescence. Recent findings about the impairment of the self-body image in adolescents with idiopathic scoliosis provide a common trait of scoliosis and EDs and could lead to the suspicion of an association between these two pathological conditions. Despite this, current literature shows the lack of evident results about the impact of adolescent idiopathic scoliosis (AIS) on the possibility to develop of EDs. METHODS One hundred forty-four females with diagnosis of AIS (aged 10-18 years) formed the scoliosis group. One hundred forty-six same-age healthy girls were enrolled in the control group. For all subjects, we considered sport practice. Only for Scoliosis Group, we also considered the severity of scoliosis, the use of brace and the practice of physiotherapy scoliosis-specific exercises. The participants were asked to answer to the Scoliosis Research Society-22 revised Patient Questionnaire (SRS-22r) and the Eating Disorders Inventory (EDI). RESULTS In the scoliosis group, significantly lower scores on the SRS-22r total and in the self-image domain were detected. The two groups showed differences in the total EDI score and in the body dissatisfaction EDI's domain. Severity of scoliosis was correlated with worse SRS-22r total score and SRS-22r self-image domain score. There were no differences in the scores of the SRS-22r and EDI between braced and nonbraced subjects. Lower scores in SRS-22r total and self-image domain were found in girls who practiced physiotherapy exercises. Subjects who practiced a sport showed higher SRS-22r total scores. CONCLUSION The AIS cohort in our study demonstrated lower levels of eating psychopathology than healthy controls. Surprisingly, eating behavior does not seem to be affected by orthotic management. However, quality of life and self-body image could be impaired in scoliotic girls, especially when they practice physiotherapy exercises, whereas those who practice sport seem to be preserved in this regard.Level of Evidence: 4.
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Baird C, Gardner A. A report of the number of adolescents screened as warranting further investigation for depression and social anxiety in a pre-operative cohort with idiopathic scoliosis. Surgeon 2020; 19:263-267. [PMID: 32807660 DOI: 10.1016/j.surge.2020.07.009] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2019] [Revised: 07/01/2020] [Accepted: 07/23/2020] [Indexed: 10/23/2022]
Abstract
INTRODUCTION Adolescent Idiopathic Scoliosis (AIS) is a common form of scoliosis, causing rotational deformity of the torso in a teenage population. In AIS this happens at a time of particular psychological development and vulnerability and a link between AIS and mental health problems has been observed. MATERIALS AND METHODS Over a 6 month period, all patients with AIS aged 10-18 referred to a single spinal deformity centre in the UK were screened for symptoms suggestive of a potential diagnosis of depression and social anxiety. RESULTS Of the 33 patients surveyed, 6 (18%) had scores worthy of further assessment for a potential diagnosis of depression and 19 (59%) worthy of further assessment for a potential diagnosis of social anxiety. DISCUSSION AND CONCLUSION This small study supports the notion that there is an association between AIS and mental health issues. These initial findings support the practice of routine mental health screening in AIS.
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Bertoncelli CM, Altamura P, Vieira ER, Bertoncelli D, Latalski M, Berthet S, Solla F. Predictive Model for Gastrostomy Placement in Adolescents With Developmental Disabilities and Cerebral Palsy. Nutr Clin Pract 2019; 35:149-156. [DOI: 10.1002/ncp.10309] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023] Open
Affiliation(s)
- Carlo M. Bertoncelli
- Department of Pediatric Surgery; Lenval University Children's Hospital of Nice; Nice France
- EEAP H Germain; Fondation Lenval - Children Hospital; Nice France
| | - Paola Altamura
- Department of Medicinal Chemistry and Pharmaceutical Technology; University of Chieti; Chieti Italy
| | - Edgar Ramos Vieira
- Department of Physical Therapy; Florida International University; Miami Florida USA
| | - Domenico Bertoncelli
- Department of Information Engineering; Computer Science and Mathematics; University of L'Aquila; L'Aquila Italy
| | - Michal Latalski
- Children Orthopedic Department; Children University Hospital of Lublin; Lublin Poland
| | - Stéphanie Berthet
- Pediatric Gastroenterology Unit; Lenval University Children's Hospital of Nice; Nice France
| | - Federico Solla
- Department of Pediatric Surgery; Lenval University Children's Hospital of Nice; Nice France
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Gallant JN, Morgan CD, Stoklosa JB, Gannon SR, Shannon CN, Bonfield CM. Psychosocial Difficulties in Adolescent Idiopathic Scoliosis: Body Image, Eating Behaviors, and Mood Disorders. World Neurosurg 2018; 116:421-432.e1. [DOI: 10.1016/j.wneu.2018.05.104] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2018] [Revised: 05/14/2018] [Accepted: 05/15/2018] [Indexed: 12/20/2022]
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Tarrant RC, Queally JM, Moore DP, Kiely PJ. Prevalence and impact of low body mass index on outcomes in patients with adolescent idiopathic scoliosis: a systematic review. Eur J Clin Nutr 2018; 72:1463-1484. [DOI: 10.1038/s41430-018-0095-0] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2017] [Revised: 10/25/2017] [Accepted: 01/05/2018] [Indexed: 01/20/2023]
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Zaina F, Pesenti F, Persani L, Capodaglio P, Negrini S, Polli N. Prevalence of idiopathic scoliosis in anorexia nervosa patients: results from a cross-sectional study. EUROPEAN SPINE JOURNAL : OFFICIAL PUBLICATION OF THE EUROPEAN SPINE SOCIETY, THE EUROPEAN SPINAL DEFORMITY SOCIETY, AND THE EUROPEAN SECTION OF THE CERVICAL SPINE RESEARCH SOCIETY 2017; 27:293-297. [PMID: 28601992 DOI: 10.1007/s00586-017-5181-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/12/2017] [Revised: 05/23/2017] [Accepted: 06/06/2017] [Indexed: 10/19/2022]
Abstract
PURPOSE A long debate exists about the connection between anorexia nervosa (AN) and scoliosis due to conflicting evidence. No study so far has evaluated the prevalence of scoliosis in patients with AN. The aim of the study is to evaluate the prevalence of idiopathic scoliosis in patients with AN. METHODS Design: cross-sectional study. STUDY GROUP convenience sample of all patients matching the inclusion criteria. CONTROL GROUP female participants coming from an epidemiological screening for scoliosis. INCLUSION CRITERIA patients had a diagnosis of AN during adolescence according to the DSM-IV-TR criteria. We applied a two-level screening using a Bunnell scoliometer and a radiograph. We calculated the odds ratio compared with participants coming from a school screening. RESULTS Seventy-seven females with AN were compared to 816 females screened for scoliosis. The prevalence of scoliosis in the AN group was 16.9% (OR 5.77, 95% CI 3.12-10.67) with respect to the control group. If we consider as positive only those who received a scoliosis diagnosis during adolescence, the OR would be 3.15 (95% CI 1.55-6.42). DISCUSSION This is the first study performed on patients with AN showing a sixfold greater odds of presenting with scoliosis. A cause-effect relationship cannot be determined due to the design.
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Affiliation(s)
- Fabio Zaina
- ISICO (Italian Scientific Spine Institute), Via Roberto Bellarmino 13/1, 20141, Milan, MI, Italy.
| | - Francesca Pesenti
- Division of Eating Disorders, IRCCS Istituto Auxologico Italiano, 20149, Milan, MI, Italy
| | - Luca Persani
- Division of Eating Disorders, IRCCS Istituto Auxologico Italiano, 20149, Milan, MI, Italy.,Department of Clinical Sciences and Community Health, University of Milan, 20122, Milan, MI, Italy
| | - Paolo Capodaglio
- Rehabilitation Unit, Istituto Auxologico Italiano IRCCS, Piancavallo, VB, Italy
| | - Stefano Negrini
- Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.,IRCCS Don Gnocchi Foundation, Milan, Italy
| | - Nicoletta Polli
- Division of Eating Disorders, IRCCS Istituto Auxologico Italiano, 20149, Milan, MI, Italy.,Department of Clinical Sciences and Community Health, University of Milan, 20122, Milan, MI, Italy
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Zaina F, Donzelli S, Negrini S. Overweight is not predictive of bracing failure in adolescent idiopathic scoliosis: results from a retrospective cohort study. EUROPEAN SPINE JOURNAL : OFFICIAL PUBLICATION OF THE EUROPEAN SPINE SOCIETY, THE EUROPEAN SPINAL DEFORMITY SOCIETY, AND THE EUROPEAN SECTION OF THE CERVICAL SPINE RESEARCH SOCIETY 2017; 26:1670-1675. [PMID: 28168346 DOI: 10.1007/s00586-017-4985-y] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/02/2016] [Revised: 01/22/2017] [Accepted: 01/30/2017] [Indexed: 12/29/2022]
Abstract
PURPOSE Overweight was found to be a negative predictor of brace effectiveness for adolescent idiopathic scoliosis (AIS), with a threefold higher risk of progression than in normal weight patients. The aim of this study is to investigate overweight, as a predictor of brace results in AIS patients. METHODS Design: retrospective cohort study. POPULATION 351 AIS patients (306 females), mean age 12.9 ± 1.4, mean Cobb 35.6 ± 11.4°, mean ATR 11 ± 4.3°, BMI 19.7 ± 3, median Risser: 2. INCLUSION CRITERIA no previous treatment, full-time prescription of brace at first visit (18-23 h per day), scoliosis physiotherapeutic exercise according to the SEAS protocol associated. OUTCOME improved, progressed, and stable according to the 5° Cobb agreed threshold. STATISTICS a stepwise linear regression was used to look for the effect of BMI as a predictor of result. A Chi-square test and logistic regression were used for the overweight category (BMI ≥ 85th percentile). Control for possible confounders was applied. RESULTS BMI is poorly correlated with final results. Confounders' adjustment did not change the correlation, and the predictive model explained about 10% of the result. Brace results were not statistically different in overweight and normal weight: 44 vs 52% improved, 52 vs 41% stable, and 3 vs 7% worsened, respectively. DISCUSSION Brace results were similar in overweight and normal weight subjects. These findings subvert the previous results and disprove the role of overweight as a negative predictor. Treatment management, brace type and effectiveness may play a major role in reducing the risks of scoliosis progression.
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Affiliation(s)
- Fabio Zaina
- ISICO (Italian Scientific Spine Institute), Via Roberto Bellarmino 13/1, 20141, Milan, MI, Italy.
| | - Sabrina Donzelli
- ISICO (Italian Scientific Spine Institute), Via Roberto Bellarmino 13/1, 20141, Milan, MI, Italy
| | - Stefano Negrini
- Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.,IRCCS Don Gnocchi Foundation, Milan, Italy
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SILVA RICARDOTEIXEIRAE, FERNANDES RENANJOSERODRIGUES, ONO ALLANHIROSHIDEARAÚJO, MARCON RAPHAELMARTUS, CRISTANTE ALEXANDREFOGAÇA, BARROS FILHO TARCISIOELOYPESSOADE. ROLE OF DIFFERENT HORMONES IN THE PATHOGENESIS AND SEVERITY OF ADOLESCENT IDIOPATHIC SCOLIOSIS. ACTA ORTOPEDICA BRASILEIRA 2017. [PMID: 28642644 PMCID: PMC5474396 DOI: 10.1590/1413-785220172501168600] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
OBJECTIVE To evaluate the hormonal profile of patients with adolescent idiopathic scoliosis (AIS) and its relationship to the severity of the curvature and quality of life . METHOD Patients with scoliosis (Cobb angle above 10°), of both genders, diagnosed after 10 years of age were included, excluding those who presented other condition that could lead to scoliosis. Serum levels of 25-hydroxyvitamin D (25-OHD), cortisol and gastrin were correlated with Cobb angle and quality of life, measured by the SRS-30 questionnaire . RESULTS The levels of 25-OHD decreased in 97% of patients. There was an inverse relationship between gastrin levels and quality of life (p = 0.016). Moreover, there was an inverse correlation between the value of Cobb angle and quality of life (p = 0.036). There were no changes in cortisol levels. There was no correlation between Cobb angle and any of the hormones measured . CONCLUSION The patients had levels of 25-OHD diminished, strengthening the hypothesis of its involvement in the development of AIS. This study also suggests that increased gastrin levels may be associated with a worse quality of life in patients with AIS. Level of Evidence II, Diagnostic Study.
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Sales de Gauzy J, Gennero I, Delrous O, Salles JP, Lepage B, Accadbled F. Fasting total ghrelin levels are increased in patients with adolescent idiopathic scoliosis. SCOLIOSIS 2015; 10:33. [PMID: 26628906 PMCID: PMC4666062 DOI: 10.1186/s13013-015-0054-7] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/05/2015] [Accepted: 10/02/2015] [Indexed: 12/31/2022]
Abstract
Background A control study was designed to investigate circulating Ghrelin levels in adolescent girls with adolescent idiopathic scoliosis (AIS) and controls. Eating behavioral disorders, endocrine disorders, abnormal growth pattern and osteopenia have been well documented in AIS. Ghrelin is an orexigenic hormone produced by the stomach which reflects body weight changes and stimulates growth hormone secretion. Recently, it has been shown to be associated with bone metabolism and eating behavior. However, the circulating levels of ghrelin have never been evaluated in AIS patients. Methods Forty nine AIS girls and 15 controls were included. Anthropometric parameters and fasting circulating total ghrelin were measured. Curve severity was evaluated in AIS girls. The relationships between ghrelin and age, body weight, height, body mass index (BMI), BMI Z-score and corrected anthropometric parameters were analyzed in AIS girls and controls. Results There was no significant difference in body weight, height, BMI or BMI Z-score between AIS and controls. Serum ghrelin level was 1.8 fold higher in AIS girls than in controls. Elevation of ghrelin levels remained significant when corrected BMI or corrected BMI Z-score were considered. Unlike in controls, positive correlations were found between ghrelin and age in AIS girls with a gradual increase of circulating ghrelin with age. Conclusions We have observed significantly higher circulating ghrelin levels in AIS than in controls with a positive correlation with age. This pilot-study suggests that ghrelin signaling might play a role in the initiation or development of AIS. Further studies are needed to validate theses results.
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Affiliation(s)
- Jérôme Sales de Gauzy
- Pediatric Orthopaedics Unit, Children Hospital, CHU de Toulouse, France ; Biomechanics Laboratory, Paul-Sabatier University, Toulouse, France
| | - Isabelle Gennero
- INSERM Unit 1043, Physiopathology Center of Toulouse Purpan (CTPT), Paul-Sabatier University, Toulouse, France ; Biochemistry Laboratory, Institut Fédératif de Biologie, University Hospital Center, CHU de Toulouse, France
| | - Olivier Delrous
- Biochemistry Laboratory, Institut Fédératif de Biologie, University Hospital Center, CHU de Toulouse, France
| | - Jean-Pierre Salles
- INSERM Unit 1043, Physiopathology Center of Toulouse Purpan (CTPT), Paul-Sabatier University, Toulouse, France ; Endocrine and Bone Diseases Unit, Children Hospital, University Hospital Center, CHU de Toulouse, France ; Pediatric Clinical Investigation Center, Children Hospital, University Hospital Center, CHU de Toulouse, France
| | - Benoit Lepage
- Department of Epidemiology, University Hospital Center, Paul-Sabatier University, CHU de Toulouse, France
| | - Franck Accadbled
- Pediatric Orthopaedics Unit, Children Hospital, CHU de Toulouse, France ; Biomechanics Laboratory, Paul-Sabatier University, Toulouse, France
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Yang M, Wei X, Yang W, Li Y, Ni H, Zhao Y, Chen Z, Bai Y, Li M. The polymorphisms of melatonin receptor 1B gene (MTNR1B) (rs4753426 and rs10830963) and susceptibility to adolescent idiopathic scoliosis: a meta-analysis. J Orthop Sci 2015; 20:593-600. [PMID: 25898821 DOI: 10.1007/s00776-015-0725-5] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/07/2014] [Accepted: 04/03/2015] [Indexed: 12/20/2022]
Abstract
OBJECTIVE To determine whether MTNR1B rs4753426 and rs10830963 polymorphisms are correlated with AIS. Adolescent idiopathic scoliosis (AIS) is the most common form of spinal deformity, while its etiology remains uncertain. Melatonin receptor 1B (MTNR1B) gene polymorphisms have been found to be significantly associated with AIS risk; however, some of these results are controversial. METHODS An systematic online search was performed using PubMed, EMBASE, Web of Science and the Cochrane Library to identify case-control studies investigating the relationship between MTNR1B rs4753426 and rs10830963 polymorphisms and the susceptibility of AIS. The pooled odds ratio (OR) with 95 % confidence interval (95 % CI) was calculated to assess the associations, and subgroup meta-analyses were performed according to the ethnicity of the study populations. RESULTS A total of five studies involving 2395 cases and 3645 controls met the inclusion criteria after assessment by two reviewers. Overall, no significant associations were found between MTNR1B rs4753426 polymorphism and AIS risk (C vs. T: OR = 1.11, 95 % CI 0.94-1.30, P = 0.21; CC vs. TT: OR = 1.15, 95 % CI 0.97-1.36, P = 0.12; CT vs. TT: OR = 1.14, 95 % CI 0.97-1.35, P = 0.10; CC/CT vs. TT: OR = 1.14, 95 % CI 0.98-1.33, P = 0.09; CC vs. CT/TT OR = 1.10, 95 % CI 0.84-1.45, P = 0.48), as well as the MTNR1B rs10830963 polymorphism (G vs. C: OR = 0.99, 95 % CI 0.88-1.12, P = 0.91; GG vs. CC: OR = 0.99, 95 % CI 0.74-1.33, P = 0.96; CG vs. CC: OR = 1.00, 95 % CI 0.84-1.18, P = 0.88; GG/CG vs. CC: OR = 0.99, 95 % CI 0.84-1.17, P = 0.93; GG vs. CG/CC OR = 0.99, 95 % CI 0.75-1.30, P = 0.92). When stratified by ethnicity, there were no significant associations between MTNR1B rs4753426 and MTNR1B rs10830963 polymorphisms and AIS risk in either Asian or Caucasian populations. CONCLUSION MTNR1B rs4753426 and MTNR1B rs10830963 polymorphisms are not obviously associated with risk of AIS in either Asian populations or Caucasian populations.
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Affiliation(s)
- Mingyuan Yang
- Department of Orthopaedics, Changhai Hospital, Second Military Medical University, 168 Changhai Road, Shanghai, 200438, People's Republic of China,
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Wen C, Wang D, Shi L, Chu WCW, Cheng JCY, Lui LM. Landmark constrained registration of high-genus surfaces applied to vestibular system morphometry. Comput Med Imaging Graph 2015; 44:1-12. [PMID: 26069905 DOI: 10.1016/j.compmedimag.2015.05.006] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2014] [Revised: 05/17/2015] [Accepted: 05/20/2015] [Indexed: 11/17/2022]
Abstract
The analysis of the vestibular system (VS) is an important research topic in medical image analysis. VS is a sensory structure in the inner ear for the perception of spatial orientation. It is believed several diseases, such as the Adolescent Idiopathic Scoliosis (AIS), are due to the impairment of the VS function. The morphology of the VS is thus of great research significance. A major challenge is that the VS is a genus-3 surface. The high-genus topology of the VS poses great challenges to find accurate pointwise correspondences between the surfaces and whereby perform accurate shape analysis. In this paper, we present a method to obtain the landmark constrained diffeomorphic registration between the VS surfaces based on the quasi-conformal theory. Given a set of corresponding landmarks on the VS surfaces, a diffeomorphism between the VS surfaces that matches the features consistently can be obtained. The basic idea is to iteratively search for an admissible Beltrami coefficient, which is associated to our desired landmark matching registration. With the obtained surface registrations, vertex-wise morphometric analysis can be carried out. Two types of geometric features are used for shape comparison. One is the collection of homotopic loops on each canals of the VS, which can be used to measure the local thickness of the canals. From the homotopic loops, centerlines can be extracted. By examining the deviations of the centerlines from the best fit planes, bendings of the canals can be detected. The second geometric feature is the minimal surface enclosed by the homotopic loop. From the minimal surfaces of each homotopic loops, cross-sectional area of the canals can be evaluated. To study the local shape difference more comprehensively, a complete shape index, which is defined using the Beltrami coefficients and surface curvatures, is used. We test proposed registration method on 15 VS of normal control subjects and 12 VS of patients suffering from AIS. Experimental results show the efficacy and accuracy of the proposed algorithm to compute the VS surface registration. Shape analysis has also been carried out using the proposed geometric features and shape index, which reveals shape differences in the posterior canal between normal and diseased AIS groups.
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Affiliation(s)
- Chengfeng Wen
- Department of Computer Science, Stony Brook University, Stony Brook, NY 11794, USA.
| | - Defeng Wang
- Department of Imaging and Interventional Radiology, The Chinese University of Hong Kong, Shatin, Hong Kong; Shenzhen Research Institute, The Chinese University of Hong Kong, Shenzhen, China.
| | - Lin Shi
- Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Shatin, Hong Kong; Chow Yuk Ho Technology Center for Innovative Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong.
| | - Winnie C W Chu
- Department of Imaging and Interventional Radiology, The Chinese University of Hong Kong, Shatin, Hong Kong
| | - Jack C Y Cheng
- Department of Orthopaedics and Traumatology, The Chinese University of Hong Kong, Shatin, Hong Kong
| | - Lok Ming Lui
- Department of Mathematics, The Chinese University of Hong Kong, Shatin, Hong Kong.
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