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Franco MMP, Ribeiro CCC, Ladeira LLC, Thomaz EBAF, Alves CMC. Pre- and perinatal exposures associated with molar incisor hypomineralization: Birth cohort, Brazil. Oral Dis 2023. [PMID: 37884359 DOI: 10.1111/odi.14783] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2023] [Revised: 10/03/2023] [Accepted: 10/12/2023] [Indexed: 10/28/2023]
Abstract
OBJECTIVE To analyze prenatal and perinatal stressors associated with molar incisor hypomineralization (MIH) in adolescents. METHODS Prospective cohort study collected prenatal (socioeconomic status, maternal age, number of prenatal visits, smoking, obesity during pregnancy, abortion history, gestational hypertension) and perinatal stressors (type of delivery, gestational age, birth weight, intensive care unit-ICU at birth). The outcome was MIH at 18-19 years follow-up (n = 590). MIH was defined according to the Ghanim criteria - Model I. We performed a sensitivity analysis, including opacities demarcated in index tooth, incisive or molars, Model II. Through structural equation modeling, we analyzed direct and mediating pathways between multiple stressors with outcomes. RESULTS MIH was observed in 15.25% (n = 90), and opacities demarcated in any index tooth were observed in 22.8% of adolescents (n = 135). In Model I, no stressor explained MIH significantly, although we watched high standardized coefficients (SC) for low birth weight (SC = 0.223, p = 0.147), lower gestational age (SC = 0.351; p = 0.254), and ICU admission (SC = 0.447, p = 0.254). In Model II, advanced maternal age (SC = 0.148; p < 0.05) and not undergoing prenatal care (SC = 0.384, p < 0.03) explained opacities demarcated in incisors or molars. CONCLUSION Advanced maternal age and not undergoing prenatal care were associated with MIH lesion-like in incisors or molars.
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Affiliation(s)
- Marcela M P Franco
- Postgraduate Program in Dentistry, Federal University of Maranhão, Maranhão, São Luís, Brazil
| | - Cecilia C C Ribeiro
- Postgraduate Program in Dentistry, Federal University of Maranhão, Maranhão, São Luís, Brazil
| | - Lorena L C Ladeira
- Postgraduate Program in Dentistry, Federal University of Maranhão, Maranhão, São Luís, Brazil
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Insulin resistance phenotype is associated with vascular risk phenotype at the end of the second decade of life: a population-based study. Cardiovasc Diabetol 2022; 21:284. [PMID: 36536371 PMCID: PMC9764704 DOI: 10.1186/s12933-022-01724-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/20/2022] [Accepted: 12/09/2022] [Indexed: 12/24/2022] Open
Abstract
We hypothesize that early events of diabetes and cardiovascular disease continuums would be ongoing and associated in adolescents. We investigated the association between the Insulin Resistance Phenotype and the Vascular Risk Phenotype at the end of the second decade of life and indirect pathways from social vulnerability, alcohol consumption, and body fat mass. It is a population-based study in the RPS cohort of 18-19 years (n = 2,515), São Luís, Brazil. The theoretical model analyzed the association between Insulin Resistance Phenotype and Vascular Risk Phenotype by sex, using structural equation modeling (SEM). The Insulin Resistance Phenotype was a latent variable deduced from the correlations of Triglyceride to HDL ratio, Triglyceride Glycemic index, and VLDL; the Vascular Risk Phenotype was deduced from Systolic Blood Pressure, Diastolic Blood Pressure, and Pulse Wave Velocity. The Insulin Resistance Phenotype was directly associated with the Vascular Risk Phenotype in males (standardized coefficient SC = 0.183; p < 0.001) and females (SC = 0.152; p < 0.001). The Insulin Resistance Phenotype was an indirect pathway in the association of alcohol consumption and higher values of fat mass index with the Vascular Risk Phenotype. VLDL presented the highest factor loading, appearing as a marker of insulin resistance linked to cardiovascular risk in young people. Lower values of socioeconomic status, harmful use of alcohol, and high body fat values were also associated with higher values of the two phenotypes. The association of the Insulin Resistance Phenotype with the Vascular Risk Phenotype suggests common pathophysiological mechanisms present in early events in the continuums of diabetes and cardiovascular disease in adolescence.
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Parada-Ricart E, Luque V, Zaragoza M, Ferre N, Closa-Monasterolo R, Koletzko B, Grote V, Gruszfeld D, Verduci E, Xhonneux A, Escribano J. Effect of maternal smoking during pregnancy on child blood pressure in a European cohort. Sci Rep 2022; 12:17308. [PMID: 36243884 PMCID: PMC9569344 DOI: 10.1038/s41598-022-21337-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2022] [Accepted: 09/26/2022] [Indexed: 01/10/2023] Open
Abstract
Hypertension is a public health issue that can have its origin in the early phases of development. Maternal smoking during pregnancy (MSDP) could play a role in offspring's cardio-metabolic programming. To assess the relationship between MSDP and later blood pressure (BP) in children we conducted a secondary analysis of a randomized dietary intervention trial (EU-Childhood Obesity Project). Healthy term infants with normal birth weight were recruited during the first 8 weeks of life in 5 European countries and followed until 11 years of age. Data on MSDP was collected at recruitment. BP and anthropometry were assessed at 11 years of age. Children were classified according to AAP guidelines as normal BP: BP < 90th percentile; high BP: ≥ 90th percentile with the subset of children having BP > 95th percentile categorized as hypertensive. Out of 572 children, 20% were exposed to MSDP. At 11 years, 26.8% had BP over the 90th centile. MSDP beyond 12 weeks of gestation was associated with higher systolic BP percentile (adjusted B 6.935; 95% CI 0.454, 13.429; p = 0.036) and over twofold increase likelihood of hypertension (OR 2.195; 95% CI 1.089, 4.423; p = 0.028) in children at 11 years. MSDP was significantly associated with later BP in children.
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Affiliation(s)
- Ester Parada-Ricart
- grid.410367.70000 0001 2284 9230Paediatric Nutrition and Human Development Research Unit, Universitat Rovira i Virgili, IISPV, Sant Llorenç 21, 43201 Reus, Spain ,grid.411435.60000 0004 1767 4677Department of Pediatrics, Hospital Universitari de Tarragona Joan XXIII, Dr. Mallafré i Guasch 5, 43007 Tarragona, Spain
| | - Veronica Luque
- grid.410367.70000 0001 2284 9230Paediatric Nutrition and Human Development Research Unit, Universitat Rovira i Virgili, IISPV, Sant Llorenç 21, 43201 Reus, Spain
| | - Marta Zaragoza
- grid.410367.70000 0001 2284 9230Paediatric Nutrition and Human Development Research Unit, Universitat Rovira i Virgili, IISPV, Sant Llorenç 21, 43201 Reus, Spain
| | - Natalia Ferre
- grid.410367.70000 0001 2284 9230Paediatric Nutrition and Human Development Research Unit, Universitat Rovira i Virgili, IISPV, Sant Llorenç 21, 43201 Reus, Spain
| | - Ricardo Closa-Monasterolo
- grid.410367.70000 0001 2284 9230Paediatric Nutrition and Human Development Research Unit, Universitat Rovira i Virgili, IISPV, Sant Llorenç 21, 43201 Reus, Spain ,grid.411435.60000 0004 1767 4677Department of Pediatrics, Hospital Universitari de Tarragona Joan XXIII, Dr. Mallafré i Guasch 5, 43007 Tarragona, Spain
| | - Berthold Koletzko
- grid.411095.80000 0004 0477 2585Division of Metabolic and Nutritional Medicine, Department of Pediatrics, Dr. Von Hauner Children’s Hospital, LMU University Hospital Munich, Lindwurmstr. 4, 80337 Munich, Germany
| | - Veit Grote
- grid.411095.80000 0004 0477 2585Division of Metabolic and Nutritional Medicine, Department of Pediatrics, Dr. Von Hauner Children’s Hospital, LMU University Hospital Munich, Lindwurmstr. 4, 80337 Munich, Germany
| | - Dariusz Gruszfeld
- grid.413923.e0000 0001 2232 2498Neonatal Department, Children’s Memorial Health Institute, 04-730 Warsaw, Poland
| | - Elvira Verduci
- Department of Pediatrics, V. Buzzi Children’s Hospital, Milan, Italy ,grid.4708.b0000 0004 1757 2822Department of Health Sciences, University of Milan, Milan, Italy
| | - Annick Xhonneux
- grid.433083.f0000 0004 0608 8015Clinique CHC MontLegia, Liège, Belgium
| | - Joaquin Escribano
- grid.410367.70000 0001 2284 9230Paediatric Nutrition and Human Development Research Unit, Universitat Rovira i Virgili, IISPV, Sant Llorenç 21, 43201 Reus, Spain ,grid.411136.00000 0004 1765 529XHospital Universitari Sant Joan de Reus, 43204 Reus, Spain
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