The course of skull deformation from birth to 5 years of age: a prospective cohort study

Leo A. van Vlimmeren, Raoul H.H. Engelbert, Maaike Pelsma, Hans M.M. Groenewoud, Magdalena M. Boere-Boonekamp, Maria W.G. Nijhuis-van der Sanden

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Abstract

In a continuation of a prospective longitudinal cohort study in a healthy population on the course of skull shape from birth to 24 months, at 5 years of age, 248 children participated in a follow-up assessment using plagiocephalometry (ODDI—oblique diameter difference index, CPI—cranio proportional index). Data from the original study sampled at birth, 7 weeks, 6, 12, and 24 months were used in two linear mixed models. Main findings: (1) if deformational plagiocephaly (ODDI <104%) and/or positional preference at 7 weeks of age are absent, normal skull shape can be predicted at 5 years of age; (2) if positional preference occurs, ODDI is the highest at 7 weeks and decreases to a stable lowest value at 2 and 5 years of age; and (3) regarding brachycephaly, all children showed the highest CPI at 6 months of age with a gradual decrease over time. Conclusion: The course of skull deformation is favourable in most of the children in The Netherlands; at 5 years of age, brachycephaly is within the normal range for all children, whereas the severity of plagiocephaly is within the normal range in 80%, within the mild range in 19%, and within the moderate/severe range in 1%. Medical consumption may be reduced by providing early tailored counselling.
Original languageEnglish
Pages (from-to)11-21
JournalEuropean journal of pediatrics
Volume176
Issue number1
DOIs
Publication statusPublished - 2017

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Skull
Cohort Studies
Parturition
Prospective Studies
Craniosynostoses
Nonsynostotic Plagiocephaly
Reference Values
Plagiocephaly
Netherlands
Longitudinal Studies
Counseling
Linear Models
Population

Keywords

  • METIS-321625
  • IR-103638

Cite this

van Vlimmeren, L. A., Engelbert, R. H. H., Pelsma, M., Groenewoud, H. M. M., Boere-Boonekamp, M. M., & Nijhuis-van der Sanden, M. W. G. (2017). The course of skull deformation from birth to 5 years of age: a prospective cohort study. European journal of pediatrics, 176(1), 11-21. https://doi.org/10.1007/s00431-016-2800-0
van Vlimmeren, Leo A. ; Engelbert, Raoul H.H. ; Pelsma, Maaike ; Groenewoud, Hans M.M. ; Boere-Boonekamp, Magdalena M. ; Nijhuis-van der Sanden, Maria W.G. / The course of skull deformation from birth to 5 years of age: a prospective cohort study. In: European journal of pediatrics. 2017 ; Vol. 176, No. 1. pp. 11-21.
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abstract = "In a continuation of a prospective longitudinal cohort study in a healthy population on the course of skull shape from birth to 24 months, at 5 years of age, 248 children participated in a follow-up assessment using plagiocephalometry (ODDI—oblique diameter difference index, CPI—cranio proportional index). Data from the original study sampled at birth, 7 weeks, 6, 12, and 24 months were used in two linear mixed models. Main findings: (1) if deformational plagiocephaly (ODDI <104{\%}) and/or positional preference at 7 weeks of age are absent, normal skull shape can be predicted at 5 years of age; (2) if positional preference occurs, ODDI is the highest at 7 weeks and decreases to a stable lowest value at 2 and 5 years of age; and (3) regarding brachycephaly, all children showed the highest CPI at 6 months of age with a gradual decrease over time. Conclusion: The course of skull deformation is favourable in most of the children in The Netherlands; at 5 years of age, brachycephaly is within the normal range for all children, whereas the severity of plagiocephaly is within the normal range in 80{\%}, within the mild range in 19{\%}, and within the moderate/severe range in 1{\%}. Medical consumption may be reduced by providing early tailored counselling.",
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van Vlimmeren, LA, Engelbert, RHH, Pelsma, M, Groenewoud, HMM, Boere-Boonekamp, MM & Nijhuis-van der Sanden, MWG 2017, 'The course of skull deformation from birth to 5 years of age: a prospective cohort study', European journal of pediatrics, vol. 176, no. 1, pp. 11-21. https://doi.org/10.1007/s00431-016-2800-0

The course of skull deformation from birth to 5 years of age: a prospective cohort study. / van Vlimmeren, Leo A.; Engelbert, Raoul H.H.; Pelsma, Maaike; Groenewoud, Hans M.M.; Boere-Boonekamp, Magdalena M.; Nijhuis-van der Sanden, Maria W.G.

In: European journal of pediatrics, Vol. 176, No. 1, 2017, p. 11-21.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - The course of skull deformation from birth to 5 years of age: a prospective cohort study

AU - van Vlimmeren, Leo A.

AU - Engelbert, Raoul H.H.

AU - Pelsma, Maaike

AU - Groenewoud, Hans M.M.

AU - Boere-Boonekamp, Magdalena M.

AU - Nijhuis-van der Sanden, Maria W.G.

N1 - Open access

PY - 2017

Y1 - 2017

N2 - In a continuation of a prospective longitudinal cohort study in a healthy population on the course of skull shape from birth to 24 months, at 5 years of age, 248 children participated in a follow-up assessment using plagiocephalometry (ODDI—oblique diameter difference index, CPI—cranio proportional index). Data from the original study sampled at birth, 7 weeks, 6, 12, and 24 months were used in two linear mixed models. Main findings: (1) if deformational plagiocephaly (ODDI <104%) and/or positional preference at 7 weeks of age are absent, normal skull shape can be predicted at 5 years of age; (2) if positional preference occurs, ODDI is the highest at 7 weeks and decreases to a stable lowest value at 2 and 5 years of age; and (3) regarding brachycephaly, all children showed the highest CPI at 6 months of age with a gradual decrease over time. Conclusion: The course of skull deformation is favourable in most of the children in The Netherlands; at 5 years of age, brachycephaly is within the normal range for all children, whereas the severity of plagiocephaly is within the normal range in 80%, within the mild range in 19%, and within the moderate/severe range in 1%. Medical consumption may be reduced by providing early tailored counselling.

AB - In a continuation of a prospective longitudinal cohort study in a healthy population on the course of skull shape from birth to 24 months, at 5 years of age, 248 children participated in a follow-up assessment using plagiocephalometry (ODDI—oblique diameter difference index, CPI—cranio proportional index). Data from the original study sampled at birth, 7 weeks, 6, 12, and 24 months were used in two linear mixed models. Main findings: (1) if deformational plagiocephaly (ODDI <104%) and/or positional preference at 7 weeks of age are absent, normal skull shape can be predicted at 5 years of age; (2) if positional preference occurs, ODDI is the highest at 7 weeks and decreases to a stable lowest value at 2 and 5 years of age; and (3) regarding brachycephaly, all children showed the highest CPI at 6 months of age with a gradual decrease over time. Conclusion: The course of skull deformation is favourable in most of the children in The Netherlands; at 5 years of age, brachycephaly is within the normal range for all children, whereas the severity of plagiocephaly is within the normal range in 80%, within the mild range in 19%, and within the moderate/severe range in 1%. Medical consumption may be reduced by providing early tailored counselling.

KW - METIS-321625

KW - IR-103638

U2 - 10.1007/s00431-016-2800-0

DO - 10.1007/s00431-016-2800-0

M3 - Article

VL - 176

SP - 11

EP - 21

JO - European journal of pediatrics

JF - European journal of pediatrics

SN - 0340-6199

IS - 1

ER -