Abstract
| Original language | English |
|---|---|
| Pages (from-to) | 11-21 |
| Journal | European journal of pediatrics |
| Volume | 176 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - 2017 |
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Keywords
- METIS-321625
- IR-103638
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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 journal › Article › Academic › peer-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 -