{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:47:56Z","timestamp":1787071676172,"version":"build-2736575974"},"reference-count":33,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Human growth is influenced by hormones, genes, and environment. Type 1 diabetes mellitus (T1DM) can disrupt normal growth in children due to chronic hyperglycemia and insulin deficiency.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>The aim of the study was to evaluate the effect of metabolic on insulin-dependent T1DM using general growth parameters and dental maturation in prepubertal age group of T1DM children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>\n                      T1DM children aged 7-14 years (total 30 patients) were divided into controlled and uncontrolled T1DM groups based on their glycosylated hemoglobin values. Height, weight, body mass index (BMI), and dental age (using Nolla\u2019s method from orthopantomogram) were recorded. Independent and paired\n                      <jats:italic toggle=\"yes\">t<\/jats:italic>\n                      -tests, along with Pearson\u2019s correlation, were used (significance set at\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2264 0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Regardless of metabolic control, T1DM children showed less values in all growth parameters. Mean height difference of 8.58 \u00b1 6.58 in the uncontrolled group was found statistically significant (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). Mean weight difference of 4.68 \u00b1 3.28 and mean BMI difference of 0.94 \u00b1 1.56 showed a statistically significant value (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001 for weight and 0.035 for BMI) in the controlled group. Dental maturation mean difference of 0.43 \u00b1 0.6 in the controlled group and 0.47 \u00b1 0.7 in the uncontrolled group with statistical significance in both the groups. Both the groups showed a statistically significant value, (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.014) in.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Long-standing T1DM can delay height, weight, BMI, and dental maturation, regardless of metabolic control. Although prepubertal delays may normalize by puberty, this study found greater growth impairment in uncontrolled cases, with dental maturation delayed in both the groups.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jisppd.jisppd_260_25","type":"journal-article","created":{"date-parts":[[2025,9,30]],"date-time":"2025-09-30T17:00:23Z","timestamp":1759251623000},"page":"374-379","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Effect of metabolic control on growth and dental maturation in insulin-dependent type 1 diabetes mellitus children \u2013 An observational study"],"prefix":"10.4103","volume":"43","author":[{"given":"Happy Rameshbhai","family":"Pachani","sequence":"first","affiliation":[{"name":"Department of Pediatric and Preventive Dentistry, K. M. Shah Dental College and Hospital, Sumandeep Vidyapeeth (Deemed to be University), Vadodara, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seema","family":"Bargale","sequence":"additional","affiliation":[{"name":"Department of Pediatric and Preventive Dentistry, K. M. Shah Dental College and Hospital, Sumandeep Vidyapeeth (Deemed to be University), Vadodara, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bhavna","family":"Dave","sequence":"additional","affiliation":[{"name":"Department of Pediatric and Preventive Dentistry, K. M. Shah Dental College and Hospital, Sumandeep Vidyapeeth (Deemed to be University), Vadodara, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anshula","family":"Deshpande","sequence":"additional","affiliation":[{"name":"Department of Pediatric and Preventive Dentistry, K. M. Shah Dental College and Hospital, Sumandeep Vidyapeeth (Deemed to be University), Vadodara, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K. S.","family":"Poonacha","sequence":"additional","affiliation":[{"name":"Department of Pediatric and Preventive Dentistry, K. M. Shah Dental College and Hospital, Sumandeep Vidyapeeth (Deemed to be University), Vadodara, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pratik","family":"Kariya","sequence":"additional","affiliation":[{"name":"Department of Pediatric and Preventive Dentistry, K. M. Shah Dental College and Hospital, Sumandeep Vidyapeeth (Deemed to be University), Vadodara, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,9,30]]},"reference":[{"key":"R1-20251001","first-page":"47","article-title":"Age estimation using orthopantomographs by Demirjian\u2019 s method","volume":"9","author":"Soni","year":"2021","journal-title":"J Forensic Dent Sci"},{"key":"R2-20251001","first-page":"54","article-title":"Association between body mass index and dental age in Hispanic children","volume":"65","author":"Chehab","year":"2017","journal-title":"Gen Dent"},{"key":"R3-20251001","doi-asserted-by":"crossref","first-page":"3677","DOI":"10.3390\/ijerph16193677","article-title":"Linear growth in children and adolescents with type 1 diabetes mellitus","volume":"16","author":"Santi","year":"2019","journal-title":"Int J Environ Res Public Health"},{"key":"R4-20251001","doi-asserted-by":"crossref","first-page":"893","DOI":"10.1016\/j.jpeds.2012.01.037","article-title":"Diabetes mellitus and growth in children and adolescents","volume":"160","author":"Hannon","year":"2012","journal-title":"J Pediatr"},{"key":"R5-20251001","doi-asserted-by":"crossref","first-page":"S51","DOI":"10.4103\/2230-8210.155402","article-title":"Puberty and type 1 diabetes","volume":"19","author":"Chowdhury","year":"2015","journal-title":"Indian J Endocrinol Metab"},{"key":"R6-20251001","doi-asserted-by":"crossref","first-page":"826","DOI":"10.2337\/diacare.15.7.826","article-title":"Effect of glycemic control on growth velocity in children with IDDM","volume":"15","author":"Wise","year":"1992","journal-title":"Diabetes Care"},{"key":"R7-20251001","doi-asserted-by":"crossref","first-page":"1057","DOI":"10.4103\/2230-8210.122623","article-title":"Growth status of children and adolescents with type 1 diabetes mellitus","volume":"17","author":"Khadilkar","year":"2013","journal-title":"Indian J Endocrinol Metab"},{"key":"R8-20251001","doi-asserted-by":"crossref","first-page":"281","DOI":"10.2337\/diacare.20.3.281","article-title":"Factors influencing height and weight development in children with diabetes. Results of the berlin retinopathy study","volume":"20","author":"Danne","year":"1997","journal-title":"Diabetes Care"},{"key":"R9-20251001","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1590\/1807-3107BOR-2015.vol29.0025","article-title":"Assessment of skeletal and dental ages of children and adolescents with type 1 diabetes mellitus","volume":"29","author":"Bezerra","year":"2015","journal-title":"Braz Oral Res"},{"key":"R10-20251001","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1111\/j.1399-5448.2007.00360.x","article-title":"Type 1 diabetes: Increased height and weight gains in early childhood","volume":"9","author":"Ljungkrantz","year":"2008","journal-title":"Pediatr Diabetes"},{"key":"R11-20251001","doi-asserted-by":"crossref","first-page":"1419","DOI":"10.1136\/bmj.292.6533.1419","article-title":"Height at diagnosis of insulin dependent diabetes in patients and their non-diabetic family members","volume":"292","author":"Songer","year":"1986","journal-title":"Br Med J (Clin Res Ed)"},{"key":"R12-20251001","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1016\/S1054-139X(02)00485-8","article-title":"Growth at puberty","volume":"31","author":"Rogol","year":"2002","journal-title":"J Adolesc Health"},{"key":"R13-20251001","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1136\/adc.50.1.14","article-title":"Prediction of adult height from height, bone age, and occurrence of menarche, at ages 4 to 16 with allowance for midparent height","volume":"50","author":"Tanner","year":"1975","journal-title":"Arch Dis Child"},{"key":"R14-20251001","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1016\/j.jpag.2014.08.009","article-title":"Pubertal development in children diagnosed with diabetes mellitus type 1 before puberty","volume":"28","author":"Pereira","year":"2015","journal-title":"J Pediatr Adolesc Gynecol"},{"key":"R15-20251001","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1016\/j.endonu.2011.02.010","article-title":"Age of onset of puberty and menarche in type 1 diabetic girls","volume":"58","author":"Garc\u00eda-Garc\u00eda","year":"2011","journal-title":"Endocrinol Nutr"},{"key":"R16-20251001","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1007\/BF00442707","article-title":"Height at diagnosis in diabetes","volume":"147","author":"Emmerson","year":"1988","journal-title":"Eur J Pediatr"},{"key":"R17-20251001","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1111\/j.1651-2227.1988.tb10647.x","article-title":"Does control affect growth in diabetes mellitus?","volume":"77","author":"Herber","year":"1988","journal-title":"Acta Paediatr Scand"},{"key":"R18-20251001","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1007\/BF02072224","article-title":"Development of height and weight in children with diabetes mellitus: Report on two prospective multicentre studies, one cross-sectional, one longitudinal","volume":"151","author":"Thon","year":"1988","journal-title":"Eur J Pediatr"},{"key":"R19-20251001","doi-asserted-by":"crossref","first-page":"607","DOI":"10.1203\/00006450-199510000-00022","article-title":"Longitudinal data on growth and final height in diabetic children","volume":"38","author":"Du Caju","year":"1995","journal-title":"Pediatr Res"},{"key":"R20-20251001","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1016\/S0022-3476(46)80146-X","article-title":"Growth of children with diabetes mellitus in relationship to level of control of the disease","volume":"29","author":"Jackson","year":"1946","journal-title":"J Pediatr"},{"key":"R21-20251001","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1016\/S0022-3476(82)80054-1","article-title":"Effect of intensive insulin treatment on linear growth in the young diabetic patient","volume":"101","author":"Rudolf","year":"1982","journal-title":"J Pediatr"},{"key":"R22-20251001","doi-asserted-by":"crossref","first-page":"545","DOI":"10.1016\/S0031-3955(16)34606-5","article-title":"Growth and maturation of children with insulin-dependent diabetes mellitus","volume":"31","author":"Jackson","year":"1984","journal-title":"Pediatr Clin North Am"},{"key":"R23-20251001","first-page":"10","article-title":"Diabetes and growth in puberty","volume":"5","author":"Dunger","year":"1990","journal-title":"Growth Matters"},{"key":"R24-20251001","doi-asserted-by":"crossref","first-page":"1105","DOI":"10.1016\/S0140-6736(73)90931-8","article-title":"Growth in diabetic children. Studies in identical twins","volume":"2","author":"Tattersall","year":"1973","journal-title":"Lancet"},{"key":"R25-20251001","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1136\/adc.62.1.57","article-title":"Growth and growth factors in diabetes mellitus","volume":"62","author":"Salardi","year":"1987","journal-title":"Arch Dis Child"},{"key":"R26-20251001","doi-asserted-by":"crossref","first-page":"218","DOI":"10.1016\/0929-693X(96)81298-X","article-title":"Growth of children with insulin-dependent diabetes. Study of 104 cases","volume":"3","author":"Jos","year":"1996","journal-title":"Arch Pediatr"},{"key":"R27-20251001","first-page":"569","article-title":"Effect of glycaemic control on the growth velocity and several metabolic parameters of conventionally treated children with insulin dependent diabetes mellitus","volume":"9","author":"Gunczler","year":"1999","journal-title":"J Pediatr Endocrinol Metab"},{"key":"R28-20251001","doi-asserted-by":"crossref","first-page":"900","DOI":"10.1016\/j.jpeds.2011.12.007","article-title":"Growth in children and adolescents with type 1 diabetes","volume":"160","author":"Bonfig","year":"2012","journal-title":"J Pediatr"},{"key":"R29-20251001","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1111\/pedi.12090","article-title":"The contribution of glycemic control to impaired growth during puberty in young people with type 1 diabetes and microalbuminuria","volume":"15","author":"Marcovecchio","year":"2014","journal-title":"Pediatr Diabetes"},{"key":"R30-20251001","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1007\/s42000-023-00500-3","article-title":"Final height in children and adolescents with type 1 diabetes mellitus: A systematic review and meta-analysis","volume":"23","author":"Hovsepian","year":"2024","journal-title":"Hormones (Athens)"},{"key":"R31-20251001","doi-asserted-by":"crossref","first-page":"1313","DOI":"10.1136\/adc.64.9.1313","article-title":"Obesity and diabetic control","volume":"64","author":"Abusrewil","year":"1989","journal-title":"Arch Dis Child"},{"key":"R32-20251001","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1111\/j.1464-5491.1992.tb01794.x","article-title":"Body fat and overweight among children and adolescents with diabetes mellitus","volume":"9","author":"Gregory","year":"1992","journal-title":"Diabet Med"},{"key":"R33-20251001","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1111\/j.1365-263X.1997.tb00267.x","article-title":"The relationship between dental age, bone age and chronological age in 54 children with short familial stature","volume":"7","author":"Vallejo-Bola\u00f1os","year":"1997","journal-title":"Int J Paediatr Dent"}],"container-title":["Journal of Indian Society of Pedodontics and Preventive Dentistry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jisppd.jisppd_260_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:50:57Z","timestamp":1787068257000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jisppd.jisppd_260_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7]]},"references-count":33,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/jisppd.jisppd_260_25","relation":{},"ISSN":["0970-4388","1998-3905"],"issn-type":[{"value":"0970-4388","type":"print"},{"value":"1998-3905","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7]]},"assertion":[{"value":"2025-06-23","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-16","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}