Search

Summary: Numerous guidelines have called for personalized interventions to address childhood obesity. The role of fat mass and obesity‐associated gene (FTO) in the risk of childhood obesity has been summarized. However, it remains unclear whether FTO could influence individual responses to obesity interventions, especially in children. To address this, we systematically reviewed 12,255 records across 10 databases/registers and included 13 lifestyle‐based obesity interventions (3980 children with overweight/obesity) reporting changes in body mass index (BMI) Z‐score, BMI, waist circumference, waist‐to‐hip ratio, and body fat percentage after interventions. These obesity‐related outcomes were first compared between children carrying different FTO genotypes (rs9939609 or its proxy) and then synthesized by random‐effect meta‐analysis models. The results from single‐group interventions showed no evidence of associations between FTO risk allele and changes in obesity‐related outcomes after interventions (e.g., BMI Z‐score: −0.01; 95% CI: −0.04, 0.01). The results from controlled trials showed that associations between the FTO risk allele and changes in obesity‐related outcomes did not differ by intervention/control group. To conclude, the FTO risk allele might play a minor role in the response to obesity interventions among children. Future studies might pay more attention to the accumulation effect of multiple genes in the intervention process among children. [ABSTRACT FROM AUTHOR]

Aim: To 3‐dimensional radiographically assess the effect of titanium plate in guided bone regeneration (GBR) for the treatment of peri‐implant ridge defects in esthetic zone. Material and Methods: Nineteen patients with buccal peri‐implant defects in the maxillary esthetic zone were treated with GBR using xenograft, autogenous bone, and collagen membrane. Subjects were divided into two groups: control (conventional GBR, 10 patients with 16 implants) and test (GBR with an adjunctive titanium plate; nine patients with 15 implants). Cone‐beam computed tomography (CBCT) images obtained immediately after and 5–7 months following GBR were used to assess buccal crestal bone level (BBL) and buccal bone thickness (BBT) at different implant levels. Results: Thirty‐one implants in 19 patients were evaluated. Titanium plate exposure occurred in three cases (33.33%) of the test group. After 5–7 months, the mean BBL was located 1.48 ± 0.71 mm coronal to the platform in the test group and 0.90 ± 3.03 mm coronal to the platform in the control group (p = 0.03). The mean over all BBT (BBT‐M) was 4.16 ± 0.48 mm in the test group and 2.38 ± 0.97 mm in the control group (p < 0.01). More resorption occurred in the control group than in the test group regarding mean BBL (3.00 ± 3.11 mm vs. 0.78 ± 0.79 mm, respectively; p = 0.04), BBT‐M change (1.87 ± 1.59 mm vs. 0.56 ± 0.33 mm, respectively; p = 0.02), and percentage change in BBT‐M (40.69 ± 24.01% vs. 11.53 ± 5.86%, respectively; p < 0.01). Conclusion: In the short‐term, titanium plate‐enhanced GBR maintained ridge dimensions better than conventional GBR did. [ABSTRACT FROM AUTHOR]