Differentiation of face and auricular shape resulting from diabetes and hypertension  in the elderly

Lorena Andrade Nunes; Cezar Augusto Casotti; Edilson Divino de Araújo

doi:10.14393/BJ-v37n0a2021-48141

Authors

Lorena Andrade Nunes Universidade Estadual do Sudoeste da Bahia https://orcid.org/0000-0002-7453-7666
Cezar Augusto Casotti Universidade Estadual do Sudoeste da Bahia https://orcid.org/0000-0001-6636-8009
Edilson Divino de Araújo Universidade Federal de Sergipe https://orcid.org/0000-0001-6443-3444

DOI:

https://doi.org/10.14393/BJ-v37n0a2021-48141

Keywords:

Anthropometry, Chronic Disease, Ear, Health Risk.

Abstract

The prevalence global of noncommunicable chronic diseases as diabetes and hypertension worldwide has been disregarded until recently by policy makers. In addition, these diseases have growing with the aging of the population. This study sought to identify changes in face shape from the frontal and side views in elderly people diagnosed with diabetes and hypertension. 205 individuals were studied, with 60 years or more, from both sexes, with different ethnicities, and cognition intact. With a digital camera, photos were taken of the front and side and based on these images landmarks for measurement were determined. For statistical analysis, ANOVA, Canonical Variates Analysis, Mahalanobis distance and Thin-Plate Spline were realized. Given sexual dimorphism, the sexes were analyzed separately. From the ANOVA, significant differences (p<0.01) for individuals with diabetes, hypertension, and patients with both or neither of the diseases were observed. The groups were separated by the Canonical Variates and Mahalanobis distance and independent of edentulism, sex or ethnicity. A morphofacial characteristics for the front and side views (especially in the ear region) that identified individuals with these chronic diseases was observed. This methodology can contribute in a specific manner to the identification of at risk populations and help to promote preventative measures for these conditions.

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References

ADAMS, D.C., ROHLF, F. J. and SLICE, D.E. A field comes of age: Geometric morphometrics in the 21st century. Hystrix. 2013, 24(1), 7–14. https://doi.org/10.4404/hystrix-24.1-6283

ALEXANDER, K.S., et al. A morphometric study of the human ear. Journal of Plastic, Reconstructive & Aesthetic Surgery. 2011, 64(1), 41–47. https://doi.org/10.1016/j.bjps.2010.04.005

ANWER, Z., et al. Hypertension management in diabetic patients. European Review for Medical and Pharmacological Sciences. 2011, 15, 256–1263.

BORTOLUZ, S., LIMA, L.A. and NEDEL, F.B. Condições de saúde e utilização de um serviço de atenção primária em pacientes hipertensos e/ou diabéticos. Ciência & Saúde, 2016, 9(3), 156-166. https://doi.org/10.15448/1983-652X.2016.3.22009

BRASIL. Ministério da Saúde. Departamento de Atenção Básica. Área Técnica de Diabetes e Hipertensão Arterial Hipertensão arterial sistêmica (HAS) e Diabetes mellitus (DM): protocolo /Ministério da Saúde, Departamento de Atenção Básica. Área Técnica de Diabetes e Hipertensão Arterial. – Brasília: Ministério da Saúde, 2001. 96 p. il. (Cadernos de atenção Básica, 7)

BRITO, E.S., PANTAROTTO, R.F.R. and COSTA, L.R.L.G. A hipertensão arterial sistêmica como fator de risco ao acidente vascular encefálico (AVE). Nursing. 2011, 29(4), 265–268.

CHATTOPADHYAY, P.K. and BHATIA, S. Morphological examination of ear: A study of an Indian population. Legal Medicine. 2009, 11(1), S190–S193. http://dx.doi.org/10.1016/j.legalmed.2009.02.057

CHINTHAPALLI, K., et al. Atypical face shape and genomic structural variants in epilepsy. Brain. 2012, 135(10), 3101–3114. https://doi.org/10.1093/brain/aws232

CRUZERA, A.B., UTIMURA, R. and ZATZ, R.A hipertensão no diabete. HiperAtivo. 1988, 5(10), 261–266.

DBH. VI Diretrizes Bras Hipertens - Sociedade Brasileira de Cardiologia [Internet]. 2010, 95, 1–51. Available from: http://bvsms.saude.gov.br/bvs/publicacoes/caderno_atencao_basica_n1_p1.pdf. Access in: 27 abr. 2017

DEMAYO, C.G., TORRES, M. and VEÑA, C. Face Shapes Of Diabetics And Non-Diabetics Described Using Geometric Morphometrics. The Internet Journal of Endocrinology. 2009, 6(1), 1–10.

ERCAN, I., et al. Statistical Shape Analysis and Usage in Medical Sciences : Review. Turkiye Klinikleri Journal of Biostatistics. 2012, 4(1), 27-35.

FJELL, A.M. and WALHOVD, K.B. New Tools for the Study of Alzheimer’s Disease: What Are Biomarkers and Morphometric Markers Teaching Us? Neuroscientist. 2011, 17(5), 592–605. https://doi.org/10.1177/1073858410392586

FOLSTEIN, M.F., FOLSTEIN, S.E. and MCHUGH, P.R. "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research. 1975, 12(3), 189-98. https://doi.org/10.1016/0022-3956(75)90026-6

GODOY-MATOS, A.F., et al. Adiponectin is related to intramyocellular lipid content in non-diabetic adults. Journal of Endocrinological Investigation. 2010, 33(6), 382-7. https://doi.org/10.1007/BF03346608

GOMES, M.B. and COBAS, R. Diabetes Mellitus. In: GROSSI, S.A.A., PASCALI, P.M. (Eds.). Cuidados de Enfermagem em Diabetes Mellitus. São Paulo: Sociedade brasileira de diabetes, 2009.

KHODAIR, S.A., GHIEDA, U.E. and ELTOMEY, M.A. Relationship of lumbosacral spine morphometrics and lumber disc degenerative disease in young adults using magnetic resonance imaging. The Egyptian Journal of Radiology and Nuclear Medicine. 2014, 45(2), 461–466. https://doi.org/10.1016/j.ejrnm.2014.02.005

KLINGENBERG, C.P. MorphoJ: In integrated software package for geometric morphometrics. Molecular Ecology Resources. 2011, 11(2), 353–357. https://doi.org/10.1111/j.1755-0998.2010.02924.x

LOLIO, C.A. Epidemiología da hipertensão arterial. Revista de Saúde Pública, 1990, 24(5), 425–432. https://doi.org/10.1371/journal.pone.0169336

MAYER, C., et al. BMI and WHR are reflected in female facial shape and texture: A geometric morphometric image analysis. PLoS ONE. 2017, 12(1), 1–13. https://doi.org/10.1371/journal.pone.0172205

MITTEROECKER, P., et al. The Morphometrics of “Masculinity” in Human Faces. PLoS ONE. 2015, 10(2), e0118374. https://doi.org/10.1371/journal.pone.0118374

OIGMAN, W. Sinais e Sintomas em hipertensão arterial. Journal of Biological Methods. 2014, 13–18. http://files.bvs.br/upload/S/0047-2077/2014/v102n5/a4503.pdf

OLIVEIRA, J.E.P. and MILECH, A. Diabetes Mellitus - Clinica, Diagnóstico e Tratamento Multidiciplinar. 1st ed. São Paulo: Atheneu, 2006.

PALMER, A.R. Fluctuating asymmetry analyses: A primer. In: Markow, T.A (Ed). Developmental Instability: Its Origins and Evolutionary Implications. Netherlands: Kluwer Academic Publishers, 1994. https://doi.org/10.1007/978-94-011-0830-0_26

PRASAD, S., et al. Craniofacial Dysmorphology in 22q11.2 Deletion Syndrome by 3D Laser Surface Imaging and Geometric Morphometrics: Illuminating the Developmental Relationship to Risk for Psychosis. American Journal of Medical Genetics. 2015, 167A(3), 529-536. https://doi.org/10.1002/ajmg.a.36893

RAMOS, A. Manifestações dermatológicas do Diabetes. 2017. Available from: http://www.diabetes.org.br/ebook/component/k2/item/45-manifestacoes-dermatologicas-do-diabetes

ROHLF, F. J. tpsDig2 Version 2.22. Ecology & Evolution. SUNY at Stony Brook. 2015

SANTOS-FILHO, E.F. and PEREIRA, H.B.B. O envelhecimento facial humano e sua mensuração – o passo inicial da prosoporrecognografia. Revista Sodebras. 2016, 11, 67-71.

SCHAEFER, K., et al. Craniofacial Dimorphism Patterns and Allometry among Hominoids. Annals of Anatomy. 2004, 186(5–6), 471–478. https://doi.org/10.1016/S0940-9602(04)80086-4

SCOTT, I.M.L., et al. Does masculinity matter? The contribution of masculine face shape to male attractiveness in humans. PLoS ONE. 2010, 5(10), 23–27. https://doi.org/10.1371/journal.pone.0013585

SIGIRLI, D. and ERCAN, I. Growth and Allometry in Modern Morphometrics: Review. Turkiye Klinikleri Journal of Biostatistics. 2013, 5(1), 42-48.

ZHANG, B., VIJAYA KUMAR, B.V.K. and ZHANG, D. Noninvasive diabetes mellitus detection using facial block color with a sparse representation classifier. IEEE Transactions on Biomedical Engineering. 2014, 61(4), 1027–1033. https://doi.org/10.1109/TBME.2013.2292936

ZULKIFLI, N., YUSOF, F.Z. and RASHID, R.A. Anthropometric Comparison of Cross-Sectional External Ear between Monozygotic Twin. Annals of Forensic Research and Analysis. 2014, 1(2) 2–7.