BMC Pediatrics | |
Prevalence of overweight in children with bone fractures: a case control study | |
Giorgio Liguori4  Edoardo Ruotolo1  Antonino Tramontano3  Pasquale Guida2  Valeria Di Onofrio4  Caterina Mancusi4  Francesca Gallè4  Giuliana Valerio4  | |
[1] Medical Direction, AORN Santobono-Pausilipon Children’s Hospital, Naples, Italy;Unit of Orthopaedics and Traumatology, AORN Santobono-Pausilipon Children’s Hospital, Naples, Italy;Department of Pediatric Surgery, AORN Santobono-Pausilipon Children’s Hospital, Naples, Italy;Department of Studies of Institutions and Territorial Systems School of Movement Sciences (DiSIST), Parthenope University, Via Medina 40, Naples, 80133, Italy | |
关键词: Overweight; Lifestyle; Inactivity; Gender; Fractures; | |
Others : 1170626 DOI : 10.1186/1471-2431-12-166 |
|
received in 2012-05-22, accepted in 2012-10-12, 发布年份 2012 | |
【 摘 要 】
Background
Children's fractures have been enlisted among orthopaedics complaints of childhood obesity. Unhealthy lifestyle behaviours may contribute to increased risk. This study described the prevalence of overweight/obesity in children and adolescents reporting a recent fracture in relation to gender, dynamic of trauma, and site of fracture.
Methods
Four-hundred-forty-nine children and adolescents with fracture and 130 fracture-free controls were recruited from a large children’s hospital. The interaction between overweight and gender, dynamic of trauma, site of fracture was explored. Sports participation, television viewing, and calcium intake were also investigated.
Results
Overweight/obesity rate was increased in girls with fracture either at the upper or the lower limb (p= 0.004), while it was increased only in boys with fracture at the lower limb (p <0.02). Overweight/obesity rate did not differ between groups with low or moderate trauma. TV viewing ≥ 2 hrs was more frequent in children with fractures than controls (61.5% vs 34.5%, p =0.015) in the overweight/obese group.
Conclusions
The increased prevalence of overweight/obesity in children with fractures is related to gender and site of fracture. Higher levels of sedentary behaviours characterize overweight children reporting fractures.
【 授权许可】
2012 Valerio et al.; licensee BioMed Central Ltd.
【 预 览 】
Files | Size | Format | View |
---|---|---|---|
20150417023016488.pdf | 239KB | download | |
Figure 2. | 39KB | Image | download |
Figure 1. | 21KB | Image | download |
【 图 表 】
Figure 1.
Figure 2.
【 参考文献 】
- [1]Ma D, Jones G: Television, computer, and video viewing; physical activity; and upper limb fracture risk in children: a population-based case control study. J Bone Miner Res 2003, 18:1970-1977.
- [2]Goulding A, Rockell JE, Black RE, Grant AM, Jones IE, Williams SM: Children who avoid drinking cow’s milk are at increased risk for prepubertal bone fractures. J Am Diet Assoc 2004, 104:250-253.
- [3]Goulding A: Risk factors for fractures in normally active children and adolescents. Med Sport Sci 2007, 51:102-120.
- [4]Manias K, McCabe D, Bishop N: Fractures and recurrent fractures in children; varying effects of environmental factors as well as bone size and mass. Bone 2006, 39:652-657.
- [5]Bouchard DR, Pickett W, Janssen I: Association between obesity and unintentional injury in older adults. Obes Facts 2010, 3:363-369.
- [6]Wearing SC, Hennig EM, Byrne NM, Steele JR, Hills AP: Musculoskeletal disorders associated with obesity: a biomechanical perspective. Obes Rev 2006, 7:239-250.
- [7]Taylor ED, Theim KR, Mirch MC, et al.: Orthopedic complications of overweight in children and adolescents. Pediatrics 2006, 117:2167-2174.
- [8]Rana AR, Michalsky MP, Teich S, Groner JI, Caniano DA, Schuster DP: Childhood obesity: a risk factor for injuries observed at a level-1 trauma center. J Pediatr Surg 2009, 44:1601-1605.
- [9]Cooper C, Dennison EM, Leufkens HG, Bishop N, van Staa TP: Epidemiology of childhood fractures in Britain: a study using the general practice research database. J Bone Miner Res 2004, 19:1976-1981.
- [10]Kuczmarski RJ, Ogden CL, Guo SS, et al.: 2000 CDC Growth Charts for the United States: methods and development. Vital Health Stat 11 2002, 246:1-190.
- [11]Cole TJ, Bellizzi MC, Flegal KM, Dietz WH: Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ 2000, 320:1240-1245.
- [12]WHO: International Statistical Classification of Diseases and Related Health Problems 10th Revision. Available at http://apps.who.int/classifications/apps/icd/icd10online webcite
- [13]Clark EM, Ness AR, Tobias JH: Bone fragility contributes to the risk of fracture in children, even after moderate and severe trauma. J Bone Miner Res 2008, 23:173-179.
- [14]Valerio G, Gallè F, Mancusi C, et al.: Pattern of fractures across pediatric age groups: analysis of individual and lifestyle factors. BMC Publ Health 2010, 10:656. BioMed Central Full Text
- [15]Chalmers D, Marshall S, Langley J, et al.: Height and surfacing as risk factors for injury in falls from playground equipment: a case–control study. Inj Prev 1996, 2:98-104.
- [16]Hansoti B, Beattie T: Can the height of fall predict long bone fracture in children under 24 months? Eur J Emerg Med 2005, 12:285-286.
- [17]Esposito-del Puente A, del Puente A, Scalfi L, Covino A, Marra M, Contaldo F: Calcium intake in a childhood population showing high prevalence of obesity (abstract). Int J Obes Relat Metab Disord 1997, 21:S84.
- [18]Chan G, Chen CT: Musculoskeletal effects of obesity. Curr Opin Pediatr 2009, 21:65-70.
- [19]Clark EM, Tobias JH, Ness AR: Association between bone density and fractures in children: a systematic review and meta-analysis. Pediatrics 2006, 117:e291-e297.
- [20]De Schepper J, Van den Broeck M, Jonckheer MH: Study of lumbar spine bone mineral density in obese children. Acta Paediatr 1995, 84:313-315.
- [21]Leonard MB, Shults J, Wilson BA, Tershakovec AM, Zemel BS: Obesity during childhood and adolescence augments bone mass and bone dimensions. Am J Clin Nutr 2004, 80:514-523.
- [22]Goulding A, Taylor RW, Jones IE, McAuley KA, Manning PJ, Williams SM: Overweight and obese children have low bone mass and area for their weight. Int J Obes Relat Metab Disord 2000, 24:627-632.
- [23]Khosla S, Achenbach SJ, O’Fallon WM, Riggs BL, Melton LJ: Rising incidence of adolescent forearm fractures: mismatch between physical activity and skeletal bone mass acquisition? J Bone Miner Res 2000, 15(Suppl 1):S191.
- [24]Goulding A, Cannan R, Williams SM, Gold EJ, Taylor RW, Lewis-Barned NJ: Bone mineral density in girls with forearm fractures. J Bone Miner Res 1998, 13:143-148.
- [25]Goulding A, Jones IE, Taylor RW, Manning PJ, Williams SM: More broken bones: a 4-year double cohort study of young girls with and without distal forearm fractures. J Bone Miner Res 2000, 15:2011-2018.
- [26]Skaggs DL, Loro ML, Pitukcheewanont P, Tolo V, Gilsanz V: Increased body weight and decreased radial cross-sectional dimensions in girls with forearm fractures. J Bone Miner Res 2001, 16:1337-1342.
- [27]Goulding A, Jones IE, Taylor RW, Williams SM, Manning PJ: Bone mineral density and body composition in boys with distal forearm fractures: a dual-energy x-ray absorptiometry study. J Pediatr 2001, 139:509-515.
- [28]Pomerantz WJ, Nathan L, Timm NL, Gittelman MA: Injury patterns in obese versus nonobese children presenting to a pediatric emergency department. Pediatrics 2010, 125:681-685.
- [29]Bostman OM: Body mass index of patients with elbow and ankle fractures requiring surgical treatment. J Trauma 1994, 37:62-65.
- [30]Chaudhry S, Egol KA: Ankle injuries and fractures in the obese patient. Orthop Clin North Am 2011, 42:45-53.
- [31]Goulding A, Jones IE, Taylor RW, Piggot JM, Taylor D: Dynamic and static tests of balance and postural sway in boys: effects of previous wrist bone fractures and high adiposity. Gait Posture 2003, 17:136-141.
- [32]Nantel J, Brochu M, Prince F: Locomotor strategies in obese and non-obese children. Obesity 2006, 14:1789-1794.
- [33]Ma D, Morley R, Jones G: Risk-taking, coordination and upper limb fractures in children: a population based case–control study. Osteoporos Int 2004, 15:633-638.
- [34]Shultz SP, Anner J, Hills AP: Paediatric obesity, physical activity and the musculoskeletal system. Obes Rev 2009, 10:576-582.
- [35]Clark EM, Ness AR, Tobias JH: Vigorous physical activity increases fracture risk in children irrespective of bone mass: a prospective study of the independent risk factors for fractures in healthy children. J Bone Miner Res 2008, 23:1012-1022.
- [36]Fulton JE, Wang X, Yore MM, Carlson SA, Galuska DA, Caspersen CJ: Television viewing, computer use, and BMI among U.S. children and adolescents. J Phys Act Health 2009, 6:S28-S35.
- [37]Wosje KS, Khoury PR, Claytor RP, Copeland KA, Kalkwarf HJ, Daniels SR: Adiposity and TV viewing are related to less bone accrual in young children. J Pediatr 2009, 154:79-85.e2.
- [38]Johnston CC, Miller JZ, Slemenda CW, Reister TK, Christian JC, Peacock M: Calcium supplementation and increases in bone mineral density in children. N Engl J Med 1992, 327:82-87.
- [39]Lloyd T, Andon MB, Rollings N, et al.: Calcium supplementation and bone mineral density in adolescent girls. JAMA 1993, 270:841-844.
- [40]Mazzarella G, Pizzuti R: Stili di vita e salute dei giovani in età scolare. Rapporto sui dati regionali HBSC 2009–2010 Regione Campania. Napoli: Phoebus; 2011:p.114. www.epiceM.ntro.iss.it/regioni/campania/pdf/report_HBSC_CAMPANIA.pdf webcite
- [41]Valerio G, Scalfi L, De Martino C, Franzese A, Tenore A, Contaldo F: Comparison between different methods to assess the prevalence of obesity in a sample of Italian children. J Pediatr Endocrinol Metab 2003, 16:211-216.