Prevalence of overweight in children with bone fractures a case control study 英文参考文献.docVIP

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Prevalence of overweight in children with bone fractures a case control study 英文参考文献.doc

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Prevalence of overweight in children with bone fractures a case control study 英文参考文献

Valerioetal.BMCPediatrics2012,12:166 /1471-2431/12/166 RESEARCH ARTICLE OpenAccess Prevalenceofoverweightinchildrenwithbone fractures:acasecontrolstudy GiulianaValerio1*,FrancescaGallè1,CaterinaMancusi1,ValeriaDiOnofrio1,PasqualeGuida2, AntoninoTramontano3,EdoardoRuotolo4andGiorgioLiguori1 Abstract Background:Childrensfractureshavebeenenlistedamongorthopaedicscomplaintsofchildhoodobesity. Unhealthylifestylebehavioursmaycontributetoincreasedrisk.Thisstudydescribedtheprevalenceofoverweight/ obesityinchildrenandadolescentsreportingarecentfractureinrelationtogender,dynamicoftrauma,andsiteof fracture. Methods:Four-hundred-forty-ninechildrenandadolescentswithfractureand130fracture-freecontrolswere recruitedfromalargechildren’shospital.Theinteractionbetweenoverweightandgender,dynamicoftrauma,site offracturewasexplored.Sportsparticipation,televisionviewing,andcalciumintakewerealsoinvestigated. Results:Overweight/obesityratewasincreasedingirlswithfractureeitherattheupperorthelowerlimb(p= 0.004),whileitwasincreasedonlyinboyswithfractureatthelowerlimb(p0.02).Overweight/obesityratedidnot differbetweengroupswithlowormoderatetrauma.TVviewing≥2hrswasmorefrequentinchildrenwith fracturesthancontrols(61.5%vs34.5%,p=0.015)intheoverweight/obesegroup. Conclusions:Theincreasedprevalenceofoverweight/obesityinchildrenwithfracturesisrelatedtogenderand siteoffracture.Higherlevelsofsedentarybehaviourscharacterizeoverweightchildrenreportingfractures. Keywords:Fractures,Gender,Inactivity,Lifestyle,Overweight Background health-care costs. Complications of fractures are ampli- Childrens fractures represent a common injury during fied in term of increased surgical times, increased risk childhood and adolescence. Several studies have shown of wound infections, and increased time to ambulation the role of numerous factors in determining children in obese subjects [8]. fractures, such as low bone mass and bone mineral Obesity in children is associated with unhealthy nu- density, low calcium inta