prevalence of overweight in children with bone fractures a case control study超重的儿童骨折病例对照研究.pdfVIP

Valerio et al. BMC Pediatrics 2012, 12:166 /1471-2431/12/166 RESEARCH ARTICLE Open Access Prevalence of overweight in children with bone fractures: a case control study 1* 1 1 1 2 Giuliana Valerio , Francesca Gallè , Caterina Mancusi , Valeria Di Onofrio , Pasquale Guida , 3 4 1 Antonino Tramontano , Edoardo Ruotolo and Giorgio Liguori Abstract Background: Childrens 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