Fracture incidence in children and adolescents 0–19 years old in Mexico: a 12-year cross-sectional analysis

Clark, Patricia; Montiel-Ojeda, Diana; Rascón-Pacheco, Ramón Alberto; Guagnelli, Miguel Angel; López-González, Desirée; Bremer, Alhelí; Borja-Aburto, Víctor Hugo

doi:10.1007/s11657-022-01162-1

Cited by 3 publications

(3 citation statements)

References 42 publications

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“…Conventionally, studies have often focused on demographic or sociocultural attributes as pivotal determinants. [ 6 , 19 ] In contrast, our approach is characterized by the incorporation of diverse psychological assessment questionnaires, strategically tailored to encapsulate various aspects of parental attributes.…”

Section: Discussionmentioning

confidence: 99%

Psychological risk factors for upper extremity fractures in preschool children: A case-control study

Gültekin

2024

Ulus Travma Acil Cerrahi Derg

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BACKGROUND: In school-age children, upper extremity fractures are associated with both parental and child-related factors and represent a multifactorial entity. This study aims to explore the psychological risk factors associated with upper extremity fractures in preschool children. METHODS: This single-center, hospital-based, age-matched case-control study involved 55 cases of upper extremity fractures and 55 controls experiencing growing pains. Parents of the children participated in face-to-face interviews. We examined the potential associations between scores on the Mother-to-Infant Bonding Scale (MIBS), Adult Attention Deficit Hyperactivity Disorder Self-Report Scale (ASRS), Autism-Spectrum Quotient (AQ), State-Trait Anxiety Inventory (STAI), and Strengths and Difficulties Questionnaire (SDQ), and the risk of upper extremity fractures. RESULTS: Advanced parental age and lower household income emerged as risk factors for upper extremity fractures, while longer maternal educational attainment was identified as a protective factor. In the univariate analyses, elevated scores on the Autism-Spectrum Quotient Communication subscale (AQ-C), overall AQ score, Strengths and Difficulties Questionnaire Hyperactivity subscale (SDQ-H), and Strengths and Difficulties Questionnaire Emotional and Peer Problems subscale (SDQ-Int) were associated with an increased fracture risk (Odds Ratio [OR] (95% Confidence Interval [CI]): 1.15 (1.05-1.27), OR: 1.05 (1.01-1.09), OR: 1.25 (1.01-1.54), and OR: 1.19 (1.04-1.37), respectively). The AQ-C and SDQ-Int scales remained statistically significant as risk factors for upper extremity fractures (OR: 1.15 (1.02-1.28) and OR: 1.21 (1.02-1.43), respectively) in the multivariate regression analyses. CONCLUSION: Our findings suggest that psychological factors affecting both parents and children could potentially increase the risk of upper extremity fractures in preschool children.

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Section: Discussionmentioning

confidence: 99%

Psychological risk factors for upper extremity fractures in preschool children: A case-control study

Gültekin

2024

Ulus Travma Acil Cerrahi Derg

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“…Engaging in physical activity is another risk factor for long-bone fractures, as active children tend to participate in activities that may result in bone fractures. Furthermore, research suggests that certain sports, such as basketball, football, soccer, snowboarding, and other contact sports, can increase the likelihood of bone fractures, particularly among male adolescents [ 5 ]. Paradoxically, the absence of physical activity or exercise is also considered a risk factor for fractures during childhood [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

“…There are several additional risk factors associated with fractures in the pediatric population. These risk factors include poor intrauterine nutrition, very low birth weight, inadequate intake of calcium, vitamin D, and other minerals such as magnesium, zinc, or phosphorus, lactose intolerance, poor nutritional health, obesity, limited exposure to sunlight, lack of family interaction to encourage physical activity and play, and a sedentary lifestyle [ 5 ]. Children with genetic diseases, such as children with osteogenesis imperfecta, are at an increased risk of fractures [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Is There an Association between BMI, Height, and Gender and Long-Bone Fractures during Childhood and Adolescence? A Large Cross-Sectional Population Study of 911,206 Subjects

et al. 2023

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Introduction: Traumatic long-bone fractures (TLFs) among children and adolescents are relatively common, with morbidity and economic consequences. Obesity has become a significant global concern. Studies have found an association between TLFs and BMI in the past but not in a large cross-sectional population study. Our study objective was to measure the incidence of TLFs in the 17-year-old general population and evaluate its association with BMI, body height, and gender. Methods: Data from a medical database containing all 17-year-old candidates’ records before recruitment into mandatory military service were retrieved as BMI, height, gender, and history of TLFs. Logistic regression models assessed the association between BMI and height to TLFs. Results: The records of 911,206 subjects (515,339 males) were reviewed. In total, 9.65% had a history of TLFs (12.25% and 6.25% for males/females, respectively). Higher BMI was associated with TLF, with a linear trend in the odds ratio (OR) for having TLFs. The strongest association was found between obese females and TLFs (OR = 1.364, p < 0.0001). Height was an independent factor positively associated with TLFs. The OR for a TLF in the highest height quintile was 1.238 (p < 0.001) for males and 1.411 (p < 0.001) for females compared to the lowest quintile. Although TLFs were more common in males, the OR for TLFs was more prominent in females. Conclusions: There is an association between BMI, body height, and TLFs in healthy adolescents. TLFs are more common in males, but the strongest association between overweight and obesity is evident in females.

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Distribution of fractured bones among children: Experience with the Comprehensive Pediatric AO classification in a children's orthopedic hospital in Bogotá-Colombia

Garcia-Rueda,

Mendoza-Pulido,

Taborda-Aitken

et al. 2023

Injury

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Fracture incidence in children and adolescents 0–19 years old in Mexico: a 12-year cross-sectional analysis

Cited by 3 publications

References 42 publications

Psychological risk factors for upper extremity fractures in preschool children: A case-control study

Psychological risk factors for upper extremity fractures in preschool children: A case-control study

Is There an Association between BMI, Height, and Gender and Long-Bone Fractures during Childhood and Adolescence? A Large Cross-Sectional Population Study of 911,206 Subjects

Distribution of fractured bones among children: Experience with the Comprehensive Pediatric AO classification in a children's orthopedic hospital in Bogotá-Colombia

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