Year :
2020
| Month :
November
| Volume :
14
| Issue :
11
| Page :
RC06 - RC09
Full Version
Prevalence of Fracture of Forearm Bones in Obese and Non-obese Children: A Cross-sectional Study
Published: November 1, 2020 | DOI: https://doi.org/10.7860/JCDR/2020/46865.14307
SP Akshatha, JB Santhosha
1. Assistant Professor, Department of Paediatrics, ADI Chunchanagiri Institute of Medical Sciences (AIMS), Mandya, Karnataka, India.
2. Assistant Professor, Department of Orthopaedics, ADI Chunchanagiri Institute of Medical Sciences (AIMS), Bangalore, Karnataka, India.
Correspondence Address :
Dr. JB Santhosha,
Assistant Professor, Department of Orthopaedics, ADI Chunchanagiri Institute of
Medical Sciences (AIMS), BG Nagar, Nagamangala (Taluk),
Mandya-571448, Karnataka, India.
E-mail: foryourhelp55@gmail.com
Abstract
Introduction: Through much history of mankind, the overt manifestation of bodyweight gain in children and adults have been considered as a sign of personal health and family wealth and an indicator of the economic prosperity of the society. As developing societies are industrialised and urbanised, the standards of living continued to rise; obesity and weight gain began to pose a growing threat to the health of the citizens.
Aim: To determine the prevalence of forearm bones fracture in obese and non-obese children between age group of 2-15 years.
Materials and Methods: A cross-sectional study was conducted in the Department of Orthopaedics and Paediatrics at Dr BC Roy Post Graduate Institute of Paediatric Science, Kolkata, West Bengal, India from September 2017 to October 2018. Children were classified into obese and non-obese group according to Body Mass Index (BMI). Calculation of BMI was done by the formula BMI=weight (kg)/{height(m)}2 . Obese children were determined by the BMI percentile by plotting the BMI number on the appropriate Centers for Diseases Control and Prevention (CDC) BMI-for-age growth chart. Doubtful cases classification was confirmed by the paediatric surgeon. Injury mechanism was graded into three trauma kinetics (direct trauma, slow motion trauma and high motion trauma). The validated paediatric Physical Activity Questionnaire (PAQ-A and PAQ-C) were used to grade the average daily activities during the week prior to trauma. Statistical analysis was done by using the Chi-square test and p-value of <0.05 was considered to be statistically significant.
Results: Total 583 children were treated during the study period in the hospital including both Outpatient Department (OPD) and Emergency Department. About 433 children were excluded due to below age two years, refracture, chronic illness, and major congenital malformation. Among them only 150 patients met the criteria of present study. Out of 150 children, 69 (46%) were found obese and non-obese were 81 (54%). The distribution by gender was the same in obese group which had 26 (37.68%) female and 43 (62.32%) male, in non-obese group 34 (41.97%) female and 47 (58.03%) male. It was observed that both bones fracture of forearm in obese children was more at risk than non-obese children, p-value of <0.5 which was statistically significant.
Conclusion: Present study shows higher prevalence of forearm bone fracture in obese children than non-obese children. Obesity and other certain factors might have been significant risk factor for fracture required for operation. Both radius-ulna fracture in obese were found significant.
Keywords
Body mass index, Children, Fracture, Obesity, Paediatric comprehensive classification of long bone fractures
DOI: 10.7860/JCDR/2020/46865.14307
Date of Submission: Sep 21, 2020
Date of Peer Review: Oct 06, 2020
Date of Acceptance: Oct 24, 2020
Date of Publishing: Nov 01, 2020
AUTHOR DECLARATION:
• Financial or Other Competing Interests: None
• Was Ethics Committee Approval obtained for this study? Yes
• Was informed consent obtained from the subjects involved in the study? Yes
• For any images presented appropriate consent has been obtained from the subjects. Yes
PLAGIARISM CHECKING METHODS:
• Plagiarism X-checker: Sep 22, 2020
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• iThenticate Software: Oct 27, 2020 (21%)
ETYMOLOGY: Author Origin
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