Open Access Research article

Prevalence of overweight in children with bone fractures: a case control study

Giuliana Valerio1*, Francesca Gallè1, Caterina Mancusi1, Valeria Di Onofrio1, Pasquale Guida2, Antonino Tramontano3, Edoardo Ruotolo4 and Giorgio Liguori1

Author Affiliations

1 Department of Studies of Institutions and Territorial Systems School of Movement Sciences (DiSIST), Parthenope University, Via Medina 40, Naples, 80133, Italy

2 Unit of Orthopaedics and Traumatology, AORN Santobono-Pausilipon Children’s Hospital, Naples, Italy

3 Department of Pediatric Surgery, AORN Santobono-Pausilipon Children’s Hospital, Naples, Italy

4 Medical Direction, AORN Santobono-Pausilipon Children’s Hospital, Naples, Italy

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BMC Pediatrics 2012, 12:166  doi:10.1186/1471-2431-12-166

Published: 22 October 2012

Abstract

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.

Keywords:
Fractures; Gender; Inactivity; Lifestyle; Overweight