Homaie Rad Enayatollah, Khodadady-Hasankiadeh Naema, Kouchakinejad-Eramsadati Leila, Javadi Fatemeh, Haghdoost Zahra, Hosseinpour Marieh, Tavakoli Maryam, Davoudi-Kiakalayeh Ali, Mohtasham-Amiri Zahra, Yousefzadeh-Chabok Shahrokh
Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, Iran. Email:
J Inj Violence Res. 2020 Jan;12(1):85-101. doi: 10.5249/jivr.v12i1.1198. Epub 2019 Dec 21.
The relationship between weight indices and injuries and mortality in motor vehicle accidents is unknown. Systematic review studies addressing the collection and analysis of the relationship in investigations are very limited. The purpose of this systematic review is to determine the relationship between BMI, obesity and overweight with mortality and injuries and their severity and vulnerable organs after the motor vehicle accident.
The databases (MEDLINE/PUBMED, EMBASE, Web of Science, etc) were searched for relevant abstracts using certain keywords. Of all the articles, similar ones were removed considering different filters. The collected data were entered into the STATA SE v 13.1. The heterogeneity of the data was analyzed using i2 statistics. In addition, the estimates of the study were done based on the age group (children and adults) and the impact of obesity on different regions of the body.
A direct relationship was observed between the overall BMI and the degrees of injuries (CI=0.503-1.139), and mortality due to motor vehicle accident (CI=1.267-1.471). A positive relationship was found between obesity and AIS+2 (CI=0.653-1.426), and AIS+3 (CI=1.184-1.741), and ISS (CI=1.086-1.589). Also, a negative relationship between overweight and injuries rates, and a direct relationship between overweight and mortality (CI=0.979-1.167), and injuries with index of AIS+2 (CI=1.178-0.768) and AIS+3 (CI=0.48-2.186) were found.
The prediction of injury, mortality and severity of injuries in the motor vehicle accident by the variable of obesity and overweight determines the need to design prevention programs for this vulnerable group at all levels.
体重指数与机动车事故中的损伤及死亡率之间的关系尚不清楚。针对该关系在调查中的收集与分析的系统评价研究非常有限。本系统评价的目的是确定体重指数、肥胖和超重与机动车事故后的死亡率、损伤及其严重程度以及易损器官之间的关系。
使用特定关键词在数据库（MEDLINE/PUBMED、EMBASE、科学网等）中搜索相关摘要。在所有文章中，根据不同筛选条件去除相似的文章。将收集到的数据录入STATA SE v 13.1。使用I²统计量分析数据的异质性。此外，根据年龄组（儿童和成人）以及肥胖对身体不同部位的影响对研究进行评估。
观察到总体体重指数与损伤程度（CI = 0.503 - 1.139）以及机动车事故死亡率（CI = 1.267 - 1.471）之间存在直接关系。发现肥胖与AIS+2（CI = 0.653 - 1.426）、AIS+3（CI = 1.184 - 1.741）以及损伤严重度评分（ISS）（CI = 1.086 - 1.589）之间存在正相关关系。此外，超重与损伤率之间存在负相关关系，超重与死亡率（CI = 0.979 - 1.167）以及AIS+2指数损伤（CI = 1.178 - 0.768）和AIS+3指数损伤（CI = 0.48 - 2.186）之间存在直接关系。
通过肥胖和超重变量预测机动车事故中的损伤、死亡率和损伤严重程度，表明有必要为这一弱势群体在各个层面设计预防方案。
