Trauma Department, Hannover Medical School (MHH), Carl-Neuberg-Straße 1, 30625 Hannover, Germany.
Trauma Department, Hannover Medical School (MHH), Carl-Neuberg-Straße 1, 30625 Hannover, Germany.
Bone. 2021 Dec;153:116149. doi: 10.1016/j.bone.2021.116149. Epub 2021 Aug 12.
Forearm fractures are frequent in children. It is important to identify predisposing factors for increased fracture risk. This retrospective analysis aimed to investigate the correlation between forearm fractures in children and co-factors such as age, TV consumption, consumption of soft drinks, the kind of soft drinks consumed as well as physical activity in daily life and BMI.
This retrospective cohort analysis compared 355 participants at the age of 4 to 12 between 2017 and 2018 with and without forearm fractures in children. It was based on a questionnaire to assess the above-mentioned cofactors regarding behavior and lifestyles choices and aimed to identify whether or not these lead to an increased risk of forearm fractures. For statistical analysis logistic regression was used.
Logistic regression showed a significant effect on forearm fractures in children for the variables age (Odds ratio 3.3 [95% confidence interval 1.5-7.3], P = .003), TV consumption (Odds ratio 5.4 [95% confidence interval 2.5-22.6], P < .001), consumption of soft drinks (Odds ratio 2.6 [95% confidence interval 1.2-5.6], P = .013), and the kind of soft drinks consumed (Odds ratio 3.1 [95% confidence interval 1.5-6.3], P = .003), [Nagelkerkes-R = 0.458; Chi = 85.037; df = 6]) with a strong effect according to Cohen (f = 0.84).
The study showed a significant correlation between TV and soft drink consumption and increased risk for forearm fractures in children. TV consumption and consumption of soft drinks should be reduced in children to prevent forearm fractures.
前臂骨折在儿童中较为常见。识别增加骨折风险的相关因素十分重要。本回顾性分析旨在探讨儿童前臂骨折与年龄、电视使用时间、软饮料摄入、所摄入软饮料的种类以及日常生活中的体力活动和 BMI 等相关因素之间的相关性。
本回顾性队列分析比较了 2017 年至 2018 年期间年龄在 4 至 12 岁之间的 355 名儿童，其中有 177 名患有前臂骨折，另 178 名未患有前臂骨折。该分析基于问卷调查，旨在评估上述行为和生活方式选择的相关因素，以确定这些因素是否会导致前臂骨折风险增加。采用逻辑回归进行统计学分析。
逻辑回归显示，儿童前臂骨折与年龄（比值比 3.3 [95%置信区间 1.5-7.3]，P = 0.003）、电视使用时间（比值比 5.4 [95%置信区间 2.5-22.6]，P < 0.001）、软饮料摄入（比值比 2.6 [95%置信区间 1.2-5.6]，P = 0.013）和所摄入软饮料的种类（比值比 3.1 [95%置信区间 1.5-6.3]，P = 0.003）等因素显著相关，具有中等效应（Nagelkerkes-R 为 0.458；卡方值为 85.037；自由度为 6），根据 Cohen 的标准，效应量为 0.84。
本研究表明，儿童电视使用时间和软饮料摄入与前臂骨折风险增加之间存在显著相关性。为预防前臂骨折，应减少儿童的电视使用时间和软饮料摄入。
