Are extremity musculoskeletal injuries in children related to obesity and social status? A prospective observational study in a district general hospital

Pullagura, Mohan; Gopisetti, S.; Bateman, Belinda; Kampen, Maria van

doi:10.1007/s11832-010-0320-4

Cited by 7 publications

(5 citation statements)

References 25 publications

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“…Therefore, we expected that we would replicate findings for parentese speech-1:1 at Time 1 for the subset enrolled in the current study. Indeed, when we examined relationships between SES (Hollingshead, 2011) and measures of language input (i.e., social interaction variables derived from SECSI), SES was found to be significantly correlated the percent intervals coded for parentese speech in a 1:1 social context at Time 1 ( r = 0.46, p < 0.01, N = 30). No other significant correlations were found with SES at Time 1 or Time 2.…”

Section: Resultsmentioning

confidence: 99%

“…All children were born full-term (37-43 weeks), had normal birth weight (2.5–4.5 kg) and had no major birth or postnatal complications. Socioeconomic status (SES) was assessed using the Hollingshead index (Hollingshead, 2011), a widely used measure producing an overall SES score based on parental education level and occupation (Mean = 53.85, SD = 9.86, Range = 16–66). More information about the full sample of monolinguals and bilinguals can be found Ramírez-Esparza et al (2014, 2017), respectively.…”

Section: Methodsmentioning

confidence: 99%

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Look Who’s Talking NOW! Parentese Speech, Social Context, and Language Development Across Time

2017

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In previous studies, we found that the social interactions infants experience in their everyday lives at 11- and 14-months of age affect language ability at 24 months of age. These studies investigated relationships between the speech style (i.e., parentese speech vs. standard speech) and social context [i.e., one-on-one (1:1) vs. group] of language input in infancy and later speech development (i.e., at 24 months of age), controlling for socioeconomic status (SES). Results showed that the amount of exposure to parentese speech-1:1 in infancy was related to productive vocabulary at 24 months. The general goal of the present study was to investigate changes in (1) the pattern of social interactions between caregivers and their children from infancy to childhood and (2) relationships among speech style, social context, and language learning across time. Our study sample consisted of 30 participants from the previously published infant studies, evaluated at 33 months of age. Social interactions were assessed at home using digital first-person perspective recordings of the auditory environment. We found that caregivers use less parentese speech-1:1, and more standard speech-1:1, as their children get older. Furthermore, we found that the effects of parentese speech-1:1 in infancy on later language development at 24 months persist at 33 months of age. Finally, we found that exposure to standard speech-1:1 in childhood was the only social interaction that related to concurrent word production/use. Mediation analyses showed that standard speech-1:1 in childhood fully mediated the effects of parentese speech-1:1 in infancy on language development in childhood, controlling for SES. This study demonstrates that engaging in one-on-one interactions in infancy and later in life has important implications for language development.

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Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Look Who’s Talking NOW! Parentese Speech, Social Context, and Language Development Across Time

2017

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“… 21 This situation would also cause other factors which can affect the epidemiology of paediatric trauma such as: 1) vitamin D deficiency because of less exposure of sun; 2) increase body mass index because of less activity; and 3) deprivation of sleep. 22 - 24 We believe that a decrease in the number of paediatric orthopaedic traumas may be achieved in the future through home exercises in which muscle strength is increased and educational broadcasts aiming to achieve neuromuscular control can be held online or on national television channels during these possible restrictions, along with measures such as gradual removal of bans for the paediatric age group. There is a need for more comprehensive future studies, in which neuromuscular tests are used and muscle strengths are evaluated.…”

Section: Discussionmentioning

confidence: 99%

The increase in paediatric orthopaedic trauma injuries following the end of the curfew during the COVID-19 period

Kalem¹,

Özbek²,

Kocaoğlu³

et al. 2021

Journal of Children's Orthopaedics

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Purpose The aim of this study was to compare the injury patterns of orthopaedic trauma patients in the paediatric age group who presented to our hospital during and after lifting the curfew due to the pandemic, with the patients of the same age group who presented to our institution during the same time period last year. Methods Patients, aged 0 years to 18 years, who presented to our clinic between 21 March 2020 and 31 May 2020 (during curfew) (Group A1, n = 111), between 01 June 2020 and 31 August 2020 (Group A2, n = 214) and during the same periods in 2019 Group B1 (n = 220) and Group B2 (n = 211) were included. Patients with pathological fractures, traumas occurring earlier than the aforementioned date range and those consulted while being hospitalized in another department were excluded from study. Patients’ demographics, the department they presented to, the anatomical region affected by trauma, trauma mechanism, the location of trauma, the treatment applied and the length of hospital stay were recorded. Results The prevalence of outdoor traumas (72.9% versus 61.1%), high-energy traumas (40.1% versus 26.5%), the rate of the patients treated with surgery (28% versus 17.1%) and the rate of admission to the emergency department (90.2% versus 58.3%) were significantly higher in Group A2 when compared with Group B2 (p < 0.05). Conclusion The significant increase was observed in the number of outdoor injuries, high-energy traumas and fracture patterns that require surgical treatment during the first three months following the lift of the curfew, in comparison with the corresponding dates from last year. We think that children’s lower extremity muscle strength and neuromuscular control was decreased due to staying home for a prolonged period of time. Level of Evidence Level III, Case-control study.

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“…Kessler et al assessed obesity in children with lower limb fractures and found that the risk of hip and femoral fracture was not increased in those who were overweight or moderately obese, but lower leg, ankle and foot fractures were [8]. Importantly, studies which have evaluated the relationship between BMI or Ov/Ob and fracture risk, either including all types of fractures or limited to the upper or lower extremity, have reported inconsistent findings: increased [4,7], no different [4,12,14] and lower [15] fractures incidences in Ov/Ob children have been shown. The findings of this study can perhaps provide explanation for these differing conclusions in that if the relative proportion of fracture sites varies, this would alter the observed overall risk of fracture in overweight and obese children.…”

Section: Discussionmentioning

confidence: 99%

“…Fractures are common in childhood [2,3], and many studies have suggested that overweight and obese children are at increased risk of sustaining a fracture [4][5][6][7][8][9] and fracture complications [10,11]. However, this finding is not consistent in all studies [12][13][14][15].…”

Section: Introductionmentioning

confidence: 98%

Differences in childhood adiposity influence upper limb fracture site

Moon

Lim

Farmer

et al. 2015

Bone

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Introduction-Although it has been suggested that overweight and obese children have an increased risk of fracture, recent studies in post-menopausal women have shown that the relationship between obesity and fracture risk varies by fracture site. We therefore assessed whether adiposity and overweight/obesity prevalence differed by upper limb fracture site in children.Methods-Height, weight, BMI, triceps and subscapular skinfold thickness (SFT) were measured in children aged 3-18 years with an acute upper limb fracture. Data was compared across three fracture sites (hand, forearm and upper arm/shoulder [UA]), and to published reference data.Results-401 children (67.1% male, median age 11.71 years (range 3.54-17.27 years) participated. 34.2%, 50.6% and 15.2% had fractures of the hand, forearm and UA, respectively. Children with forearm fractures had higher weight, BMI and SFT z-scores than those with UA fractures (p<0.05 for all). SFT z-scores were also higher in children with forearm fractures compared to hand fractures, but children withor hand and UA fractures did not differ. Overweight and obesity prevalence was higher in children with forearm fractures (37.6%) than those with UA fractures (19.0%, p=0.009). This prevalence was also higher than the published United Kingdom Conclusion-Measurements of adiposity and the prevalence of overweight/obesity differ by fracture site in children, and in particular boys, with upper limb fractures. Europe PMC Funders Group

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Are extremity musculoskeletal injuries in children related to obesity and social status? A prospective observational study in a district general hospital

Cited by 7 publications

References 25 publications

Look Who’s Talking NOW! Parentese Speech, Social Context, and Language Development Across Time

Look Who’s Talking NOW! Parentese Speech, Social Context, and Language Development Across Time

The increase in paediatric orthopaedic trauma injuries following the end of the curfew during the COVID-19 period

Differences in childhood adiposity influence upper limb fracture site

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