30年间儿童远端前臂骨折的发生率:基于人口的研究
Sundeep Khosla1, L Joseph Melton, Mark B Dekutoski
1Endocrine Research Unit, Division of Endocrinology, Metabolism, and Nutrition, Department of Internal Medicine, Mayo Clinic and Mayo Foundation, Rochester, Minn 55905, USA.
JAMA
|September 18, 2003
概括
近几十年来,儿科远端前臂骨折的发生率显著增加. 需要进一步的研究来确定身体活动或摄入量的变化是否是导致因素.
科学领域:
- 儿科整形外科 儿科整形外科
- 流行病学 流行病学
- 骨健康 骨健康 骨健康
背景情况:
- 儿童的远端前臂骨折通常发生在青春期的成长冲动期间.
- 在生长过程中增加体力活动和增加需求可能会影响骨折风险.
- 改变身体活动和饮食等生活方式因素可能会影响前臂骨折的发生率.
研究的目的:
- 随着时间的推移,调查儿童中远端前臂骨折发生率的趋势.
- 为了确定近年来骨折率是否发生显著变化.
主要方法:
- 一项以人口为基础的研究在明尼苏达州罗切斯特进行.
- 数据包括35岁以下的居民与四个不同的时间段的远端前臂骨折:1969-1971,1979-1981,1989-1991和1999-2001.
- 根据年龄和性别调整的每年发病率为每个时期计算.
主要成果:
- 经年龄和性别调整后,远端前臂骨折的年均发病率从1969-1971年的每10万人中263.3个增加到1989-1991年的每10万人中399.8个,然后稳定下来.
- 与1969-1971年相比,1999-2001年的发病率显著上升,男性增加32%,女性增加56%.
- 最高的发病率和最大的增加在11-14岁的男孩和8-11岁的女孩中.
结论:
- 在儿童和青少年中,远端前臂骨折的统计显著增加.
- 确切的原因,无论是与体育活动模式有关,还是由于摄入较少的而减少骨积累,还是组合,仍然不清楚.
- 需要进行进一步的研究,以确定驱动儿童骨折增加趋势的具体因素.
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