The Role of Obesity in Pediatric Orthopedics

Overview

Journal J Am Acad Orthop Surg Glob Res Rev

Specialty Orthopedics

Date 2019 Jul 20

PMID 31321371

Citations 11

Authors

Philip Nowicki

John Kemppainen

Lisa Maskill

Jeffrey Cassidy

Affiliations

Soon will be listed here.

Abstract

Pediatric obesity has become a worldwide epidemic and leads to notable effects on the developing skeleton that can have lifelong implications. Obesity in the pediatric population alters bone metabolism, increasing the risk for fracture. It can alter the presentation of common pediatric orthopaedic conditions such as scoliosis. Obesity also leads to changes in the patterns and severity of pediatric fractures as well as alters conservative fracture treatment due to increased displacement risk. Obese pediatric trauma patients place a high burden on the nationwide hospital system in a variety of ways including the increased risk of perioperative complications. Obesity is modifiable, and addressing the issue can improve the orthopaedic and overall health of children.

Citing Articles

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Overview of Pediatric Obesity as a Disease.

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References

Skaggs D, Loro M, Pitukcheewanont P, Tolo V, Gilsanz V . Increased body weight and decreased radial cross-sectional dimensions in girls with forearm fractures. J Bone Miner Res. 2001; 16(7):1337-42. DOI: 10.1359/jbmr.2001.16.7.1337. View

Goulding A, Jones I, Taylor R, Piggot J, Taylor D . Dynamic and static tests of balance and postural sway in boys: effects of previous wrist bone fractures and high adiposity. Gait Posture. 2003; 17(2):136-41. DOI: 10.1016/s0966-6362(02)00161-3. View

Davidson P, Goulding A, Chalmers D . Biomechanical analysis of arm fracture in obese boys. J Paediatr Child Health. 2003; 39(9):657-64. DOI: 10.1046/j.1440-1754.2003.00243.x. View

Leonard M, Shults J, Wilson B, Tershakovec A, Zemel B . Obesity during childhood and adolescence augments bone mass and bone dimensions. Am J Clin Nutr. 2004; 80(2):514-23. DOI: 10.1093/ajcn/80.2.514. View

ONeill P, Karol L, Shindle M, Elerson E, BrintzenhofeSzoc K, Katz D . Decreased orthotic effectiveness in overweight patients with adolescent idiopathic scoliosis. J Bone Joint Surg Am. 2005; 87(5):1069-74. DOI: 10.2106/JBJS.C.01707. View

Leet A, Pichard C, Ain M . Surgical treatment of femoral fractures in obese children: does excessive body weight increase the rate of complications?. J Bone Joint Surg Am. 2005; 87(12):2609-2613. DOI: 10.2106/JBJS.D.02019. View

Brown C, Neville A, Salim A, Rhee P, Cologne K, Demetriades D . The impact of obesity on severely injured children and adolescents. J Pediatr Surg. 2006; 41(1):88-91. DOI: 10.1016/j.jpedsurg.2005.10.012. View

Nafiu O, Reynolds P, Bamgbade O, Tremper K, Welch K, Kasa-Vubu J . Childhood body mass index and perioperative complications. Paediatr Anaesth. 2007; 17(5):426-30. DOI: 10.1111/j.1460-9592.2006.02140.x. View

Upasani V, Caltoum C, Petcharaporn M, Bastrom T, Pawelek J, Marks M . Does obesity affect surgical outcomes in adolescent idiopathic scoliosis?. Spine (Phila Pa 1976). 2008; 33(3):295-300. DOI: 10.1097/BRS.0b013e3181624573. View

10.

Freedman D, Wang J, Thornton J, Mei Z, Pierson Jr R, Dietz W . Racial/ethnic differences in body fatness among children and adolescents. Obesity (Silver Spring). 2008; 16(5):1105-11. DOI: 10.1038/oby.2008.30. View

11.

Pollack K, Xie D, Arbogast K, Durbin D . Body mass index and injury risk among US children 9-15 years old in motor vehicle crashes. Inj Prev. 2008; 14(6):366-71. DOI: 10.1136/ip.2008.019208. View

12.

Chan G, Chen C . Musculoskeletal effects of obesity. Curr Opin Pediatr. 2009; 21(1):65-70. DOI: 10.1097/MOP.0b013e328320a914. View

13.

Weiss J, Choi P, Ghatan C, Skaggs D, Kay R . Complications with flexible nailing of femur fractures more than double with child obesity and weight >50 kg. J Child Orthop. 2009; 3(1):53-8. PMC: 2656847. DOI: 10.1007/s11832-008-0149-2. View

14.

Kawai M, Devlin M, Rosen C . Fat targets for skeletal health. Nat Rev Rheumatol. 2009; 5(7):365-72. PMC: 3661210. DOI: 10.1038/nrrheum.2009.102. View

15.

Rana A, Michalsky M, Teich S, Groner J, Caniano D, Schuster D . Childhood obesity: a risk factor for injuries observed at a level-1 trauma center. J Pediatr Surg. 2009; 44(8):1601-5. PMC: 3717372. DOI: 10.1016/j.jpedsurg.2008.11.060. View

16.

Pomerantz W, Timm N, Gittelman M . Injury patterns in obese versus nonobese children presenting to a pediatric emergency department. Pediatrics. 2010; 125(4):681-5. DOI: 10.1542/peds.2009-2367. View

17.

Burghardt R, Specht S, Herzenberg J . Mechanical failures of eight-plateguided growth system for temporary hemiepiphysiodesis. J Pediatr Orthop. 2010; 30(6):594-7. DOI: 10.1097/BPO.0b013e3181e4f591. View

18.

Gettys F, Jackson J, Frick S . Obesity in pediatric orthopaedics. Orthop Clin North Am. 2010; 42(1):95-105, vii. DOI: 10.1016/j.ocl.2010.08.005. View

19.

Clarke N, Page J . Vitamin D deficiency: a paediatric orthopaedic perspective. Curr Opin Pediatr. 2011; 24(1):46-9. DOI: 10.1097/MOP.0b013e32834ec8eb. View

20.

Lazar-Antman M, Leet A . Effects of obesity on pediatric fracture care and management. J Bone Joint Surg Am. 2012; 94(9):855-61. DOI: 10.2106/JBJS.J.01839. View