Are Adolescents' Physical Activity and Body-related Factors Associated with Medically Attended Injuries?

Overview

Journal Front Pediatr

Specialty Pediatrics

Date 2022 Nov 17

PMID 36389351

Authors

Viktoryia Karchynskaya

Jaroslava Kopcakova

Andrea Madarasova Geckova

Peter Bakalar

Andrea F de Winter

Sijmen A Reijneveld

Affiliations

Soon will be listed here.

Abstract

Background: Injuries are the major cause of disability and death during adolescence, representing a significant public health burden among youth. Body-related factors such as body composition and cardiovascular fitness (CVF) may affect adolescents' vulnerability to injuries. As evidence is lacking, we aimed to explore the associations of medically attended injuries with adolescents' physical activity (PA) and body-related factors, and whether these associations are modified by age, gender and family affluence.

Methods: We used data on 888 11- to 15-year-old adolescents (mean age = 13.5, 56% boys) from the Health Behaviour in School-aged Children study conducted in 2018 in Slovakia. We used binary logistic regression analysis to assess the association of medically attended injuries with adolescents' PA and body-related factors (body composition, CVF), considering age, gender and family affluence.

Results: Adolescents were more likely to report medically attended injuries if they were physically very active (odds ratio/confidence interval OR/CI:2.76/1.83-4.15) or active (OR/CI:1.91/1.27-2.87) rather than inactive. Body-related factors were not associated with medically attended injuries among adolescents. Moreover, age, gender and family affluence did not modify the association of medically attended injuries with adolescents' PA and body-related factors. The only exception was the modifying effect of gender: the association of medically attended injuries with being very active was stronger in boys (OR/CI: 3.04/1.32-6.99).

Conclusion: Very physically active adolescent boys are the most vulnerable group of adolescents in terms of injuries. PA promotion programmes should further consider gender-specific strategies aimed at preventing injuries.

References

Javed A, Jumean M, Murad M, Okorodudu D, Kumar S, Somers V . Diagnostic performance of body mass index to identify obesity as defined by body adiposity in children and adolescents: a systematic review and meta-analysis. Pediatr Obes. 2014; 10(3):234-44. DOI: 10.1111/ijpo.242. View

Vafaei A, Pickett W, Alvarado B . Relationships between community social capital and injury in Canadian adolescents: a multilevel analysis. Inj Prev. 2015; 21(6):389-96. PMC: 4717402. DOI: 10.1136/injuryprev-2015-041552. View

Huang C, Zourdos M, Jo E, Ormsbee M . Influence of physical activity and nutrition on obesity-related immune function. ScientificWorldJournal. 2013; 2013:752071. PMC: 3842061. DOI: 10.1155/2013/752071. View

Elgar F, Trites S, Boyce W . Social capital reduces socio-economic differences in child health: evidence from the Canadian Health Behaviour in School-Aged Children study. Can J Public Health. 2011; 101 Suppl 3:S23-7. PMC: 6974140. View

Karchynskaya V, Kopcakova J, Geckova A, de Winter A, Reijneveld S . Does it fit better? Measures of physical activity among adolescents in relation to health indicators. Eur J Public Health. 2022; 32(6):900-904. PMC: 9713402. DOI: 10.1093/eurpub/ckac138. View

RAisAnen A, Kokko S, Pasanen K, Leppanen M, Rimpela A, Villberg J . Prevalence of adolescent physical activity-related injuries in sports, leisure time, and school: the National Physical Activity Behaviour Study for children and Adolescents. BMC Musculoskelet Disord. 2018; 19(1):58. PMC: 5815200. DOI: 10.1186/s12891-018-1969-y. View

Sweeting H . Measurement and definitions of obesity in childhood and adolescence: a field guide for the uninitiated. Nutr J. 2007; 6:32. PMC: 2164947. DOI: 10.1186/1475-2891-6-32. View

Currie C, Molcho M, Boyce W, Holstein B, Torsheim T, Richter M . Researching health inequalities in adolescents: the development of the Health Behaviour in School-Aged Children (HBSC) family affluence scale. Soc Sci Med. 2008; 66(6):1429-36. DOI: 10.1016/j.socscimed.2007.11.024. View

Ng K, Sigmundova D, Sigmund E, Pavelka J, Hamrik Z, Molcho M . Trends in Medically Attended Injuries in Czech Adolescents. Cent Eur J Public Health. 2017; 25 Suppl 1:S60-S63. DOI: 10.21101/cejph.a5097. View

10.

Okorodudu D, Jumean M, Montori V, Romero-Corral A, Somers V, Erwin P . Diagnostic performance of body mass index to identify obesity as defined by body adiposity: a systematic review and meta-analysis. Int J Obes (Lond). 2010; 34(5):791-9. DOI: 10.1038/ijo.2010.5. View

11.

Bakalar P, Rosicova K . Medically Attended Injuries among Slovak Adolescents: Relationships with Socio-Economic Factors, Physical Fighting, and Physical Activity. Int J Environ Res Public Health. 2020; 17(18). PMC: 7559827. DOI: 10.3390/ijerph17186721. View

12.

Karelis A, Chamberland G, Aubertin-Leheudre M, Duval C . Validation of a portable bioelectrical impedance analyzer for the assessment of body composition. Appl Physiol Nutr Metab. 2013; 38(1):27-32. DOI: 10.1139/apnm-2012-0129. View

13.

Chalmers S, Debenedictis T, Zacharia A, Townsley S, Gleeson C, Lynagh M . Asymmetry during Functional Movement Screening and injury risk in junior football players: A replication study. Scand J Med Sci Sports. 2017; 28(3):1281-1287. DOI: 10.1111/sms.13021. View

14.

Richmond S, Kang J, Emery C . Is body mass index a risk factor for sport injury in adolescents?. J Sci Med Sport. 2013; 16(5):401-5. DOI: 10.1016/j.jsams.2012.11.898. View

15.

Lloyd R, Cronin J, Faigenbaum A, Haff G, Howard R, Kraemer W . National Strength and Conditioning Association Position Statement on Long-Term Athletic Development. J Strength Cond Res. 2016; 30(6):1491-509. DOI: 10.1519/JSC.0000000000001387. View

16.

Pakzad-Vaezi K, Singhal A . Trends in paediatric sport- and recreation-related injuries: An injury surveillance study at the British Columbia Children's Hospital (Vancouver, British Columbia) from 1992 to 2005. Paediatr Child Health. 2012; 16(4):217-21. PMC: 3076173. DOI: 10.1093/pch/16.4.217. View

17.

Simpson K, Janssen I, Craig W, Pickett W . Multilevel analysis of associations between socioeconomic status and injury among Canadian adolescents. J Epidemiol Community Health. 2005; 59(12):1072-7. PMC: 1732968. DOI: 10.1136/jech.2005.036723. View

18.

Schneider S, Yamamoto S, Weidmann C, Bruhmann B . Sports injuries among adolescents: incidence, causes and consequences. J Paediatr Child Health. 2012; 48(10):E183-9. DOI: 10.1111/j.1440-1754.2012.02578.x. View

19.

Emery C, Meeuwisse W, Hartmann S . Evaluation of risk factors for injury in adolescent soccer: implementation and validation of an injury surveillance system. Am J Sports Med. 2005; 33(12):1882-91. DOI: 10.1177/0363546505279576. View

20.

Kleszczewska D, Szkutnik A, Siedlecka J, Mazur J . Physical Activity, Sedentary Behaviours and Duration of Sleep as Factors Affecting the Well-Being of Young People against the Background of Environmental Moderators. Int J Environ Res Public Health. 2019; 16(6). PMC: 6466255. DOI: 10.3390/ijerph16060915. View