Citation

Clementsen S, Randsborg PH. Tidsskr. Nor. Laegeforen. 2014; 134(5): 521-524.

Vernacular Title

Skolerelaterte bruddskader.

Affiliation

Avdeling for helsetjenesteforskning (HØKH) Akershus universitetssykehus * Nåværende adresse: Trauma and Orthopaedic Services, Guy's & St.Thomas' NHS Foundation Trust, London.

Copyright

(Copyright © 2014, Norske Laegeforening)

DOI

10.4045/tidsskr.13.0720

PMID

24621909

Abstract

BACKGROUND Introduction of daily PE classes has been proposed as a measure to reduce childhood obesity. At the same time, the prevalence of activity-related fractures among children is increasing. Previously, we have found that the fracture rate per 10 000 hours of activity amounted to 1.9 for snowboarding, 0.79 for handball, 0.44 for football (soccer) and 0.35 for trampolining. The purpose of the study is to describe the prevalence of school-related fractures, and to investigate whether PE exposes schoolchildren aged 6 - 16 to a heightened risk of fractures when compared to other activities.MATERIAL AND METHOD Fractures in children aged 6 - 16 residing in the catchment area of Akershus University Hospital were recorded over a 12-month period. Information on fractures sustained at school, defined as fractures that occurred during school hours, during supervised after-school activities (SFO) or on the way to or from school, was retrieved from the records. The fractures were classified according to activity, when the injury occurred during the school day and their anatomical location.RESULTS Of a total of 1 144 fractures registered among children aged 6 - 16, altogether 422 (37 %) were school-related, equivalent to 8.5 per 1000 children. Of these, 257 (61 %) were in boys. Altogether 276 (65.4 %) fractures occurred outdoors, 135 (32 %) occurred during school recess and 94 (22.3 %) during PE classes. The fracture rate for PE amounted to 0.29 fractures per 10 000 hours (95 % CI: 0.22 - 0.33).INTERPRETATION The fracture rate for PE classes is lower than for a number of other common leisure activities. As a measure to increase children's physical activity, the introduction of daily PE classes will be a beneficial alternative considering the risk of injury.

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