
@article{ref1,
title="Biomechanical analysis of arm fracture in obese boys",
journal="Journal of Paediatrics and Child Health",
year="2003",
author="Davidson, Patricia and Goulding, A. and Chalmers, David",
volume="39",
number="9",
pages="657-664",
abstract="OBJECTIVE: To determine the role of the biomechanical factors of force of impact, bone strength, fall height and surface stiffness on the risk of forearm fracture in obese children compared to non-obese children. METHODOLOGY: Anthropometric and dual-energy X-ray absorptiometry bone density data from 50 boys (25 obese pair-matched with 25 non-obese subjects) aged 4-17 years were entered into a rheological-stochastic simulation model of arm impact. RESULTS: Obese children were shown to be at 1.7 times greater risk of fracture compared to non-obese children. Lower fall heights and softer impact surfaces were found not to reduce the relative risk of fracture between obese and non-obese children. CONCLUSIONS: Environmental modifications are unlikely to lower the risk of arm fracture in obese children to the same levels experienced by non-obese children. The best option available for obese children to reduce fracture risk is to take steps to attain a healthy bodyweight.",
language="",
issn="1034-4810",
doi="",
url="http://dx.doi.org/"
}