title: Increased depth of subcutaneous fat is protective against abdominal injuries in motor vehicle collisions.
abstract: The objective of this study was to determine the effect of differences in subcutaneous fat depth on adult injury patterns in motor vehicle collisions. Sixty-seven consecutive adult crash subjects aged 19-65 who received computed tomography of their chest, abdomen and pelvis as part of their medical evaluation and who consented to inclusion in the Crash Injury Research Engineering Network (CIREN) study were included. Subcutaneous fat was measured just lateral to the rectus abdominus muscle in a transverse section taken through the subject at the level of L4. Women had significantly greater subcutaneous fat depth than men. Increased subcutaneous fat depth was associated with significantly decreased injury severity to the abdominal region of females. A similar trend was noted in males although it did not reach statistical significance. Our findings suggest that increased subcutaneous fat may be protective against injuries by cushioning the abdominal region against injurious forces in motor vehicle collisions.
authors.affiliation: Departments of Surgery and Radiology, Program for Injury Research and Education, University of Michigan Medical School, Ann Arbor, Michigan, USA.
authors.forename: Stewart C
authors.initials: SC
authors.lastname: Wang
authors.forename: Brian
authors.initials: B
authors.lastname: Bednarski
authors.forename: Smita
authors.initials: S
authors.lastname: Patel
authors.forename: Alice
authors.initials: A
authors.lastname: Yan
authors.forename: Carla
authors.initials: C
authors.lastname: Kohoyda-Inglis
authors.forename: Theresa
authors.initials: T
authors.lastname: Kennedy
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Link
authors.forename: Stephen
authors.initials: S
authors.lastname: Rowe
authors.forename: Mark
authors.initials: M
authors.lastname: Sochor
authors.forename: Saman
authors.initials: S
authors.lastname: Arbabi
mesh_terms: D015998:Abbreviated Injury Scale; D000007:Abdominal Injuries / Q000000981:diagnostic imaging* / Q000473:pathology / Q000517:prevention & control*; D000063:Accidents, Traffic; D000273:Adipose Tissue / Q000000981:diagnostic imaging* / Q000473:pathology; D000328:Adult; D000368:Aged; D015992:Body Mass Index; D005260:Female; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D008875:Middle Aged; D012885:Skinfold Thickness; D040521:Subcutaneous Tissue / Q000000981:diagnostic imaging* / Q000473:pathology; D014057:Tomography, X-Ray Computed