title: Obese children experience more extremity fractures than nonobese children and are significantly more likely to die from traumatic injuries.
abstract: Two of the most prevalent problems children facing worldwide are injuries and obesity. We conducted a systematic review of published studies that evaluated the effects of obesity on children with traumatic injuries. Six studies published between 2006 and 2014 were identified, comprising a total of 4594 children: 867 were obese and 3727 were not. Obese children were 25% more likely to have extremity fractures than nonobese children (p = 0.003), and their mortality rate was significantly higher at 4.7% versus 2.8% (p = 0.026).
  
  
  CONCLUSIONS
  Our review showed that obese children were more likely to have extremity fractures and die of traumatic injuries than nonobese children.
authors.affiliation: Department of Orthopaedics, KEPCO Medical Foundation, KEPCO Medical Center, Seoul, Korea. sju627@hotmail.com.
authors.forename: Seung-Ju
authors.initials: SJ
authors.lastname: Kim
authors.affiliation: Department of Orthopaedics, KEPCO Medical Foundation, KEPCO Medical Center, Seoul, Korea.
authors.forename: Joonghyun
authors.initials: J
authors.lastname: Ahn
authors.affiliation: Department of Orthopaedics, KEPCO Medical Foundation, KEPCO Medical Center, Seoul, Korea.
authors.forename: Hyung Kook
authors.initials: HK
authors.lastname: Kim
authors.affiliation: Division of Infectious Diseases, Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea.
authors.forename: Jong Hun
authors.initials: JH
authors.lastname: Kim
mesh_terms: D002648:Child; D050723:Fractures, Bone / Q000209:etiology*; D006801:Humans; D063766:Pediatric Obesity / Q000150:complications*; D014947:Wounds and Injuries / Q000401:mortality
keywords: Children; Extremity fractures; Mortality; Obesity; Trauma