Introduction: Longitudinal studies investigating lifestyle factors as risk factors for high-energy traumas from adolescence to adulthood are lacking. The aim of this study was to investigate the influence of 14 to 18-year old adolescent health-related behaviours, overweight, chronic disease, family socioeconomic status (SES), and adulthood education level on the risk of high-energy traumas during the average 27-year follow-up in Finland.
Materials And Methods: The baseline data were surveys gathered biennially from 1981 to 1997 (the Adolescent Health and Lifestyle Survey) and individually linked with outcome data on high-energy traumas retrieved from the Care Register for Health Care until the year 2018. A logistic regression model was used to analyse the associations between the exposure variables in adolescence (frequent physical activity, overweight, smoking, monthly drunkenness, chronic disease, family SES, adulthood education level) and the overall risk for high-energy traumas. Adjusted odds ratios (aOR) with 95 % confidence intervals (CIs) were computed.
Results: A total of 876 persons (1.8 %) had a high-energy trauma during the follow-up. High-energy trauma diagnoses overall were more common among males than among females (2.8 % vs 1.0 %). Follow-up showed that those who smoked (aOR 1.49, CI 1.40-1.58), were drunk monthly (aOR 1.49, CI 1.39-1.59), had a chronic disease (aOR 1.22, CI 1.12-1.34) in adolescence or had attained only low education level in adulthood (aOR 1.39, CI 1.30-1.48) had higher odds for high-energy traumas. Frequent physical activity or overweight in adolescence were not related to the higher odds for high-energy traumas.
Conclusion: Smoking, monthly drunkenness, self-reported chronic diseases in adolescence, and low educational level in adulthood increased the risk of high-energy traumas during the mean follow-up of 27-years. Frequent physical activity and overweight in adolescence did not predict the occurrence of high-energy traumas. Intervention programs should also focus on the long-term consequences of these risk factors.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.injury.2024.112008 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Cephalomedullary Nails for Isolated Subtrochanteric Femur Fractures: Age-Related Variations in Fracture Pattern and Perioperative Factors Do Not Affect Clinical and Radiographic Outcomes.
Indian J Orthop
January 2025
Division of Orthopedic Trauma Surgery, Department of Orthopedic Surgery, NYU Langone Health, NYU Langone Orthopedic Hospital, 301 E 17th Street, New York, NY 10003 USA.
Introduction: There is scarce data in literature on the demographics, treatment, and outcomes of subtrochanteric femur fracture patients. This study evaluated the effect of age on injury details, perioperative and hospital parameters, and outcomes following subtrochanteric fracture fixation.
Methods: An IRB-approved review of a consecutive series of subtrochanteric femoral fractures was performed.
Bilateral Asymmetric Traumatic Dislocation of the Hip: Case Report.
Rev Bras Ortop (Sao Paulo)
November 2024
Departamento de Ortopedia e Traumatologia, Hospital Universitário de Santa Maria, Universidade Federal de Santa Maria, Santa Maria, RS, Brasil.
Traumatic hip dislocations are serious traumas, the result of high-energy mechanisms, constituting one of the orthopedic emergencies. The epidemiology of asymmetric bilateral hip dislocation is an extremely rare orthopedic condition. Prompt diagnosis and urgent reduction are essential due to the high risk of future complications.
View Article and Find Full Text PDFRadioulnar Synostosis after Endomedullary Fixation of the Radius and Ulna in a Patient with Floating Elbow: A Case Report.
Rev Bras Ortop (Sao Paulo)
November 2024
Departamento de Cirurgia Ortopédica, Fundación Clinica Shaio, Bogotá, Colômbia.
Floating elbow is a complex and rare entity caused by high-energy trauma. In this paper, we present the case of a patient who suffered a traffic accident with severe head trauma, floating elbow (humeral diaphyseal fracture, radial proximal diaphyseal fracture, and ulnar segmental fracture) and radial nerve injury. Fixations were made with a humeral plate and intramedullary rods in the forearm.
View Article and Find Full Text PDFA staged approach to managing a combination of a terrible triad injury and an Essex-Lopresti fracture dislocation: an open forearm crush injury-a case report.
J Med Case Rep
December 2024
Department of Hand & Reconstructive Microsurgery Surgery, Rashid Hospital, Dubai, United Arab Emirates.
Background: Open and crushed forearm injury is a complex and rare injury affecting the upper extremity. It results in damage to various structures, including bones, soft tissues, and neurovascular bundles, ultimately leading to functional impairment. Typically, these injuries occur owing to high-energy trauma.
View Article and Find Full Text PDFEvolution of management strategies for unstable pelvic ring injuries over the past 40 years: a systematic review.
Patient Saf Surg
December 2024
Department of Trauma Surgery, University Hospital Zurich, University of Zurich, Raemistr. 100, Zurich, 8091, Switzerland.
Background: Hemodynamically unstable pelvic ring fractures from high-energy trauma are critical injuries in trauma care, requiring urgent intervention and precise diagnostics. With ongoing advancements in trauma management, treatment strategies have evolved, with some techniques becoming obsolete as new ones emerge. This study aimed to evaluate changes and trends in treatment algorithms for these injuries over approximately 40 years.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!