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首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Trends in the Body Mass Index of Pediatric and Adult Patients Undergoing Anterior Cruciate Ligament Reconstruction
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Trends in the Body Mass Index of Pediatric and Adult Patients Undergoing Anterior Cruciate Ligament Reconstruction

机译：进行前交叉韧带重建的儿童和成人患者的体重指数趋势

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Background: The body mass index (BMI) in the United States (US) is rising and may be contributing to increased anterior cruciate ligament reconstruction (ACLR) rates. It is currently unknown whether the BMI is increasing in patients who undergo ACLR. Purpose: To determine whether (1) the BMI changed in pediatric and adult patients who previously underwent ACLR or revision ACLR over a 10-year eligibility period, (2) the BMI changed at a greater rate in pediatric or adult patients, and (3) the percentage of overweight and obese patients in the ACLR population was different than that of the general overweight population. Study Design: Case series; Level of evidence, 4. Methods: A retrospective investigation of patients who underwent ACLR by 6 surgeons from June 3, 2005, to June 3, 2015, was conducted. Patients were divided into pediatric (<18 years) and adult (≥18 years) categories. BMI at the time of surgery was defined as underweight (<18.5 kg/m~(2)), normal (18.5-24.9 kg/m~(2)), overweight (25.0-29.9 kg/m~(2)), and obese (≥30.0 kg/m~(2)). Patients with an indeterminate BMI were excluded. Comparisons of overweight and obese patients were made with general population trends determined by the Centers for Disease Control and Prevention (CDC) in a single US state. Pearson ( R ) and Spearman ( R _(s)) correlations were used to determine correlations, Student t tests were used for 2-variable comparisons, analyses of variance were used for multivariable comparisons, and analyses of covariance were used for comparing linear relationships. Results: There were 1305 patients (733 male, 572 female; 409 pediatric, 896 adult) included. Adults requiring surgical revision demonstrated a strong positive correlation with respect to BMI over time ( R _(s)= 0.906, P < .01). No other statistically significant trends in the BMI over time were found. The proportion of overweight pediatric patients undergoing ACLR was significantly greater than that of the general overweight pediatric population ( P < .05), and the proportion of obese pediatric and adult patients in the general population was greater than that of the obese patients in the study cohort ( P < .05). Conclusion: Between 2005 and 2015, the BMI for pediatric and adult patients who underwent ACLR did not demonstrate a significant change over time. However, there was a statistically significant strong positive correlation for increasing BMI in adult patients requiring revision, although the mean BMI in patients who underwent revision was less than that of the general population. In addition, the percentage of overweight pediatric patients undergoing ACLR was significantly greater than that of the general population of overweight patients in a single US state reported by the CDC.
机译：背景：美国（美国）的体重指数（BMI）正在上升，并且可能有助于增加前十字韧带重建率（ACLR）。目前尚不清楚接受ACLR的患者的BMI是否增加。目的：确定（1）先前在10年合格期内接受ACLR或修订ACLR的儿科和成年患者的BMI变化，（2）儿科或成年患者的BMI变化率更高;和（3 ）ACLR人群中超重和肥胖患者的百分比与一般超重人群的百分比不同。研究设计：案例系列;证据等级：4。方法：对2005年6月3日至2015年6月3日由6位外科医生进行ACLR的患者进行了回顾性调查。患者分为儿科（<18岁）和成人（≥18岁）类别。手术时的BMI定义为体重不足（<18.5 kg / m〜（2）），正常（18.5-24.9 kg / m〜（2）），超重（25.0-29.9 kg / m〜（2）），肥胖（≥30.0kg / m〜（2））。 BMI不确定的患者被排除在外。根据美国一个州的疾病控制与预防中心（CDC）确定的一般人群趋势，对超重和肥胖患者进行了比较。使用Pearson（R）和Spearman（R_（s））相关性确定相关性，使用Student t检验进行2变量比较，使用方差分析进行多变量比较，使用协方差分析比较线性关系。结果：共纳入1305例患者（男733例，女572例;小儿409例，成人896例）。随着时间的流逝，需要手术翻修的成年人对BMI表现出很强的正相关性（R _s = 0.906，P <.01）。没有发现BMI随时间变化的其他统计显着趋势。接受ACLR的超重儿科患者比例明显高于一般超重儿科人群（P <.05），肥胖儿科和成年患者在普通人群中所占比例高于研究中的肥胖患者队列（P <.05）。结论：2005年至2015年间，接受ACLR的小儿和成年患者的BMI并未随时间推移出现显着变化。然而，尽管接受修订的患者的平均BMI低于一般人群，但统计学上与需要修订的成年患者的BMI呈显着的正相关性。此外，美国疾病预防控制中心（CDC）报告，接受ACLR治疗的超重儿科患者百分比明显高于单个美国州的超重患者总人数。

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