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New research suggests that rising rates of childhood obesity are causing more teens to develop debilitating hip disease requiring urgent surgery.
The femoral epiphysis (ECHF) of Slipped Capital is a disease that affects adolescents and affects 1 in 2,000 children. The hip deforms and sometimes collapses completely, causing pain and disability for life. Early recognition and treatment of the disease is important to minimize its severity. Nevertheless, SCFE is one of the most common causes of hip replacement among young adults, and sometimes even children. Surgeons have long believed that obesity may be the cause, although no substantial evidence has been provided so far.
The study "Obesity in children and the femoral epiphysis of the slipped capital" (online 22 October), published in pediatrics, was conducted by researchers from the University of Liverpool, Oxford University, Aberdeen University and Alder Hey Children's Hospital.
The study examined the body mass index (BMI) of nearly 600,000 children in Scotland, where measurements of body mass index (BMI) are collected through the following methods: systematic medical screening in schools. Using this very large cohort of children, the researchers showed that obese children at age 5 had a 75% chance of staying obese at the age of 12. Importantly, children with severe obesity at the age of 5 were nearly 20 times more likely to develop a SCFE than a lean child. The higher the BMI of the child, the higher the risk of CPFE is high.
Daniel Perry, orthopedic child surgeon at Alder Hey Hospital and clinical scientist of the NHRI, said: "Surgeons have long suspected that childhood obesity is causing of this disease, and these results make it very clear.It is important that physicians who treat children SCFE, especially in obese children Early identification of SCFE means that children usually need only 'a relatively simple surgery, but children identified later often require high-risk reconstructive surgery'.
"High rates of childhood obesity are a major concern at the national and international levels. SCFE has a profound impact on the quality of life of adolescents. The link with obesity is striking: there are few other diseases in children that occur directly as a result of obesity, and this disease causes lifelong problems for the child. child, "adds Professor Steve Turner, professor of pediatrics at the University of Aberdeen.
Explore further:
Obesity in children is the main link with diseases of the hip
More information:
pediatrics (2018). DOI: 10.1542 / peds.2018-1067
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