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We hypothesized that obese adolescents (OA) presenting after a fall have a higher risk of any and severe lower extremity fractures compared to non-OAs.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>A national database was queried for adolescents (12\u201317\u00a0years old) after a fall. Primary outcome included lower extremity fracture. Adolescents with a body mass index (BMI)\u2009\u2265\u200930 (OA) were compared to adolescents with a BMI\u2009&lt;\u200930 (non-OA).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>From 20,264 falls, 2523 (12.5%) included OAs. Compared to non-OAs, the rate of any lower extremity fracture was higher for OAs (51.5% vs. 30.7%, p\u2009&lt;\u20090.001). This remained true for lower extremity fractures at all locations (all p\u2009&lt;\u20090.05). After adjusting for sex and age, associated risk for any lower extremity fracture (OR 2.41, CI 2.22\u20132.63, p\u2009&lt;\u20090.001) and severe lower extremity fracture (OR 1.31, CI 1.15\u20131.49, p\u2009&lt;\u20090.001) was higher for OAs. This remained true in subset analyses of ground level falls (GLF) and falls from height (FFH) (all p\u2009&lt;\u20090.05).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Obesity significantly impacts adolescents\u2019 risk of all types of lower extremity fractures after FFH or GLF. Hence, providers should have heightened awareness for possible lower extremity fractures in OAs.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Level of evidence<\/jats:title>\n                <jats:p>IV.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00383-023-05524-9","type":"journal-article","created":{"date-parts":[[2023,7,19]],"date-time":"2023-07-19T11:02:51Z","timestamp":1689764571000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Obese adolescents have higher risk for severe lower extremity fractures after falling"],"prefix":"10.1007","volume":"39","author":[{"given":"Nicolas","family":"Gonzalez","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffry","family":"Nahmias","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebastian","family":"Schubl","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lourdes","family":"Swentek","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian R.","family":"Smith","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ninh T.","family":"Nguyen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Areg","family":"Grigorian","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,7,19]]},"reference":[{"key":"5524_CR1","first-page":"41","volume":"42","author":"PC McGregor","year":"2022","unstructured":"McGregor PC, Lyons MM, Wozniak A et al (2022) The effect of obesity on pediatric tibia fractures. 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