{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T10:58:22Z","timestamp":1787223502849,"version":"build-2736575974"},"reference-count":39,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2023,3,1]],"date-time":"2023-03-01T00:00:00Z","timestamp":1677628800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000065","name":"National Institute of Neurological Disorders and Stroke","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100000065","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Wilderness &amp; Environmental Medicine"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Skiing and snowboarding are popular winter sports with significant youth participation and inherent potential for injury. We investigated the relationship between age and injury characteristics exhibited by youth skiers and snowboarders.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      In this cross-sectional study, we investigated injury characteristics among youth skiers and snowboarders at a ski resort, examining the association between age and injury type. We compared injury characteristics among young children (aged 3\u20136 y), school-aged children (aged 7\u201314 y), and older adolescents (aged 15\u201317 y) using\n                      <jats:inline-formula>\n                        <jats:alternatives>\n                          <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" display=\"inline\" overflow=\"scroll\">\n                            <mml:mrow>\n                              <mml:msup>\n                                <mml:mi>\u03c7<\/mml:mi>\n                                <mml:mn>2<\/mml:mn>\n                              <\/mml:msup>\n                            <\/mml:mrow>\n                          <\/mml:math>\n                          <jats:inline-graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"10.1016_j.wem.2022.10.010-eq1.png\"\/>\n                        <\/jats:alternatives>\n                      <\/jats:inline-formula>\n                      , and examined predictive variables for injuries at different anatomical locations using logistic regression.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Compared with snowboarding, skiing was associated with greater odds of lower extremity (adjusted odds ratio [aOR]=6.8, 95% confidence interval [CI]: 4.89, 9.47,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt;0.001) and head\/face\/neck (aOR=1.63, 95% CI: 1.20, 2.21,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      =0.002) injuries. Compared with skiing, snowboarding was associated with greater odds of upper extremity injury (aOR=5.9, 95% CI: 4.6, 7.6,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt;0.001). Age group significantly affected injury mechanism (\n                      <jats:inline-formula>\n                        <jats:alternatives>\n                          <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" display=\"inline\" overflow=\"scroll\">\n                            <mml:mrow>\n                              <mml:msup>\n                                <mml:mi>\u03c7<\/mml:mi>\n                                <mml:mn>2<\/mml:mn>\n                              <\/mml:msup>\n                            <\/mml:mrow>\n                          <\/mml:math>\n                          <jats:inline-graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"10.1016_j.wem.2022.10.010-eq2.png\"\/>\n                        <\/jats:alternatives>\n                      <\/jats:inline-formula>\n                      [df=12, n=1129]=42.882,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt;0.0001) and diagnosis (\n                      <jats:inline-formula>\n                        <jats:alternatives>\n                          <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" display=\"inline\" overflow=\"scroll\">\n                            <mml:mrow>\n                              <mml:msup>\n                                <mml:mi>\u03c7<\/mml:mi>\n                                <mml:mn>2<\/mml:mn>\n                              <\/mml:msup>\n                            <\/mml:mrow>\n                          <\/mml:math>\n                          <jats:inline-graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"10.1016_j.wem.2022.10.010-eq3.png\"\/>\n                        <\/jats:alternatives>\n                      <\/jats:inline-formula>\n                      [df=12, n=1129]=43.093,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt;0.0001). Young child skiers had the highest proportion of injuries to the head\/neck\/face and lower extremities and a significantly higher proportion of collision injuries and fractures than older skiers. Young child skiers most frequently injured the lower leg\/ankle, while older skiers most frequently injured the knee.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Youth skiers exhibited predominately lower extremity injuries, while snowboarders exhibited predominately upper extremity injuries. Age significantly affected injury mechanism and injury diagnosis in youth skiers. Specifically, younger skiers tended to suffer more fractures and collision injuries than older youth skiers.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.wem.2022.10.010","type":"journal-article","created":{"date-parts":[[2023,1,5]],"date-time":"2023-01-05T10:00:36Z","timestamp":1672912836000},"page":"45-54","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Are Different Aged Youth Skiers and Snowboarders Experiencing Different Injury Characteristics?"],"prefix":"10.1177","volume":"34","author":[{"given":"Kyle C.","family":"Chesler","sequence":"first","affiliation":[{"name":"Medical College of Georgia, Athens, GA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David R.","family":"Howell","sequence":"additional","affiliation":[{"name":"University of Colorado School of Medicine, Aurora, CO"},{"name":"Children\u2019s Hospital of Colorado, Aurora, CO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Morteza","family":"Khodaee","sequence":"additional","affiliation":[{"name":"University of Colorado School of Medicine, Aurora, CO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren A.","family":"Pierpoint","sequence":"additional","affiliation":[{"name":"Steadman Philippon Research Institute, Vale, CO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. Dawn","family":"Comstock","sequence":"additional","affiliation":[{"name":"University of Colorado School of Medicine, Aurora, CO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aaron J.","family":"Provance","sequence":"additional","affiliation":[{"name":"University of Colorado School of Medicine, Aurora, CO"},{"name":"Children\u2019s Hospital of Colorado, Aurora, CO"},{"name":"University of Utah School of Medicine, Salt Lake City, UT"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,3]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e318270bbca"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2008.12.016"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1136\/ip.2007.017285"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000001358"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.rcl.2010.07.005"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199801000-00006"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1080\/15438627.2020.1754821"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1136\/ip.2.4.286"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-18141-7_1"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1186\/2052-1847-6-22"},{"key":"e_1_3_4_12_2","volume-title":"Infant Head Lag","author":"Osagie I.E.","year":"2021","unstructured":"Osagie I.E., Givler D.N. Infant Head Lag. StatPearls Publishing LLC., 2021."},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.etp.2004.04.005"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/MJT.0b013e31815fd0fe"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.aap.2016.06.023"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.wem.2013.07.002"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.1080\/17457300.2011.648677"},{"issue":"3","key":"e_1_3_4_18_2","first-page":"231","article-title":"Snowboarding injuries, a four-year study with comparison with alpine ski injuries","volume":"164","author":"Davidson T.M.","year":"1996","unstructured":"Davidson T.M., Laliotis A.T. Snowboarding injuries, a four-year study with comparison with alpine ski injuries. West J Med 1996; 164(3), 231\u2013237.","journal-title":"West J Med"},{"key":"e_1_3_4_19_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546511433279"},{"key":"e_1_3_4_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1043-2760(00)00336-2"},{"key":"e_1_3_4_21_2","doi-asserted-by":"publisher","DOI":"10.4103\/2230-8210.104040"},{"key":"e_1_3_4_22_2","doi-asserted-by":"publisher","DOI":"10.5312\/wjo.v6.i11.850"},{"key":"e_1_3_4_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2013.06.006"},{"key":"e_1_3_4_24_2","doi-asserted-by":"publisher","DOI":"10.4103\/ortho.IJOrtho_486_17"},{"key":"e_1_3_4_25_2","doi-asserted-by":"publisher","DOI":"10.1302\/1863-2548.13.180163"},{"key":"e_1_3_4_26_2","first-page":"93","article-title":"An overview of anatomical considerations of infants and children in the adult world of automobile safety design","volume":"42","author":"Huelke D.F.","year":"1998","unstructured":"Huelke D.F. An overview of anatomical considerations of infants and children in the adult world of automobile safety design. Annu Proc Assoc Adv Automot Med 1998; 42, 93\u2013113.","journal-title":"Annu Proc Assoc Adv Automot Med"},{"key":"e_1_3_4_27_2","doi-asserted-by":"publisher","DOI":"10.1136\/ip.2003.004655"},{"issue":"4","key":"e_1_3_4_28_2","first-page":"310","article-title":"Alpine skiing injuries. A nine-year study","volume":"164","author":"Davidson T.M.","year":"1996","unstructured":"Davidson T.M., Laliotis A.T. Alpine skiing injuries. A nine-year study. West J Med 1996; 164(4), 310\u2013314.","journal-title":"West J Med"},{"key":"e_1_3_4_29_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.36.2.135"},{"key":"e_1_3_4_30_2","doi-asserted-by":"publisher","DOI":"10.1097\/PEC.0000000000000364"},{"key":"e_1_3_4_31_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546512472045"},{"key":"e_1_3_4_32_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199804000-00016"},{"key":"e_1_3_4_33_2","doi-asserted-by":"publisher","DOI":"10.1177\/1457496914532249"},{"key":"e_1_3_4_34_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.ede.0000120044.62029.b4"},{"key":"e_1_3_4_35_2","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e31829467c9"},{"key":"e_1_3_4_36_2","doi-asserted-by":"publisher","DOI":"10.1177\/2325967115588280"},{"key":"e_1_3_4_37_2","doi-asserted-by":"publisher","DOI":"10.1249\/JSR.0000000000000651"},{"key":"e_1_3_4_38_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0972-978X(16)00023-4"},{"key":"e_1_3_4_39_2","doi-asserted-by":"publisher","DOI":"10.21037\/atm.2018.04.32"},{"key":"e_1_3_4_40_2","doi-asserted-by":"publisher","DOI":"10.2165\/00007256-200434020-00006"}],"container-title":["Wilderness &amp; Environmental Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1080603222002022?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1080603222002022?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1016\/j.wem.2022.10.010","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1016\/j.wem.2022.10.010","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1016\/j.wem.2022.10.010","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T16:42:03Z","timestamp":1767631323000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1016\/j.wem.2022.10.010"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3]]},"references-count":39,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023,3]]}},"alternative-id":["10.1016\/j.wem.2022.10.010"],"URL":"https:\/\/doi.org\/10.1016\/j.wem.2022.10.010","relation":{},"ISSN":["1080-6032","1545-1534"],"issn-type":[{"value":"1080-6032","type":"print"},{"value":"1545-1534","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,3]]}}}