{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:08:32Z","timestamp":1747181312926,"version":"3.40.5"},"reference-count":19,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["Pediatr Emer Care"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:sec>\n            <jats:title>Objective<\/jats:title>\n            <jats:p>This study aimed to determine whether being overweight during childhood is a risk factor for torsion of the appendix testis (TAT).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>We conducted a paired case-control study with all boys surgically treated for TAT, paired by age and sex with patients who were seen in the emergency department for a reason other than acute scrotum. Age and weight were registered, and weight percentile (WP) by age was calculated and compared between groups. Weight percentile was classified into 4 groups (&lt;25, 25\u201350, 50\u201375, &gt;75), and a conditional logistic regression analysis was performed to establish the risk of TAT related to the WP.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>A total of 980 patients were diagnosed as having TAT in our institution, of which 118 patients (12%) were surgically treated and randomly paired with 118 controls. Mean age was the same in both groups (11.2 years, <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.908). Patients with TAT had a higher median of WP (79; interquartile range, 49\u201394) than the control group (49; interquartile range, 20\u201379; <jats:italic toggle=\"yes\">P<\/jats:italic> &lt; 0.0001). For each WP point increase, risk of TAT raised by 2.2% (odds ratio [OR], 1.022; 95% confidence interval [CI], 1.011\u20131.032; <jats:italic toggle=\"yes\">P<\/jats:italic> &lt; 0.001). Weight percentile &gt;75 increased the risk of TAT: 6-fold compared with WP &lt;25 (OR, 5.9; 95% CI, 2.5\u201314; <jats:italic toggle=\"yes\">P<\/jats:italic> &lt; 0.001), 4-fold compared with WP of 25 to 50 (OR, 4.3; 95% CI, 1.8\u201310.5; <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.001), and 3-fold compared with WP of 50 to 75 (OR, 3.3; 95% CI, 1.5\u20137.6; <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.004).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>Overweight increases the risk of being operated on because of TAT. Because obesity is a rising problem, a greater incidence of TAT remains to be proved.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/pec.0000000000002994","type":"journal-article","created":{"date-parts":[[2023,6,5]],"date-time":"2023-06-05T17:00:41Z","timestamp":1685984441000},"page":"279-282","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Is Being Overweight a Risk Factor for Torsion of the Appendix Testis in Children?"],"prefix":"10.1097","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5880-0313","authenticated-orcid":false,"given":"Maria","family":"Coronas-Soucheiron","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4758-9321","authenticated-orcid":false,"given":"Oriol","family":"Mart\u00edn-Sol\u00e9","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8483-8032","authenticated-orcid":false,"given":"Clara","family":"Massaguer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8072-7095","authenticated-orcid":false,"given":"Xavier","family":"Tarrado","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","published-online":{"date-parts":[[2023,6,5]]},"reference":[{"key":"bib1-20250504","first-page":"232","article-title":"The 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