ArticleOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2009
Fracture rates in urban South African children of different ethnic origins: the Birth to Twenty cohort.
Article in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.
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30 citing papers in PubMed, 1 synthesis or guideline pooled it, 80 citations in OpenAlex.
- The National Osteoporosis Foundation's position statement on peak bone mass development and lifestyle factors: a systematic review and implementation recommendations.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2016Pooled it
- Epidemiologic Features of Traumatic Fractures in Children and Adolescents: A 9-Year Retrospective Study.BioMed research international · 2019Trial
- Skin-related complications of casting in children: a systematic review.Annals of medicine and surgery (2012) · 2026Article
- The gSOS polygenic score is associated with bone density and fracture risk in childhood.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2025Article
- Incidence and determinants of fracture risk in 8,348 Mongolian schoolchildren: secondary analysis of data from a randomised controlled trial.medRxiv : the preprint server for health sciences · 2025Article
- Bone mass and vertebral fractures in South African children on prolonged oral glucocorticoids for chronic non-malignant illnesses.Bone reports · 2021Article
- Time trends in pediatric hand fracture incidence in Malmö, Sweden, 1950-2016.Journal of orthopaedic surgery and research · 2021Article
- Race and Ethnicity Predict Bone Markers and Fracture in Pediatric Patients With Chronic Kidney Disease.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2021Article
- Pediatric Distal Forearm Fracture Epidemiology in Malmö, Sweden-Time Trends During Six Decades.Journal of wrist surgery · 2019Article
- Article
- Hand fracture epidemiology and etiology in children-time trends in Malmö, Sweden, during six decades.Journal of orthopaedic surgery and research · 2019Article
- Diagnosis of osteoporotic vertebral fractures in children.Pediatric radiology · 2019Review
- A longitudinal comparison of appendicular bone growth and markers of strength through adolescence in a South African cohort using radiogrammetry and pQCT.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2019Article
- Traumatic fractures as a result of motor vehicle collisions in children and adolescents.International orthopaedics · 2018Article
- Ethnic Differences in Peripheral Skeletal Development Among Urban South African Adolescents: A Ten-Year Longitudinal pQCT Study.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2017Article
- Racial Differences in Bone Microarchitecture and Estimated Strength at the Distal Radius and Distal Tibia in Older Adolescent Girls: a Cross-Sectional Study.Journal of racial and ethnic health disparities · 2017Article
- A radiographic investigation of the relationships between humeral cortical bone thickness, medullary canal width and the supratrochlear aperture (STA).Surgical and radiologic anatomy : SRA · 2017Article
- Ethnic and geographic variations in the epidemiology of childhood fractures in the United Kingdom.Bone · 2016Article
- The case for genome-wide association studies of bone acquisition in paediatric and adolescent populations.BoneKEy reports · 2016Review
- Is high weight status associated with pediatric forearm fractures requiring anatomic reduction?Journal of investigative medicine : the official publication of the American Federation for Clinical Research · 2015Article
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3 authors at 1 institution in 1 country.
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Abstract
unlabelledFracture rates were compared in children of different ethnic backgrounds from Johannesburg, South Africa. More white children fracture than black and mixed ancestry children. Reasons for this may be due to greater sports participation by whites and genetic protective factors in blacks. This has to be further investigated.
introductionFracture rates in childhood are as high as those in the elderly. Recent research has been undertaken to understand the reasons for this, but there is little information available on ethnic differences in childhood fracture rates.
methodsUsing the birth to twenty longitudinal cohort of children, we retrospectively obtained information on fractures and their sites from birth to 14.9 years of age on 2031 participants. The ethnic breakdown of the children was black (B) 78%, white (W) 9%, mixed ancestry (MA) 10.5% and Indian (I) 1.5%.
resultsFour hundred and forty-one (22%) children had sustained a fracture one or more times during their lifetime (males 27.5% and females 16.3%; p < 0.001). The percentage of children fracturing differed between the ethnic groups (W 41.5%, B 19%, MA 21%, I 30%; p < 0.001). Of the 441 children reporting fractures, 89(20%) sustained multiple fractures. The most common site of fracture was the upper limb (57%).
conclusionMore white children fracture than black and mixed ancestry children. This is the first study to show ethnic differences in fracture rates among children. The reasons for these differences have to be further elucidated. Greater sports participation by whites and genetic protective factors in blacks may be contributing factors.
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