ArticleInjury epidemiology2026
Leisure-related injuries in children and adolescents: a generational comparison of 20 years in a level 1 pediatric trauma center.
Article in Injury epidemiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundBehavioral studies show changes and an overall decline in physical activity and general health literacy among children and adolescents. The objective of this study is to analyze and compare the incidence and distribution of leisure-time-related injuries among children and adolescents aged 0-17 years, examining two distinct time periods: 2000-2004 and 2015-2019.
methodsThis retrospective analysis was conducted on a cohort of 27,761 children and adolescents who received treatment at our Level-1-Trauma Department due to leisure-time associated activities that occurred between 2000 and 2004 and 2015-2019. Data were stratified by age group, injury type, and anatomical region of injury.
resultsThe proportion of patients with leisure-related injuries among all injuries per period was significantly lower in the years 2015-2019 (total: 55,971 patients) than in the 2000-2004 period (total: 46,172 patients) (22%; 12,540/55,971 vs. 33%; 15,221/46,173; p < 0.001). Over the past twenty years, adolescents (11-17 years) revealed significantly fewer injuries (63.4%; 9651/15221 in 2000-2004 vs. 50.8%; 6367/12540 in 2015-2019; p < 0.001) while children up to the age of 5 represented an increasingly vulnerable age group (13%; 1975/15221 in 2000-2004 vs. 22.1%; 2771/12540 in 2015-2019; p < 0.001). In both time frames, majority of patients were male. Most common injuries were limb injuries, although age-dependent variations were observed.
conclusionThe findings reveal substantial shifts in pediatric injury patterns and a significant decrease of leisure time injuries in children and adolescents in the investigated time period of 20 years. These trends are indicative of changes in physical activity behaviors and evolving recreational preferences.
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