Obesity and non-fatal motor vehicle crash injuries: sex difference effects.
Obesity and non-fatal motor vehicle crash injuries: sex difference effects.
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肥胖和非致命机动车碰撞伤害：性别差异影响。
DOI：
10.1038/ijo.2010.270
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发表时间：
2011-09
影响因子：
4.9
通讯作者：
Zhu, S.
中科院分区：
文献类型：
--
作者：
Ma, X.;Laud, P. W.;Pintar, F.;Kim, J-E;Shih, A.;Shen, W.;Heymsfield, S. B.;Allison, D. B.;Zhu, S.
在美国，肥胖和机动车碰撞(MVC)伤害是两种平行的流行病。一个重要的悬而未决的问题是，肥胖和非致命性MVC损伤之间的相关性是否存在性别差异。进一步了解肥胖与非致命性机动车碰撞伤之间的关系，特别是这些关系中的性别差异。我们通过分析2003年至2007年国家汽车抽样系统耐撞性数据系统(NASS CDS)的数据来研究这个问题。共有10,962名年龄在18岁或以上并在正面碰撞事故中幸存下来的司机符合研究条件。男性司机的总体非致命性MVC伤害率低于女性司机(38.1%对52.2%)，但严重伤害率较高(0.7%对0.2%)。在对撞车过程中的速度变化(ΔV)进行调整后，肥胖的男性司机比非肥胖的男性司机显示出更高的非致命性伤害风险[中等、严重和重度损伤的Logistic系数分别为0.0766、0.1470和0.1792]，并且这些风险随着受伤严重程度的增加而增加。肥胖的女司机没有发现非致命伤害风险增加。男性司机的肥胖与非致命性伤害风险之间的关联比女性司机强得多。肥胖男性司机发生非致命性MVC损伤的风险较高，可能是由于他们的体型和脂肪分布与肥胖女性司机不同所致。我们的研究结果将为肥胖男性司机的减重、交通安全评估和车辆设计提供参考，并为未来的研究提供可检验的假设。
Obesity and motor vehicle crash (MVC) injuries are two parallel epidemics in the United States. An important unanswered question is if there are sex differences in the associations between the presence of obesity and non-fatal MVC injuries. To further understand the association between obesity and non-fatal motor vehicle crash injuries, particularly the sex differences in these relations. We examined this question by analyzing data from the 2003 to 2007 National Automotive Sampling System Crashworthiness Data System (NASS CDS). A total of 10, 962 drivers who were aged 18 years or older and who survived frontal collision crashes were eligible for study. Male drivers experienced a lower rate of overall non-fatal MVC injuries than did female drivers (38.1% vs. 52.2%) but a higher rate of severe injuries (0.7% vs. 0.2%). After adjusting for change in velocity (ΔV) during the crashes, obese male drivers showed a much higher risk [logistic coefficients of BMI for moderate, serious, and severe injury are 0.0766, 0.1470, and 0.1792, respectively; all p<0.05] of non-fatal injuries than did non-obese male drivers and these risks increased with injury severity. Non-fatal injury risks were not found to be increased in obese female drivers. The association between obesity and risk of non-fatal injury was much stronger for male drivers than for female drivers. The higher risk of non-fatal MVC injuries in obese male drivers might result from their different body shape and fat distribution compared with obese female drivers. Our findings should be considered for obesity reduction, traffic safety evaluation and vehicle design for obese male drivers and provide testable hypotheses for future studies.
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影响因子：
120.7
作者：
Flegal, KM;Carroll, MD;Johnson, CL
通讯作者：
Johnson, CL
影响因子：
120.7
作者：
Fontaine, KR;Redden, DT;Allison, DB
通讯作者：
Allison, DB
DOI：
10.1097/01.ta.0000064449.11809.48
发表时间：
2003-06-01
影响因子：
--
作者：
Arbabi, S;Wahl, WL;Wang, SC
通讯作者：
Wang, SC
DOI：
10.1097/00005373-199109000-00009
发表时间：
1991-09-01
影响因子：
--
作者：
CHOBAN, PS;WEIRETER, LJ;MAYNES, C
通讯作者：
MAYNES, C
影响因子：
120.7
作者：
Mokdad, AH;Bowman, BA;Koplan, JP
通讯作者：
Koplan, JP