The relationship between weight indices and injuries and mortalities caused by the motor vehicle accidents: a systematic review and meta-analysis.

Journal of injury & violence research Pub Date : 2020-01-01 Epub Date: 2019-12-21 DOI:10.5249/jivr.v12i1.1198

Enayatollah Homaie Rad, Naema Khodadady-Hasankiadeh, Leila Kouchakinejad-Eramsadati, Fatemeh Javadi, Zahra Haghdoost, Marieh Hosseinpour, Maryam Tavakoli, Ali Davoudi-Kiakalayeh, Zahra Mohtasham-Amiri, Shahrokh Yousefzadeh-Chabok

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引用次数: 5

Abstract

Background: The relationship between weight indices and injuries and mortality in motor vehicle accidents is unknown. Systematic review studies addressing the collection and analysis of the relationship in investigations are very limited. The purpose of this systematic review is to determine the relationship between BMI, obesity and overweight with mortality and injuries and their severity and vulnerable organs after the motor vehicle accident.

Methods: The databases (MEDLINE/PUBMED, EMBASE, Web of Science, etc) were searched for relevant abstracts using certain keywords. Of all the articles, similar ones were removed considering different filters. The collected data were entered into the STATA SE v 13.1. The heterogeneity of the data was analyzed using i2 statistics. In addition, the estimates of the study were done based on the age group (children and adults) and the impact of obesity on different regions of the body.

Results: A direct relationship was observed between the overall BMI and the degrees of injuries (CI=0.503-1.139), and mortality due to motor vehicle accident (CI=1.267-1.471). A positive relationship was found between obesity and AIS+2 (CI=0.653-1.426), and AIS+3 (CI=1.184-1.741), and ISS (CI=1.086-1.589). Also, a negative relationship between overweight and injuries rates, and a direct relationship between overweight and mortality (CI=0.979-1.167), and injuries with index of AIS+2 (CI=1.178-0.768) and AIS+3 (CI=0.48-2.186) were found.

Conclusions: The prediction of injury, mortality and severity of injuries in the motor vehicle accident by the variable of obesity and overweight determines the need to design prevention programs for this vulnerable group at all levels.

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体重指标与机动车事故伤害死亡率的关系:系统综述与meta分析。

背景:机动车事故中体重指数与伤害和死亡率之间的关系尚不清楚。在调查中收集和分析这种关系的系统综述研究非常有限。本系统综述的目的是确定BMI、肥胖和超重与机动车事故后死亡率和损伤及其严重程度和易损器官的关系。方法:采用关键词在MEDLINE/PUBMED、EMBASE、Web of Science等数据库中检索相关摘要。在所有文章中，考虑到不同的过滤，相似的文章被删除了。收集的数据输入STATA SE v 13.1。采用i2统计分析数据的异质性。此外，这项研究的估计是根据年龄组(儿童和成人)以及肥胖对身体不同部位的影响进行的。结果:总体BMI与损伤程度(CI=0.503 ~ 1.139)、机动车事故死亡率(CI=1.267 ~ 1.471)有直接关系。肥胖与AIS+2 (CI=0.653-1.426)、AIS+3 (CI=1.184-1.741)、ISS (CI=1.086-1.589)呈正相关。超重与损伤率呈负相关，与死亡率呈直接相关(CI=0.979 ~ 1.167)，损伤指数为AIS+2 (CI=1.178 ~ 0.768)和AIS+3 (CI=0.48 ~ 2.186)。结论:通过肥胖和超重变量预测机动车事故的伤害、死亡率和伤害严重程度，决定了需要在各级为这一弱势群体设计预防方案。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Journal of injury & violence research

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