TY - JOUR T1 - CHronic ankle morbidity in obese children following an acute ankle injury AU - Timm NL, Grupp-Phelan J, Ho ML Y1 - 2005/01/01 N1 - 10.1001/archpedi.159.1.33 JO - Archives of Pediatrics & Adolescent Medicine SP - 33 EP - 36 VL - 159 IS - 1 N2 - Objective  To examine the relationship between childhood obesity as measured by body mass index (BMI) and long-term morbidity after an acute ankle sprain.Design  Six-month prospective cohort study with follow-up telephone questionnaires at 6 weeks and 6 months.Setting  Cincinnati Children’s Hospital Medical Center emergency department.Patients  Children between the ages of 8 and 18 years who presented with a chief complaint of an acute ankle injury were enrolled in the study. Children with ankle fractures were excluded. Exposed children were defined as those with a BMI in the 85th or greater percentile for age. Nonexposed children were defined as those with a BMI in the less than 85th percentile for age.Main Outcome Measures  Persistent symptoms of pain, swelling, or weakness; pain during or after exercise; and recurrent ankle injury.Results  A total of 199 children were enrolled. The exposed and nonexposed groups were similar in terms of sex, age, and ethnicity. A total of 164 (93%) had complete follow-up at 6 months. Six months after an ankle injury, children with a BMI in the 85th or greater percentile for age were more likely to sustain persistent symptoms (relative risk, 1.70; 95% confidence interval, 1.10-2.61).Conclusion  Overweight children are more likely to have persistent symptoms 6 months after an acute ankle sprain. SN - 1072-4710 M3 - doi: 10.1001/archpedi.159.1.33 UR - http://dx.doi.org/10.1001/archpedi.159.1.33 ER -