|
|
|
| Influencing factors for abnormality of the angle of trunk rotation in primary and secondary school students |
| ZOU Yan*, ZHANG Ronghua, CHEN Liyan, MENG Jia, HE Haitao, GU Fang, LI Yun, LI Juanjuan, LIN Yun
|
| *Department of Nutrition and Food Safety, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang 310051, China |
|
|
|
|
Abstract Objective To explore the influencing factors for the primary and secondary school students with abnormal angle of trunk rotation for the prevention. Methods The students of Grade Four to Nine in Jiashan County of Zhejiang Province were selected by cluster sampling method. A self-designed questionnaire was used to collect social demographic data, diet behaviors, physical activities, reading and writing habits. The angle of trunk rotation was measured by scoliometer. Logistic regression model was used to investigate the influencing factors for abnormal angle of trunk rotation. Results This study included 2 942 schoolchildren, with 1 582 ( 53.78% ) boys and 1 360 ( 46.23% ) girls. The incidence rate of abnormal angle of trunk rotation was 7.82%. The incidence rate of abnormal angle of trunk rotation in girls was 10.74%, which was higher than 5.31% in boys ( P<0.05 ). Grade ( OR=1.485, 95%CI: 1.058-2.085 ), gender ( OR=2.084, 95%CI: 1.536-2.828 ), frequency of eating fresh vegetables in the past week ( OR=0.749, 95%CI: 0.633-0.887 ) and watching electronic screen in the dark ( OR=1.188, 95%CI: 1.002-1.408 ) were the influencing factors for abnormal angle of trunk rotation in primary and secondary school students. Grade ( OR=2.664, 95%CI: 1.481-4.791 ) and watching electronic screen in the dark ( OR=1.325, 95%CI: 1.030-1.704 ) were influencing factors for abnormal angle of trunk rotation in boys. Frequency of eating fresh vegetables in the past week ( OR=0.714, 95%CI: 0.574-0.887 ) and uncorrected eyesight less than 5.0 ( OR=1.795, 95%CI: 1.164-2.767 ) were influencing factors for abnormal angle of trunk rotation in girls. Conclusion The abnormal angle of trunk rotation in primary and secondary school students is related to gender, grade, reading and writing behaviors as well as diets; and the influencing factors are different in male and female students.
|
|
Received: 08 January 2021
Revised: 24 February 2021
Published: 12 May 2021
|
|
|
|
|
|
[1] ZHANG H Q,GUO C F,TANG M X,et al.Prevalence of scoliosis among primary and middle school students in Mainland China:a systematic review and meta-analysis[J].Spine(Phila Pa 1976),2015,40(1):41-49.
[2] MORRISSY R T,GOKDSMITH G S,HALL E C,et al.Measurement of the Cobb angle on radiographs of patients who have scoliosis.Evaluation of intrinsic error[J].J Bone Surg Am,1990,72(3):320-327.
[3] ZAINA F,DONZELLI S,LUSINI M,et al.How to measure kyphosis in everyday clinical practice: a reliability study on different methods[J].Stud Health Technol Inform,2012,176:264-267.
[4] WILLIAM P,BUNNEL L.Outcome of spinal screening[J].Spine(Phila Pa 1976),1993,18(12):1572-1580.
[5] WEINSTEIN S L.The natural history of adolescent idiopathic scoliosis[J].J Pediatr Orthop,2019,39(6 Suppl.1):S44-S46.
[6] WATANABE K,MICHIKAWA T,YONEAZWA I,et al.Physical activities and lifestyle factors related to adolescent idiopathic scoliosis[J].J Bone Joint Surg Am,2017,99(4):284-294.
[7] ROMANO M,NEGRINI A,PARZINI S,et al.SEAS(Scientific Exercises Approach to Scoliosis): a modern and effective evidence based approach to physiotherapic specific scoliosis exercises[J/OL].Scoliosis(2015-02-05)[2021-02-24].https://pubmed.ncbi.nlm.nih.gov/25729406.DOI:10.1186/s13013-014-0027-2.
[8] SCHREIBER S,PARENT E C,HILL D L,et al.Schroth physiotherapeutic scoliosis-specific exercises for adolescent idiopathic scoliosis:how many patients require treatment to prevent one deterioration?-results from a randomized controlled trial-"SOSORT2017 Award Winner"[J/OL].Scoliosis Spinal Disord(2017-11-14)[2021-02-24].https://pubmed.ncbi.nlm.nih.gov/29164179.DOI:10.1186/s13013-017-0137-8.
[9] PAU M,LEBAN B,PILLONI G,et al.Trunk rotation alters postural sway but not gait in female children and early adolescents:results from a school-based screening for scoliosis[J].Gait Posture,2018,61:301-305.
[10] WEINSTEIN S L,DOLAN L A,CHENG J C Y,et al.Adolescent idiopathic scoliosis[J].Lancet,2008,371(9623):1527-1537.
[11] 屈宁宁,李可基.国际体力活动问卷中文版的信度和效度研究[J].中华流行病学杂志,2004,25(3):265-268.
[12] URRUTIA J,BESA P,BENGOA F.A prevalence study of thoracic scoliosis in Chilean patients aged 10-20 years using chest radiographs as a screening tool[J].J Pediatr Orthop B,2018,27(2):159-162.
[13] ZHENG Y,WU X J,DANG Y N,et al.Prevalence and determinants of idiopathic scoliosis in primary school children in Beitang District,Wuxi,China[J].J Rehabil Med,2016,48(6):547-553.
[14] LEE W K,CHUNG C,TSE Y K,et al.Generalized low bone mass of girls with adolescent idiopathic scoliosis is related to inadequate calcium intake and weight bearing physical activity in peripubertal period[J].Osteoporos Int,2005,16(9):1024-1035.
[15] MAYES T,ANADIO J M,STURM P F.Prevalence of vitamin D deficiency in pediatric patients with scoliosis preparing for spinal surgery[J].Spine Deform,2017,5(6):369-373.
[16] COSTA J M,SARTORI M M P,DO NASCIMENTO N F,et al.Inadequate dietary phosphorus levels cause skeletal anomalies and alter osteocalcin gene expression in zebrafish[J].Int J Mol Sci,2018,19(2):1-13.
[17] EMILIO M V.Calcium,essential for health[J].Nutr Hosp,2016,33(Suppl.4):341.
[18] LEE H S,CHUNG H K,PARK S W.Correlation between trunk posture and neck reposition sense among subjects with forward head neck postures[J/OL].Biomed Res Int(2015-10-25)[2021-02-24].https://pubmed.ncbi.nlm.nih.gov/26583125.DOI:10.1155/2015/689610.
[19] PESENTI S,PROST S,POMERO V,et al.Characterization of trunk motion in adolescents with right thoracic idiopathic scoliosis[J].Eur Spine J,2019,28(9):2025-2033.
[20] JEON K,KIM D I.The association between low body weight and scoliosis among Korean elementary school students[J].Int J Environ Res Public Health,2018,15(12):2613.
[21] GILBERTS R,SAVAGEA J,WHITESELL R,et al.BMI and magnitude of scoliosis at presentation to a specialty clinic[J].Pediatrics,2015,135(6):e1417-e1424.
[22] KENANIDIS E,POTOUPNIS M E,PAPAVASILIOU K A,et al.Adolescent idiopathic scoliosis and exercising: is there truly a liaison?[J].Spine(Phila Pa 1976),2008,33(20):2160-2165.
[23] BURGER M,COETZEE W,PLESSIS L,et al.The effectiveness of schroth exercises in adolescents with idiopathic scoliosis: a systematic review and meta-analysis[J/OL].S Afr J Physiother,2019,75[2021-02-24].https://pubmed.ncbi.nlm.nih.gov/31206094.DOI:10.4102/sajp.v75i1.904. |
|
|
|
