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| Influencing factors for abnormal spinal curvature among middle school students in Zhejiang Province |
| LI Juanjuan, ZHANG Ronghua, MENG Jia, GAO Lei, SHEN Yu, GU Fang, ZHU Bing
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| Department of Nutrition and Food Safety, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang 310051, China |
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Abstract Objective To investigate the status and influencing factors of abnormal spinal curvature among middle school students in Zhejiang Province, so as to provide insights into formulating intervention measures of abnormal spinal curvature among students. Methods Middle school students were selected from 90 counties (cities or districts) for abnormal spinal curvature screening using the stratified random cluster sampling method based on the Student Common Diseases and Influencing Factors Program in 2022. Basic information, nutritional status, sedentary time and sleep time were collected through questionnaire surveys and physical examination. Influencing factors for abnormal spinal curvature among middle school students were identified using a multivariable logistic regression model. Results Totally 93 988 students were recruited, and 92 559 students responded effectively, with a response rate of 98.48%. There were 48 578 males (52.48%) and 43 981 females (47.52%). A total of 1 690 students with abnormal spinal curvature were detected, accounting for 1.83%. Multivariable logistic regression analysis showed that the students who were female (OR=1.331, 95%CI: 1.204-1.471), lived in suburb areas (OR=1.254, 95%CI: 1.135-1.385), were at ages of 14 years and above (14 to 16 years, OR=1.252, 95%CI: 1.108-1.414; >16 years, OR=1.273, 95%CI: 1.090-1.486) and had sedentary time greater than 10 h/d (OR=1.162, 95%CI: 1.034-1.305) might have higher risks of abnormal spinal curvature, while the students who were overweight or obesity (OR=0.491, 95%CI: 0.426-0.565), regularly adjust the heights of the desks and chairs (OR=0.883, 95%CI: 0.797-0.979), and slept 8 hours or more per day (OR=0.850, 95%CI: 0.765-0.945) might have lower risks of abnormal spinal curvature. Conclusion The prevalence of abnormal spinal curvature among middle school students in Zhejiang Province is associated with gender, region, age, nutritional status, regularly adjusting the heights of desks and chairs, sedentary time and sleep time.
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Received: 15 July 2024
Revised: 16 August 2024
Published: 13 December 2024
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[1] 张帅,赵莉,杨阳,等.青少年脊柱弯曲异常危险因素的Meta分析[J].中国儿童保健杂志,2023,31(10):1121-1126.
[2] 中华人民共和国国家卫生健康委员会疾病预防控制局.《儿童青少年脊柱弯曲异常防控技术指南》及编写说明[EB/OL].[2024-08-16].http://www.nhc.gov.cn/jkj/s5899tg/202111/5579c1240d034ac680a7505994aa082d.shtml.
[3] 中华人民共和国国家卫生健康委员会.2021年7月13日新闻发布会介绍儿童青少年近视防控和暑期学生健康有关情况[EB/OL].[2024-08-16].http://www.nhc.gov.cn/xwzb/webcontroller.do?titleSeq=11389.
[4] WANG H,LI T,YUAN W S,et al.Mental health of patients with adolescent idiopathic scoliosis and their parents in China:a cross-sectional survey[J].BMC Psychiatry,2019,19(1):1-8.
[5] 梁薇,任梦婷,张文科,等.滁州市中小学生脊柱侧弯筛查结果[J].预防医学,2024,36(7):607-610.
[6] DAI Z C,WANG Y W,WU Z C,et al.Novel mutations in UTS2R are associated with adolescent idiopathic scoliosis in the Chinese population[J].Spine,2021,46(5):288-293.
[7] 中华人民共和国国家卫生和计划生育委员会.儿童青少年脊柱弯曲异常的筛查:GB/T 16133—2014[S].2014.
[8] 中华人民共和国国家卫生和计划生育委员会.学龄儿童青少年超重与肥胖筛查:WS/T 586—2018[S].2018.
[9] 中华人民共和国国家卫生和计划生育委员会.学龄儿童青少年营养不良筛查:WS/T 456—2014[S].2014.
[10] 中华人民共和国国家卫生健康委员会.中小学生屈光不正筛查规范:WS/T 663—2020[S].2020.
[11] 曾婕,周亮,任悄悄,等.四川省中小学生脊柱弯曲异常现状及影响因素分析[J].中国学校卫生,2023,44(8):1130-1133.
[12] 邹艳,林云,何海涛,等.儿童青少年脊柱侧弯的影响因素研究[J].预防医学,2022,34(4):395-399.
[13] ZHENG Y,DANG Y N,WU X J,et al.Epidemiological study of adolescent idiopathic scoliosis in Eastern China[J].J Rehabil Med,2017,49(6):512-519.
[14] 贾娟娟,林云,朱国英,等.嘉兴市中小学生脊柱侧弯调查[J].预防医学,2022,34(8):782-787.
[15] SONG X X,JIN L Y,LI X F,et al.Effects of low bone mineral status on biomechanical characteristics in idiopathic scoliotic spinal deformity[J].World Neurosurg,2018,110:321-329.
[16] KARIIPPANON K E,CLIFFl D P,OKELY A D,et al.Flexible learning spaces reduce sedentary time in adolescents[J].J Sci Med Sport,2019,22(8):918-923.
[17] LI H,LIANG C Z,SHEN C C,et al.Decreased sleep duration:a risk of progression of degenerative lumbar scoliosis[J].Med Hypotheses,2012,78(2):244-246.
[18] DE ASSIS S J C,SANCHIS G J B,DE SOUZA C G,et al.Influence of physical activity and postural habits in schoolchildren with scoliosis[J/OL].Arch Public Health,2021,79[2024-08-16].https://doi.org/10.1186/s13690-021-00584-6. |
| [1] |
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