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预防医学  2021, Vol. 33 Issue (5): 462-467    DOI: 10.19485/j.cnki.issn2096-5087.2021.05.007
  论著 本期目录 | 过刊浏览 | 高级检索 |
中小学生躯干旋转角异常的影响因素研究
邹艳1, 章荣华1, 陈丽艳2, 孟佳1, 何海涛3, 顾昉1, 李赟4, 李娟娟1, 林云5
1.浙江省疾病预防控制中心营养与食品安全所,浙江 杭州 310051;
2.嘉善县疾病预防控制中心卫生监测科;
3.秀洲区疾病预防控制中心卫生监测科;
4.平湖区疾病预防控制中心卫生监测科;
5.嘉兴市疾病预防控制中心营养与食品安全所
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
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摘要 目的 分析中小学生躯干旋转角异常的影响因素,为预防中小学生脊柱侧弯提供依据。方法 采用整群抽样方法抽取浙江省嘉善县小学四~六年级和初中一~三年级学生为调查对象,设计问卷对其社会人口学信息、饮食行为、体力活动和读写习惯进行调查,采用脊柱侧弯仪测量躯干旋转角。采用Logistic回归模型分析躯干旋转角异常的影响因素。结果 共调查2 942人,男生1 582人,占53.78%;女生1 360人,占46.23%。躯干旋转角异常230例,检出率为7.82%。女生躯干旋转角异常检出率为10.74%,高于男生的5.31%( P<0.05 )。多因素Logistic回归分析结果显示,学段(OR=1.485,95%CI:1.058~2.085)、性别( OR=2.084,95%CI:1.536~2.828 )、过去一周吃新鲜蔬菜频率( OR=0.749,95%CI:0.633~0.887 )和天黑后关灯看电子屏幕频率(OR=1.188,95%CI:1.002~1.408)是中小学生躯干旋转角异常的影响因素;学段(OR=2.664,95%CI:1.481~4.791)和天黑后关灯看电子屏幕频率(OR=1.325,95%CI:1.030~1.704)是男生躯干旋转角异常的影响因素;过去一周吃新鲜蔬菜频率(OR=0.714,95%CI:0.574~0.887)和裸眼视力低于5.0(OR=1.795,95%CI:1.164~2.767)是女生躯干旋转角异常的影响因素。结论 中小学生躯干旋转角异常与性别、学段、读写习惯、饮食行为有关,且男女生的影响因素不同。
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邹艳
章荣华
陈丽艳
孟佳
何海涛
顾昉
李赟
李娟娟
林云
关键词 躯干旋转角脊柱侧弯中小学生影响因素    
AbstractObjective 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.
Key wordsangle of trunk rotation    scoliosis    primary and secondary school students    influencing factors
收稿日期: 2021-01-08      修回日期: 2021-02-24      出版日期: 2021-05-10
中图分类号:  R179  
基金资助:浙江省公益技术研究计划(LGF19H260002)
作者简介: 邹艳,硕士,主任医师,主要从事儿童青少年疾病防控工作
通信作者: 林云,E-mail:ly_zyh@163.com   
引用本文:   
邹艳, 章荣华, 陈丽艳, 孟佳, 何海涛, 顾昉, 李赟, 李娟娟, 林云. 中小学生躯干旋转角异常的影响因素研究[J]. 预防医学, 2021, 33(5): 462-467.
ZOU Yan, ZHANG Ronghua, CHEN Liyan, MENG Jia, HE Haitao, GU Fang, LI Yun, LI Juanjuan, LIN Yun. Influencing factors for abnormality of the angle of trunk rotation in primary and secondary school students. Preventive Medicine, 2021, 33(5): 462-467.
链接本文:  
https://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2021.05.007      或      https://www.zjyfyxzz.com/CN/Y2021/V33/I5/462
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