Prevalence of and risk factors for adolescent scoliosis from a multi-year school screening programme in Eastern China.

IF 2.1 3区医学 Q2 PEDIATRICS

Frontiers in Pediatrics Pub Date : 2025-06-04 eCollection Date: 2025-01-01 DOI:10.3389/fped.2025.1524073

Rong Xu, Jianghui Li, Weihong Wang, Lijun Zhang, Hua Liu

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引用次数: 0

Abstract

Objective: This study aimed to determine the occurrence of adolescent scoliosis (AS) and identify possible associated factors in Eastern China.

Methods: The screening technique involved performing forward bending tests and using scoliometer data. Adolescents at risk for scoliosis based on the screening were advised to undergo an x-ray examination for diagnosis confirmation.

Results: Between 2019 and 2023, a total of 90,635 adolescents, comprising 41,836 females and 48,799 males, aged 11-18, underwent screening. Among the screened adolescents in Eastern China, the overall prevalence of scoliosis was 0.62%, with 0.99% in females and 0.30% in males. Independently associated factors were identified as female gender (OR = 1.319, 95% CI 1.031-1.686, P = 0.027), BMI ≤ 20 (OR = 2.959, 95% CI 2.271-3.855, P < 0.001), a tendency to incline towards one side (OR = 2.129, 95% CI 1.564-2.898, P < 0.001), and a habit of bending over the desk (OR = 1.523, 95% CI 1.079-2.150, P = 0.017).

Conclusion: The current study found that the occurrence rate of AS in Eastern China is 0.62%. Female adolescents who are thin and tall and have poor learning posture are more susceptible to developing scoliosis.

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中国东部多年学校筛查项目中青少年脊柱侧凸患病率及危险因素分析

目的：本研究旨在确定中国东部地区青少年脊柱侧凸（AS）的发生情况并确定可能的相关因素。方法：筛选技术包括前屈试验和脊柱侧弯测量数据。根据筛查结果，建议有脊柱侧凸风险的青少年接受x线检查以确认诊断。结果：2019年至2023年期间，共有90,635名青少年接受了筛查，其中包括41,836名女性和48,799名男性，年龄在11-18岁之间。在中国东部筛查的青少年中，脊柱侧凸的总体患病率为0.62%，其中女性为0.99%，男性为0.30%。独立相关因素为女性（OR = 1.319, 95% CI 1.031-1.686, P = 0.027）、BMI≤20 （OR = 2.959, 95% CI 2.271-3.855, P P P = 0.017）。结论：目前研究发现，中国东部地区AS患病率为0.62%。身材瘦高、学习姿势不好的女性青少年更易患脊柱侧凸。

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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来源期刊

Frontiers in Pediatrics Medicine-Pediatrics, Perinatology and Child Health

CiteScore

3.60

自引率

7.70%

发文量

2132

审稿时长

14 weeks

期刊介绍： Frontiers in Pediatrics (Impact Factor 2.33) publishes rigorously peer-reviewed research broadly across the field, from basic to clinical research that meets ongoing challenges in pediatric patient care and child health. Field Chief Editors Arjan Te Pas at Leiden University and Michael L. Moritz at the Children''s Hospital of Pittsburgh are supported by an outstanding Editorial Board of international experts. This multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide. Frontiers in Pediatrics also features Research Topics, Frontiers special theme-focused issues managed by Guest Associate Editors, addressing important areas in pediatrics. In this fashion, Frontiers serves as an outlet to publish the broadest aspects of pediatrics in both basic and clinical research, including high-quality reviews, case reports, editorials and commentaries related to all aspects of pediatrics.