Abnormal spinal curvature and its influencing factors among middle and high school students in Inner Mongolia Autonomous Region

YANG Tian; ZHANG Xiuhong; GAO Sheng; LI Guofeng; ZHAO Jing; ZHAO Jufang

doi:10.16835/j.cnki.1000-9817.2023.03.029

Volume 44 Issue 3

Mar. 2023

Turn off MathJax

Article Contents

Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2023 > 44(3): 447-450

YANG Tian, ZHANG Xiuhong, GAO Sheng, LI Guofeng, ZHAO Jing, ZHAO Jufang. Abnormal spinal curvature and its influencing factors among middle and high school students in Inner Mongolia Autonomous Region[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(3): 447-450. doi: 10.16835/j.cnki.1000-9817.2023.03.029

Citation:

YANG Tian, ZHANG Xiuhong, GAO Sheng, LI Guofeng, ZHAO Jing, ZHAO Jufang. Abnormal spinal curvature and its influencing factors among middle and high school students in Inner Mongolia Autonomous Region[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(3): 447-450. doi: 10.16835/j.cnki.1000-9817.2023.03.029

Citation:

YANG Tian, ZHANG Xiuhong, GAO Sheng, LI Guofeng, ZHAO Jing, ZHAO Jufang. Abnormal spinal curvature and its influencing factors among middle and high school students in Inner Mongolia Autonomous Region[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(3): 447-450. doi: 10.16835/j.cnki.1000-9817.2023.03.029

PDF( 338 KB)

Abnormal spinal curvature and its influencing factors among middle and high school students in Inner Mongolia Autonomous Region

doi: 10.16835/j.cnki.1000-9817.2023.03.029

School Health Department of the Center for Disease Control and Prevention of Inner Mongolia Autonomous Region, Hohhot(010031), China

Received Date: 2022-10-07
Rev Recd Date: 2023-01-13
Publish Date: 2023-03-25

Abstract

Abstract

Objective To investigate the incidence of abnormal spinal curvature and related factors among middle school students in the Inner Mongolia Autonomous Region, so as to provide evidence for abnormal spinal curvature prevention and treatment. Methods By using a random stratified cluster sampling method, 87 908 students of middle and high school students from all 12 counties(districts) were investigated via questionnaires for abnormal spinal curvature and health influencing factors in Inner Mongolia Autonomous Region. Chi-square test was used to perform demographic characteristics and univariate analysis, and binary multivariate Logistic regression model was used to screen the risk factors for spinal curvature abnormalities in middle school students. Results A total of 3 131(3.56%) students with spinal curvature abnormalities were detected, with boys (3.69%) higher than that of girls(3.44%), urban areas (6.15%) higher than that of the suburban counties (2.50%), and high school students (4.97%) higher than that of junior high school(2.73%) students(χ²=4.01, 702.19, 299.36, P < 0.05). The detectable rate of spinal curvature abnormalities increased with grade (χ_trend²=309.29, P < 0.05). Logistic regression analysis showed that factors influencing abnormal spinal curvature included myopia, overweight, obesity, the frequency of classroom seating arrangements, time spent on homework/reading after school every day, time spent in daytime outdoor activities, self-imposed requirements for posture of sitting and standing, phase of studying, gender, and area (OR=0.53-2.55, P < 0.05). Conclusion Abnormal spinal curvature is strongly correlated to nutritional status, myopia, sitting posture when reading and writing, sedentary time, and time spent in outdoor activities. The collaboration of multiple departments is required to establish anenvironment to protect the spine, early detection and early intervention.
- Spinal curvatures,
- Prevalence,
- Regression analysis,
- Minority groups,
- Students

FullText(HTML)

References(17)

References

[1]	儿童青少年脊柱弯曲异常防控技术指南编写组. 《儿童青少年脊柱弯曲异常防控技术指南》解读[J]. 中国学校卫生, 2022, 43(2): 165-170, 175. doi: 10.16835/j.cnki.1000-9817.2022.02.002 Expert Group of Editorial Committee of Technical Guide for Prevention and Control of Abnormal Spinal Curvature in Chinese Children and Adolescents. Interpretation of Technical Guide for Prevention and Control of Abnormal Spinal Curvature in Children and Adolescents[J]. Chin J Sch Health, 2022, 43(2): 165-170, 175. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2022.02.002
[2]	国家卫生健康委办公厅关于印发2021年全国学生常见病和健康影响因素监测与干预工作方案的通知[A]. 2021-03-23. The General Office of the National Health Commission issued a notice on the work plan for monitoring and intervention of common diseases and health influencing factors among students in 2021[A]. 2021-03-23. (in Chinese)
[3]	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]. 北京: 中国标准出版社, 2014: 1-5. National Health Commission of the PRC. Screening of spinal curvature abnormality of children and adolescents: GB/T 16133-2014[S]. Beijing: China Standards Press, 2014: 1-5. (in Chinese)
[4]	陶芳标. 儿童少年卫生学[M]. 8版. 北京: 人民卫生出版社, 2017: 175-176. TAO F B. Child and adolescent health[M]. 8th. Beijing: People's Medical Publishing House, 2017: 175-176. (in Chinese)
[5]	亓德云, 李丽平, 江艳微, 等. 上海市虹口区儿童青少年脊柱弯曲异常现状及影响因素分析[J]. 中国学校卫生, 2021, 42(3): 444-447, 453. doi: 10.16835/j.cnki.1000-9817.2021.03.030 QI D Y, LI L P, JIANG Y W, et al. Abnormal spinal curvature and influencing factors in children and adolescents in Hongkou District, Shanghai[J]. Chin J Sch Health, 2021, 42(3): 444-447, 453. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2021.03.030
[6]	李梦, 曲亚斌, 孙艺, 等. 广东省中小学生脊柱侧凸流行特征及影响因素分析[J]. 中国学校卫生, 2022, 43(2): 292-295. doi: 10.16835/j.cnki.1000-9817.2022.02.030 LI M, QU Y B, SUN Y, et al. Epidemiological characteristics and influencing factors of scoliosis in primary and secondary school students in Guangdong Province[J]. Chin J Sch Health, 2022, 43(2): 292-295. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2022.02.030
[7]	WEINSTEIN S, DOLAN L, SPRATT K, et al. Health and function of patients with untreated idiopathic scoliosis[J]. JAMA, 2003, 289(5): 559-567. doi: 10.1001/jama.289.5.559
[8]	HA A S, BEAUCHAMP E C. Editorial on "Screening for adolescent idiopathic scoliosis: US preventive services task force recommendation statement"[J]. J Spine Surg, 2018, 4(4): 812-816. doi: 10.21037/jss.2018.10.04
[9]	BALAGUÉ F, PELLISÉ F. Adolescent idiopathic scoliosis and back pain[J]. Scoliosis Spinal Dis, 2016, 11(1): 27. doi: 10.1186/s13013-016-0086-7
[10]	李尚乐, 张强, 荣霞. 西藏地区中小学生脊柱弯曲异常状况分析[J]. 中国学校卫生, 2021, 42(9): 1384-1387. doi: 10.16835/j.cnki.1000-9817.2021.09.026 LI S L, ZHANG Q, RONG X. Abnormal spinal curvature in primary and secondary school students in Tibet[J]. Chin J Sch Health, 2021, 42(9): 1384-1387. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2021.09.026
[11]	LIN Z, GAO T Y, VASUDEVAN B, et al. Near work, outdoor activity, and myopia in children in rural China: the Handan offspring myopia study[J]. BMC Ophthalmol, 2017, 17(1): 203. doi: 10.1186/s12886-017-0598-9
[12]	YOU X, WANG L, TAN H, et al. Near work related behaviors associated with myopic shifts among primary school students in the jiading district of shanghai: a school-based one-year cohort study[J]. PLoS One, 2016, 11(5): e0154671. doi: 10.1371/journal.pone.0154671
[13]	黄立民, 王艳, 潘臣炜, 等. 近视队列江苏省中部地区2年追踪调查结果[J]. 中国学校卫生, 2022, 43(9): 1298-1300. doi: 10.16835/j.cnki.1000-9817.2022.09.005 HUANG L M, WANG Y, PAN C W, et al. Two-year follow-up of myopia cohort in central Jiangsu Province[J]. Chin J Sch Health, 2022, 43(9): 1298-1300. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2022.09.005
[14]	潘臣炜. 积极探索可控性环境和行为因素在儿童青少年近视防控中的作用[J]. 中国学校卫生, 2022, 43(9): 1281-1283. doi: 10.16835/j.cnki.1000-9817.2022.09.001 PAN C W. Actively explore the role of controllable environmental and behavioral factors in the prevention and control of myopia among children and adolescents[J]. Chin J Sch Health, 2022, 43(9): 1281-1283. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2022.09.001
[15]	王富百慧, 李雅倩, 郭晓丹, 等. 久坐时间、身体活动与青少年身体姿态异常[J]. 中国青年研究, 2021(6): 5-12. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGQL202106002.htm WANG F B H, LI Y Q, GUO X D, et al. Sedentary time, physical activity and abnormal body posture in adolescents[J]. Chin Youth Stud, 2021(6): 5-12. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZGQL202106002.htm
[16]	张书豪, 李富丽, 刘梦迪, 等. 儿童青少年脊柱侧凸筛查与保守治疗的研究进展[J]. 中国学校卫生, 2022, 43(9): 1423-1427. doi: 10.16835/j.cnki.1000-9817.2022.09.035 ZHANG S H, LI F L, LIU M D, et al. Research progress in screening and conservative treatment of scoliosis in children and adolescents[J]. Chin J Sch Health, 2022, 43(9): 1423-1427. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2022.09.035
[17]	JEON K, KIM D I. The association between low body weight and scoliosis among Korean elementary school students[J]. Int J Env Res Public Health, 2018, 15(12): 2613.