Abnormal spinal curvature and influencing factors in children and adolescents in Hongkou District, Shanghai

QI Deyun; LI Liping; JIANG Yanwei; ZHOU Yuan

doi:10.16835/j.cnki.1000-9817.2021.03.030

Volume 42 Issue 3

Apr. 2021

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Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2021 > 42(3): 444-447, 453

QI Deyun, LI Liping, JIANG Yanwei, ZHOU Yuan. Abnormal spinal curvature and influencing factors in children and adolescents in Hongkou District, Shanghai[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(3): 444-447, 453. doi: 10.16835/j.cnki.1000-9817.2021.03.030

Citation:

QI Deyun, LI Liping, JIANG Yanwei, ZHOU Yuan. Abnormal spinal curvature and influencing factors in children and adolescents in Hongkou District, Shanghai[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(3): 444-447, 453. doi: 10.16835/j.cnki.1000-9817.2021.03.030

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Abnormal spinal curvature and influencing factors in children and adolescents in Hongkou District, Shanghai

doi: 10.16835/j.cnki.1000-9817.2021.03.030

School Health and Ophthalmic Disease Prevention Department, Shanghai Hongkou District Center for Disease Control and Prevention, Shanghai(200082), China

Received Date: 2020-10-29
Rev Recd Date: 2020-11-11

Available Online: 2021-04-20

Publish Date: 2021-03-25

Abstract

Abstract

Objective To investigate the incidence of abnormal spinal curvature and related factors in primary and secondary school students in the Hongkou District of Shanghai, so as to provide evidence for abnormal spinal curvature prevention and treatment. Methods Using a stratified cluster random sampling method, 1 884 students of grade 4 to grade 12 from seven schools were investigated via questionnaires for abnormal spinal curvature in Hongkou District. Results The detectable rate of abnormal spinal curvature was 7.2%, The detectable rate of abnormal spinal curvature increased with increasing age(P < 0.01): senior high school (15.7%) > vocational high school (8.1%) > junior high school (3.4%) > primary school(1.8%)(χ²=91.24, P < 0.01). The detectable rate of spinal curvature among female students was 8.6%, which was higher than that among male students(5.9%), and the difference was significant(χ²=5.27, P < 0.05). Multivariate Logistic regression analysis showed that the factors influencing abnormal spinal curvature included phase of studying, nutritional status and time spent engaged in outdoor activities every day(P < 0.05). Conclusion Abnormal spinal curvature is one of the common conditions that endangers the health of children and adolescents. The collaboration of the school, students and parents is required to strengthen screening and prevention.
- Spinal curvatures,
- Prevalence,
- Regression analysis,
- Child,
- Adolescent

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References(19)

References

[1]	季成叶. 儿童青少年卫生学[M]. 7版. 北京: 人民卫生出版社, 2012: 149. JI C Y. Child and adolescent hygiene[M]. 7 th. Beijing: People's Medical Publishing House, 2012: 149.
[2]	STUART L W, LORI A D, KEVIN F S, et al. Health and function of patients with untreated idiopathic scoliosis: a 50-year natural history study[J]. JAMA, 2003, 289(5): 559-567. doi: 10.1001/jama.289.5.559
[3]	ALEX S H, EDUARDO C B. 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
[4]	曾晓东, 谢峥能, 钟小梅, 等. 泉州21668名中小学生脊柱弯曲异常调查[J]. 中国公共卫生, 2006, 22(8): 912. doi: 10.3321/j.issn:1001-0580.2006.08.010 ZENG X D, XIE Z N, ZHONG X M, et al. Investigation of abnormal spinal curvature in 21668 primary and middle school students in Quanzhou[J]. Chin J Public Health, 2006, 22(8): 912. doi: 10.3321/j.issn:1001-0580.2006.08.010
[5]	唐占英, 钱雪华, 王拥军, 等. 上海市在校小学生资柱侧凸现状调查分析研究[C]//中华中医药学会骨伤分会第四届第二次学术大会论文汇编, 2007. TANG Z Y, QIAN X H, WANG Y J, et al. Investigation and analysis on the present situation of scoliosis among primary school students in Shanghai[C]//Compilation of papers of the 4th 2nd Conference of bone Injury Branch of Chinese Association of Traditional Chinese Medicine, 2007.
[6]	王继军, 李自衡, 陈清普, 等. 中小学生脊柱正常弯曲异常调查报告[J]. 河南预防医学杂志, 1982, 14(3): 97-106. https://www.cnki.com.cn/Article/CJFDTOTAL-HNYF198203013.htm WANG J J, LI Z H, CHEN Q P, et al. Investigation on abnormal spinal curvature of primary and middle school students[J]. Henan J Prev Med, 1982, 14(3): 97-106. https://www.cnki.com.cn/Article/CJFDTOTAL-HNYF198203013.htm
[7]	都士兰, 杨双林, 王桂杰. 中小学生4168名脊柱弯曲异常调查分析[J]. 职业与健康, 2002, 15(7): 102-103. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYJK200207097.htm DU S L, YANG S L, WANG G J. Investigation and analysis of abnormal spinal curvature in 4168 primary and middle school students[J]. Occup Health, 2002, 15(7): 102-103. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYJK200207097.htm
[8]	邓万霞, 张金枝, 杜锐, 等. 襄阳市区中小学生脊柱弯曲异常现状及影响因素分析[J]. 中国校医, 2016, 30(4): 285-287. https://www.cnki.com.cn/Article/CJFDTOTAL-XIYI201604025.htm DENG W X, ZHANG J Z, DU R, et al. Abnormal spinal curvature situation and influencing factors in schoolchildren in Xiangyang City[J]. Chin J Sch Doct, 2016, 30(4): 285-287. https://www.cnki.com.cn/Article/CJFDTOTAL-XIYI201604025.htm
[9]	国家卫生健康委员会办公厅. 国家卫生健康委办公厅关于印发2019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]. 2019-03-29. General Office of National Health Commission. 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 2019[A]. 2019-03-29.
[10]	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]. 北京: 中国标准出版社, 2014: 1-5. National Health Commission of the People's Republic of China. Screening of spinal curvature abnormality of children and adolescents: GB/T 16133—2014[S]. Beijing: China Standards Press, 2014: 1-5.
[11]	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]. 北京: 中国标准出版社, 2014: 3-4. National Health Commission of the People's Republic of China. Screening standard for malnutrition of shool-age children and adolescents: WS/T 456-2014[S]. Beijing: China Standards Press, 2014: 3-4.
[12]	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]. 北京: 中国标准出版社, 2018: 1-3. National Health Commission of the People's Republic of China. Screening for overweight and obesity among school-age children and adolescents: WS/T 586-2018[S]. Beijing: China Standards Press, 2018: 1-3.
[13]	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, 2015, 40(1): 41-49. doi: 10.1097/BRS.0000000000000664
[14]	SEPEHR M J, MAHSA A, REZVAN H, et al. Screening of scoliosis in school children in Tehran: the prevalence rate of idiopathic scoliosis[J]. J Back Musculoskelet Rehabil, 2018, 31(4): 767-774. doi: 10.3233/BMR-171078
[15]	董彬, 霍卓平. 儿童青少年脊柱弯曲异常的防治[J]. 中国学校卫生, 2008, 29(12): 1163-1165. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS200812056.htm DONG B, HUO Z P. Prevention and treatment of abnormal spinal curvature in children and adolescents[J]. Chin J Sch Health, 2008, 29(12): 1163-1165. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS200812056.htm
[16]	MARIA C C C, JULIA S C, MARIANA A R, et al. Prevalence of scoliosis in public elementary school students[J]. Rev Paul Pediatr, 2017, 35(2): 191-198. doi: 10.1590/1984-0462/;2017;35;2;00008
[17]	李同泽, 宋淑华. 青少年体质健康测试中对脊柱异常筛查必要性及可行性的探讨[J]. 体育大视野, 2018, 8(35): 228-229. https://www.cnki.com.cn/Article/CJFDTOTAL-DYKJ201835130.htm LI T Z, SONG S H. Discussion on the necessity and feasibility of spine abnormality screening in adolescent physical health test[J]. Sports Vision, 2018, 8(35): 228-229. https://www.cnki.com.cn/Article/CJFDTOTAL-DYKJ201835130.htm
[18]	LONSTEIN J E, BJORKLUND S, WANNINGER M H, et al. Voluntary school screening for scoliosis in Minnesota[J]. J Bone Joint Surg Am, 1982, 64(4): 481-488. http://europepmc.org/abstract/med/6802853
[19]	SABIRIN J, BAKRI R, BUANG S N, et al. School scoliosis screening programme-a systematic review[J]. Med J Malays, 2010, 65(4): 261-267. http://www.ncbi.nlm.nih.gov/pubmed/21901941