Volume 44 Issue 8
Aug.  2023
Turn off MathJax
Article Contents
ZENG Jie, ZHOU Liang, REN Qiaoqiao, ZHU Hongbin, ZHANG Li. Abnormal spinal curvature and associated factors among primary and secondary school students in Sichuan Province[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(8): 1130-1133. doi: 10.16835/j.cnki.1000-9817.2023.08.003
Citation: ZENG Jie, ZHOU Liang, REN Qiaoqiao, ZHU Hongbin, ZHANG Li. Abnormal spinal curvature and associated factors among primary and secondary school students in Sichuan Province[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(8): 1130-1133. doi: 10.16835/j.cnki.1000-9817.2023.08.003

Abnormal spinal curvature and associated factors among primary and secondary school students in Sichuan Province

doi: 10.16835/j.cnki.1000-9817.2023.08.003
  • Received Date: 2023-04-11
  • Rev Recd Date: 2023-05-21
  • Available Online: 2023-08-26
  • Publish Date: 2023-08-25
  •   Objective  To investigate abnormal spinal curvature among primary and secondary school students in Sichuan Province, so as to provide evidence for scientific prevention.  Methods  Using a stratified cluster random sampling method, a total of 210 713 students of grade 4 to grade 12 from 21 cities (prefectures) in Sichuan Province were selected for spinal curvature screening and questionnaire survey from September to November 2022. Chi-square test and multivariate Logistic regression model were used to analyze the influencing factors of abnormal spinal curvature.  Results  The detection rate of abnormal spinal curvature was 3.42%, with urban areas (4.54%) higher than that in suburban areas(2.57%), girls (3.86%) higher than that in boys(2.98%), high school students (4.70%) higher than that in middle school students (3.80%) and elementary school students(2.21%), the differences were statistically significant (χ2=606.96, 123.81, 645.24, P < 0.01). Multivariate Logistic regression analysis showed that urban area, junior and senior high school, girl, carrying backpack on one shoulder, desks and chairs adjusted for student height less than ≤1 time every school year, moderate-to-vigorous physical activity less than 1 h per week, and indoors sedentary time more than 10 h/d were positively associated with abnormal spinal curvature (OR=1.72, 1.75, 1.87, 1.26, 1.09, 1.07, 1.10, 1.25, P < 0.05).  Conclusion  The detection rate of abnormal spinal curvature of primary and secondary school students may be affected by the urbanicity, educational stage as well as gender in Sichuan Province. More attention should be paid to urban high school girls, and targeted strategies should be explored to reduce the incidence of abnormal spinal curvature.
  • loading
  • [1]
    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]. 8 ed. Beijing: People's Medical Publishing House, 2017: 175-176. (in Chinese)
    [2]
    中华人民共和国国家卫生健康委员会宣传司. 2021年7月13日新闻发布会文字实录[EB/OL]. (2021-07-13)[2023-04-06]. http://www.nhc.gov.cn/xcs/s3574/202107/2fef24a3b77246fc9fb36dc8943af700.shtml.

    Publicity Department of National Health Commission of the PRC. Transcript of press conference on July 13, 2021[EB/OL]. (2021-07-13)[2023-04-06]. http://www.nhc.gov.cn/xcs/s3574/202107/2fef24a3b77246fc9fb36dc8943af700.shtml. (in Chinese)
    [3]
    儿童青少年脊柱弯曲异常防控技术指南编写组, 马军. 《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, MA J. 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
    [4]
    HAN J, PARK S, KIM Y, et al. Effects of forward head posture on forced vital capacity and respiratory muscles activity[J]. J Phys Ther Sci, 2016, 28(1): 128-131. doi: 10.1589/jpts.28.128
    [5]
    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.

    National Health and Family Planning Commission of the PRC. Screening of spinal curvature abnormality of children and adolescents: GB/T 16133-2014[S]. Beijing: China Standards Press, 2014. (in Chinese)
    [6]
    中华人民共和国卫生部. 学生健康检查技术规范: GB/T 26343—2010[S]. 北京: 中国标准出版社, 2010.

    Ministry of Health of the PRC. Technical standard for physical examination for students: GB/T 26343-2010[S]. Beijing: China Standards Press, 2010. (in Chinese)
    [7]
    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.

    National Health and Family Planning Commission of the PRC. Screening standard for malnutrition of school-age children and adolescents: WS/T 456-2014[S]. Beijing: China Standards Press, 2014. (in Chinese)
    [8]
    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
    [9]
    许馨文, 周巧玲, 樊玉芳, 等. 甘肃省中小学生脊柱弯曲异常情况分析[J]. 中国初级卫生保健, 2022, 36(6): 93-94, 98. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGCW202206029.htm

    XU X W, ZHOU Q L, FAN Y F, et al. Analysis of abnormal spinal curvature among primary and secondary school students in Gansu Province[J]. Chin Prim Health Care, 2022, 36(6): 93-94, 98. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZGCW202206029.htm
    [10]
    陈静静, 孙锡杰, 李婉. 长三角地区中学生脊柱弯曲现状及影响因素[J]. 中国学校卫生, 2023, 44(1): 135-138. doi: 10.16835/j.cnki.1000-9817.2023.01.030

    CHEN J J, SUN X J, LI W. Spinal curvature and associated factors among middle school students in the Yangtze River Delta Region[J]. Chin J Sch Health, 2023, 44(1): 135-138. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2023.01.030
    [11]
    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
    [12]
    赵菊芳, 魏娜娜, 赵静, 等. 呼和浩特市中小学生脊柱弯曲异常现状[J]. 中国学校卫生, 2023, 44(2): 295-298. doi: 10.16835/j.cnki.1000-9817.2023.02.031

    ZHAO J F, WEI N N, ZHAO J, et al. Spinal curvature disorders among primary and middle school students in Hohhot[J]. Chin J Sch Health, 2023, 44(2): 295-298. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2023.02.031
    [13]
    文献英, 徐浩天, 刘念, 等. 2019年绵阳市7~18岁中小学生脊柱弯曲异常调查结果分析[J]. 预防医学情报杂志, 2021, 37(6): 828-832. https://www.cnki.com.cn/Article/CJFDTOTAL-YFYX202106018.htm

    WEN X Y, XU H T, LIU N, et al. Investigation on abnormal spinal curvature of students of 7 to 18 years old in Mianyang City[J]. J Prev Med Inf, 2021, 37(6): 828-832. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-YFYX202106018.htm
    [14]
    孙艺, 刘伟佳, 熊莉华, 等. 广州市中学生脊柱侧弯现状及影响因素分析[J]. 中国学校卫生, 2021, 42(12): 1865-1870, 1873. doi: 10.16835/j.cnki.1000-9817.2021.12.026

    SUN Y, LIU W J, XIONG L H, et al. Scoliosis and associated factors among middle school students in Guangzhou City[J]. Chin J Sch Health, 2021, 42(12): 1865-1870, 1873. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2021.12.026
    [15]
    BYLSKI-AUSTROW D I, GLOS D L, WALL E J, et al. Scoliosis vertebral growth plate histomorphometry: comparisons to controls, growth rates, and compressive stresses[J]. J Orthop Res, 2018, 36(9): 2450-2459.
    [16]
    申翠梅, 朱厚伟, 张勇. 书包重量对小学生身体姿态影响的生物力学分析[C]//中国体育科学学会. 第十一届全国体育科学大会论文摘要汇编. 北京, 2019: 3427-3429.

    SHEN C M, ZHU H W, ZHANG Y. Biomechanical analysis of the influence of schoolbag weight on pupils' body posture[C]//China Sport Science Society. Compendium of abstracts of the Eleventh National Sports Science Congress. Beijing, 2019: 3427-3429. (in Chinese)
    [17]
    张献伟, 孙志颖, 刘忠慧, 等. 天津市中学生脊柱侧弯流行特征及影响因素分析[J]. 中国学校卫生, 2023, 44(1): 115-118. doi: 10.16835/j.cnki.1000-9817.2023.01.025

    ZHANG X W, SUN Z Y, LIU Z H, et al. Analysis of epidemiological characteristics and influencing factors of scoliosis among middle school students in Tianjin[J]. Chin J Sch Health, 2023, 44(1): 115-118. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2023.01.025
    [18]
    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/OL]. 中国儿童保健杂志. (2023-03-14)[2023-04-06]. https://kns.cnki.net/kcms/detail/61.1346.R.20230313.1613.064.html.

    ZHANG S, ZHAO L, YANG Y, et al. Meta-analysis of risk factors for abnormal spinal curvature in adolescents[J/OL]. Chin J Child Health Care. (2023-03-14)[2023-04-06]. https://kns.cnki.net/kcms/detail/61.1346.R.20230313.1613.064.html. (in Chinese)
    [19]
    KARIIPPANON K E, CLIFF 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.
    [20]
    王富百慧, 王元超, 谭芷晔. 同伴支持行为对青少年身体活动的影响研究[J]. 中国体育科技, 2018, 54(5): 18-24. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGTY201805003.htm

    WANG F B H, WANG Y C, TAN Z Y. The influence of partner support behavior on adolescents' physical activity[J]. Chin Sport Sci Technol, 2018, 54(5): 18-24. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZGTY201805003.htm
    [21]
    WHO. Global recommendations on physical activity for health[EB/OL]. (2010-01-01)[2023-04-06]. https://www.who.int/publications/i/item/9789241599979.
    [22]
    唐倩倩, 陈玉华. 大学新生脊柱侧弯患者的生活行为习惯调查[J]. 湖北理工学院学报, 2021, 37(3): 51-54. https://www.cnki.com.cn/Article/CJFDTOTAL-HSGD202103011.htm

    TANG Q Q, CHEN Y H. Investigation on life and behavioral habits of scoliosis patients among college freshmen[J]. J Hubei Polytechnic Univ, 2021, 37(3): 51-44. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-HSGD202103011.htm
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(2)

    Article Metrics

    Article views (393) PDF downloads(90) Cited by()
    Proportional views

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return