Volume 20 Issue 8
Aug.  2022
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GUO Hai-bin, HUANG Jiao-ling, JIN Hong-fang, ZHOU Xuan, CHEN Nan, LI Xin, YANG Yu-qi, DU Qing. Investigation of children's scoliosis and analysis of related factors in Qinghai Province[J]. Chinese Journal of General Practice, 2022, 20(8): 1273-1276. doi: 10.16766/j.cnki.issn.1674-4152.002575
Citation: GUO Hai-bin, HUANG Jiao-ling, JIN Hong-fang, ZHOU Xuan, CHEN Nan, LI Xin, YANG Yu-qi, DU Qing. Investigation of children's scoliosis and analysis of related factors in Qinghai Province[J]. Chinese Journal of General Practice, 2022, 20(8): 1273-1276. doi: 10.16766/j.cnki.issn.1674-4152.002575

Investigation of children's scoliosis and analysis of related factors in Qinghai Province

doi: 10.16766/j.cnki.issn.1674-4152.002575
Funds:

 81972030

 202040292

 2019SY021

 CKY2021-50

 SHDC2020CR3041B

  • Received Date: 2021-10-16
    Available Online: 2022-09-26
  •   Objective  To explore and study the incidence of scoliosis in children aged 5-18 years in Qinghai Province, provide a theoretical reference for the prevention of scoliosis.  Methods  From October 2020 to February 2021, three districts were selected from Xining City and Haidong City, Qinghai Province, by simple random sampling and two primary schools (partially including preschool classes) and two junior high schools were selected from each district by using stratified cluster sampling. Classes (1-2) were selected for each grade and a total of 12 schools and 3 582 children were selected as the research objects. Scoliosis screening and questionnaire surveys were performed. SPSS 25.0 statistical software was used to process and analyse the collected data and the related factors affecting scoliosis were summarised.  Results  The positive rate of screening for abnormal spine curvature was 5.6% (201/3 582). Amongst them, the positive rate of children over 10 years was 9.2% (143/1 549) and the positive rate of children less than 10 years was 2.9% (58/2 033). Univariate analysis showed that adolescence, rural household registration, low annual family income, low parents' educational level, parents' occupations as herders, birth season and parity may be factors influencing the onset of scoliosis (all P < 0.05). Multivariate unconditional logistics regression model showed that age growth, weight gain, father's occupation as herder (compared with farmer), mother's occupation as herder (compared with farmer), wholly-owned retail shops and odd jobs were risk factors for scoliosis. Meanwhile, height increase, increased BMI, second child and above, born in autumn, urban household registration and mother's high education were protective factors for the onset of scoliosis (all P < 0.05).  Conclusion  The children in Qinghai are more susceptible to scoliosis due to their parents' occupational characteristics (herders), education level, lower family income and rural household registration. The incidence of scoliosis in adolescents is relatively higher. Spinal deformities must be detected in clinic in time, risk factors must be explored, effective measures to cultivate good habits must be formulated to promote spine health, and the occurrence and progression of scoliosis must be actively prevented.

     

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  • [1]
    NEGRINI S, DONZELLI S, AULISA A G, et al. 2016 SOSORT guidelines: Orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth[J]. Scoliosis Spinal Disord, 2018, 13(1): 3. doi: 10.1186/s13013-017-0145-8
    [2]
    YILMAZ H, ZATERI C, KUSVURAN OZKAN A, et al. Prevalence of adolescent idiopathic scoliosis in Turkey: An epidemiological study[J]. Spine J, 2020, 20(6): 947-955. doi: 10.1016/j.spinee.2020.01.008
    [3]
    ADAMCZEWSKA K, WIERNICKA M, MALCHROWICZ-MOŚKO E, et al. The angle of trunk rotation in school children: A study from an idiopathic scoliosis screening. Prevalence and optimal age screening value[J]. Int J Environ Res Public Health, 2019, 16(18): 3426. doi: 10.3390/ijerph16183426
    [4]
    龙凤, 魏海亮, 梁宇霆, 等. 2015年海淀区青少年脊柱侧弯发生率及其危险因素分析[J]. 中国公共卫生, 2020, 36(10): 1496-1498. doi: 10.11847/zgggws1124441

    LONG F, WEI H L, LIANG Y T, et al. Prevalence and risk factors of scoliosis among senior high school graduates in Haidian district of Beijing, 2015[J]. Chinese Journal of Public Health, 2020, 36(10): 1496-1498. doi: 10.11847/zgggws1124441
    [5]
    唐倩如, 祝明利, 商毅, 等. 上海市原静安区在校初中生青少年特发性脊柱侧弯患病率的调查[J]. 国际骨科学杂志, 2017, 38(3): 205-206. doi: 10.3969/j.issn.1673-7083.2017.03.015

    TANG Q R, ZHU M L, SHANG Y, et al. A survey on the prevalence of idiopathic scoliosis among junior high school students in the former Jing' an District of Shanghai[J]. International Journal of Orthopaedics, 2017, 38(3): 205-206. doi: 10.3969/j.issn.1673-7083.2017.03.015
    [6]
    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(Phila Pa 1976), 2015, 40(1): 41-49. doi: 10.1097/BRS.0000000000000664
    [7]
    DU Q, ZHOU X, NEGRINI S, et al. Scoliosis epidemiology is not similar all over the world: A study from a scoliosis school screening on Chongming Island (China)[J]. BMC Musculoskelet Disord, 2016, 17: 303. doi: 10.1186/s12891-016-1140-6
    [8]
    THÉROUX J, LE MAY S, HEBERT J J, et al. Back pain prevalence is associated with curve-type and severity in adolescents with idiopathic scoliosis: A cross-sectional study[J]. Spine(Phila Pa 1976), 2017, 42(15): E914-E919. doi: 10.1097/BRS.0000000000001986
    [9]
    陈梦婕, 罗义, 马琪超, 等. 青少年特发性脊柱侧弯的冠状位平衡与足底压力的相关性[J]. 中华全科医学, 2020, 18(4): 542-546. doi: 10.16766/j.cnki.issn.1674-4152.001293

    CHEN M J, LUO Y, MA Q C, et al. Correlation between coronal balance and static plantar pressure in children with adolescent idiopathic scoliosis[J]. Chinese Journal of General Practice, 2020, 18(4): 542-546. doi: 10.16766/j.cnki.issn.1674-4152.001293
    [10]
    农工党中央. 关于尽快开展儿童青少年脊柱侧弯防控工作的提案[J]. 前进论坛, 2020, 27(7): 60. https://www.cnki.com.cn/Article/CJFDTOTAL-QJLT202007043.htm

    Chinese Peasants and Workers Democratic Party. Proposal for the prevention and control of scoliosis in children and adolescents as soon as possible[J]. Forward Forum, 2020, 27(7): 60. https://www.cnki.com.cn/Article/CJFDTOTAL-QJLT202007043.htm
    [11]
    ADAMCZEWSKA K, WIERNICKA M, KAMIÑSKA E, et al. Annual observation of changes in the angle of trunk rotation. Trunk asymmetry predictors. A study from a scoliosis screening in school adolescents[J]. Int J Environ Res Public Health, 2020, 17(6): 1899. doi: 10.3390/ijerph17061899
    [12]
    姚泉丞, 蓝常贡. 青少年特发性脊柱侧弯易感性与相关基因多态性研究进展[J]. 中华实用诊断与治疗杂志, 2020, 34(8): 855-857. doi: 10.13507/j.issn.1674-3474.2020.08.026

    YAO Q C, LAN C G. Adavances in adolescent idiopathic scoliosis susceptibility and related gene polymorphisms[J]. Journal of Chinese Practical Diagnosis and Therapy, 2020, 34(8): 855-857. doi: 10.13507/j.issn.1674-3474.2020.08.026
    [13]
    OETGEN M E, HEYER J H, KELLY S M. Scoliosis screening[J]. J Am Acad Orthop Surg, 2021, 29(9): 370-379. doi: 10.5435/JAAOS-D-20-00356
    [14]
    KUZNIA A L, HERNANDEZ A K, LEE L U. Adolescent idiopathic scoliosis: Common questions and answers[J]. Am Fam Physician, 2020, 101(1): 19-23.
    [15]
    COELHO D M, BONAGAMBA G H, OLIVEIRA A S. Scoliometer measurements of patients with idiopathic scoliosis[J]. Braz J Phys Ther, 2013, 17(2): 179-184. doi: 10.1590/S1413-35552012005000081
    [16]
    SUDO H, KOKABU T, ABE Y, et al. Automated noninvasive detection of idiopathic scoliosis in children and adolescents: A principle validation study[J]. Sci Rep, 2018, 8(1): 17714. doi: 10.1038/s41598-018-36360-w
    [17]
    TARRANT R C, QUEALLY J M, MOORE D P, et al. Prevalence and impact of low body mass index on outcomes in patients with adolescent idiopathic scoliosis: A systematic review[J]. Eur J Clin Nutr, 2018, 72(11): 1463-1484. doi: 10.1038/s41430-018-0095-0
    [18]
    GOODBODY C M, ASZTALOS I B, SANKAR W N, et al. It' s not just the big kids: Both high and low BMI impact bracing success for adolescent idiopathic scoliosis[J]. J Child Orthop, 2016, 10(5): 395-404. doi: 10.1007/s11832-016-0763-3
    [19]
    NEGRINI S, DONZELLI S, LUSINI M, et al. The effectiveness of combined bracing and exercise in adolescent idiopathic scoliosis based on SRS and SOSORT criteria: A prospective study[J]. BMC Musculoskelet Disord, 2014, 15: 263. doi: 10.1186/1471-2474-15-263
    [20]
    KAROL L A, WINGFIELD J J, VIROSTEK D, et al. The influence of body habitus on documented brace wear and progression in adolescents with idiopathic scoliosis[J]. J Pediatr Orthop, 2020, 40(3): e171-e175. doi: 10.1097/BPO.0000000000001420
    [21]
    MARGALIT A, MCKEAN G, CONSTANTINE A, et al. Body mass hides the curve: Thoracic scoliometer readings vary by body mass index value[J]. J Pediatr Orthop, 2017, 37(4): e255-e260. doi: 10.1097/BPO.0000000000000899
    [22]
    GILBERT S R, SAVAGE A J, WHITESELL R, et al. BMI and magnitude of scoliosis at presentation to a specialty clinic[J]. Pediatrics, 2015, 135(6): e1417-e1424. doi: 10.1542/peds.2014-2000
    [23]
    胡乾. 规模经济视角下中国城乡收入差距原因分析[J]. 贵州师范大学学报(社会科学版), 2021, 46(3): 34-44. https://www.cnki.com.cn/Article/CJFDTOTAL-GZSF202103004.htm

    HU Q. Analysis of the causes of China's urban-rural income gap between areas in China from the perspective of scale economy[J]. Journal of Guizhou Normal University(Social Sciences), 2021, 46(3): 34-44. https://www.cnki.com.cn/Article/CJFDTOTAL-GZSF202103004.htm
    [24]
    梅红, 王璇, 司如雨. 西部农村家庭父母教育卷入现状及成效: 基于陕西省宁强县4 643份数据的实证研究[J]. 西北农林科技大学学报(社会科学版), 2019, 19(2): 65-73. https://www.cnki.com.cn/Article/CJFDTOTAL-NLXS201902009.htm

    MEI H, WANG X, SI R Y. Status and effect of parents' education involvement in in western rural families: Empirical research based on Ningqiang County (2017) data of Shaanxi Province[J]. Journal of Northwest A & F University(Social Science Edition), 2019, 19(2): 65-73. https://www.cnki.com.cn/Article/CJFDTOTAL-NLXS201902009.htm
    [25]
    周祖辉, 吴卫军, 徐艳萍, 等. 基于家庭因素视角下的学生体质健康研究[J]. 体育科技文献通报, 2018, 26(9): 18-19, 88. https://www.cnki.com.cn/Article/CJFDTOTAL-SPOR201809008.htm

    ZHOU Z H, WU W J, XU Y P, et al. Students' fitness reseach from family factors[J]. Bulletin of Sport Science & Technology, 2018, 26(9): 18-19, 88. https://www.cnki.com.cn/Article/CJFDTOTAL-SPOR201809008.htm
    [26]
    罗巧, 向丹, 殷佳. 广安市青少年健康素养现状及其影响因素分析[J]. 社会与公益, 2020, 11(11): 58-62. https://www.cnki.com.cn/Article/CJFDTOTAL-SHGI202011020.htm

    LUO Q, XIANG D, YIN J. Status and influencing factors of adolescent health literacy in Guang' an City[J]. Society and Public Welfare, 2020, 11(11): 58-62. https://www.cnki.com.cn/Article/CJFDTOTAL-SHGI202011020.htm
    [27]
    邹艳, 章荣华, 陈丽艳, 等. 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. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYFX202105008.htm

    ZOU Y, ZHANG R H, CHEN L Y, et al. Influencing factors for abnormal of the angle of trunk rotation in primary and secondary school students[J]. Preventive Medicine, 2021, 33(5): 462-467. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYFX202105008.htm
    [28]
    任丽慧. 扎实推进民族团结和边疆稳固视角下的内蒙古牧区公共服务供给研究[J]. 内蒙古统战理论研究, 2020(6): 38-42. https://www.cnki.com.cn/Article/CJFDTOTAL-LMTZ202006011.htm

    REN L H. Research on the supply of public services in pastoral areas of Nei Mongol from the perspective of solidly promoting national unity and frontier stability[J]. Research on United Front Theory of Nei Mongol, 2020(6): 38-42. https://www.cnki.com.cn/Article/CJFDTOTAL-LMTZ202006011.htm
    [29]
    GINÉS-DÍAZ A, MARTINEZ-ROMERO M T, CEJUDO A, et al. Sagittal spinal morphotype assessment in dressage and show jumping riders[J]. J Sport Rehabil, 2019, 29(5): 1-23.
    [30]
    SCHROTER C, SCHULTE-SUTUM A, ZECKEY C, et al. Accidents in equestrian sports: Analysis of injury mechanisms and patterns[J]. Unfallchirurg, 2017, 120(2): 129-138.
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