دورية أكاديمية

Postural habits and lifestyle factors associated with adolescent idiopathic scoliosis (AIS) in China: results from a big case–control study

التفاصيل البيبلوغرافية
العنوان: Postural habits and lifestyle factors associated with adolescent idiopathic scoliosis (AIS) in China: results from a big case–control study
المؤلفون: Jingfan Yang, Sizhe Huang, Mengyuan Cheng, Weiqing Tan, Junlin Yang
المصدر: Journal of Orthopaedic Surgery and Research, Vol 17, Iss 1, Pp 1-11 (2022)
بيانات النشر: BMC, 2022.
سنة النشر: 2022
المجموعة: LCC:Orthopedic surgery
LCC:Diseases of the musculoskeletal system
مصطلحات موضوعية: Adolescent idiopathic scoliosis, Risk factor, Epidemiology, AIS, Screening, Postural habits, Orthopedic surgery, RD701-811, Diseases of the musculoskeletal system, RC925-935
الوصف: Abstract Background Adolescent idiopathic scoliosis (AIS) is the most prevalent type of scoliosis affecting children between the ages of 10–16 years. However, risk factors for AIS, particularly the modifiable ones, are still largely unknown. This study aims to investigate the associations of lifestyle and social environment factors with AIS in Chinese schoolchildren. Methods This is a matched case–control study based on survey data collected from school-based scoliosis screening program. We used conditional logistic regression models to describe the relative risk of AIS incidence for each variable in the analyses. To examine the independent effect of each factor on developing AIS, a multivariate conditional logistic regression was conducted and odds ratios (ORs) were adjusted for age and other significant variables. Results Overall, 2538 participants from 49 schools were included in this study, comprising 1269 AIS cases and 1269 controls. Mean age of the study population was 13.4 years ± 1.06 (range 10–18). One thousand five hundred and fifty (61.1%) of the study subjects were girls. After adjusting for other significant factors, inappropriate desk heights, either too low (OR = 1.40, 95% CI 1.04–1.90) or too high (OR = 1.61, 95% CI 1.09–2.38), standing with anterior pelvic tilt (OR = 2.73, 95% CI 1.41–5.28), and sleeping on the right side (OR = 1.38, 95% CI 1.00–1.91), remained associated with elevated AIS risks. In contrast, sitting normally and classroom sitting positions change regularly were associated with lower odds of AIS. The adjusted ORs were 0.69 (95% CI 0.50–0.96) for sitting normally, and 0.72 (95% CI 0.53–0.98) for sitting positions change. Conclusions This is the first study to address the associations between desk heights and AIS and showed inappropriate desk heights were related to increased AIS risks. To protect school children from developing AIS, stakeholders are advised to consider introducing height-adjustable desks in the class, changing students’ sitting positions in the classroom on a regular basis, and implementing educational programs to help students maintain correct sitting postures.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 1749-799X
Relation: https://doaj.org/toc/1749-799X
DOI: 10.1186/s13018-022-03366-0
URL الوصول: https://doaj.org/article/69b4ff33f8134674906c499d6550109c
رقم الأكسشن: edsdoj.69b4ff33f8134674906c499d6550109c
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:1749799X
DOI:10.1186/s13018-022-03366-0