The correlation between scoliosis and nutritional status among junior high school students in Shanghai city in 2022

ObjectiveTo investigate the association between scoliosis and nutritional status among junior high school students in Shanghai city and to provide a basis for the prevention and control of scoliosis in children and adolescents. MethodsFrom September to October 2022, a multi-stage stratified cluster...

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Main Authors: Wenjuan QI, Fengyun ZHANG, Yanting YANG, Liting CHU, Yuting HUANG, Shenglei HUANG, Keyang ZHENG, Dongling YANG, Chunyan LUO
Format: Article
Language:zho
Published: Editorial Office of Chinese Journal of Public Health 2025-04-01
Series:Zhongguo gonggong weisheng
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Online Access:https://www.zgggws.com/article/doi/10.11847/zgggws1144427
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author Wenjuan QI
Fengyun ZHANG
Yanting YANG
Liting CHU
Yuting HUANG
Shenglei HUANG
Keyang ZHENG
Dongling YANG
Chunyan LUO
author_facet Wenjuan QI
Fengyun ZHANG
Yanting YANG
Liting CHU
Yuting HUANG
Shenglei HUANG
Keyang ZHENG
Dongling YANG
Chunyan LUO
author_sort Wenjuan QI
collection DOAJ
description ObjectiveTo investigate the association between scoliosis and nutritional status among junior high school students in Shanghai city and to provide a basis for the prevention and control of scoliosis in children and adolescents. MethodsFrom September to October 2022, a multi-stage stratified cluster sampling method was used to select 10 710 junior high school students from 16 districts in Shanghai city for scoliosis screening, anthropometric measurements, and questionnaire surveys. A two-level ordered multi-categorical logistic regression analysis was used to analyze the association between scoliosis and nutritional status. ResultsThe positive rate of scoliosis screening among junior high school students in Shanghai city was 1.93%, and the positive rate of poor posture was 4.04%. The positive rate of scoliosis in girls (2.70%) was higher than that in boys (1.22%) (χ2=32.217, P<0.001). The positive rate of scoliosis increased with grade (χ2=12.689, P<0.001). The positive rate of scoliosis in students from economically better-off areas (2.27%) was higher than that in students from moderately (1.66%) and less well-off areas (1.67%) (χ2=55.092, P<0.001). Univariate analysis found that moderately and severely underweight boys (OR=2.478, 95%CI: 1.316–4.665) had a higher risk of scoliosis than students of normal weight, and the same was true for girls (OR=2.455, 95%CI: 1.302–4.630). Among boys, overweight (OR=0.526, 95%CI: 0.371–0.746) and obese (OR= 0.472, 95%CI: 0.334–0.667) students had a lower risk of scoliosis than students of normal weight. Among girls, only obese students (OR=0.572, 95%CI: 0.380–0.861) had a lower risk of scoliosis than students of normal weight. After adjusting for confounding factors such as grade, economic status of the area, maternal education level, reading and writing posture, mobile electronic device usage time, sedentary time, frequency of desk and chair adjustment, and frequency of left and right seat adjustment, the two-level ordered multi-categorical logistic regression analysis showed that moderately and severely underweight boys (OR=2.442, 95%CI: 1.282–4.651) and girls (OR=2.495, 95%CI: 1.315–4.732) still had a higher risk of scoliosis than students of normal weight. Overweight (OR=0.522, 95%CI: 0.367–0.743) and obese boys (OR=0.481, 95%CI: 0.339–0.682) had a lower risk of scoliosis than normal-weight boys, and obese girls (OR=0.544, 95%CI: 0.362–0.822) had a lower risk of scoliosis than normal-weight girls. ConclusionsJunior high school students in Shanghai with low body weight have a high risk of scoliosis, while those with high body weight have a low risk of scoliosis. It is necessary to pay close attention to the risk of scoliosis in underweight students to achieve early screening, early detection, and early intervention.
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spelling doaj-art-252fe8e36bf84eb3ab98ccbc16d3f65a2025-08-20T03:22:03ZzhoEditorial Office of Chinese Journal of Public HealthZhongguo gonggong weisheng1001-05802025-04-0141442643110.11847/zgggws11444271144427The correlation between scoliosis and nutritional status among junior high school students in Shanghai city in 2022Wenjuan QI0Fengyun ZHANG1Yanting YANG2Liting CHU3Yuting HUANG4Shenglei HUANG5Keyang ZHENG6Dongling YANG7Chunyan LUO8Institute of Child and Adolescent Health, Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, ChinaInstitute of Child and Adolescent Health, Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, ChinaInstitute of Child and Adolescent Health, Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, ChinaInstitute of Child and Adolescent Health, Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, ChinaInstitute of Child and Adolescent Health, Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, ChinaInstitute of Child and Adolescent Health, Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, ChinaInstitute of Child and Adolescent Health, Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, ChinaInstitute of Child and Adolescent Health, Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, ChinaInstitute of Child and Adolescent Health, Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, ChinaObjectiveTo investigate the association between scoliosis and nutritional status among junior high school students in Shanghai city and to provide a basis for the prevention and control of scoliosis in children and adolescents. MethodsFrom September to October 2022, a multi-stage stratified cluster sampling method was used to select 10 710 junior high school students from 16 districts in Shanghai city for scoliosis screening, anthropometric measurements, and questionnaire surveys. A two-level ordered multi-categorical logistic regression analysis was used to analyze the association between scoliosis and nutritional status. ResultsThe positive rate of scoliosis screening among junior high school students in Shanghai city was 1.93%, and the positive rate of poor posture was 4.04%. The positive rate of scoliosis in girls (2.70%) was higher than that in boys (1.22%) (χ2=32.217, P<0.001). The positive rate of scoliosis increased with grade (χ2=12.689, P<0.001). The positive rate of scoliosis in students from economically better-off areas (2.27%) was higher than that in students from moderately (1.66%) and less well-off areas (1.67%) (χ2=55.092, P<0.001). Univariate analysis found that moderately and severely underweight boys (OR=2.478, 95%CI: 1.316–4.665) had a higher risk of scoliosis than students of normal weight, and the same was true for girls (OR=2.455, 95%CI: 1.302–4.630). Among boys, overweight (OR=0.526, 95%CI: 0.371–0.746) and obese (OR= 0.472, 95%CI: 0.334–0.667) students had a lower risk of scoliosis than students of normal weight. Among girls, only obese students (OR=0.572, 95%CI: 0.380–0.861) had a lower risk of scoliosis than students of normal weight. After adjusting for confounding factors such as grade, economic status of the area, maternal education level, reading and writing posture, mobile electronic device usage time, sedentary time, frequency of desk and chair adjustment, and frequency of left and right seat adjustment, the two-level ordered multi-categorical logistic regression analysis showed that moderately and severely underweight boys (OR=2.442, 95%CI: 1.282–4.651) and girls (OR=2.495, 95%CI: 1.315–4.732) still had a higher risk of scoliosis than students of normal weight. Overweight (OR=0.522, 95%CI: 0.367–0.743) and obese boys (OR=0.481, 95%CI: 0.339–0.682) had a lower risk of scoliosis than normal-weight boys, and obese girls (OR=0.544, 95%CI: 0.362–0.822) had a lower risk of scoliosis than normal-weight girls. ConclusionsJunior high school students in Shanghai with low body weight have a high risk of scoliosis, while those with high body weight have a low risk of scoliosis. It is necessary to pay close attention to the risk of scoliosis in underweight students to achieve early screening, early detection, and early intervention.https://www.zgggws.com/article/doi/10.11847/zgggws1144427scoliosisoverweightobesitynutritional statusstudentsshanghai city
spellingShingle Wenjuan QI
Fengyun ZHANG
Yanting YANG
Liting CHU
Yuting HUANG
Shenglei HUANG
Keyang ZHENG
Dongling YANG
Chunyan LUO
The correlation between scoliosis and nutritional status among junior high school students in Shanghai city in 2022
Zhongguo gonggong weisheng
scoliosis
overweight
obesity
nutritional status
students
shanghai city
title The correlation between scoliosis and nutritional status among junior high school students in Shanghai city in 2022
title_full The correlation between scoliosis and nutritional status among junior high school students in Shanghai city in 2022
title_fullStr The correlation between scoliosis and nutritional status among junior high school students in Shanghai city in 2022
title_full_unstemmed The correlation between scoliosis and nutritional status among junior high school students in Shanghai city in 2022
title_short The correlation between scoliosis and nutritional status among junior high school students in Shanghai city in 2022
title_sort correlation between scoliosis and nutritional status among junior high school students in shanghai city in 2022
topic scoliosis
overweight
obesity
nutritional status
students
shanghai city
url https://www.zgggws.com/article/doi/10.11847/zgggws1144427
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