户外活动时间与中小学生脊柱侧弯的关系

doi:10.11852/zgetbjzz2024-0662

中国儿童保健杂志 ›› 2024, Vol. 32 ›› Issue (11): 1190-1195.DOI: 10.11852/zgetbjzz2024-0662

户外活动时间与中小学生脊柱侧弯的关系

黄坤¹, 李秀红², 吴嘉琦¹, 陈金¹, 韩晓璞¹, 林蓉³

1.广州市白云区疾病预防控制中心监测二科,广东广州 510445;
2.中山大学公共卫生学院;
3.广州市疾病预防控制中心学校卫生部

收稿日期:2024-06-06 修回日期:2024-07-15 发布日期:2024-11-04 出版日期:2024-11-10
通讯作者: 李秀红,E-mail:lixh@mail.sysu.edu.cn
作者简介:黄坤( 1990-),女,硕士学位,主管医师,主要从事学校卫生等相关工作。
基金资助:
广州市卫生健康科技一般引导项目(20221A010077;20211A011055)

Association between outdoor activity time of students and scoliosis

HUANG Kun¹, LI Xiuhong², WU Jiaqi¹, CHEN Jin¹, HAN Xiaopu¹, LIN Rong³

1. The Second Monitoring Department,Center for Disease Control and Prevention of Guangzhou Baiyun District,Guangzhou,Guangdong 510445,China;
2. School of Public Health,Sun Yat-sen University;
3. Department of School Health,Centers for Disease Control and Prevention of Guangzhou

Received:2024-06-06 Revised:2024-07-15 Online:2024-11-10 Published:2024-11-04
Contact: LI Xiuhong,E-mail:lixh@mail.sysu.edu.cn

摘要/Abstract

摘要： 目的了解广州市白云区中小学生脊柱侧弯现状,分析户外活动时间与中小学生脊柱侧弯的关系,为制定脊柱侧弯行为干预措施提供依据。方法 2023年2月,采取分层整群抽样方法,抽取广州市白云区共6所中小学1 732名中小学生开展脊柱侧弯筛查和问卷调查,了解中小学生户外活动时间的分布,分析户外活动时间与中小学生脊柱侧弯的关系。结果广州市白云区脊柱侧弯异常检出率为4.85%(84/1 732)。不同学段脊柱侧弯检出率依次为:普通高中(6.52%) ＞初中(5.35%)＞小学(3.57%)＞职业高中(2.12%)。学生每天户外活动时间占比由多到少依次为＜1h(48.09%)、1～＜2h(36.95%)、2～＜3h(9.58%)、≥3h(5.37%)。＜1h户外活动时间报告率普通高中(59.09%)＞小学(53.15%)＞初中(42.60%)＞职业高中(22.22%)。控制混杂因素后,与每天户外活动时间＜1h相比,每天户外活动时间1~＜2h的中小学生发生脊柱侧弯风险较低(OR=0.52,95%CI:0.31~0.89,P＜0.05)。结论广州市白云区中小学生脊柱侧弯检出率高于全国平均水平,户外活动时间不足是脊柱侧弯的危险因素,应加强脊柱健康知识宣教并增加学生户外活动时间。

关键词: 脊柱侧弯, 户外活动时间, 回归分析, 学生

Abstract: Objective To investigate the prevalence of spinal scoliosis among primary and secondary school students in Baiyun District,Guangzhou,and to analyze the relationship between outdoor activity time and scoliosis,in order to provide basis for developing intervention measures for scoliosis. Methods A stratified cluster sampling method was used to select 1 732 primary and secondary school students from six schools in Baiyun District,Guangzhou in February 2023, for scoliosis screening and questionnaire survey.The distribution of outdoor activity time among students was investigated,and the relationship between outdoor activity time and scoliosis in primary and secondary school students was analyzed. Results The detection rate of abnormal scoliosis in Baiyun District was 4.85% (84/1 732).The highest detection rate of scoliosis was observed in general high schools (6.52%),followed by middle schools (5.35%),primary schools (3.57%),and vocational high schools (2.12%).The distribution of students' daily outdoor activity time was as follows:<1hour (48.09%),1-<2hours (36.95%),2-<3hours (9.58%),and ≥3hours (5.37%).The proportion of students reporting less than 1 hour of outdoor activity time per day was greatest in general senior high schools (59.09%),followed by primary schools (53.15%),junior high schools (42.60%),and vocational senior high schools (22.22%).After controlling for confounding factors,compared with less than 1 hour of daily outdoor activity time,students with 1 to less than 2 hours of daily outdoor activity time had a lower risk of scoliosis (OR=0.52,95% CI:0.31-0.89,P < 0.05). Conclusions The prevalence of scoliosis among primary and secondary school students in Baiyun District,Guangzhou is higher than the national average.Insufficient outdoor activity time is identified as a risk factor for spinal scoliosis.It is recommended to strengthen spinal health education and promote increased outdoor activity time among students.

Key words: scoliosis, outdoor activity time, regression analysis, students

中图分类号:

R179

黄坤, 李秀红, 吴嘉琦, 陈金, 韩晓璞, 林蓉. 户外活动时间与中小学生脊柱侧弯的关系[J]. 中国儿童保健杂志, 2024, 32(11): 1190-1195.

HUANG Kun, LI Xiuhong, WU Jiaqi, CHEN Jin, HAN Xiaopu, LIN Rong. Association between outdoor activity time of students and scoliosis[J]. Chinese Journal of Child Health Care, 2024, 32(11): 1190-1195.

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户外活动时间与中小学生脊柱侧弯的关系

Association between outdoor activity time of students and scoliosis

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