Association between  outdoor activity time of students and scoliosis

HUANG Kun; LI Xiuhong; WU Jiaqi; CHEN Jin; HAN Xiaopu; LIN Rong

doi:10.11852/zgetbjzz2024-0662

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Chinese Journal of Child Health Care ›› 2024, Vol. 32 ›› Issue (11) : 1190-1195. DOI: 10.11852/zgetbjzz2024-0662

Original Articles

Association between outdoor activity time of students and scoliosis

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

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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

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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 https://doi.org/10.11852/zgetbjzz2024-0662

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