6533b86dfe1ef96bd12c97de
RESEARCH PRODUCT
Risk Factors, Lifestyle and Prevention among Adolescents with Idiopathic Juvenile Scoliosis: A Cross Sectional Study in Eleven First-Grade Secondary Schools of Palermo Province, Italy.
Vitale FrancescoDaniele CuntreraPietro TerranaGiulia Letizia MauroFabio VitaglianiClaudia Emilia SannasardoVincenzo FalcoClaudio CostantinoDalila Scaturrosubject
medicine.medical_specialtyPediatricsAdolescentCross-sectional studyHealth Toxicology and MutagenesisPopulationback painScoliosisArticleidiopathic adolescent scoliosidysmorphism of the developmental ageRisk FactorsmedicineBack painHumanseducationChildLife Styleidiopathic adolescent scoliosis; risk factors; first-grade secondary school student; back pain; high risk sport; dysmorphism of the developmental age; preventive strategieseducation.field_of_studySchoolsCobb anglebusiness.industryPublic healthIncidence (epidemiology)Public Health Environmental and Occupational HealthRhigh risk sportmedicine.diseaseidiopathic adolescent scoliosisCross-Sectional Studiesfirst-grade secondary school studentrisk factorScoliosisEtiologyMedicinemedicine.symptombusinesspreventive strategiesdescription
Adolescent idiopathic scoliosis (AIS) has an incidence of 2–3% in the general population and a multifactorial etiology. The present study aims to analyze modifiable risk factors and their interactions in the development of AIS in order to increase knowledge about the disease and to prevent the evolution of AIS in young students with tailored public health strategies. A cross-sectional study was conducted over two consecutive school years among students attending 11 first-grade secondary schools in the province of Palermo, Italy. A self-administered questionnaire that investigated socio-demographical, physical and anamnestic characteristics and habits, focusing on possible risk factors associated with idiopathic scoliosis, was administered. In addition, a clinical evaluation was performed with Adams’ test and Bunnel’s inclinometer. Suspected AIS cases were associated with the practice of high-risk sports (p < 0.05), weekly physical activity lasting ≥3 h (p < 0.05), lower back pain (p < 0.001), posture disorders (p < 0.01) and having had no contact with a physician (p < 0.01). Practice of high-risk sports (adj OR = 1.83; CI 95% 1.11–4.76) and suffering of posture disorders (adj OR = 1.67; CI 95% 1.12–3.60) showed a significant association with a confirmed diagnosis of AIS (Cobb angle ≥ 10° at X-ray). The risk factors associated with AIS are still unclear. Therefore, it is crucial to identify early modifiable and multiple risk factors to prevent the evolution of scoliosis in school-age children.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2021-11-24 | International journal of environmental research and public health |