居家隔离对青少年特发性脊柱侧弯发病率的影响

Impact on the Orevalence of Idiopathic Scoliosis in Adolescents During Epidemic Prevention and Control

进行中小学生群体脊柱侧弯筛查是十分必要的,研究旨在探究居家隔离方式对青少年脊柱侧弯(AIS)发病率现状的影响。方法:对华东地区约4 000名青少年居家隔离前后进行了两次AIS筛查,AIS筛查包括三项测试:(1)目视检查,(2)Adam的测试,(3)红外光扫描。结果:在疫情防控期间,居家隔离后的青少年中AIS发病率较前测高出7.58%,脊柱侧弯发生部位主要是颈椎段及胸腰椎段。后测青少年AIS的发病率与BMI、屏前时间呈显著正向相关,与体力活动时间呈显著负相关。结论与建议:居家隔离后青少年AIS发病率明显增加,BMI增加、屏前时间增加和体力活动减少可能是青少年发生脊柱侧弯发生的重要原因。建议医学和教育工作者关注青少年AIS阳性的因素,增加中小学生体力活动时间,减少青少年屏前及久坐时间。

Purpose:There is growing evidence that screening for scoliosis in groups of primary and secondary school students is essential.This study aimed to investigate the effect of home isolation on the incidence of adolescent scoliosis(AIS)during epidemic control.Methods:Approximately 4000 adolescents in East China were screened for AIS twice before and after home isolation.AIS screening consisted of three tests:①visual inspection,②Adam's test,and③infrared light scan.Results:During the epidemic control period,the prevalence of AIS was 7.58%higher among adolescents after home isolation,with scoliosis occurring mainly in the cervical and thoracolumbar spine segments.The prevalence of AIS among post-isolated adolescents was significantly and positively correlated with BMI and pre-screen time,and significantly and negatively correlated with physical activity time.Conclusions and recommendations:The prevalence of AIS in adolescents increased significantly after home isolation,and increased BMI,increased pre-screen time and reduced physical activity may be the main causes of scoliosis in adolescents.It is recommended that medical and educational practitioners focus on the factors that contribute to AIS in adolescents,increase physical activity time in primary and secondary school students,and reduce screen time and sedentary time in adolescents.