Prevalence of and risk factors for adolescent scoliosis from a multi-year school screening programme in Eastern China

ObjectiveThis study aimed to determine the occurrence of adolescent scoliosis (AS) and identify possible associated factors in Eastern China.MethodsThe screening technique involved performing forward bending tests and using scoliometer data. Adolescents at risk for scoliosis based on the screening w...

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Main Authors: Rong Xu, Jianghui Li, Weihong Wang, Lijun Zhang, Hua Liu
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-06-01
Series:Frontiers in Pediatrics
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fped.2025.1524073/full
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author Rong Xu
Jianghui Li
Weihong Wang
Lijun Zhang
Hua Liu
author_facet Rong Xu
Jianghui Li
Weihong Wang
Lijun Zhang
Hua Liu
author_sort Rong Xu
collection DOAJ
description ObjectiveThis study aimed to determine the occurrence of adolescent scoliosis (AS) and identify possible associated factors in Eastern China.MethodsThe screening technique involved performing forward bending tests and using scoliometer data. Adolescents at risk for scoliosis based on the screening were advised to undergo an x-ray examination for diagnosis confirmation.ResultsBetween 2019 and 2023, a total of 90,635 adolescents, comprising 41,836 females and 48,799 males, aged 11–18, underwent screening. Among the screened adolescents in Eastern China, the overall prevalence of scoliosis was 0.62%, with 0.99% in females and 0.30% in males. Independently associated factors were identified as female gender (OR = 1.319, 95% CI 1.031–1.686, P = 0.027), BMI ≤ 20 (OR = 2.959, 95% CI 2.271–3.855, P < 0.001), a tendency to incline towards one side (OR = 2.129, 95% CI 1.564–2.898, P < 0.001), and a habit of bending over the desk (OR = 1.523, 95% CI 1.079–2.150, P = 0.017).ConclusionThe current study found that the occurrence rate of AS in Eastern China is 0.62%. Female adolescents who are thin and tall and have poor learning posture are more susceptible to developing scoliosis.
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spelling doaj-art-74bb4dfbf807458f9be7735ec918aec62025-08-20T02:01:54ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602025-06-011310.3389/fped.2025.15240731524073Prevalence of and risk factors for adolescent scoliosis from a multi-year school screening programme in Eastern ChinaRong Xu0Jianghui Li1Weihong Wang2Lijun Zhang3Hua Liu4Department of Pediatric Surgery, Kunshan Maternity and Children’s Health Care Hospital, Kunshan, ChinaDepartment of Rehabilitation, Kunshan Disabled Persons Federation, Kunshan, ChinaDepartment of Pediatric Surgery, Kunshan Maternity and Children’s Health Care Hospital, Kunshan, ChinaDepartment of Pediatric Surgery, Kunshan Maternity and Children’s Health Care Hospital, Kunshan, ChinaDepartment of Neurosurgery, Affiliated Kunshan Hospital of Jiangsu University, Kunshan, ChinaObjectiveThis study aimed to determine the occurrence of adolescent scoliosis (AS) and identify possible associated factors in Eastern China.MethodsThe screening technique involved performing forward bending tests and using scoliometer data. Adolescents at risk for scoliosis based on the screening were advised to undergo an x-ray examination for diagnosis confirmation.ResultsBetween 2019 and 2023, a total of 90,635 adolescents, comprising 41,836 females and 48,799 males, aged 11–18, underwent screening. Among the screened adolescents in Eastern China, the overall prevalence of scoliosis was 0.62%, with 0.99% in females and 0.30% in males. Independently associated factors were identified as female gender (OR = 1.319, 95% CI 1.031–1.686, P = 0.027), BMI ≤ 20 (OR = 2.959, 95% CI 2.271–3.855, P < 0.001), a tendency to incline towards one side (OR = 2.129, 95% CI 1.564–2.898, P < 0.001), and a habit of bending over the desk (OR = 1.523, 95% CI 1.079–2.150, P = 0.017).ConclusionThe current study found that the occurrence rate of AS in Eastern China is 0.62%. Female adolescents who are thin and tall and have poor learning posture are more susceptible to developing scoliosis.https://www.frontiersin.org/articles/10.3389/fped.2025.1524073/fullscoliosisschool screeningprevalenceassociated factorsadolescent
spellingShingle Rong Xu
Jianghui Li
Weihong Wang
Lijun Zhang
Hua Liu
Prevalence of and risk factors for adolescent scoliosis from a multi-year school screening programme in Eastern China
Frontiers in Pediatrics
scoliosis
school screening
prevalence
associated factors
adolescent
title Prevalence of and risk factors for adolescent scoliosis from a multi-year school screening programme in Eastern China
title_full Prevalence of and risk factors for adolescent scoliosis from a multi-year school screening programme in Eastern China
title_fullStr Prevalence of and risk factors for adolescent scoliosis from a multi-year school screening programme in Eastern China
title_full_unstemmed Prevalence of and risk factors for adolescent scoliosis from a multi-year school screening programme in Eastern China
title_short Prevalence of and risk factors for adolescent scoliosis from a multi-year school screening programme in Eastern China
title_sort prevalence of and risk factors for adolescent scoliosis from a multi year school screening programme in eastern china
topic scoliosis
school screening
prevalence
associated factors
adolescent
url https://www.frontiersin.org/articles/10.3389/fped.2025.1524073/full
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