青少年脊柱弯曲异常危险因素的Meta分析

doi:10.11852/zgetbjzz2022-1309

摘要/Abstract

摘要： 目的系统评价青少年脊柱弯曲异常的危险因素,以期为青少年脊柱弯曲预防提供参考。方法计算机检索Web of Science、PubMed、EMbase、 The Cochrane Library、VIP、WangFang Data和CNKI数据库从建库至2022年8月31日关于青少年脊柱弯曲异常危险因素的研究。根据文献的纳入和排除标准,采用RevMan 5.4软件和 Stata 16.0 软件进行Meta分析。结果纳入29篇研究,累计样本量为272 190例。女性(OR=1.87,95%CI:1.56~2.23)、年龄(OR=1.26,95%CI:1.14~1.39)、生活中存在不正确姿势(OR=1.83,95%CI:1.45~2.31)、每日体育活动时间＜2h(OR=2.08,95%CI:1.48~2.92)、低体重(OR=1.46,95%CI:1.35~1.58)、左侧优势手(OR=2.31,95%CI:1.04~5.13)、每日睡眠时间＜8h(OR=2.32,95%CI:1.82~2.96)、每日电子产品使用时间＞2h(OR=1.36,95%CI:1.18~1.57)、从事高风险体育运动项目(OR=1.37,95%CI:1.19~1.57)、家族史(OR=1.58,95%CI:1.15~2.16)、学段较高(OR=3.40,95%CI:2.63~4.40)是青少年脊柱弯曲异常的危险因素(P＜0.05或＜0.001);使用符合生长发育特点的课桌椅是青少年脊柱弯曲异常的保护因素(OR=0.21,95%CI:0.06~0.78,P=0.02)。结论引起青少年脊柱弯曲异常发生的危险因素较多,应从多方面进行预防和控制。

关键词: 脊柱侧弯, 青少年, 危险因素, Meta分析

Abstract: Objective To systematically evaluate the risk factors for abnormal spinal curvature in adolescents, in order to provide reference for its prevention. Methods Related literature published in Web of Science, PubMed, EMbase, The Cochrane Library, VIP, WangFang Data and CNKI databases from inception to August 31st, 2022 was retrieved.Articles were included according to the inclusion and exclusion criteria of the literature. Meta-analysis was performed using RevMan 5.4 software and Stata 16.0 software. Results A total of 29 studies were included, with a cumulative sample size of 272 190 cases. Female (OR=1.87, 95%CI:1.56 - 2.23), age (OR=1.26, 95%CI:1.14 - 1.39), incorrect posture in daily life (OR=1.83, 95%CI:1.45 - 2.31), and physical activity time ＜2h/d(OR=2.08, 95%CI:1.48 - 2.92), low body weight(OR=1.46, 95%CI:1.35 - 1.58), left-sided dominant handedness(OR=2.31, 95%CI:1.04 - 5.13), and sleep time ＜8h/d(OR=2.32, 95%CI:1.82 - 2.96), screen time ＞2h/d (OR=1.36, 95%CI:1.18 - 1.57), engaging in high-risk sports programs (OR=1.37, 95%CI:1.19 - 1.57), family history (OR=1.58, 95%CI:1.15 - 2.16) and higher school grade (OR=3.40, 95%CI:2.63 - 4.40) were risk factors for abnormal spinal curvature in adolescents(P＜0.05), while using desks and chairs consistent with growth and development was a protective factor for abnormal spinal curvature in adolescents (OR=0.21,95%CI:0.06 - 0.78, P=0.02). Conclusion There are many risk factors for the development of spinal curvature abnormalities in adolescents, which should be prevented and controlled in multiple perspectives.

Key words: scoliosis, adolescents, risk factors, Meta-analysis

中图分类号:

R682.3

张帅, 赵莉, 杨阳, 王慧芳, 袁凌燕. 青少年脊柱弯曲异常危险因素的Meta分析[J]. 中国儿童保健杂志, 2023, 31(10): 1121-1126.

ZHANG Shuai, ZHAO Li, YANG Yang, WANG Huifang, YUAN Lingyan. Meta-analysis of risk factors for abnormal spinal curvature in adolescents[J]. Chinese Journal of Child Health Care, 2023, 31(10): 1121-1126.

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