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巴西南部某城镇在校学生脊柱侧弯的患病率。

Prevalence of scoliosis among school students in a town in southern Brazil.

作者信息

Nery Lenice Sberse, Halpern Ricardo, Nery Paulo César, Nehme Karin Passos, Stein Aírton Tetelbom

机构信息

Universidade Luterana do Brasil (Ulbra), Canoas, Rio Grande do Sul, Brazil.

出版信息

Sao Paulo Med J. 2010;128(2):69-73. doi: 10.1590/s1516-31802010000200005.

Abstract

CONTEXT AND OBJECTIVE

Scoliosis is not a diagnosis, but a description of a structural alteration that occurs in a variety of conditions. Progression of the curvature during periods of rapid growth may result in severe deformity, which may be accompanied by cardiopulmonary compromise. This study had the aims of measuring the prevalence of scoliosis among students in the fifth to eighth school years and investigating possible associations between the presence of scoliosis, body overweight and the weight of school materials.

DESIGN AND SETTING

Analytical cross-sectional study developed in the municipality of Carlos Barbosa, Rio Grande do Sul, Brazil.

METHODS

A total of 1340 students were evaluated. The variables studied were the prevalence of scoliosis, type of school, location of the school, age, school year, sex, body weight, prevalence of excessive school material weight, height, body mass index (BMI) and spinal alignment measurements.

RESULTS

The prevalence of scoliosis was 1.4%; shoulder and scapula asymmetry, 6.6%; forearm and trunk asymmetry, 4.0%; spinal misalignment, 1.9%; Thales triangle asymmetry, 6.4%; body overweight, 19.8%; and carrying of excessively heavy school materials, 27%. The study did not find any statistically significant association between scoliosis and body overweight, or between scoliosis and excessive weight of school materials.

CONCLUSIONS

The prevalence of scoliosis in this school-based sample was low. No correlation was found between this clinical condition and the other variables.

摘要

背景与目的

脊柱侧弯并非一种诊断结果,而是对多种情况下出现的结构改变的一种描述。在快速生长阶段,脊柱侧弯弧度的进展可能导致严重畸形,还可能伴有心肺功能损害。本研究旨在测量五至八年级学生中脊柱侧弯的患病率,并调查脊柱侧弯的存在、身体超重与学习用品重量之间可能存在的关联。

设计与地点

在巴西南里奥格兰德州卡洛斯·巴博萨市开展的分析性横断面研究。

方法

共对1340名学生进行了评估。所研究的变量包括脊柱侧弯的患病率、学校类型、学校位置、年龄、学年、性别、体重、学习用品超重的患病率、身高、体重指数(BMI)以及脊柱排列测量值。

结果

脊柱侧弯的患病率为1.4%;肩与肩胛骨不对称的患病率为6.6%;前臂与躯干不对称的患病率为4.0%;脊柱排列不齐的患病率为1.9%;泰勒斯三角不对称的患病率为6.4%;身体超重的患病率为19.8%;学习用品过重的患病率为27%。该研究未发现脊柱侧弯与身体超重之间、脊柱侧弯与学习用品过重之间存在任何具有统计学意义的关联。

结论

在这个以学校为基础的样本中,脊柱侧弯的患病率较低。未发现这种临床状况与其他变量之间存在相关性。

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