Physical Medicine and Rehabilitation School, University of Padua, Padova, Italy.
Woman's and Child's Department, Pediatric Pain and Palliative Care Service, University of Padua, Padova, Italy.
Spine (Phila Pa 1976). 2021 Apr 1;46(7):440-446. doi: 10.1097/BRS.0000000000003885.
Prospective cross-sectional study.
We designed this study to investigate whether adolescent girls with idiopathic scoliosis show a predisposition for eating disorders (EDs) and alterations of the quality of life and body image self-perception, compared to same-age healthy females.
Idiopathic scoliosis is the most common spinal deformity of adolescence. Recent findings about the impairment of the self-body image in adolescents with idiopathic scoliosis provide a common trait of scoliosis and EDs and could lead to the suspicion of an association between these two pathological conditions. Despite this, current literature shows the lack of evident results about the impact of adolescent idiopathic scoliosis (AIS) on the possibility to develop of EDs.
One hundred forty-four females with diagnosis of AIS (aged 10-18 years) formed the scoliosis group. One hundred forty-six same-age healthy girls were enrolled in the control group. For all subjects, we considered sport practice. Only for Scoliosis Group, we also considered the severity of scoliosis, the use of brace and the practice of physiotherapy scoliosis-specific exercises. The participants were asked to answer to the Scoliosis Research Society-22 revised Patient Questionnaire (SRS-22r) and the Eating Disorders Inventory (EDI).
In the scoliosis group, significantly lower scores on the SRS-22r total and in the self-image domain were detected. The two groups showed differences in the total EDI score and in the body dissatisfaction EDI's domain. Severity of scoliosis was correlated with worse SRS-22r total score and SRS-22r self-image domain score. There were no differences in the scores of the SRS-22r and EDI between braced and nonbraced subjects. Lower scores in SRS-22r total and self-image domain were found in girls who practiced physiotherapy exercises. Subjects who practiced a sport showed higher SRS-22r total scores.
The AIS cohort in our study demonstrated lower levels of eating psychopathology than healthy controls. Surprisingly, eating behavior does not seem to be affected by orthotic management. However, quality of life and self-body image could be impaired in scoliotic girls, especially when they practice physiotherapy exercises, whereas those who practice sport seem to be preserved in this regard.Level of Evidence: 4.
前瞻性横断面研究。
我们设计这项研究旨在探讨特发性脊柱侧凸的青春期少女是否存在易患饮食障碍（ED）的倾向，以及生活质量和身体意象自我感知的改变，与同龄健康女性相比。
特发性脊柱侧凸是青少年最常见的脊柱畸形。最近关于特发性脊柱侧凸青少年自我身体意象受损的发现提供了脊柱侧凸和 ED 的共同特征，并可能导致对这两种病理状况之间关联的怀疑。尽管如此，目前的文献显示，特发性青少年脊柱侧凸（AIS）对 ED 发生可能性的影响缺乏明显的结果。
144 名特发性脊柱侧凸诊断的女性（年龄 10-18 岁）组成脊柱侧凸组。146 名同龄健康女孩被纳入对照组。对于所有受试者，我们考虑了运动练习。仅对于脊柱侧凸组，我们还考虑了脊柱侧凸的严重程度、支具的使用和脊柱侧凸特定运动的物理治疗。要求参与者回答脊柱侧凸研究协会 22 修订患者问卷（SRS-22r）和饮食障碍问卷（EDI）。
在脊柱侧凸组中，SRS-22r 总分和自我形象领域的得分明显较低。两组在 EDI 总分和身体不满 EDI 领域存在差异。脊柱侧凸的严重程度与 SRS-22r 总分和 SRS-22r 自我形象领域得分较差相关。支具和非支具受试者的 SRS-22r 和 EDI 评分无差异。在进行物理治疗运动的女孩中，SRS-22r 总分和自我形象领域的得分较低。参加运动的受试者的 SRS-22r 总分较高。
我们研究中的 AIS 队列表现出低于健康对照组的饮食病理学水平。令人惊讶的是，饮食行为似乎不受矫形管理的影响。然而，生活质量和自我身体意象可能在脊柱侧凸女孩中受损，尤其是当她们进行物理治疗运动时，而那些进行运动的女孩在这方面似乎得到了保护。
4 级。
