School of Sport Medicine and Rehabilitation, Beijing Sport University, Beijing, China.
School of Physical Education, Taizhou University, Taizhou, China.
BMC Musculoskelet Disord. 2023 Dec 19;24(1):978. doi: 10.1186/s12891-023-07114-1.
The multifactorial aetiology of scoliosis is well known. Physical activity is considered both a treatment and causative factor for idiopathic scoliosis; however, evidence for a causal relationship between physical activity levels and idiopathic scoliosis in adolescents is conflicting. Therefore, we aimed to summarise the current evidence regarding the association between adolescent idiopathic scoliosis and physical activity and further to assess whether the relationship is dose dependent.
PubMed, Cochrane, Scopus, and Web of Science databases were searched from 1991 to July 2022 using the following main keywords: adolescent idiopathic scoliosis, physical activity, and risk factors, supplemented with manual searches, secondary citations, and reference searches. The quality of the included literature was evaluated using the Scale for Reporting Observational Studies in Enhanced Epidemiology guidelines.
Eight studies were included in this review, of which six reported an association between adolescent idiopathic scoliosis and physical activity levels and two reported no association. One British study reported reduced physical function early in life as a new risk factor for scoliosis onset.
Physical activity is strongly associated with adolescent idiopathic scoliosis. Physical activity should be encouraged as it plays an important role in the prevention of adolescent idiopathic scoliosis. Further research is needed to determine the dose-dependent relationship between physical activity and prevention of adolescent idiopathic scoliosis.
脊柱侧凸的多因素病因众所周知。体力活动被认为既是特发性脊柱侧凸的治疗方法，也是其致病因素；然而，体力活动水平与青少年特发性脊柱侧凸之间存在因果关系的证据相互矛盾。因此，我们旨在总结目前关于青少年特发性脊柱侧凸与体力活动之间关联的证据，并进一步评估这种关系是否存在剂量依赖性。
从 1991 年到 2022 年 7 月，我们使用以下主要关键词在 PubMed、Cochrane、Scopus 和 Web of Science 数据库中进行了搜索：青少年特发性脊柱侧凸、体力活动和危险因素，并辅以手动搜索、二次引用和参考文献搜索。使用增强型流行病学观察研究报告标准量表评估纳入文献的质量。
本综述纳入了 8 项研究，其中 6 项报告了青少年特发性脊柱侧凸与体力活动水平之间的关联，2 项报告无关联。一项英国研究报告称，生命早期的身体功能降低是脊柱侧凸发病的一个新的危险因素。
体力活动与青少年特发性脊柱侧凸密切相关。应该鼓励体力活动，因为它在预防青少年特发性脊柱侧凸方面起着重要作用。需要进一步研究来确定体力活动与预防青少年特发性脊柱侧凸之间的剂量依赖性关系。
