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儿童和青少年脊柱侧弯的患病率：一项系统评价和荟萃分析。

Prevalence of scoliosis in children and adolescents: a systematic review and meta-analysis.

作者信息

Li Mingyang, Nie Qilong, Liu Jiaying, Jiang Zeping

机构信息

The Eighth Clinical Medical College, Guangzhou University of Chinese Medicine, Foshan, Guangdong, China.

Foshan Hospital of Traditional Chinese Medicine, Guangzhou University of Chinese Medicine, Foshan, Guangdong, China.

出版信息

Front Pediatr. 2024 Jul 23;12:1399049. doi: 10.3389/fped.2024.1399049. eCollection 2024.

DOI:10.3389/fped.2024.1399049
PMID:39108696
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11300313/
Abstract

BACKGROUND

The understanding of the prevalence and early predictive factors of scoliosis in children and adolescents is limited, which poses challenges to developing preventative strategies. This systematic review and meta-analysis aimed to clarify the prevalence and predictors of scoliosis among children and adolescents.

METHODS

We conducted a comprehensive search in PubMed, Cochrane, Embase, and Web of Science through October 2023. The quality of included studies was evaluated using the Joanna Briggs Institute scale or the Newcastle-Ottawa Scale. Subgroup analyses were performed to examine different types of scoliosis and specific demographic groups.

RESULTS

From 32 studies encompassing 55,635,351 children and adolescents, we identified 284,114 cases of scoliosis, resulting in a prevalence rate of 3.1% (95% CI: 1.5%-5.2%). This rate varied by gender, degrees of scoliosis severity, and between idiopathic vs. congenital forms. Notable predictors included gender, age, Body Mass Index (BMI), race, environmental factors, and lifestyle choices.

CONCLUSION

Scoliosis is a significant condition affecting a minority of children and adolescents, particularly adolescent girls and individuals who are overweight. It is recommended that guardians and schools enhance educational efforts towards its prevention.

SYSTEMATIC REVIEW REGISTRATION

https://www.crd.york.ac.uk/, Identifier CRD42023476498.

摘要

背景

对儿童和青少年脊柱侧弯的患病率及早期预测因素的了解有限，这给制定预防策略带来了挑战。本系统评价和荟萃分析旨在阐明儿童和青少年脊柱侧弯的患病率及预测因素。

方法

我们在截至2023年10月的PubMed、Cochrane、Embase和Web of Science数据库中进行了全面检索。采用乔安娜·布里格斯研究所量表或纽卡斯尔-渥太华量表对纳入研究的质量进行评估。进行亚组分析以检查不同类型的脊柱侧弯和特定的人口统计学群体。

结果

在涵盖55635351名儿童和青少年的32项研究中，我们确定了284114例脊柱侧弯病例，患病率为3.1%（95%CI：1.5%-5.2%）。该患病率因性别、脊柱侧弯严重程度以及特发性与先天性类型而异。显著的预测因素包括性别、年龄、体重指数（BMI）、种族、环境因素和生活方式选择。

结论

脊柱侧弯是一种影响少数儿童和青少年的重要疾病，尤其是青春期女孩和超重个体。建议监护人和学校加强对其预防的教育工作。

系统评价注册

https://www.crd.york.ac.uk/，标识符CRD42023476498。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92a9/11300313/72115463958e/fped-12-1399049-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92a9/11300313/04b0543a3ead/fped-12-1399049-g001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92a9/11300313/2493be2e3e65/fped-12-1399049-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92a9/11300313/f4b54dac6ada/fped-12-1399049-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92a9/11300313/72115463958e/fped-12-1399049-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92a9/11300313/04b0543a3ead/fped-12-1399049-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92a9/11300313/dbffd39d9df6/fped-12-1399049-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92a9/11300313/0c6e963a7978/fped-12-1399049-g003.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92a9/11300313/72115463958e/fped-12-1399049-g007.jpg

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J Med Internet Res. 2025 Jun 25;27:e69089. doi: 10.2196/69089.
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