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Risk Factors, Lifestyle and Prevention among Adolescents with Idiopathic Juvenile Scoliosis: A Cross Sectional Study in Eleven First-Grade Secondary Schools of Palermo Province, Italy

Adolescent idiopathic scoliosis (AIS) has an incidence of 2–3% in the general population and a multifactorial etiology. The present study aims to analyze modifiable risk factors and their interactions in the development of AIS in order to increase knowledge about the disease and to prevent the evolu...

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Autores principales: Scaturro, Dalila, Costantino, Claudio, Terrana, Pietro, Vitagliani, Fabio, Falco, Vincenzo, Cuntrera, Daniele, Sannasardo, Claudia Emilia, Vitale, Francesco, Letizia Mauro, Giulia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8656498/
https://www.ncbi.nlm.nih.gov/pubmed/34886069
http://dx.doi.org/10.3390/ijerph182312335
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author Scaturro, Dalila
Costantino, Claudio
Terrana, Pietro
Vitagliani, Fabio
Falco, Vincenzo
Cuntrera, Daniele
Sannasardo, Claudia Emilia
Vitale, Francesco
Letizia Mauro, Giulia
author_facet Scaturro, Dalila
Costantino, Claudio
Terrana, Pietro
Vitagliani, Fabio
Falco, Vincenzo
Cuntrera, Daniele
Sannasardo, Claudia Emilia
Vitale, Francesco
Letizia Mauro, Giulia
author_sort Scaturro, Dalila
collection PubMed
description Adolescent idiopathic scoliosis (AIS) has an incidence of 2–3% in the general population and a multifactorial etiology. The present study aims to analyze modifiable risk factors and their interactions in the development of AIS in order to increase knowledge about the disease and to prevent the evolution of AIS in young students with tailored public health strategies. A cross-sectional study was conducted over two consecutive school years among students attending 11 first-grade secondary schools in the province of Palermo, Italy. A self-administered questionnaire that investigated socio-demographical, physical and anamnestic characteristics and habits, focusing on possible risk factors associated with idiopathic scoliosis, was administered. In addition, a clinical evaluation was performed with Adams’ test and Bunnel’s inclinometer. Suspected AIS cases were associated with the practice of high-risk sports (p < 0.05), weekly physical activity lasting ≥3 h (p < 0.05), lower back pain (p < 0.001), posture disorders (p < 0.01) and having had no contact with a physician (p < 0.01). Practice of high-risk sports (adj OR = 1.83; CI 95% 1.11–4.76) and suffering of posture disorders (adj OR = 1.67; CI 95% 1.12–3.60) showed a significant association with a confirmed diagnosis of AIS (Cobb angle ≥ 10° at X-ray). The risk factors associated with AIS are still unclear. Therefore, it is crucial to identify early modifiable and multiple risk factors to prevent the evolution of scoliosis in school-age children.
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spelling pubmed-86564982021-12-10 Risk Factors, Lifestyle and Prevention among Adolescents with Idiopathic Juvenile Scoliosis: A Cross Sectional Study in Eleven First-Grade Secondary Schools of Palermo Province, Italy Scaturro, Dalila Costantino, Claudio Terrana, Pietro Vitagliani, Fabio Falco, Vincenzo Cuntrera, Daniele Sannasardo, Claudia Emilia Vitale, Francesco Letizia Mauro, Giulia Int J Environ Res Public Health Article Adolescent idiopathic scoliosis (AIS) has an incidence of 2–3% in the general population and a multifactorial etiology. The present study aims to analyze modifiable risk factors and their interactions in the development of AIS in order to increase knowledge about the disease and to prevent the evolution of AIS in young students with tailored public health strategies. A cross-sectional study was conducted over two consecutive school years among students attending 11 first-grade secondary schools in the province of Palermo, Italy. A self-administered questionnaire that investigated socio-demographical, physical and anamnestic characteristics and habits, focusing on possible risk factors associated with idiopathic scoliosis, was administered. In addition, a clinical evaluation was performed with Adams’ test and Bunnel’s inclinometer. Suspected AIS cases were associated with the practice of high-risk sports (p < 0.05), weekly physical activity lasting ≥3 h (p < 0.05), lower back pain (p < 0.001), posture disorders (p < 0.01) and having had no contact with a physician (p < 0.01). Practice of high-risk sports (adj OR = 1.83; CI 95% 1.11–4.76) and suffering of posture disorders (adj OR = 1.67; CI 95% 1.12–3.60) showed a significant association with a confirmed diagnosis of AIS (Cobb angle ≥ 10° at X-ray). The risk factors associated with AIS are still unclear. Therefore, it is crucial to identify early modifiable and multiple risk factors to prevent the evolution of scoliosis in school-age children. MDPI 2021-11-24 /pmc/articles/PMC8656498/ /pubmed/34886069 http://dx.doi.org/10.3390/ijerph182312335 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Scaturro, Dalila
Costantino, Claudio
Terrana, Pietro
Vitagliani, Fabio
Falco, Vincenzo
Cuntrera, Daniele
Sannasardo, Claudia Emilia
Vitale, Francesco
Letizia Mauro, Giulia
Risk Factors, Lifestyle and Prevention among Adolescents with Idiopathic Juvenile Scoliosis: A Cross Sectional Study in Eleven First-Grade Secondary Schools of Palermo Province, Italy
title Risk Factors, Lifestyle and Prevention among Adolescents with Idiopathic Juvenile Scoliosis: A Cross Sectional Study in Eleven First-Grade Secondary Schools of Palermo Province, Italy
title_full Risk Factors, Lifestyle and Prevention among Adolescents with Idiopathic Juvenile Scoliosis: A Cross Sectional Study in Eleven First-Grade Secondary Schools of Palermo Province, Italy
title_fullStr Risk Factors, Lifestyle and Prevention among Adolescents with Idiopathic Juvenile Scoliosis: A Cross Sectional Study in Eleven First-Grade Secondary Schools of Palermo Province, Italy
title_full_unstemmed Risk Factors, Lifestyle and Prevention among Adolescents with Idiopathic Juvenile Scoliosis: A Cross Sectional Study in Eleven First-Grade Secondary Schools of Palermo Province, Italy
title_short Risk Factors, Lifestyle and Prevention among Adolescents with Idiopathic Juvenile Scoliosis: A Cross Sectional Study in Eleven First-Grade Secondary Schools of Palermo Province, Italy
title_sort risk factors, lifestyle and prevention among adolescents with idiopathic juvenile scoliosis: a cross sectional study in eleven first-grade secondary schools of palermo province, italy
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8656498/
https://www.ncbi.nlm.nih.gov/pubmed/34886069
http://dx.doi.org/10.3390/ijerph182312335
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