ArticleInternational journal of epidemiology2019
Association between physical activity and scoliosis: a prospective cohort study.
Article in International journal of epidemiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
30 citing papers in PubMed, 4 syntheses or guidelines pooled it, 46 citations in OpenAlex.
- Protective and risk physical activities for adolescent idiopathic scoliosis: a systematic review identifying one-hour daily activity threshold and Chinese school-based prevention framework.Frontiers in sports and active living · 2025Pooled it
- Correlation between physical activity and adolescent idiopathic scoliosis: a systematic review.BMC musculoskeletal disorders · 2023Pooled it
- Association between physical activity and body posture: a systematic review and meta-analysis.BMC public health · 2023Pooled it
- Cancer and mortality risks of patients with scoliosis from radiation exposure: a systematic review and meta-analysis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2020Pooled it
- Trial
- Factors Associated with Suspected Scoliosis Identified Through School Screening: The Role of Body Mass Index and Sports Participation.Healthcare (Basel, Switzerland) · 2026Article
- The dose-response relationship between physical activity and school scoliosis screening positive in children and adolescents: a preliminary cross-sectional study.Frontiers in pediatrics · 2026Article
- Correlation between abnormal posture, screen time, physical activity, and suspected scoliosis: a cross-sectional study.Journal of orthopaedic surgery and research · 2025Article
- Detection Rate and Risk Factors of Abnormal Spinal Curvature Among Children and Adolescents - Jiangsu Province, China, 2021-2023.China CDC weekly · 2025Article
- Maternal physical activity levels in early pregnancy and the risk of spinal deformity among preschoolers at age 4: findings from the Shanghai birth cohort study.Frontiers in pediatrics · 2025Article
- The effects of exercise on patients with moderate adolescent idiopathic scoliosis : a systematic review and meta-analysis.Orthopedic reviews · 2025Article
- Association of physical activity and sedentary time with scoliosis screening positive in Chinese primary and secondary school students: a cohort study in Shanghai.Frontiers in public health · 2025Article
- Research on spinal characteristics and exercise intervention in 6-18 year old adolescents based on computer vision recognition.Frontiers in public health · 2025Article
- Large-scale school scoliosis screening in a multi-ethnic, high-altitude region of southwestern China: an epidemiological study of 69,811 children and adolescents.Frontiers in public health · 2025Article
- Analysis of the association between reading and writing postures and comorbidity of myopia and scoliosis in junior middle school students.Frontiers in pediatrics · 2025Article
- Association between postural habits and lifestyle factors of adolescent idiopathic scoliosis in Syria.Scientific reports · 2024Article
- Association between meeting 24-hour movement behavior guidelines and quality of life in adolescents with idiopathic scoliosis.BMC public health · 2024Article
- Prevalence of Scoliosis in Children and Adolescents with Cystic Fibrosis.Children (Basel, Switzerland) · 2024Article
- The Impact of Physical Activity on Adolescent Idiopathic Scoliosis.Life (Basel, Switzerland) · 2023Article
- Sports participation reduces the progression of idiopathic scoliosis and the need for bracing. An observational study of 511 adolescents with Risser 0-2 maturation stage.European journal of physical and rehabilitation medicine · 2023Observational
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundLittle is understood about the causes of adolescent onset idiopathic scoliosis (AIS). No prospective studies assessing the association between physical activity and idiopathic adolescent scoliosis have been carried out. We aimed to carry out the first prospective population-based study of this association.
methodsThe Avon Longitudinal Study of Parents and Children (ALSPAC) collected self-reported measures of physical ability/activity at ages 18 months and 10 years. Objective measures of physical activity were collected by accelerometry at age 11 years. scoliosis was identified using the dxa scoliosis Method at age 15 years. Participants with scoliosis at age 10 years were excluded.
resultsOf 4640 participants at age 15 years who had DXA scans, 267 (5.8%) had scoliosis. At age 18 months, those infants who were able to stand up without being supported were 66% less likely to have developed scoliosis by age 15 (P = 0.030) compared with infants who could not. Those children whose mothers reported they did most vigorous physical activity at age 10 years were 53% less likely to develop scoliosis (P = 0.027). Those children who did more objectively measured moderate/vigorous physical activity at age 11 were 30% less likely to have developed scoliosis (P < 0.001). Results were not affected by adjustment for age, gender, lean mass, fat mass or back pain.
conclusionsWe report reduced physical ability and activity as early as age 18 months in those who go on to develop scoliosis by age 15 years. Further research is justified to examine the mechanisms underlying this association.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.