Evidence map›Paper›PMID 36309689›Full record

ArticleJournal of orthopaedic surgery and research2022

Postural habits and lifestyle factors associated with adolescent idiopathic scoliosis (AIS) in China: results from a big case-control study.

Jingfan Yang, Sizhe Huang, Mengyuan Cheng, Weiqing Tan, Junlin Yang

Open access · goldAbstract read
In one paragraph

Article in Journal of orthopaedic surgery and research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.3field-weighted citation impact, top 7% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 17 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 2 countries.

Jingfan Yang *Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Sizhe Huang *Health Care Centre for Primary and Secondary Schools of Zhongshan Municipality, Zhongshan, China.
Mengyuan Cheng *University of North Carolina at Chapel Hill Project-China, Guangzhou, China.
Weiqing TanHealth Promotion Centre for Primary and Secondary Schools of Guangzhou Municipality, Guangzhou, China. 214130768@qq.com.
Junlin YangXinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China. yangjunlin@xinhuamed.com.cn.
Guangzhou Center for Disease Control and Prevention · CNShanghai Jiao Tong University · CNUniversity of North Carolina at Chapel Hill · USXinHua Hospital · CN

Funding

Key Project of Transformational Medicine Cross-Research Fund of Shanghai Jiaotong University ZH2018ZDB04National Key Research and Development Program 2018YFC0116500Sun Yat-Sen University Clinical Research 5010 Program 2012003the National Natural Science Foundation Fund for Overseas and Hong Kong and Macao Scholars Joint Research Project 81828007
6 · The paper itself

Abstract

backgroundAdolescent idiopathic scoliosis (AIS) is the most prevalent type of scoliosis affecting children between the ages of 10-16 years. However, risk factors for AIS, particularly the modifiable ones, are still largely unknown. This study aims to investigate the associations of lifestyle and social environment factors with AIS in Chinese schoolchildren.

methodsThis is a matched case-control study based on survey data collected from school-based scoliosis screening program. We used conditional logistic regression models to describe the relative risk of AIS incidence for each variable in the analyses. To examine the independent effect of each factor on developing AIS, a multivariate conditional logistic regression was conducted and odds ratios (ORs) were adjusted for age and other significant variables.

resultsOverall, 2538 participants from 49 schools were included in this study, comprising 1269 AIS cases and 1269 controls. Mean age of the study population was 13.4 years ± 1.06 (range 10-18). One thousand five hundred and fifty (61.1%) of the study subjects were girls. After adjusting for other significant factors, inappropriate desk heights, either too low (OR = 1.40, 95% CI 1.04-1.90) or too high (OR = 1.61, 95% CI 1.09-2.38), standing with anterior pelvic tilt (OR = 2.73, 95% CI 1.41-5.28), and sleeping on the right side (OR = 1.38, 95% CI 1.00-1.91), remained associated with elevated AIS risks. In contrast, sitting normally and classroom sitting positions change regularly were associated with lower odds of AIS. The adjusted ORs were 0.69 (95% CI 0.50-0.96) for sitting normally, and 0.72 (95% CI 0.53-0.98) for sitting positions change.

conclusionsThis is the first study to address the associations between desk heights and AIS and showed inappropriate desk heights were related to increased AIS risks. To protect school children from developing AIS, stakeholders are advised to consider introducing height-adjustable desks in the class, changing students' sitting positions in the classroom on a regular basis, and implementing educational programs to help students maintain correct sitting postures.

Indexed as

KyphosisScoliosisAdolescentCase-Control StudiesChildChinaFemaleHabitsHumansLife StyleMaleAdolescent idiopathic scoliosisAISEpidemiologyLifestyle factorsPostural habitsRisk factorScreening

Identifiers

PMID36309689
PMCPMC9618226
OpenAlexW4307951867

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.