Evidence map›Paper›PMID 40223116›Full record

ArticleJournal of orthopaedic surgery and research2025

Correlation between abnormal posture, screen time, physical activity, and suspected scoliosis: a cross-sectional study.

Hongxin Chen, Liyang Wu, Yi Zhang, Jinyi Liu, Rui Huang, Jinyang Xie, Zhenfeng Guo, Tao Huang, Cuiling Chen, Kaimin Yang and 4 more

Abstract read
In one paragraph

Article in Journal of orthopaedic surgery and research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  7. Epidemiological trends and predictive factors of adolescent scoliosis in qingdao: insights from a Large-scale screening program (2022-2024).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 · 2025
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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

14 authors.

Hongxin Chen *Department of Rehabilitation Medicine, Key Laboratory of Biological Targeting Diagnosis, Therapy and Rehabilitation of Guangdong Higher Education Institutes, The Fifth Affiliated Hospital, Guangzhou Medical University, Guangzhou, 510700, China.
Liyang Wu *The Fifth Clinical College, Guangzhou Medical University, Guangzhou, 511436, China.
Yi Zhang *The Fifth Clinical College, Guangzhou Medical University, Guangzhou, 511436, China.
Jinyi LiuThe Fifth Clinical College, Guangzhou Medical University, Guangzhou, 511436, China.
Rui HuangThe Fifth Clinical College, Guangzhou Medical University, Guangzhou, 511436, China.
Jinyang XieThe Fifth Clinical College, Guangzhou Medical University, Guangzhou, 511436, China.
Zhenfeng GuoDepartment of Rehabilitation Medicine, Key Laboratory of Biological Targeting Diagnosis, Therapy and Rehabilitation of Guangdong Higher Education Institutes, The Fifth Affiliated Hospital, Guangzhou Medical University, Guangzhou, 510700, China.
Tao HuangDepartment of Rehabilitation Medicine, Key Laboratory of Biological Targeting Diagnosis, Therapy and Rehabilitation of Guangdong Higher Education Institutes, The Fifth Affiliated Hospital, Guangzhou Medical University, Guangzhou, 510700, China.
Cuiling ChenDepartment of Rehabilitation Medicine, Key Laboratory of Biological Targeting Diagnosis, Therapy and Rehabilitation of Guangdong Higher Education Institutes, The Fifth Affiliated Hospital, Guangzhou Medical University, Guangzhou, 510700, China.
Kaimin YangThe Fifth Clinical College, Guangzhou Medical University, Guangzhou, 511436, China.
Yuying BaiThe Fifth Clinical College, Guangzhou Medical University, Guangzhou, 511436, China.
Xuanxuan HuangThe Fifth Clinical College, Guangzhou Medical University, Guangzhou, 511436, China.
Zhuopeng ZhangThe Fifth Clinical College, Guangzhou Medical University, Guangzhou, 511436, China. 1906526083@qq.com.
Ruike ZhangDepartment of Rehabilitation Medicine, Key Laboratory of Biological Targeting Diagnosis, Therapy and Rehabilitation of Guangdong Higher Education Institutes, The Fifth Affiliated Hospital, Guangzhou Medical University, Guangzhou, 510700, China. zhangruike@gzhmu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundScoliosis considerably affects adolescents' physical well-being and quality of life. Current research offers scant data concerning the correlation between abnormal posture, screen time, physical activity, and adolescent scoliosis. This study aimed to investigate their potential correlations with suspected scoliosis in teenagers aged 10-13 years.

methodsThis is a cross-sectional study. School scoliosis screening was conducted on adolescents aged 10-13 years from nine schools in Guangzhou, China. The survey encompassed demographic attributes, postural traits, and daily lifestyles. Logistic regression analysis was performed to analyze the correlations between various variables and the occurrence of suspected scoliosis.

resultsA total of 1297 questionnaires were distributed, and 1231 (94.9%) valid responses were received. All participants with valid responses underwent scoliosis screening. The overall prevalence of suspected scoliosis was 5.1%, with the highest prevalence observed in 11-year-old students, primarily affecting the thoracic spine. Significant correlations were found between suspected scoliosis and right-sided flatfoot, flat upper back, positive forward bend test (FBT), After-school screen time, weekend outdoor time, and weekend TV time.

conclusionsThe results show a substantial correlation between the incidence of suspected scoliosis and abnormal posture. Moreover, a marked correlation exists between distinct activity patterns, particularly extended usage of electronic devices and television, and the incidence of suspected scoliosis. Screening for abnormal posture and performing the FBT can help detect suspected scoliosis, which requires further clinical assessment to differentiate between postural deviations and scoliosis. We advise middle and primary school kids to modify their daily routines by decreasing sedentary behavior and enhancing physical activity to mitigate the potential occurrence of trunk asymmetries.

Indexed as

ExercisePostureScoliosisScreen TimeAdolescentChildChinaCross-Sectional StudiesFemaleHumansMalePrevalenceSurveys and QuestionnairesAbnormal postureInfluencing factorsPhysical activityScreen timeSuspected scoliosis

Identifiers

PMID40223116
PMCPMC11995642

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.