Evidence map›Paper›PMID 40969977›Full record

SynthesisFrontiers in sports and active living2025

Protective and risk physical activities for adolescent idiopathic scoliosis: a systematic review identifying one-hour daily activity threshold and Chinese school-based prevention framework.

Yujie Guan, Bin Zhao, Yongchun Fan, Yunchao Li, Haozhe Wang

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in sports and active living, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 3 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

4 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
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.

Yujie GuanThe Second Clinical College, Heilongjiang University of Chinese Medicine, Harbin, Heilongjiang, China.
Bin ZhaoThe Second Clinical College, Heilongjiang University of Chinese Medicine, Harbin, Heilongjiang, China.
Yongchun FanDepartment of Rehabilitation Medicine, The Second Hospital of Heilongjiang Province, Harbin, Heilongjiang, China.
Yunchao LiDepartment of Rehabilitation Medicine, The Second Hospital of Heilongjiang Province, Harbin, Heilongjiang, China.
Haozhe WangCollege of Physical Education, China University of Mining and Technology, Xuzhou, Jiangsu, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To systematically review the association between different types and intensities of physical activity and adolescent idiopathic scoliosis (AIS) risk, synthesize evidence on dose-response relationships between physical activity and AIS prevention, and propose school intervention recommendations. Methods: Literature related to physical activity for preventing scoliosis and promoting spinal health in adolescents was retrieved from PubMed, Cochrane Library, Web of Science, Scopus, China National Knowledge Infrastructure, and Google Scholar, published between January 2015 and January 2025. After screening, key information was extracted, and methodological quality was assessed using the Newcastle-Ottawa Scale for case-control and cohort studies, the AHRQ methodology checklist for cross-sectional studies, and the Cochrane Risk-of-Bias tool and Jadad scale for randomized controlled trials. The protocol was registered with PROSPERO (CRD420251065070). Results: Twenty-one studies were included after screening, of good methodological quality, involving 77,813 adolescents, including 5,259 AIS patients, published between 2015 and 2025. Physical activity was significantly associated with AIS. Most recreational sports and traditional Chinese sports may prevent AIS, while long-term participation in competitive sports, dance, and artistic gymnastics were risk factors for AIS. Adolescents need to achieve a minimum threshold of one hour of daily physical activity to effectively prevent spinal scoliosis. Conclusion: Appropriate physical activity may reduce AIS risk. Schools should enhance their focus on adolescent physical activity and establish an integrated "school-family", "school-medical", and "school-sports" approach to support scoliosis prevention and promote healthy adolescent development. Systematic Review Registration: https://www.crd.york.ac.uk/, PROSPERO (CRD420251065070).

Indexed as

adolescent healthadolescent idiopathic scoliosishealth promotionphysical activityprevention

Identifiers

PMID40969977
PMCPMC12441802

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.