摘要
目的:分析四川地区健康体检人群异常身体姿势现状与特征.方法:采用横断面研究,选取2023年4月25日至2024年5月27日在四川省人民医院健康管理中心完成体态与足底压力测试的成年人(18～69岁)1 598例,运用静态摄影测量法和足底压力制图对全身姿势进行评估.数据分析采用独立样本t检验,Mann-Whitney U检验和χ2检验.结果:1 598名研究对象中男性身高为172(169,177)cm,体质量指数(BMI)为24.80(22.65,27.35)kg/m2;女性160(156,164)cm,BMI为21.45(19.53,24.03)kg/m2.不良身体姿势总体发生率为92.12%(1 472例),男性稍高于女性(92.92%vs 91.27%).男性和女性在BMI,头、膝、踝水平,颈椎前后倾,骨盆前后倾,膝关节过伸/过屈以及双侧Q角的异常倾斜角度有统计学差异(P＜0.05).在扁平足、高弓足、足内翻、颈椎过度前凸、颈椎侧屈、骨盆前倾和膝外翻的异常例数有显著统计学差异(P＜0.05).男性和女性身体姿势异常频次的差异无统计学意义(P≥0.05).结论:体检人群不良体态发生率高,频次多,问题集中,呈现以矢状面活动异常为主,多运动面全面异常发展趋势.
Abstract
Objective:To analyze the current status and characteristics of abnormal body posture in the health examination population in Sichuan Province.Methods:A cross-sectional study was conducted and 1 598 subjects(18-69 years old)who completed body posture and foot pressure testing at the Health Management Center of Sichuan Provincial People's Hospital from April 25,2023 to May 27,2024 were enrolled.The body posture was evaluated by static photography and foot pressure mapping.Data were analyzed by independent sample t-test,Mann-Whitney U test and chi square test.Results:Among the 1 598 subjects,the average height of male subjects was 172(169,177)cm and BMI was 24.80(22.65,27.35)kg/m2.For female subjects,it was 160(156,164)cm and 21.45(19.53,24.03)kg/m2,respectively.The overall incidence of abnormal body posture was 92.12%(1 472 subjects),with males(92.92%,761 subjects)were slightly higher than females(91.27%,711 subjects).There was significant difference between the two genders in the following indicators(P＜0.05):BMI,the abnormal tilt angles of head,knee and ankle levels,cervical posture,anterior or posterior pelvic tilt,knee hyperextension/hypoflexion,and both left and right Q angles.Besides,There were significant differences in the number of abnormal cases of flat feet,cavus feet,genu valgum,cervical hyperlordosis,cervical lateral flexion,anterior pelvic tilt,and knee hyperextension between the two genders(P＜0.05).There was no statistical difference in the frequency of abnormal body postures between men and women(P≥0.05).Conclusion:The incidence of abnormal body posture is high,frequent and concentrated.It also presents a trend of abnormal sagittal plane activity predominating,with multidirectional and comprehensive abnormalities developing.
维普
万方数据