Prevalence of comorbidity of spinal curvature abnormality and malnutrition among primary and middle school students in Tianjin in 2023
Objective To analyze the prevalence of comorbidity of spinal curvature abnormality and malnutrition among primary and secondary school students aged 10-18 years in Tianjin in 2023,so as to provide scientific basis for the combined prevention of common diseases and multiple diseases among students and the construction of school health system.Methods In September to October 2023,31 884 primary and secondary school students aged 10 to 18 years in Tianjin were selected using stratified cluster random sampling.Abnormal spinal curvature in children and adolescents was assessed by Sereening of Spinal Curvature Abnormality of Children and Adolescents,while stunting,wasting,overweight,and obesity were determined according to the Screening for Mal-nutrition among School-age Children and Adolescents and Screening for Overweight and Obesity among School-age Children and Ad-olescents.The x2 test was used to compare between-group differences in co-prevalence,and multiple Logistic regression models were used to analyze the risk of different comorbidity types in different clusters.Results The co-prevalence of spinal curvature abnor-mality and malnutrition among primary and secondary school students in Tianjin was 1.6％,which was higher for girls than boys(1.8％,1.4％),higher(2.5％)for senior high schools than for junior high schools and elementary schools(2.0％,0.5％),and higher in rural than in urban areas(2.1％,1.1％)(x2=9.45,141.92,46.94,P＜0.05).Multiple Logistic regression models showed that junior high school girls had a higher risk of incorrect posture comorbid with stunting and wasting(OR=4.52,95％CI=1.84-11.06)and incorrect posture comorbid with overweight and obesity(OR=2.67,95％CI=1.74-4.10)than boys,and that scoliosis/sagittal spinal abnormality comorbid with stunting and wasting(OR=0.10,95％CI=0.02-0.44)risk was lower than that of boys,senior high school girls had a lower risk of scoliosis/sagittal spinal abnormality comorbid with overweight and obesity(OR=0.27,95％CI=0.11-0.66)(P＜0.05).Conclusions The co-prevalence of spinal curvature abnormality and malnutrition is specif-ic among primary and secondary school students in Tianjin,and the comorbidity type varies by gender and education stage.There is a need to increase prevention and control of spinal curvature abnormalities in school health working,intensive screening of key pop-ulations,and timely intervention.
万方数据
维普
