Accelerometer based assessment of daily physical activity and sedentary time in adolescents with idiopathic scoliosis

Chopra, Swati; Larson, A. Noelle; Kaufman, Kenton R.; Milbrandt, Todd A.

doi:10.1371/journal.pone.0238181

Cited by 15 publications

(17 citation statements)

References 42 publications

(50 reference statements)

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“…For example, a Hong Kong cohort study found that during adolescence, for all disease severities, IS was more common in girls than in boys, with sex ratios of 2.7 for spinal curves of ≥10°, 4.5 for spinal curves of ≥20°, 8.1 for spinal curves of ≥40°, and 8.4 for spinal curves that needed treatment ( 29 ). We also found that the ATR values among Han girls were particularly high in comparison with those of ethnic minority girls at level 3, which may related to sedentary behavior, bone condition, and calcium intake owing to dietary pattern disparities ( 30 , 31 ).…”

Section: Discussionmentioning

confidence: 66%

Ethnic Disparity in the Incidence of Scoliosis Among Adolescents in Tianzhu Tibetan Autonomous County, China

Guo

Chen²,

Yang³

et al. 2022

Front. Public Health

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ObjectivesTo determine the influence of ethnic disparities, socioeconomic status (SES) and hukou on the incidence of scoliosis.MethodsWe enrolled 2,445 junior high school students (Han: 1,153; ethnic minorities: 1,292) aged 12–16 years from two schools in Tianzhu Tibetan Autonomous County, Gansu Province from November 2020 to February 2021. We measured the angle of trunk rotation (ATR) using a scoliometer. Two-factor analysis of variance was used to comparatively analyze differences in the ATR according to ethnicity, age, sex, body mass index (BMI), and SES between the groups. Associations between risk factors and scoliosis were estimated using odds ratios and 95% confidence intervals with an unconditional multivariate logistic regression model for the two groups.ResultsAdolescents with Han ethnicity were more likely to have scoliosis than their ethnic minority counterparts (10.8% vs. 7.1%, P < 0.05). The ATR value in the Han group decreased with age whereas the minority group showed an upward trend (P < 0.05). The difference between ethnic groups was not significant, only at level 3. In particular, the ATR values among Han girls were significantly higher than those of ethnic minority girls (P < 0.05). Compared with Han adolescents, the BMI of ethnic minorities had a greater impact on the ATR. A statistically significant difference in SES was found between the two ethnic groups (P < 0.05). Hukou and parents' occupation had an important influence on the onset of scoliosis.ConclusionsHan adolescents had higher ATR values and were more likely to have scoliosis than ethnic minority adolescents in our study. Growth and development indicators (height and BMI) and differences in SES between the two groups played an important role.

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Section: Discussionmentioning

confidence: 66%

Ethnic Disparity in the Incidence of Scoliosis Among Adolescents in Tianzhu Tibetan Autonomous County, China

Guo

Chen²,

Yang³

et al. 2022

Front. Public Health

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“…It is widely accepted that the study burden and pressure in Shanghai is greater than in other cities in China, and female adolescents are more likely to be sedentary rather than physically active (46,47). Studies have provided evidence that there was a positive relationship between long sedentary time and scoliosis, and negative relationship between enough physical activity time and scoliosis (48)(49)(50).…”

Section: Discussionmentioning

confidence: 99%

Regional disparity in epidemiological characteristics of adolescent scoliosis in China: Data from a screening program

Huang

Li²,

Guo³

et al. 2022

Front. Public Health

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ObjectiveWe investigated regional disparities in rates of scoliosis among adolescents in western and eastern China and the dominant factors underlying these disparities.MethodsThis cross-sectional study used data from a school scoliosis screening program conducted in two typical areas: Yangpu District of Shanghai (eastern China) and Tianzhu Tibetan Autonomous County of Gansu Province (western China), during October 2020 to February 2021. Participants included adolescents aged 12–16 years (4,240 in Shanghai and 2,510 in Gansu Province). School scoliosis screening data were obtained on age, sex, height, weight and BMI, and region as well. We screened angles of trunk rotation in level of proximal thoracic (T1–T4), main thoracic (T5–T12), and lumbar (T12–L4) by the forward bend test with scoliometer. An angle of trunk rotation ≥5° was used as the criterion to identify suspected scoliosis.ResultsThe proportion of suspected scoliosis was lower in Shanghai (6.9%) than in Gansu (8.6%). Angle of trunk rotation tended to increase with age in Shanghai, peaking at 15 years, but decreased with age in Gansu, and bottomed at 15 years. The angle of trunk rotation in the proximal thoracic, main thoracic, and lumbar part of the spine appeared to be larger in Gansu adolescents and in Shanghai female adolescents. Age was a relevant factor in angle trunk rotation in regression models and interacted with region as well.ConclusionWe found regional and age- and sex-related disparities in rates of suspected scoliosis.

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“…Comparing, with the controls outcome, published in our previous work [18], both the surgical (P = 0.01, d = 1.26, PHP = 0.94) and brace (P = 0.001, d = 1.72, PHP = 0.99) groups reported an increase in time spent inactivity suggesting AIS treatment does not positively impact the daily PA levels (Table 5).…”

Section: Discussionmentioning

confidence: 59%

Outcome of bracing vs. surgical treatment in adolescents with idiopathic scoliosis based on device measured daily physical activity: a prospective pilot study

Chopra

Larson

Milbrandt

et al. 2023

Journal of Pediatric Orthopaedics B

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Adolescent idiopathic scoliosis (AIS) can be treated with bracing or surgery, which may affect patient’s physical activity (PA). However, there are limited objective assessments of PA in patients with AIS. This study aims to compare the outcome of spinal bracing vs. surgery in patients with AIS based on a device that measured daily PA. In total 24 patients with AIS participated, including 12 patients treated with bracing and 12 with spinal surgery. Daily PA was measured throughout 4 consecutive days using four tri-axial accelerometers and patient-reported functional status was reported using the SRS-22 questionnaire. The participants were assessed both before the treatment and after treatment at a 12-month follow-up. Patients with AIS had no significant change in their PA levels at the 12-month follow-up after surgical correction. On the contrary, patients with AIS following a year-long bracing treatment had significantly reduced time spent active (P = 0.04) with an average reduction in walking steps by 2137 steps/day (P = 0.005). There was no significant difference in function, pain, self-image and mental health domains following both treatments, as reported by the SRS-22. There was a significant improvement in satisfaction for both treatment groups (P ≤ 0.02). Significantly reduced PA and increased sedentary time are reported in patients with AIS following bracing treatment. An objective PA assessment is recommended to track the effect of scoliosis treatment on PA. Patients with AIS should be actively encouraged to achieve and maintain their recommended daily PA levels irrespective of the type of treatment. Level of evidence: Level II.

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Accelerometer based assessment of daily physical activity and sedentary time in adolescents with idiopathic scoliosis

Cited by 15 publications

References 42 publications

Ethnic Disparity in the Incidence of Scoliosis Among Adolescents in Tianzhu Tibetan Autonomous County, China

Ethnic Disparity in the Incidence of Scoliosis Among Adolescents in Tianzhu Tibetan Autonomous County, China

Regional disparity in epidemiological characteristics of adolescent scoliosis in China: Data from a screening program

Outcome of bracing vs. surgical treatment in adolescents with idiopathic scoliosis based on device measured daily physical activity: a prospective pilot study

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