Abstract

Background: The prevalence of scoliosis in Korean elementary school students is increasing, leading to various physical and psychological problems. This study aimed to investigate the association between low body weight and scoliosis among Korean elementary school students. Methods: This was a cross-sectional analysis. Participants were 1062 elementary school students in the metropolitan areas of Korea. Participants were evaluated for scoliosis based on body composition, including weight and height, and with spine structure analysis equipment. Scoliosis diagnosis was defined as having a Cobb’s angle greater than 10°. Results: Participants were divided into Normal Weight (NW), Underweight (UW), and Severely Underweight (SUW) groups. Results show that the UW and SUW groups had significantly higher risks of developing scoliosis (odds ratio (OR): 1.43, 95% CI (confidence interval): 1.07–1.90; OR: 1.45, 95% CI: 1.02–2.05) compared to the NW group; after controlling for age and gender, the OR were 1.44 (95% CI: 1.08–1.92) and 1.46 (95% CI: 1.01–2.09), respectively. Conclusions: Low weight and the risk of developing scoliosis are very closely associated. Maintenance of appropriate and normal weight in Korean elementary school students appears to be a very effective method for preventing and reducing the risk of scoliosis.

Highlights

  • The prevalence of scoliosis among Korean elementary school students aged 10 to 14 years old has increased approximately 4.5 times, from 1.35% in 2002 to 6.17% in2008, and continues to increase [1]

  • The occurrence of scoliosis is typically attributed to posture instability, and developmental destabilization, all of which are environmental factors associated with scoliosis [4,5]

  • Scoliosis involves the gradual change of the body physique, including rachiocampsis; such changes to the body can negatively influence the formation of body image during childhood and adolescence, when there is a high level of interest

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Summary

Introduction

The prevalence of scoliosis among Korean elementary school students aged 10 to 14 years old has increased approximately 4.5 times, from 1.35% in 2002 (male: 0.95%, female: 1.75%) to 6.17% in2008 (male: 3.9%, female: 8.59%), and continues to increase [1]. The prevalence of scoliosis among Korean elementary school students aged 10 to 14 years old has increased approximately 4.5 times, from 1.35% in 2002 (male: 0.95%, female: 1.75%) to 6.17% in. Scoliosis typically develops in late childhood, near the age of 10 years old, or early adolescence; this represents a severe public health problem, with more than 4%. Scoliosis is typically diagnosed when the Cobb’s angle is greater than 10◦ , as identified through spinal x-rays, and is treated using methods such as exercise therapy, braces, and surgery, depending on the age of the patient and the severity of symptoms [3,6]. The prevalence of scoliosis in Korean elementary school students is increasing, leading to various physical and psychological problems. This study aimed to investigate the association between low body weight and scoliosis among Korean elementary school students

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