Objective: To understand the prevalence of scoliosis in college students and the risk factors affecting it, and to provide a scientific basis for the prevention and treatment of spinal curvature abnormalities. Methods: During the physical examination of undergraduates at Wuhan Sports University, 523 undergraduates were initially screened for body morphometrics, other physical indicators, and scoliosis. The main screening indicators included ATR, ATI, Adams test, and thoracic kyphosis angle. Results: The prevalence of initial screening for scoliosis was 28.68%, in which female students (35.63%) were greater than male students (22.05%), and the difference was statistically significant (P < 0.05). The positive prevalence of 30.67% for disciplines was greater than the prevalence of 27.78% for operative disciplines, and the difference was not statistically significant (P > 0.05). The results of binary logistic regression analysis showed that gender, BMI, grip strength, and high and low shoulder were significant correlates (P < 0.05), while other indicators such as specialty, years of training, and arch index were not (P > 0.05). A paired-samples t-test was used for the difference between left and right grip strength, and the results showed that the difference was statistically significant (t = 10.649, P < 0.05). Conclusion: From the results of this initial screening of scoliosis in college students, gender, BMI, high and low shoulder, and grip strength are risk factors were strongly correlated with scoliosis, while other indicators such as major, years of training, and arch index were weakly correlated with scoliosis. More attention should be paid to female students, those with low BMI, those with large difference between left and right side grip strength, and those with high and low shoulders, and children and adolescents should be screened at regular intervals because the initial screening has a certain degree of error, and those who are screened positive should go to the hospital and take X-rays in a timely manner to further confirm the diagnosis, and those who have poor posture should be educated about their health and improved their postures. By screening college students for scoliosis, we can raise the importance of bad posture and scoliosis among college students, and at the same time alert other students and help those who already have the problem to seek treatment.
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