我国青少年儿童脊柱侧弯发生率及影响因素的Meta分析

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Prevalence and influencing factors of idiopathic scoliosis in adolescents and children in China：a Meta-analysis

Abstract Objective：To systematically evaluate prevalence and influencing factors of idiopathic scoliosis in adolescents and children in China，and provide evidence support for medical personnel to screen idiopathic scoliosis and identify risks.Methods：PubMed，EMbase，Web of Science，CNKI，VIP and WanFang Database，and CBM were electronically searched to collect studies on the incidence of idiopathic scoliosis and its influencing factors among adolescents and children in China.The retrieval time was from the inception to May 7，2023.Two researchers independently screened literature，extracted data，and evaluated quality and risk of bias.Then Meta-analysis was used by Stata 17.0 software.Results：A total of 20 articles involving 349 585 people，including 13 310 patients with idiopathic scoliosis.The results of Meta-analysis showed that the prevalence of idiopathic scoliosis in adolescents and children in China was 4.20%（95%CI 0.034-0.049）.Gender（OR=1.61，95%CI 1.32-1.95，P<0.001），the outdoor activity time per day<1 h（OR=1.71，95%CI 1.06-2.78，P=0.031），the outdoor activity time per day>2 h（OR=0.55，95%CI 0.43-0.69，P<0.001），the high school students（OR=3.35，95%CI 1.79-6.27，P<0.001），the screen time per day>3 h（OR=1.40，95%CI 1.22-1.59，P<0.01），poor posture（OR=1.78，95%CI 1.33-2.37，P<0.001），malnutrition（OR=1.45，95%CI 1.28-1.63，P<0.001），and family history（OR=3.31，95%CI 1.18-9.23，P=0.022），habitation（OR=0.84，95%CI 0.35-2.01，P<0.001） were influential factors in the prevalence of idiopathic scoliosis in adolescents and children.Conclusion：The prevalence of idiopathic scoliosis in adolescents and children in China is 4.20%.Gender，outdoor activities per day<1 h，high school students，screen time per day>3 h，poor posture，malnutrition and family history are the risk factors for idiopathic scoliosis.Outdoor activity time per day>2 h，habitation are protective factor for idiopathic scoliosis.Therefore，in order to prevent idiopathic scoliosis，medical workers should formulate targeted intervention measures according to the existing influencing factors of patients.

Keywords  idiopathic scoliosis；adolescents；children；prevalence；influencing factors；Meta-analysis；evidence-based nursing

摘要  目的：系统评价我国青少年儿童脊柱侧弯发生率及影响因素，为医护人员进行脊柱侧弯筛查和风险识别提供证据支持。（剩余10236字）