A Tisano1, A Alito2, D Milardi3, R Fazio4, L Virelli5, C Zanella6, C Ruggeri1, V Filardi7, D Bruschetta3. 1. Dep of Clinical and Experimental Medicine University of Messina, Via Consolare Valeria 1, 98100, Messina, Italy. 2. U.O.C. Physical and Rehabilitation Medicine, Policlinico G. Martino, Via Consolare Valeria 1, 98100, Messina, Italy. 3. Dep. of Biomedical, Dental Sciences and Morphological and Functional Images, University of Messina, Via C. Valeria 1, 98100, Messina, Italy. 4. Rehabilitation Center E. Spalenza, Don Gnocchi Foundation, Via Camillo Golgi 1, 25038, Rovato (BS), Italy. 5. Section of Orthopedic Rehabilitation, Department of Rehabilitation and Functional Recovery, Humanitas Research Hospital, Via Manzoni 56, 20089, Rozzano (MI), Italy. 6. Division of Physical Medicine and Rehabilitation Department of Surgical Sciences, University of Turin, Corso A.M. Dogliotti, 14, 10126 Torino, Italy. 7. D.A. Research and Internationalization, University of Messina, V. C. Del Mare 41, 98100, Messina, Italy.
Abstract
BACKGROUND: Spinal disorders and obesity are increasing and are an important cause for concern among healthcare and educational bodies. There is a wide variability in the literature of clinical positivity for scoliosis in the examination of the spine. AIM: Our study aims to investigate a relationship between scoliosis hump in schoolchildren and obesity, evaluating different kind of variables. METHODS: The sample was comprised by 478 schoolchildren from Italy, with a mean age of 12.6 years (SD: 1.861). They were classified by using ATR test, body mass index (BMI), the Edinburgh Inventory, the deep flexion test. RESULTS: Results of ATR test evidence 26 subjects (5,4%) positive for ATR ≥ 7; 102 subjects (21,3%) positive for ATR ≥ 6; and finally 191 subjects (40,0%) positive for ATR ≥ 5. There were 191 (40%) subjects with scoliosis; obesity was present in 62 (13%) cases and, after the regression, associations were found between scoliotic posture and gender, presence of obesity, and flexibility. CONCLUSIONS: Our study confirms a relationship between obesity and scoliosis, which increases with the age. Female subjects have higher risks to develop humps and spinal disorders. It is advisable to use a combination of several parameters to achieve a more sensitive evaluation.
BACKGROUND: Spinal disorders and obesity are increasing and are an important cause for concern among healthcare and educational bodies. There is a wide variability in the literature of clinical positivity for scoliosis in the examination of the spine. AIM: Our study aims to investigate a relationship between scoliosis hump in schoolchildren and obesity, evaluating different kind of variables. METHODS: The sample was comprised by 478 schoolchildren from Italy, with a mean age of 12.6 years (SD: 1.861). They were classified by using ATR test, body mass index (BMI), the Edinburgh Inventory, the deep flexion test. RESULTS: Results of ATR test evidence 26 subjects (5,4%) positive for ATR ≥ 7; 102 subjects (21,3%) positive for ATR ≥ 6; and finally 191 subjects (40,0%) positive for ATR ≥ 5. There were 191 (40%) subjects with scoliosis; obesity was present in 62 (13%) cases and, after the regression, associations were found between scoliotic posture and gender, presence of obesity, and flexibility. CONCLUSIONS: Our study confirms a relationship between obesity and scoliosis, which increases with the age. Female subjects have higher risks to develop humps and spinal disorders. It is advisable to use a combination of several parameters to achieve a more sensitive evaluation.
Authors: B Alito; V Filardi; F Famà; D Bruschetta; C Ruggeri; G Basile; L Stancanelli; C D'Amico; S Bianconi; A Tisano Journal: J Orthop Date: 2021-11-20