Physical Activities and Lifestyle Factors Related to Adolescent Idiopathic Scoliosis

Koota Watanabe, Takehiro Michikawa, Ikuho Yonezawa, Masashi Takaso, Shohei Minami, Shigeru Soshi, Takashi Tsuji, Eijiro Okada, Katsumi Abe, Masamichi Takahashi, Keiko Asakura, Yuji Nishiwaki, Morio Matsumoto

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

BACKGROUND: In addition to genetic factors, environmental and lifestyle factors are thought to play an important role in the onset of adolescent idiopathic scoliosis (AIS). This cross-sectional study was conducted to explore lifestyle factors related to AIS.

METHODS: This study included 2,759 Japanese female junior high school students who planned a secondary screening after an initial moiré topography screening indicated possible scoliosis. The students and their mothers, or guardians, were asked to fill out a questionnaire consisting of 38 questions about demographic factors, lifestyle-related factors, social factors, household environment, participation in sports, health status, and factors related to the mother's pregnancy and delivery. The questionnaire was completed by 2,747 students (a 99.6% response rate). After excluding students with heart disease, neurological disease, or a congenital vertebral anomaly, 2,600 students were eligible for assessment. After undergoing a secondary screening with standing radiographs of the spine, students were assigned to the normal (control) group if radiographs showed a curve of <15° or to the scoliosis group if they had a curve of ≥15°. The odds ratios (ORs) for AIS in relation to the possible risk or preventive factors were estimated by logistic regression analyses.

RESULTS: No lifestyle-related factor was significantly associated with AIS. However, AIS was associated with classical ballet training (OR, 1.38; 95% confidence interval [CI], 1.09 to 1.75); the odds of AIS developing increased as the child's frequency of training, number of years of experience, and duration of training in ballet increased. The OR for AIS was 1.5 times higher for participants whose mothers had scoliosis. AIS was also associated with a low body mass index (BMI). These associations remained even after mutual adjustment was performed.

CONCLUSIONS: No association was found between AIS and lifestyle-related factors. However, classical ballet training, a family history of scoliosis, and low BMI may be associated with AIS.

LEVEL OF EVIDENCE: Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence.

Original languageEnglish
Pages (from-to)284-294
Number of pages11
JournalThe Journal of bone and joint surgery. American volume
Volume99
Issue number4
DOIs
Publication statusPublished - 2017 Feb 15

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Scoliosis
Life Style
Exercise
Dancing
Students
Odds Ratio
Mothers
Body Mass Index
Social Adjustment
Health Status
Sports
Heart Diseases
Spine
Cross-Sectional Studies
Logistic Models

ASJC Scopus subject areas

  • Surgery
  • Medicine(all)
  • Orthopedics and Sports Medicine

Cite this

Physical Activities and Lifestyle Factors Related to Adolescent Idiopathic Scoliosis. / Watanabe, Koota; Michikawa, Takehiro; Yonezawa, Ikuho; Takaso, Masashi; Minami, Shohei; Soshi, Shigeru; Tsuji, Takashi; Okada, Eijiro; Abe, Katsumi; Takahashi, Masamichi; Asakura, Keiko; Nishiwaki, Yuji; Matsumoto, Morio.

In: The Journal of bone and joint surgery. American volume, Vol. 99, No. 4, 15.02.2017, p. 284-294.

Research output: Contribution to journalArticle

Watanabe, K, Michikawa, T, Yonezawa, I, Takaso, M, Minami, S, Soshi, S, Tsuji, T, Okada, E, Abe, K, Takahashi, M, Asakura, K, Nishiwaki, Y & Matsumoto, M 2017, 'Physical Activities and Lifestyle Factors Related to Adolescent Idiopathic Scoliosis', The Journal of bone and joint surgery. American volume, vol. 99, no. 4, pp. 284-294. https://doi.org/10.2106/JBJS.16.00459
Watanabe, Koota ; Michikawa, Takehiro ; Yonezawa, Ikuho ; Takaso, Masashi ; Minami, Shohei ; Soshi, Shigeru ; Tsuji, Takashi ; Okada, Eijiro ; Abe, Katsumi ; Takahashi, Masamichi ; Asakura, Keiko ; Nishiwaki, Yuji ; Matsumoto, Morio. / Physical Activities and Lifestyle Factors Related to Adolescent Idiopathic Scoliosis. In: The Journal of bone and joint surgery. American volume. 2017 ; Vol. 99, No. 4. pp. 284-294.
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abstract = "BACKGROUND: In addition to genetic factors, environmental and lifestyle factors are thought to play an important role in the onset of adolescent idiopathic scoliosis (AIS). This cross-sectional study was conducted to explore lifestyle factors related to AIS.METHODS: This study included 2,759 Japanese female junior high school students who planned a secondary screening after an initial moir{\'e} topography screening indicated possible scoliosis. The students and their mothers, or guardians, were asked to fill out a questionnaire consisting of 38 questions about demographic factors, lifestyle-related factors, social factors, household environment, participation in sports, health status, and factors related to the mother's pregnancy and delivery. The questionnaire was completed by 2,747 students (a 99.6{\%} response rate). After excluding students with heart disease, neurological disease, or a congenital vertebral anomaly, 2,600 students were eligible for assessment. After undergoing a secondary screening with standing radiographs of the spine, students were assigned to the normal (control) group if radiographs showed a curve of <15° or to the scoliosis group if they had a curve of ≥15°. The odds ratios (ORs) for AIS in relation to the possible risk or preventive factors were estimated by logistic regression analyses.RESULTS: No lifestyle-related factor was significantly associated with AIS. However, AIS was associated with classical ballet training (OR, 1.38; 95{\%} confidence interval [CI], 1.09 to 1.75); the odds of AIS developing increased as the child's frequency of training, number of years of experience, and duration of training in ballet increased. The OR for AIS was 1.5 times higher for participants whose mothers had scoliosis. AIS was also associated with a low body mass index (BMI). These associations remained even after mutual adjustment was performed.CONCLUSIONS: No association was found between AIS and lifestyle-related factors. However, classical ballet training, a family history of scoliosis, and low BMI may be associated with AIS.LEVEL OF EVIDENCE: Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence.",
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AU - Minami, Shohei

AU - Soshi, Shigeru

AU - Tsuji, Takashi

AU - Okada, Eijiro

AU - Abe, Katsumi

AU - Takahashi, Masamichi

AU - Asakura, Keiko

AU - Nishiwaki, Yuji

AU - Matsumoto, Morio

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