Increasing Postural Deformity Trends and Body Mass Index Analysis in School-age Children

Zdr Varst. 2018 Jan 5;57(1):25-32. doi: 10.2478/sjph-2018-0004. eCollection 2018 Mar.

Abstract

Introduction: The aim of the study was to analyse the deviations of the body posture and to assess the occurrence of spine deformities. Additionally, Body Mass Index in school children was related to the trend in postural deformities for different age groups (5-8 years old, n=112; 9-11 years old, n=205; 12-14 years old, n=212) as part of the project "Spine Lab", granted from the European Commission IPA founds, investigating the importance of public health issues.

Methods: Body posture was measured using Contemplas 3D software analyser, based on video image trajectory and BIA weight scale (Tanita BC 420). Overall, 17 variables were assessed, and differences were confirmed using MANOVA analysis.

Results: The results showed that there is a significant difference between age groups for the measured variables (F=9.27; p<0.01; η2=0.26), suggesting a moderate difference across the age span.

Conclusion: The study results showed that there is a negative trend of increasing Body Mass Index within the first and youngest age group. The fact is that the trend of increasing deformity of the shoulder belt has been noted, often inclining towards the formation of milder forms of kyphotic posture. Other forms of deformity that are accentuated in the survey results are the negative trend of increasing pelvic rotation and pelvis rotation which inclines towards the formation of lordotic posture for all three age groups.

Uvod: Namen študije je analiza odstopanj telesne drže in ovrednotenje pojava deformacij hrbtenice. Poleg tega je indeks telesne teže pri šoloobveznih otrocih povezan s trendom posturalnih deformacij pri različnih starostnih skupinah (5–8 let, n=112; 9–11 let, n=205; 12–14 let, n=212) kot del projekta »Spine Lab« (sl. Laboratorij hrbtenice), ki ga financira Evropska komisija IPA, ki raziskuje pomembnost vprašanj javnega zdravja.

Metode: Telesna drža je bila izmerjena z uporabo programske opreme za analiziranje Contemplas 3D, ki temelji na krivulji video posnetkov in lestvici teže BIA (Tanita BC 420). Ocenjenih je bilo 17 spremenljivk, razlike pa so bile potrjene z analizo MANOVA.

Rezultati: Rezultati prikazujejo, da obstaja občutna razlika med starostnimi skupinami za izmerjene spremenljivke (F=9,27; p<0,01; η2=0,26), ki kaže na zmerno razliko v starostnem razponu.

Zakljucek: Rezultati študije nakazujejo na negativen trend naraščajočega indeksa telesne teže v prvi in najmlajši starostni skupini. Dejstvo je, da je trend naročujoče deformacije ramenskega pasu opazen, pogosto pa se nagiba k oblikovanju blažjih oblik kifotične drže. Ostale oblike deformacij, ki so izražene v rezultatih študije, je negativen trend naraščajoče medenične rotacije in rotacije medenice, ki se nagiba k oblikovanju lordotične drže za vse tri starostne skupine.

Keywords: prevalence rate; public health; spinal screening; trend changes.