Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Relationship between Spine Angle and Body Mass Index in Undergraduate Students

대학생의 척추측만각 및 체질량지수의 관계

  • Park, Su-Ho (Department of Nursing, Daegu Health College)
  • 박수호 (대구보건대학교 간호학과)
  • Received : 2017.02.07
  • Accepted : 2017.03.10
  • Published : 2017.03.31
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Abstract

This study investigated the prevalence of scoliosis among undergraduate students who were in early adulthood, and to examine its relationship with body mass index (BMI), which has been associated with scoliosis in previous studies. A descriptive survey of 158 students of universities based in Seoul, Daejeon, Daegu, and Gyeonggi Province was conducted. A structured questionnaire comprising items pertaining to general features, postural features, and BMI was used, and the angle of the trunk rotation (ATR) was measured directly with a scoliometer to assess the spinal angle. Participants with an ATR of greater than $6^{\circ}$ were classified into the scoliosis group. Data were collected for three weeks from November 7, 2014. Scoliosis and BMI were analyzed for their frequencies and percentages, and their relationships were analyzed using the ${\chi}^2$-test and Logistic regression. Overall, 114 (72.2%) participants had an ATR of smaller than $5^{\circ}$, while 44 (27.8%) had an ATR of greater than $6^{\circ}$. After excluding the confounding variables, the overweight group was 2.63 times more likely than the normal BMI group to have an ATR of greater than $6^{\circ}$ which was statistically significant. However, the underweight group was 0.24 times less likely than the normal BMI group to have an ATR of greater than $6^{\circ}$, but this difference was not statistically significant. Although early examination and management of scoliosis in South Korea is generally performed on children and adolescents, the high prevalence of scoliosis among university students found in this study calls for aggressive early examination and management for this age group as well.

본 연구는 초기 성인에 해당하는 대학생의 척추측만 실태를 조사하고 선행연구에서 관련된 변수로 보고된 체질량 지수와의 관계를 알아보고자 시행되었다. 연구설계는 서술적 조사연구이며, 연구대상은 서울시, 대전시, 대구시, 경기도 소재의 대학교에 재학 중인 학생 158명이었다. 연구도구는 일반적 특성, 자세특성, 체질량지수 문항이 포함된 구조화된 설문지를 사용하였고, 척추측만각은 scoliometer를 사용하여 체간회전각을 직접 측정하였다. 체간회전각 $6^{\circ}$ 이상이면 척추측만이 있는 것으로 분류하였다. 자료수집기간은 2014년 11월 7일부터 3주간 시행하였고 자료분석은 척추측만각 및 체질량지수는 빈도와 백분율, 두 변수의 관계를 확인하기 위해 ${\chi}^2$-test, Logistic 회귀분석을 이용하였다. 대상자의 체간회전각 $5^{\circ}$ 이하는 114명 (72.2%), $6^{\circ}$ 이상은 44명(27.8%)이었다. 교란변수를 제외하였을 때 체간회전각이 $6^{\circ}$ 이상이 될 확률은 체질량지수 정상군을 기준으로 과체중 군이 2.63배 높았으며 통계적으로 유의하였다. 그리고 체질량지수 정상군에 비해 저체중군은 0.24배 낮았지만 통계적으로 유의하지 않았다. 우리나라에서 척추측만증의 조기검진 및 관리는 주로 아동 청소년을 대상으로 이루어지고 있다. 본 연구결과에서 대학생의 척추측만증 유병률이 높은 수준이었으므로 이들을 위한 적극적인 조기검진 및 관리가 필요할 것이다.

Keywords

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