Author(s):
Montenegro, Cristianne Morgado ; https://orcid.org/0000-0003-2839-9079
Date: 2021
Origin: Oasisbr
Subject(s): Crian??as - Altera????es posturais; Crian??as - Desvios posturais; Aptid??o f??sica em crian??as; Aptid??o f??sica muscular; Crian??as e adolescentes; CI??NCIAS HUMANAS; Aptid??o f??sica; Atividade f??sica; Crian??as; Postura; Crian??as - Altera????es posturais; Crian??as - Altera????es posturais; Crian??as - Desvios posturais; Crian??as - Desvios posturais; Aptid??o f??sica em crian??as; Aptid??o f??sica em crian??as; Aptid??o f??sica muscular; Aptid??o f??sica muscular; Crian??as e adolescentes; Crian??as e adolescentes; CI??NCIAS HUMANAS; CI??NCIAS HUMANAS; Aptid??o f??sica; Aptid??o f??sica; Atividade f??sica; Atividade f??sica; Crian??as; Crian??as; Postura; Postura
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Introduction. The high incidence of postural changes among children and adolescents can cause serious and irreversible damage to the spine of children and adolescents. Objectives. To identify the prevalence of postural deviations in children and adolescents between 10 and 18 years of age and to analyze whether there is an association between postural deviations related to physical fitness, physical activity and puberty in children and adolescents. Methodology. The sample consisted of 380 children, 54% (n = 204) female and 46% (n = 176) males between 10 and 18 years of age. The instruments used were the Fitnessgram test battery; The International Physical Activity Questionnaire (IPAQ/short version), the Tanner self-assessment record and the postural changes: scoliosis, thoracic hyperkyphosis and lumbar hyperlordosis were analyzed using the Digital Image-Based Postural Assessment (DIPA / 3.1). We used Chi-Square, Fisher's exact, Mann-Whitney test and binary logistic regression (Ods Ratio) for statistical analysis. The data were processed through the SPSS 24.0 statistics program and a significance level of 0.05 and a 95% confidence coefficient were set. Results. Scoliosis presented a higher percentage among the students analyzed (43%). Age and sex influence the development of lumbar hyperlordosis among girls and thoracic hyperkyphosis among boys (p <0.05). There was a significant association between lumbar hyperlordosis and aerobic fitness (p <0.05), with a three-fold possibility of developing in boys with good cardiorespiratory capacity (OR=3.268). The possibility that health female student of scoliosis decreases by approximately 43%. There was an association between boys with thoracic hyperkyphosis and waist circumference (WC) p <0.05). The chance of a boy presenting lumbar hyperlordosis in the P2 phase is about 4 times higher than in the other phases. Conclusion. This research presented significant results related to risk factors. Among them, we highlight: age, gender, dorsal strength, waist circumference and puberty. We observed that we should increase muscular fitness, especially dorsal strength in the early stages of puberty during school physical education classes.
Introdu????o. A grande incid??ncia das altera????es posturais entre crian??as e adolescentes pode gerar graves e irrevers??veis preju??zos ?? coluna vertebral de crian??as e adolescentes. Objetivo. Identificar a preval??ncia dos desvios posturais nas crian??as e adolescentes na faixa et??ria de 10 a 18 anos e analisar a associa????o entre os desvios posturais relacionados com os n??veis de aptid??o f??sica, a atividade f??sica e a puberdade em crian??as e adolescentes. Metodologia. A amostra foi composta de 380 crian??as, sendo 54% (n= 204) do sexo feminino e 46% (n= 176) do sexo masculino, entre 10 e 18 anos de idade. Os Instrumentos utilizados foram a bateria de testes do Fitnessgram; Question??rio Internacional de Atividade F??sica (IPAQ/vers??o curta), ficha de auto-avalia????o de Tanner e as altera????es posturais (escoliose, hipercifose tor??cica e hiperlordose lombar) foram analisadas por meio do programa de software Digital Image-Based Postural Assessment (DIPA/3.1). Utilizamos para a an??lise estat??stica o Qui-Quadrado, Exato de Fisher, o Teste de Mann-Whitney e a regress??o log??stica bin??ria (Ods Ratio). Os dados foram tratados atrav??s do programa SPSS 24.0 statistics e foi fixado um n??vel de signific??ncia de 0,05 e coeficiente de confian??a de 95%. Resultados. A escoliose apresentou maior percentagem entre os alunos analisados (43%). A idade e o sexo influenciaram no desenvolvimento da hiperlordose lombar entre as meninas e a hipercifose tor??cica entre os meninos (p<0,05). houve associa????o significativa entre a hiperlordose lombar e a aptid??o aer??bia (p<0,05), possuindo possibilidade tr??s vezes maior de se desenvolver em meninos com boa capacidade cardiorrespirat??ria (OR= 3,268). Foi observada a possibilidade de as estudantes do sexo feminino saud??veis de apresentarem escoliose diminui em aproximadamente 43%. Houve associa????o entre meninos portadores de hipercifose tor??cica e a circunfer??ncia da cintura (CC) p<0,05). A chance de um menino apresentar a hiperlordose lombar na fase P2 ?? cerca de 4 vezes maior do que nas demais fases. Conclus??o. Esta pesquisa apresentou resultados significativos relacionados a fatores de risco. Entre eles destaca-se: a idade, o g??nero, a for??a dorsal, a circunfer??ncia da cintura e a puberdade. Observamos que devemos incrementar a aptid??o f??sica muscular, principalmente a for??a dorsal, nas fases iniciais da puberdade durante aulas de educa????o f??sica escolar.
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