{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T19:07:48Z","timestamp":1790968068110,"version":"4.1.0"},"reference-count":52,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2024,11,12]],"date-time":"2024-11-12T00:00:00Z","timestamp":1731369600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"RIPLU TARGOVISTE S.R.L. (Targoviste, Romania)","award":["26\/721\/2\/21.07.2023"],"award-info":[{"award-number":["26\/721\/2\/21.07.2023"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Life"],"abstract":"<jats:p>Postural disorders in children and adolescents have an increasing incidence. The aim of this study was to identify the type of postural defects in school-age and preschool children, as well as the external risk factors determined by an inadequate lifestyle. The research included 134 children aged between 5 and 18 years, in whom postural defects were identified. The project involved an examination of the children\u2019s body posture, a survey of the parents to determine the children\u2019s lifestyle, blood tests, and spinal X-rays. A significant percentage (76%) of the children included in the study were underweight. The examination of postural defects in the students revealed scoliosis in 21% of the patients, kyphosis in 7.5%, and lordosis in 1.5%, while 70% of the patients presented an association between at least two postural defects. As far as risk factors are concerned, we identified the presence of rickets sequelae in 70% of the patients, the presence of pectus excavatum in 43% of the patients, genu varum in 15%, and flat foot in 12%. Additionally, 90% of the children had an incorrect posture at the desk, while 42% incorrectly carried their backpack on one shoulder only. In terms of diet quality, associations between an inadequate diet and postural disorders were found for kyphosis, scoliosis, and other deformities. In conclusion, postural abnormalities in children have an increased incidence from an early age and are a result of the change in lifestyle in recent years, represented by sedentarism, a lack of physical activity, the excessive use of electronic devices, stress, and an inadequate diet.<\/jats:p>","DOI":"10.3390\/life14111463","type":"journal-article","created":{"date-parts":[[2024,11,12]],"date-time":"2024-11-12T05:21:59Z","timestamp":1731388919000},"page":"1463","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Risk Factors Involved in Postural Disorders in Children and Adolescents"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-6065-2782","authenticated-orcid":false,"given":"Dalia","family":"Dop","sequence":"first","affiliation":[{"name":"Department of Pediatrics, University of Medicine and Pharmacy Craiova, 200349 Craiova, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7398-5689","authenticated-orcid":false,"given":"Vlad","family":"P\u0103dureanu","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, University of Medicine and Pharmacy Craiova, 200349 Craiova, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rodica","family":"P\u0103dureanu","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, University of Medicine and Pharmacy Craiova, 200349 Craiova, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan-Adrian","family":"Niculescu","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, University of Medicine and Pharmacy Craiova, 200349 Craiova, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alice Nicoleta","family":"Dr\u0103goescu","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Intensive Care, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aritina","family":"Moro\u0219anu","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Medicine and Pharmacy Craiova, 200349 Craiova, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana","family":"Mateescu","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Medicine and Pharmacy Craiova, 200349 Craiova, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmen Elena","family":"Niculescu","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Medicine and Pharmacy Craiova, 200349 Craiova, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iulia Rahela","family":"Marcu","sequence":"additional","affiliation":[{"name":"Department of Medical Rehabilitation, University of Medicine and Pharmacy Craiova, 200349 Craiova, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,11,12]]},"reference":[{"key":"ref_1","first-page":"4758386","article-title":"Screening and Early Identification of Spinal Deformities and Posture in 311 Children: Results from 16 Districts in Slovakia","volume":"2019","year":"2019","journal-title":"Rehabil. Res. Pract."},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Brz\u0119k, A., Dworrak, T., Strauss, M., Sanchis-Gomar, F., Sabbah, I., Dworrak, B., and Leischik, R. (2017). The weight of pupils\u2019 schoolbags in early school age and its influence on body posture. BMC Musculoskelet. Disord., 18.","DOI":"10.1186\/s12891-017-1462-z"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"101043","DOI":"10.1016\/j.isci.2020.101043","article-title":"Prevalence of Incorrect Posture among Children and Adolescents: Finding from a Large Population-Based Study in China","volume":"23","author":"Yang","year":"2020","journal-title":"Iscience"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"9","DOI":"10.26773\/jaspe.220402","article-title":"Analysis of postural disorders with preschool and school children at the regional level","volume":"6","author":"Banjevic","year":"2022","journal-title":"J. Anthropol. Sport Phys. Educ."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"786","DOI":"10.1007\/s00586-020-06341-7","article-title":"Prevalence of the thoracic scoliosis in children and adolescent candidates for strabismus surgery: Results from a 1935-patient cross-sectional study in China","volume":"29","author":"Pan","year":"2020","journal-title":"Eur. Spine J."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"883","DOI":"10.1007\/s00776-014-0626-z","article-title":"Non-specific low back pain in adolescents from the south of Portugal: Prevalence and associated factors","volume":"19","author":"Minghelli","year":"2014","journal-title":"J. Orthop. Sci."},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"da Rosa, B.N., Candotti, C.T., Pivotto, L.R., Noll, M., Silva, M.G., Vieira, A., and Loss, J.F. (2022). Back Pain and Body Posture Evaluation Instrument for Children and Adolescents (BackPEI-CA): Expansion, Content Validation, and Reliability. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph19031398"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1590\/0103-0582201432312","article-title":"Influ\u00eancia da flexibilidade e sexonapostura de escolares [Influence of flexibility and gender on the posture of school children]","volume":"32","author":"Coelho","year":"2014","journal-title":"Rev. Paul. Pediatr."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"61","DOI":"10.18662\/brain\/13.1\/269","article-title":"Physical Rehabilitation of Adolescents with Postural Disorders in the Sagittal Plane and its Relation to Neurophysiology","volume":"13","author":"Voichyshyn","year":"2022","journal-title":"BRAIN Broad Res. Artif. Intell. Neurosci."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"3510","DOI":"10.1007\/s12144-021-01677-9","article-title":"Physical and psychological effects of postural educational intervention for students experienced school refusal","volume":"42","author":"Maekawa","year":"2023","journal-title":"Curr. Psychol."},{"key":"ref_11","doi-asserted-by":"crossref","unstructured":"Santonja-Medina, F., Collazo-Di\u00e9guez, M., Mart\u00ednez-Romero, M.T., Rodr\u00edguez-Ferr\u00e1n, O., Aparicio-Sarmiento, A., Cejudo, A., And\u00fajar, P., and Sainz de Baranda, P. (2020). Classification System of the Sagittal Integral Morphotype in Children from the ISQUIOS Programme (Spain). Int. J. Environ. Res. Public Health, 17.","DOI":"10.3390\/ijerph17072467"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1590\/S1807-59322005000100004","article-title":"Postural assessment of girls between 7 and 10 years of age","volume":"60","author":"Penha","year":"2005","journal-title":"Clinics"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1007\/s00586-014-3653-8","article-title":"Sagittal deformities of the spine: Factors influencing the outcomes and complications","volume":"24","author":"Diebo","year":"2015","journal-title":"Eur. Spine J."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1007\/s005860000230","article-title":"Spine: Posture, mobility and pain. A longitudinal study from childhood to adolescence","volume":"10","author":"Widhe","year":"2001","journal-title":"Eur. Spine J."},{"key":"ref_15","doi-asserted-by":"crossref","unstructured":"Marcu, I.R., Dop, D., Padureanu, V., Niculescu, S.A., Padureanu, R., Niculescu, C.E., and Rogoveanu, O.C. (2020). Non-Steroidal Anti-Inflammatory Drug Etoricoxib Facilitates the Application of Individualized Exercise Programs in Patients with Ankylosing Spondylitis. Medicina, 56.","DOI":"10.3390\/medicina56060270"},{"key":"ref_16","unstructured":"(2024, October 10). WHO Fact Sheet. Obesity and Overweight. Available online: https:\/\/www.who.int\/mediacentre\/factsheets\/fs311\/en\/."},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Ara\u00fajo, C.L., Moreira, A., and Carvalho, G.S. (2023). Postural Education Programmes with School Children: A Scoping Review. Sustainability, 15.","DOI":"10.3390\/su151310422"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1111\/j.1746-1561.2007.00182.x","article-title":"Prevalence and Risk Factors of Poor Posture in School Children in the Czech Republic","volume":"77","year":"2007","journal-title":"J. Sch. Health"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/1746-1340-15-1","article-title":"Postural development in school children: A cross-sectional study","volume":"15","author":"Lafond","year":"2007","journal-title":"Chiropr. Osteopat."},{"key":"ref_20","first-page":"307","article-title":"Body build versus body posture of children and youth aged 7\u201312 years","volume":"3","author":"Burdukiewicz","year":"2006","journal-title":"Stand. Med."},{"key":"ref_21","first-page":"35","article-title":"Prevalence of postural deviations in school of education and professional practice of physical education","volume":"28","author":"Brianezi","year":"2011","journal-title":"Morphol. Sci."},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Baranowska, A., Sierakowska, M., Owczarczuk, A., Olejnik, B.J., Lankau, A., and Baranowski, P. (2023). An Analysis of the Risk Factors for Postural Defects among Early School-Aged Children. J. Clin. Med., 12.","DOI":"10.3390\/jcm12144621"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1016\/j.jmpt.2017.03.013","article-title":"Posture alignment of adolescent idiopathic scoliosis: Photogrammetry in scoliosis school screening","volume":"40","author":"Penha","year":"2017","journal-title":"J. Manip. Physiol. Ther."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"1607","DOI":"10.1589\/jpts.28.1607","article-title":"Age-dependency of posture parameters in children and adolescents","volume":"28","author":"Ludwig","year":"2016","journal-title":"J. Phys. Ther. Sci."},{"key":"ref_25","first-page":"225","article-title":"Physical activities of patients with adolescent idiopathic scoliosis (AIS) compared with a control group: Implications for etiology and possible prevention","volume":"88-B","author":"McMaster","year":"2006","journal-title":"J. Bone Jt. Surg. Br."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"383","DOI":"10.3233\/WOR-141981","article-title":"Effect of asymmetrical backpack load on spinal curvature in school children","volume":"51","author":"Snela","year":"2015","journal-title":"Work"},{"key":"ref_27","doi-asserted-by":"crossref","unstructured":"Brzezi\u0144ski, M., Czubek, Z., Niedzielska, A., Jankowski, M., Kobus, T., and Ossowski, Z. (2019). Relationship between lower-extremity defects and body mass among polish children: A cross-sectional study. BMC Musculoskelet. Disord., 20.","DOI":"10.1186\/s12891-019-2460-0"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"563","DOI":"10.1007\/s00431-017-2873-4","article-title":"Prevalence of incorrect body posture in children and adolescents with overweight and obesity","volume":"176","author":"Kotwicki","year":"2017","journal-title":"Eur. J. Pediatr."},{"key":"ref_29","first-page":"583","article-title":"Risk factors of postural defects in children at school age","volume":"20","author":"Latalski","year":"2013","journal-title":"Ann. Agric. Environ. Med."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"e023341","DOI":"10.1136\/bmjopen-2018-023341","article-title":"International normative data for paediatric foot posture assessment: A cross-sectional investigation","volume":"9","author":"Evans","year":"2019","journal-title":"BMJ Open"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"270","DOI":"10.5937\/afmnai38-29283","article-title":"Postural Disorders and Muscle Power in Primary School Children","volume":"38","author":"Bubanj","year":"2021","journal-title":"Acta Fac. Medicae Naissensis"},{"key":"ref_32","first-page":"17","article-title":"Analysis of body segments and postural state in school children","volume":"40","author":"Luliak","year":"2019","journal-title":"Neuro Endocrinol. Lett."},{"key":"ref_33","doi-asserted-by":"crossref","unstructured":"Genitrini, M., Dotti, F., Bianca, E., and Ferri, A. (2022). Impact of Backpacks on Ergonomics: Biomechanical and Physiological Effects: A Narrative Review. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph19116737"},{"key":"ref_34","doi-asserted-by":"crossref","unstructured":"Walicka-Cupry\u015b, K., Skalska-Izdebska, R., Rachwa\u0142, M., and Truszczy\u0144ska, A. (2015). Influence of the Weight of a School Backpack on Spinal Curvature in the Sagittal Plane of Seven-Year-Old Children. BioMed Res. Int., 2015.","DOI":"10.1155\/2015\/817913"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"890","DOI":"10.1080\/00140130701852747","article-title":"Changes in Neck Muscle Electromyography and Forward Head Posture of Children When Carrying Schoolbags","volume":"51","author":"Kim","year":"2008","journal-title":"Ergonomics"},{"key":"ref_36","doi-asserted-by":"crossref","unstructured":"Perrone, M., Orr, R., Hing, W., Milne, N., and Pope, R. (2018). The Impact of Backpack Loads on School Children: A Critical Narrative Review. Int. J. Environ. Res. Public Health, 15.","DOI":"10.3390\/ijerph15112529"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1177\/2049463717695144","article-title":"Schoolbags and back pain in children between 8 and 13 years: A national study","volume":"11","author":"Spiteri","year":"2017","journal-title":"Br. J. Pain"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"218","DOI":"10.1177\/0018720814546531","article-title":"Effects of Carrying a Backpack in an Asymmetrical Manner on the Asymmetries of the Trunk and Parameters Defining Lateral Flexion of the Spine","volume":"57","author":"Snela","year":"2015","journal-title":"Hum. Factors"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1186\/1748-7161-2-8","article-title":"Postural Effects of Symmetrical and Asymmetrical Loads on the Spines of Schoolchildren","volume":"2","author":"Negrini","year":"2007","journal-title":"Scoliosis"},{"key":"ref_40","first-page":"179","article-title":"The significance of Good Chair as part of children\u2019s school and home environment in the preventive treatment of body statistics distortions","volume":"5","author":"Mrozkowiak","year":"2015","journal-title":"J. Educ. Health Sport"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1007\/s40211-019-00319-8","article-title":"Risk factors for problematic smartphone use in children and adolescents: A review of existing literature","volume":"33","author":"Kothgassner","year":"2019","journal-title":"Neuropsychiatrie"},{"key":"ref_42","first-page":"1673","article-title":"Teens, social media and technology 2018","volume":"31","author":"Anderson","year":"2018","journal-title":"Pew Res. Center"},{"key":"ref_43","doi-asserted-by":"crossref","unstructured":"Spina, G., Bozzola, E., Ferrara, P., Zamperini, N., Marino, F., Caruso, C., Antilici, L., and Villani, A. (2021). Children and Adolescent\u2019s Perception of Media Device Use Consequences. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph18063048"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1007\/s10900-016-0271-x","article-title":"Association Between Smartphone Use and Musculoskeletal Discomfort in Adolescent Students","volume":"42","author":"Yang","year":"2017","journal-title":"J. Community Health"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1016\/j.apergo.2016.06.012","article-title":"Texting on mobile phones and musculoskeletal disorders in young adults: A five-year cohort study","volume":"58","author":"Gustafsson","year":"2017","journal-title":"Appl. Ergon."},{"key":"ref_46","first-page":"e920449","article-title":"Outcome of 24 Weeks of Combined Schroth and Pilates Exercises on Cobb Angle, Angle of Trunk Rotation, Chest Expansion, Flexibility and Quality of Life in Adolescents with Idiopathic Scoliosis","volume":"26","author":"Beqaj","year":"2020","journal-title":"Med. Sci. Monit. Basic Res."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"284","DOI":"10.2106\/JBJS.16.00459","article-title":"Physical activities and lifestyle factors related to adolescent idiopathic scoliosis","volume":"99","author":"Watanabe","year":"2017","journal-title":"J. Bone Jt. Surg. Am."},{"key":"ref_48","doi-asserted-by":"crossref","unstructured":"Scaturro, D., Costantino, C., Terrana, P., Vitagliani, F., Falco, V., Cuntrera, D., Sannasardo, C.E., Vitale, F., and Letizia Mauro, G. (2021). Risk Factors, Lifestyle and Prevention among Adolescents with Idiopathic Juvenile Scoliosis: A Cross-Sectional Study in Eleven First-Grade Secondary Schools of Palermo Province, Italy. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph182312335"},{"key":"ref_49","first-page":"23","article-title":"Relations between biomechanical parameters and static power of arms in children with disturbed posture","volume":"15","author":"Ujsasi","year":"2017","journal-title":"Index Cover."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"260","DOI":"10.25122\/jml-2020-0101","article-title":"Prevalence of 25-OH-Vitamin D and Calcium Deficiency in Adolescent Idiopathic Scoliosis","volume":"13","author":"Herdea","year":"2020","journal-title":"J. Med. Life"},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1590\/S1808-18512014130400432","article-title":"Association between vitamin D levels and adolescent idiopathic scoliosis","volume":"13","author":"Batista","year":"2014","journal-title":"Coluna\/Columna"},{"key":"ref_52","unstructured":"Kevin, L. (2017). Effective therapeutic control of curve progression using calcium and vitamin D supplementation for adolescent idiopathic scoliosis\u2014A randomized double-blinded placebo-controlled trial. Bone Abstr., 6."}],"container-title":["Life"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-1729\/14\/11\/1463\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T16:30:29Z","timestamp":1760113829000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-1729\/14\/11\/1463"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,12]]},"references-count":52,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2024,11]]}},"alternative-id":["life14111463"],"URL":"https:\/\/doi.org\/10.3390\/life14111463","relation":{},"ISSN":["2075-1729"],"issn-type":[{"value":"2075-1729","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11,12]]}}}