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Sagittal Spinal Alignment in Children and Adolescents

Associations with Age, Weight Status, and Sports Participation

Bibliographic Data

ID15712636
AuthorsGiada Annarumma (Ferrari (Italy)), Fiore Mazza (Ferrari (Italy)), Alessandro Ambrosi (0000-0003-1976-5663, Ferrari (Italy)), Erica Keeling (0009-0001-7687-4586, Ferrari (Italy)), Fredrick Fernando (Ferrari (Italy)), Felice Sirico (0000-0001-6801-3308, University of Naples Federico II), Rossana Gnasso (Federico II University Hospital), Andrea Demeco (0000-0001-5419-4275, Magna Graecia University), Marco Vecchiato (0000-0002-5112-8472, University of Padua), Maria Letizia Motti (0000-0002-4419-9694, University of Padua), Alessandro Biffi (0000-0003-0850-0969, Ferrari (Italy)), Stefano Palermi (0000-0003-1558-4857, Ferrari (Italy), corresponding author)
Year2025
Volume12
Issue5
Pages659-659
Publication date2025-05-21
Open AccessYes
TypeARTICLE
VenueChildren (JOURNAL)
Journal identifiersISSN: 2227-9067 • E-ISSN: 2227-9067
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/children12050659
PMID40426838
OpenAlexW4410581014
LanguageEN
Citations received1
References cited26

Background . Poor posture is a common musculoskeletal concern in children and adolescents and may lead to spinal discomfort and long-term structural issues. While excess weight has been linked to altered sagittal alignment, the impact of sports participation on spinal posture remains unclear. This study aimed to investigate the associations between weight status, sports participation, and sagittal spinal alignment in a pediatric population. Methods. This cross-sectional study was conducted within the "Ferrari Formula Benessere" corporate wellness program and included 698 children aged 5 to 16 years. Sagittal Index (SI) was measured using a standardized plumb line technique. Body mass index (BMI) was calculated and classified according to the WHO growth standards. Sports participation was self-reported and grouped into five categories: sedentary, skill-based, power-based, mixed, and endurance sports. Results . Age was the only significant independent predictor of the SI (β = 2.45, p p p = 0.224). Conclusions . Age appears to be the primary factor associated with sagittal spinal alignment in children, while BMI and general sports participation showed no independent effect. Although some differences emerged between sport types, these findings were not statistically significant and should be interpreted with caution. These findings underscore the need for sport-specific, longitudinal research using objective posture assessment methods

Analysis of variance · Body mass index · Physical therapy · Sagittal plane · Medicine · Occupational Health and Performance · Pregnancy-related medical research · Psychology · Scoliosis diagnosis and treatment · Internal Medicine

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Citations per year1
Citation span2026 - 2026 (1)
Highly citedNo

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