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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6313767/
These results indicate that lower BMI leads to lower muscle mass, producing negative effects on the stability of the muscular and skeletal systems (spine-related) and increased risk of scoliosis. Based on the above data, low weight is very closely linked with scoliosis [8,9]. Low weight leads to a reduction in bone density, and this reduced bone density can have severe negative effects on patients with scoliosis, such as changes to their skeletal structure [26]. As such, low weight increases the risk of scoliosis and has an extremely negative influence on body composition, including bone density, increasing the risk of various complications.