Does Excessive Body Weight Change the Shape of the Spine in Children?

Jankowicz-Szymańska, Agnieszka; Bibro, Marta; Wódka, Katarzyna; Smola, E

doi:10.1089/chi.2018.0361

Cited by 21 publications

(17 citation statements)

References 16 publications

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“…There are two possible explanations behind the observed sex-specific relationship between adiposity and movement quality in mid-adolescents. (1) Neuromechanical: Evidence shows that adolescent boys are more prone to develop postural misalignment, such as hyperkyphosis compared to girls [16,58]; since kyphotic posture decreases concentric activity of the thoracic paraspinal muscles, this could directly limit shoulder mobility test whereas this movement pattern requires active thoracic extension (i.e., demands concentric action of the paraspinal thoracic extensors muscles) [26][27][28]. Moreover, hyperkyphosis can directly limit the optimal performance of the squat, inline lunge, and rotary stability since these patterns demand maintaining neutral spine position and co-contraction of the paraspinal thoracic muscles [26][27][28].…”

Section: Discussionmentioning

confidence: 99%

“…According to the recent evidence, three inter-related clinical and biomechanical components are compromised in children with overweight: (1) body posture [12][13][14][15][16], (2) gait biomechanics [5,17], and (3) movement competence [4,[18][19][20]. Compared to normal weight peers, children with overweight demonstrate postural malalignments characterized by thoracic hyperkyphosis, lumbar hyperlordosis, genu valgum and varus, valgus heel, and flat feet [12][13][14][15][16]. Furthermore, children with overweight have altered biomechanics of gait associated with higher hip and tibiofemoral contact force, and lower limb valgus position [5].…”

Section: Introductionmentioning

confidence: 99%

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Is Adiposity Associated with the Quality of Movement Patterns in the Mid-Adolescent Period?

Karuc

Marković

Mišıgoj-Duraković

et al. 2020

IJERPH

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This study examined the association between functional movement (FM) and adiposity in adolescent population (16–17 years). This study was conducted in a representative sample of urban adolescents as the part of the CRO-PALS longitudinal study (n = 652). Body mass index (BMI), a sum of four skinfolds (S4S), waist and hip circumference were measured, and FM was assessed via Functional Movement ScreenTM (FMSTM). Furthermore, total FMSTM screen was indicator of FM with the composite score ranged from 7 to 21, with higher score indicating better FM. Multilevel analysis was employed to determine the relationship between different predictors and total FMS score. In boys, after controlling for age, moderate-to-vigorous physical activity, and socioeconomic status, total FMS score was inversely associated only with BMI (β = −0.18, p < 0.0001), S4S (β = −0.04, p < 0.0001), waist circumference (β = −0.08, p < 0.0001), and hip circumference (β = −0.09, p < 0.0001). However, among girls, in adjusted models, total FMS score was inversely associated with S4S (β = −0.03, p < 0.0001), while BMI (β = −0.05, p = 0.23), waist circumference (β = −0.04, p = 0.06), and hip circumference: (β = −0.01, p = 0.70) failed to reach statistical significance. Results showed that the association between adiposity and FM in adolescence is sex-specific, suggesting that boys with overweight and obesity could be more prone to develop dysfunctional movement patterns. Therefore, exercise interventions directed toward correcting dysfunctional movement patterns should be sex-specific, targeting more boys with overweight and obesity rather than adolescent girls with excess weight.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Is Adiposity Associated with the Quality of Movement Patterns in the Mid-Adolescent Period?

Karuc

Marković

Mišıgoj-Duraković

et al. 2020

IJERPH

View full text Add to dashboard Cite

show abstract

“…There are two possible explanations behind the observed sex-specific relationship between adiposity and movement quality in adolescents. 1) Neuromechanical: Evidence shows that adolescent boys are more prone to develop postural misalignment, such as hyperkyphosis compared to girls [16,58]; since kyphotic posture decreases concentric activity of the thoracic paraspinal muscles, this could directly limit shoulder mobility test whereas this movement pattern requires active thoracic extension (i.e. demands concentric action of the paraspinal thoracic extensors muscles) [26][27][28].…”

Section: Discussionmentioning

confidence: 99%

Is Adiposity Associated with the Quality of Movement Patterns in the Mid-Adolescent Period?

Karuc

Marković

Mišıgoj-Duraković

et al. 2020

Preprint

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This study investigated the relationship between functional movement (FM) and adiposity in adolescents (16-17 years). This research is a part of the CRO-PALS study conducted in a random sample of adolescents (n=652, mean age±SD: 16.6±0.4). Body mass index (BMI), a sum of four skinfolds (S4S), waist and hip circumference were measured, and FM was assessed via Functional Movement Screen™ (FMSTM). Multilevel analysis were employed to determine the relationship between different predictors and total FMS score. After controlling for age, moderate-to-vigorous physical activity, and socioeconomic status, relationship between variables of adiposity and total FMS score was significant and negative among boys (BMI:β=-0.18, p<0.0001; S4S:β=-0.04, p<0.0001; waist circumference:β=-0.08, p<0.0001; hip circumference:β=-0.09, p<0.0001). However, among girls, in adjusted models, only S4S showed a significant and negative effect on total FMS score (β=-0.03, p<0.0001), while other coefficients failed to reach significance (BMI:β=-0.05, p=0.23; waist circumference:β=-0.04, p=0.06; hip circumference:β=-0.01, p=0.70). Results showed that the effect of adiposity on FM in adolescence is sex-specific, suggesting that boys with overweight and obesity could be more prone to develop dysfunctional movement patterns. Therefore, exercise interventions directed toward correcting dysfunctional patterns should be sex-specific, targeting more boys with overweight and obesity rather than adolescent girls with overweight and obesity.

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“…Such factors are, for example, excessive body weight and a sedentary lifestyle. Their adverse impact on body posture quality have been proven many times [8][9][10][11]. The position of individual body segments relative to each other is also important.…”

Section: Introductionmentioning

confidence: 99%

Relationship between frontal knee position and the degree of thoracic kyphosis and lumbar lordosis among 10-12-year-old children with normal body weight

Jankowicz-Szymańska¹,

Fałatowicz²,

Smola³

et al. 2020

PLoS ONE

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Introduction Incorrect positioning of the body in space increases the tension of the myofascial tissue and overloads the skeleton. It is important to look for factors that affect the deterioration of body posture that could be eliminated. Understanding the interrelationship between the positioning of individual body segments should be the key knowledge for those involved in the prevention and correction of faulty body posture. The study aimed to determine the relationship between the degree of physiological curvatures of the spine and the incidence of incorrect knee position. Materials and methods The study involved 685 children aged 10–12. Body height, weight and BMI were measured and calculated. The degree of thoracic kyphosis and lumbar lordosis was assessed using the Zebris Pointer ultrasound system. Valgus and varus knees were diagnosed in an upright position based on the intermalleolar distance with knees together, and intercondylar distance with the feet placed together. The statistical analysis uses descriptive statistics, the Mann-Whitney U test (comparison of girls and boys), the Kruskal-Wallis test, the Tukey's post hoc test (comparison of variables in participants with correct, varus and valgus knees) and Spearman's rank correlation coefficient (the relationship between the position of the spine and knees). Results The examined girls were heavier than the boys and had higher BMI. Spine deformities and incorrect knee position are common among 10-12-year-old children. The girls and boys differed significantly in the spine shape in the sagittal plane and the intermalleolar distance. Round lumbar lordosis is more characteristic for girls, and for boys, round thoracic kyphosis. For both genders, valgus knees occur more often than varus knees and coexist with decreased thoracic kyphosis. The rounder the thoracic kyphosis, the greater distance between the knees and the smaller distance between ankles. Conclusions The frontal knee position significantly correlated with the depth of thoracic kyphosis.

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Does Excessive Body Weight Change the Shape of the Spine in Children?

Cited by 21 publications

References 16 publications

Is Adiposity Associated with the Quality of Movement Patterns in the Mid-Adolescent Period?

Is Adiposity Associated with the Quality of Movement Patterns in the Mid-Adolescent Period?

Is Adiposity Associated with the Quality of Movement Patterns in the Mid-Adolescent Period?

Relationship between frontal knee position and the degree of thoracic kyphosis and lumbar lordosis among 10-12-year-old children with normal body weight

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