Effects of obesity on the biomechanics of stair-walking in children

Strutzenberger, Gerda; Richter, Annegret; Schneider, M.; Mündermann, Annegret; Schwameder, Hermann

doi:10.1016/j.gaitpost.2011.03.025

Cited by 40 publications

(29 citation statements)

References 37 publications

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“…One hypothesis is that there may have been a difference in the height to which participants raised their knees during Jogging. Joint moments are known to be different between children with obesity and healthy weight children during various activities . The tendency during stepping is for children with obesity to flex their knees less than those of a healthy weight .…”

Section: Discussionmentioning

confidence: 99%

“…Joint moments are known to be different between children with obesity and healthy weight children during various activities . The tendency during stepping is for children with obesity to flex their knees less than those of a healthy weight . Furthermore, fast walking, which would have been an action similar in nature to playing Wii Fit Free Jogging, has been shown to result in less angular movement at the knee among children with obesity .…”

Section: Discussionmentioning

confidence: 99%

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The energy cost of playing active video games in children with obesity and children of a healthy weight

2013

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Summary What is already known about this subject Active video games (AVGs) are being marketed as exercise tools. AVG play can result in light‐to‐moderate intensity physical activity. What this study adds A comparison correcting for body size between the energy expended by children with obesity and those of a healthy weight playing AVGs. An examination of several variables related to the energy cost of AVG play including steps taken and rate of perceived exertion. There may be some differences in how children with obesity and children of a healthy weight play AVGs. Background Increasing physical activity and reducing sedentary behaviour form a large part of the treatment of paediatric obesity. However, many children today spend prolonged periods of time playing sedentary video games. Active video games (AVGs) represent a novel and child friendly form of physical activity. Objectives To measure the energy cost of playing two AVGs in children with obesity and healthy age‐ and gender‐matched children. Methods The energy cost of gaming and heart rates achieved during gaming conditions were compared between groups. Results AVG play can result in light‐to‐moderate intensity physical activity (2.7–5.4 metabolic equivalents). When corrected for fat‐free mass those with obesity expended significantly less energy than healthy weight peers playing Nintendo Wii Fit Free Jogging (P = 0.017). No significant difference was seen between groups in the energy cost of playing Boxing. Conclusion Certain AVGs, particularly those that require lower limb movement, could be used to increase total energy expenditure, replace more sedentary activities, or achieve moderate intensity physical activity among children with obesity. There seems to be some differences in how children with obesity and children of a healthy weight play AVGs. This could result in those with obesity expending less energy than their lean peers during AVG play.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The energy cost of playing active video games in children with obesity and children of a healthy weight

2013

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“…This finding indicates that factors beyond BMI may be associated with reports of LE pain in obese children. Lower extremity malalignment is frequently present in obese children [28][29][30]52] and is associated with pain in other populations [45,47,48,64]. Further investigation into factors such as LE alignment that may differ between obese children with pain and those without pain is warranted.…”

Section: Discussionmentioning

confidence: 99%

“…Musculoskeletal comorbidities have become a recent focus of research in obese children. Obese children report more frequent and severe joint pain [13,51,53] and lower extremity malalignment is more prevalent in overweight and obese children [28][29][30]52]. Like with obese adults, obese children report lower function and healthrelated quality of life compared with their healthy peers [38,41,53,63], but less is known about factors in obese children that may contribute to poor function and quality of life.…”

Section: Introductionmentioning

confidence: 99%

Lower Extremity Pain Is Associated With Reduced Function and Psychosocial Health in Obese Children

Bout-Tabaku

Briggs

Schmitt

2013

Clinical Orthopaedics &Amp; Related Research

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Background Childhood obesity is associated with reduced quality of life, physical fitness, and a higher prevalence of lower extremity (LE) pain; however, it is unclear whether and how these factors are related. Questions/purposes For this study we asked if obese children with LE pain (LE+) had higher BMI-Z scores, lower physical function and psychosocial health, and lower physical fitness compared with obese children without LE pain (LEÀ). We determined the association of BMI-Z score with physical function, psychosocial health, or physical fitness in obese children.

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“…In the frontal plane knee joint moment, Kowalk et al 28 observed no di®erence between stair ascent and descent. Strutzenberger et al 29 provided data on di®erences in stair-walking biomechanics between obese and normal-weight children. They have reported that obese children have greater hip abduction, knee extension and hip and knee°exion moments during stair ascent compared to those in normal-weight children.…”

Section: Introductionmentioning

confidence: 99%

Lower Extremities Biomechanics of Regular Stair Climbing: Slim Versus Obese

Almashaqbeh

Al-Sheikh

Abas

et al. 2015

Biomed. Eng. Appl. Basis Commun.

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The kinematic and kinetic di®erences between obese and slim people when climbing a staircase at their self-selected speed are compared. A four-step wooden stair instrumented with two force plates were used as the action platform whilst the kinematic and kinetic recordings were collected and analyzed using a six-camera and two-force plate threedimensional motion analysis system. Ten obese adults, six males and four females, and ten lean adults, six males and four females, volunteered for the study. The results showed that the obese people are able to reduce the knee joint°e xion moment when climbing stair compared to the normal slim people. In the frontal plane, no signi¯cant di®erences were found in the knee adduction moment. Moreover, obese individuals have identi¯ed some kinematics adaptations including slower velocity and longer stance phase, compared to slim individuals. The obese individuals might adjust their gait characteristics in response to their heavy bodies to reduce or maintain the same load on the knee joint as slim individuals.

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Effects of obesity on the biomechanics of stair-walking in children

Cited by 40 publications

References 37 publications

The energy cost of playing active video games in children with obesity and children of a healthy weight

The energy cost of playing active video games in children with obesity and children of a healthy weight

Lower Extremity Pain Is Associated With Reduced Function and Psychosocial Health in Obese Children

Lower Extremities Biomechanics of Regular Stair Climbing: Slim Versus Obese

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