Postural Changes in Morbidly Obese Patients

Souza, Shirley Aparecida Fabris de; Faintuch, Joel; Valezi, Antonio Carlos; Sant’Anna, Antonio Fernando; Gama-Rodrigues, Joaquim; Fonseca, Inês Cristina de Batista; Melo, Roberta Donadio de

doi:10.1381/0960892054621224

Cited by 110 publications

(67 citation statements)

References 5 publications

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“…Continuing studies should assess the specific risk of falling in obese subjects rather than extrapolating risk for falling from reported fractures. Finally, a recent study from Fabris de Souza et al 38 shows that individuals with morbid obesity present important postural alterations (axial skeleton deviations) and that these alterations are compatible with bone and joint obesityrelated pain. Although none of our subjects reported pain problems, it is of interest to note that pain to the lower limbs decreases postural stability.…”

Section: Discussionmentioning

confidence: 96%

Reducing weight increases postural stability in obese and morbid obese men

et al. 2006

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Objective: To investigate the effect of weight loss on balance control in obese and morbid obese men. Methods: In a longitudinal and clinical intervention study, postural stability was measured with a force platform before and after weight loss in men. Weight loss was obtained in obese men (mean body mass index (BMI) ¼ 33.0 kg/m 2 ) by hypocaloric diet until resistance and in morbid obese men (mean BMI ¼ 50.5 kg/m 2 ) by bariatric surgery. Morbid obese men were tested before surgery, and 3 and 12 months after surgery when they had lost 20 and nearly 50% of initial body weight, respectively. Normal weight individuals (mean BMI ¼ 22.7 kg/m 2 ) were tested twice within a 6-to 12-month period to serve as control. Body fatness and fat distribution measures, and posturographic parameters of the center of foot pressure (CP) along the antero-posterior and medio-lateral axes for conditions with and without vision were performed in all subjects. Results: Weight loss averaged 12.3 kg after dieting and 71.3 kg after surgery. Body weight remained unchanged in the control group. After weight loss, nearly all measures of postural stability were improved with and without vision (i.e., CP speed and range in antero-posterior and medio-lateral axes). A strong linear relationship was observed between weight loss and improvement in balance control measured from CP speed (adjusted R 2 ¼ 0.65, Po0.001). Conclusion: Weight loss improves balance control in obese men and the extent of the improvement is directly related to the amount of weight loss. This should decrease the habitual greater risk of falling observed in obese individuals.

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Section: Discussionmentioning

confidence: 96%

Reducing weight increases postural stability in obese and morbid obese men

et al. 2006

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“…In terms of mechanical-structural factors, several researchers have noted that obesity results in serious postural changes that affect loading on individual joints, and thus increased weight may result in long-term adverse effects on bones and joints [54]. Other hypothesized mechanical-structural hypotheses include increased loading [55], joint misalignment [56][57], structural changes [58], and decreased ambulation and conditioning [37][38] that result from overweight/obesity.…”

Section: Mechanisms: Explaining the Relationship Between Pain And Ovementioning

confidence: 99%

Overview of the relationship between pain and obesity: What do we know? Where do we go next?

Janke¹,

Collins²,

Kozak³

2007

JRRD

180

141

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Abstract-Overweight/obesity and pain are significant problems of increasing prevalence; understanding the relationship between the two is the focus of a growing body of research. Findings from this review support a likely relationship between increasing weight and pain conditions such as osteoarthritis and low back pain. Longitudinal studies suggest overweight/obesity early in life is a risk factor for pain, and the co-occurrence of pain and overweight/obesity negatively affects quality of life. The mechanism of relationship is unknown but is hypothesized to include mechanical and metabolic abnormalities, possibly secondary to lifestyle choices. Observations from a few studies demonstrate that treatments for obesity reduce pain secondary to weight loss. Few studies examine both pain and weight as primary outcomes, and variability in measurement makes comparisons and conclusions difficult. Research should focus on expanding knowledge about mechanisms of the relationship between pain and obesity, testing explanatory models addressing their co-occurrence, and developing treatments that most effectively target this comorbidity.

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“…Adult obesity has been associated with a higher prevalence of musculoskeletal disorders, primarily affecting the lower limbs, [9][10][11][12][13] but comparative data in children are scarce. Some musculoskeletal disorders that are unique to childhood, such as slipped capital femoral epiphysis 14 and tibia vara (Blount's disease), 15 [16][17][18][19] Although these few studies imply that childhood obesity may predispose children to musculoskeletal problems, convincing empirical verifi cation is currently lacking.…”

Section: Introductionmentioning

confidence: 99%

Musculoskeletal Problems in Overweight and Obese Children

Krul¹,

Wouden²,

Schellevis³

et al. 2009

The Annals of Family Medicine

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PURPOSEThe obesity epidemic in children is spreading at alarming rates. Because musculoskeletal problems can infl uence physical activity, we compared the frequency of musculoskeletal problems in overweight and obese children with that in normal-weight children.METHODS We performed a cross-sectional database and face-to-face interview study that included 2,459 children aged 2 to 17 years from Dutch family practices. We collected data on self-reported height and weight (body mass index), self-reported musculoskeletal problems in the 2 weeks before the interview, number of family physician consultations for musculoskeletal problems in 1 year, and age (2 age-groups were analyzed: 2 to 11 years and 12 to 17 years, because of the proxy interview in the youngest age-group). We calculated the odds ratio (OR) and 95% confi dence interval (CI) for musculoskeletal problems in overweight and obese children, compared with normal-weight children.RESULTS Overweight and obese children in both age-groups (2 to 11 years and 12 to 17 years) reported signifi cantly more musculoskeletal problems (OR = 1.86; 95% CI, 1.18-2.93; and OR = 1.69; 95% CI, 1.08-2.65, respectively) than normal-weight children. The total group of children who were overweight or obese reported more lower extremity problems than did the normal-weight children (OR = 1.62; 95% CI, 1.09-2.41); furthermore, they reported more ankle and foot problems than children who were of normal weight (OR = 1.92; 95% CI, 1. 15-3.20). Overweight and obese children aged 12 to 17 years consulted their family physicians more often with lower extremity problems than did the normal-weight children (OR = 1.92; 95% CI, 1.05-3.51).CONCLUSION This study shows that overweight and obese children more frequently experience musculoskeletal problems than do normal-weight children.

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Postural Changes in Morbidly Obese Patients

Cited by 110 publications

References 5 publications

Reducing weight increases postural stability in obese and morbid obese men

Reducing weight increases postural stability in obese and morbid obese men

Overview of the relationship between pain and obesity: What do we know? Where do we go next?

Musculoskeletal Problems in Overweight and Obese Children

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