Body weight is a strong predictor of postural stability

Hüe, Olivier; Simoneau, Martin; Marcotte, Julie; Berrigan, Félix; Doré, Jean; Marceau, Picard; Marceau, Simon; Tremblay, Angelo; Teasdale, Normand

doi:10.1016/j.gaitpost.2006.07.005

Cited by 417 publications

(386 citation statements)

References 49 publications

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“…Significant alteration of these circumference and width dimensions of the females with posterior balance strategy might be responsible for adoption of aforementioned hip strategy instead of ankle strategy as both of these also contribute to peripheral increase of total body fat and weight. The previous literature [27,31,32] supports the poor balance with the significant increase in BMI confining to the obese category whereas in contrary to that, the mean BMI of posterior balance strategy female in our study falls within the overweight category. The higher percentage of body fat in Asians at lower BMI [33,34] as well as an increased prevalence of truncal fat, might be the reason behind the presentation of posterior type instead of ideal sagittal neutral balance strategy [35].…”

Section: Discussioncontrasting

confidence: 86%

“…Adaptive shortening is often considered with functional overuse. Muscles maintained in a shortened position lose sarcomeres and become weak and infiltrated with [26,27] who were obese or extremely obese, and in all of these populations, body mass influenced postural stability. Shimokata et al [28] found that changes in waist and hip circumferences correlated directly with changes in weight, hence significant increase in waist and hip circumference of females with posterior balance is mainly contributing to the total body weight.…”

Section: Discussionmentioning

confidence: 99%

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Association of Anthropometric Characteristics to Static Sagittal Postural Balance Strategy in Healthy Young Adults

Vats¹,

Meena²

2017

International Journal of Therapies and Rehabilitation Research

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Background and purpose: Associations of a positive sagittal postural imbalance with pain, physical disability and reduced health-related quality of life have emerged as the predictor of clinical symptoms. Limits of postural stability in sagittal standing are set by mechanical factors that include both individual and environmental characteristics. The variability of individual anthropometric characteristics and body dimensions may be considered to affect the selection of motor strategies that people use to maintain standing balance control. The purpose of the present study is to evaluate the association of anthropometric characteristics with static sagittal postural balance strategy in healthy young adults Methodology: Total of 239 healthy under graduate collegiate students aged 18-25 years were randomly screened. Individual's anthropometric characteristics were measured in accordance with ISAK standards. The Indices of BMI (Kg/m 2 ), upper body height to lower body height ratio (UBH/LBH ratio); waist to hip circumference ratio (WC/HC ratio); bi-acromial to bi-iliocristal width ratio (BA/BI ratio) were calculated. Static sagittal postural Balance strategy (Anterior; neutral; posterior) was analyzed using lateral postural analysis. Individual anthropometric characteristics were compared among the three types of sagittal postural balance strategy. Results: Gender specific analysis revealed that the anthropometric characteristics like weight (WT); BMI; WC; HC and BI in females are significantly associated with the shift of neutral balance strategy towards the sagittal posterior direction whereas anterior strategy, being most prevalent in both the genders is not associated with any anthropometric characteristics. Conclusions: Higher BMI; weight; biacromial width (BA); waist (WC) and hip circumference (HC) were the significant determinants of sagittal posterior balance strategy among female adults. We suggest that assessment of an individuals anthropometric characteristics and adopted sagittal standing postural strategy in clinical set up can improve the insight in designing the therapeutic strategies by directing the intervention approach towards the modifiable body characteristics.

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Section: Discussioncontrasting

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Association of Anthropometric Characteristics to Static Sagittal Postural Balance Strategy in Healthy Young Adults

Vats¹,

Meena²

2017

International Journal of Therapies and Rehabilitation Research

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“…Indeed, a strong relationship (R 2 00.52) between weight and postural instability has been observed ). Hue et al (2007) observed that young individuals who are obese and overweight swayed at a faster velocity than normal weight individuals. More tellingly, when obese and overweight individuals lost weight, their balance control improved, and a strong relationship (R 2 00.65) was noted between the amount of weight lost and the improvement in balance control (Teasdale et al 2007).…”

mentioning

confidence: 99%

The impact of obesity on balance control in community-dwelling older women

Dutil

Handrigan

Corbeil

et al. 2012

AGE

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113

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Older individuals have impaired balance control, particularly those that are frail and/or have sensory deprivations. Obese individuals show faster body sway during upright stance than normal weight individuals, suggesting that they also have difficulty controlling balance even if they do not have the same sensory issues as the older people. Therefore, the objective of this study was to examine if obesity is associated to a decreased balance control in older women. Postural sway of normal weight (n 015, age070.8±5.5 years; BMI022.2±1.9 kg/m 2 ), overweight (n 015, age 071.7 ± 4.3 years; BMI 027.3 ± 1.3 kg/m 2 ), and obese (n015, age071.1±4.3 years; BMI033.1±3.4 kg/m 2 ) women was measured with a force platform for normal quiet stance lasting for 30 s in opened and closed eyes conditions. The obese group oscillated at a faster speed than the normal weight group (vision 0.99 ± 0.29 cm/s vs. 0.70 ± 0.16 cm/s, p<0.01; no vision 1.43± 0.50 cm/s vs. 0.87±0.23 cm/s, p<0.01). The obese group exhibited greater range in both axes without vision compared to the normal weight group (p<0.05). When observing sway density parameters, the obese group also spent less time in stability zones (2 mm radius area in which the center of pressure is relatively stable), and the distance between these stability zones are greater than the normal weight group in both visual conditions (p< 0.01 and p<0.05, respectively). Obesity clearly affects postural control in older women. Our results suggest that obesity has a negative impact on the capacity of older woman to adequately use proprioceptive information for posture control. As postural instability or balance control deficits are identified as a risk factor for falling, our results also suggest that obesity in older women could be considered as another potential contributing factor for falling.

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“…These findings indicate that a high BMI is associated with reduced postural control and balance after a TKR. Because being overweight or obese is a risk factor for poor postural stability (56)(57)(58), and because changes in body weight influence balance control (59,60), it is reasonable to expect that overweight and obese patients perform more poorly in the FRT and SLS test compared with patients with a normal BMI, because such tasks are highly dependent on postural stability and balance control. Previous studies have shown that the performance of postural stabilitydependent mobility tasks improves after balance-based post-TKR rehabilitation (24,38), which is consistent with the significant improvements in the FRT and SLS test results for all of the BMI groups at the 2-month and 6-month post-TKR followup assessments in the current study.…”

Section: Discussionmentioning

confidence: 99%

Body Mass Index and Functional Mobility Outcome Following Early Rehabilitation After a Total Knee Replacement: A Retrospective Study in Taiwan

Liao

Huang

et al. 2015

Arthritis Care & Research

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ObjectiveObesity is associated with an increased risk of osteoarthritis, and the incidence of obese patients requiring a total knee replacement (TKR) has increased in recent years. A high body mass index (BMI) may influence post‐TKR rehabilitation outcomes. We investigated the effects of obesity on functional mobility outcomes following post‐TKR rehabilitation in Asian patients whose BMIs were not as high as those reported in similar studies performed in non‐Asian countries.MethodsA total of 113 patients were categorized as normal weight (n = 23), overweight (n = 32), class I obese (n = 31), or class II/III obese (n = 27). Patients were retrospectively followed up for 6 months after undergoing TKR followed by 2 months of active rehabilitation. Outcome measures were recorded at baseline and at the 2‐month and 6‐month followup assessments and included the Western Ontario and McMaster Universities Osteoarthritis Index and the following tests: functional reach, single‐leg stance, ten‐meter walk, timed up and go, chair rise, and stair climbing.ResultsA 4 × 3 (group × time) repeated‐measures analysis of variance showed significant improvement in all of the outcome measures for all of the BMI groups at the 2‐month and 6‐month followup assessments (P < 0.05 for all). No significant intergroup differences at the 2‐month and 6‐month followup assessments were observed for any of the mobility measures except the functional reach and single‐leg stance (P < 0.05).ConclusionPatients with class II/III obesity benefit from early post‐TKR outpatient rehabilitation and respond as well as patients with lower BMIs.

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Body weight is a strong predictor of postural stability

Cited by 417 publications

References 49 publications

Association of Anthropometric Characteristics to Static Sagittal Postural Balance Strategy in Healthy Young Adults

Association of Anthropometric Characteristics to Static Sagittal Postural Balance Strategy in Healthy Young Adults

The impact of obesity on balance control in community-dwelling older women

Body Mass Index and Functional Mobility Outcome Following Early Rehabilitation After a Total Knee Replacement: A Retrospective Study in Taiwan

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