Effects of overweight and obesity on walking characteristics in adolescents

Dufek, Janet S.; Currie, Rayland L.; Gouws, Philana-Lee; Candela, Lori; Gutierrez, Antonio P.; Mercer, John A.; Putney, LeAnn G.

doi:10.1016/j.humov.2011.10.003

Cited by 44 publications

(37 citation statements)

References 25 publications

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“…In the current study, no statistically significant differences in the duration of the stance phase and gait speed between groups while walking at their preferred speed were found. Dufek et al (2012) also found similar self-selected walking speed between normalweight (1.25 m/s) and overweight adolescents (1.17 m/s). On the other hand, Hulens, Vansant, Claessens, Lysens, and Muls (2003) used the 6-min walk test and verified that normal-weight people (BMI , 26 kg/m 2 ), people with a BMI between 27.5 kg/m 2 and 35 kg/m 2 , and those with a BMI greater than 35 kg/m 2 have statistically significant differences in walking speeds.…”

Section: Discussionsupporting

confidence: 59%

In-Shoe Plantar Pressures and Ground Reaction Forces During Overweight Adults' Overground Walking

Castro

Abreu

Sousa

et al. 2014

Research Quarterly for Exercise and Sport

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Purpose: Because walking is highly recommended for prevention and treatment of obesity and some of its biomechanical aspects are not clearly understood for overweight people, we compared the absolute and normalized ground reaction forces (GRF), plantar pressures, and temporal parameters of normal-weight and overweight participants during overground walking. Method: A force plate and an in-shoe pressure system were used to record GRF, plantar pressures (foot divided in 10 regions), and temporal parameters of 17 overweight adults and 17 gender-matched normal-weight adults while walking. Results: With high effect sizes, the overweight participants showed higher absolute medial-lateral and vertical GRF and pressure peaks in the central rearfoot, lateral midfoot, and lateral and central forefoot. However, analyzing normalized (scaled to body weight) data, the overweight participants showed lower vertical and anterior-posterior GRF and lower pressure peaks in the medial rearfoot and hallux, but the lateral forefoot peaks continued to be greater compared with normal-weight participants. Time of occurrence of medial-lateral GRF and pressure peaks in the midfoot occurred later in overweight individuals. Conclusions: The overweight participants adapted their gait pattern to minimize the consequences of the higher vertical and propulsive GRF in their musculoskeletal system. However, they were not able to improve their balance as indicated by medial-lateral GRF. The overweight participants showed higher absolute pressure peaks in 4 out of 10 foot regions. Furthermore, the normalized data suggest that the lateral forefoot in overweight adults was loaded more than the proportion of their extra weight, while the hallux and medial rearfoot were seemingly protected.

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Section: Discussionsupporting

confidence: 59%

In-Shoe Plantar Pressures and Ground Reaction Forces During Overweight Adults' Overground Walking

Castro

Abreu

Sousa

et al. 2014

Research Quarterly for Exercise and Sport

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“…Pataky et al 6 reported that obese women tend to have slower gait speeds and accompanying shorter stride lengths, relatively less powerful lower limbs and a poorer endurance compared to lean individuals. Comparative studies by Dufek et al 20 and Hergenroeder et al 21 have also shown significantly slower speeds and distances in obese individuals. Thus, gait impairment observed in our results is comparable to previous reports.…”

Section: Discussionmentioning

confidence: 91%

Influence of morbid obesity on physical capacity, knee-related symptoms and overall quality of life: A cross-sectional study

Tamura

Cazzo

Chaim

et al. 2017

Rev. Assoc. Med. Bras.

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Objective:To evaluate the impact of morbid obesity on physical capacity, joint--related symptoms, and on the overall quality of life. Method: Cross-sectional study carried out at a university hospital, enrolling 39 individuals admitted to a bariatric surgery service. Physical capacity was assessed by Six-Minute Walk Test (SMWT) and the Borg rating of perceived exertion (RPE). Knee-related symptoms were evaluated by Knee Injury and Osteoarthritis Outcome Score (KOOS) and the Lysholm Score. Quality of life was evaluated by Short Form 36 Health Questionnaire (SF-36). Results: On SMWT, the mean distance walked was 374.1±107.5 m. The mean Borg score was 12.9±2.4. KOOS questionnaire found the following scores: pain (64.3±24), other symptoms (67.2±25.5), function in daily living (60.4±26.8), function in sport and recreation (28.5±32.2), knee-related quality of life (35.9±33.5), mean Lysholm scale score (55.3±25.4). SF-36 provided the following scores: physical

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“…The study of Dufek et al (27) was conducted on adolescents and identified significant differences in gait velocity between obese people and lean people. These authors found differences in walking speed between severe and morbid obesity groups (1.18 ms…”

Section: Discussionmentioning

confidence: 99%

Effects of obesity on functional capacity

Pataky

Armand

Müller-Pinget

et al. 2013

Obesity

130

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Objective: To assess the relationships between BMI and walking speed, balance control, sit-to-stand performance (a measure of mass specific lower limb power), and endurance. Design and Methods: Thirty-six women with a BMI 30 kg/m 2 and 10 women with normal body weight (BMI between 18 kg/m 2 and 25 kg/m 2 ) were enrolled in this observational study. The obese group comprised 12 persons with a BMI 30 and <35 (obese), 14 subjects with a BMI 35 and <40 (severe obesity) and 10 people with a BMI 40 kg/m 2 (morbid obesity). All subjects underwent a clinical examination, a gait test, an endurance test (6 minutes walking test), a mass specific lower limb power test (five times sit-to-stand) and a balance test. Results: Obese women exhibited slower fast gait speeds (P < 0.05) with correspondingly shorter stride lengths, poorer sit-to-stand performance (P < 0.05), and endurance (P < 0.05). However, once the state of severe obesity was reached, additional weight gain (morbid obesity) does not seem to decrease these functional capacities any further.Conclusion: This study underlines the importance of assessing obese patients' related physical problems in an early stage of obesity in order to focus exercise regimens and promote appropriate health behaviors.

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Effects of overweight and obesity on walking characteristics in adolescents

Cited by 44 publications

References 25 publications

In-Shoe Plantar Pressures and Ground Reaction Forces During Overweight Adults' Overground Walking

In-Shoe Plantar Pressures and Ground Reaction Forces During Overweight Adults' Overground Walking

Influence of morbid obesity on physical capacity, knee-related symptoms and overall quality of life: A cross-sectional study

Effects of obesity on functional capacity

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