超重和肥胖对老年女性体位稳定性的影响

Mohammadreza Rezaeipour, G. L. Apanasenko
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引用次数: 12

摘要

背景:体重增加通过在身体的不同区域增加质量来改变身体的几何形状。目的:通过测量压力中心(CoP)速度,探讨体重指数(BMI)组对老年女性安静站立时体位稳定性的影响。方法:本准实验研究包括77名65岁以上(67.7±3.5)的无运动女性,她们于2017年夏季来到乌克兰基辅的运动医学中心。根据身体质量指数,所有参与者被分为正常、超重和肥胖组。在泡沫垫上静立(静态情况),通过力平台在正前方(AP)和中外侧(ML)方向上打开(OE)和关闭(CE)眼睛,测量体位稳定性。每次测试进行2次,每次30秒,以200 Hz的采样率记录CoP。结果:在AP方向上,肥胖女性在OE(分别为1.1 cm/s和0.84 cm/s)和CE(分别为1.2 cm/s和0.88 cm/s)时的摇摆速度明显快于正常体重女性。在ML方向上,体重正常的女性在OE条件下(分别为0.55 cm/s和0.43 cm/s)和CE条件下(分别为0.76 cm/s和0.56 cm/s)的CoP速度高于肥胖女性。结论:肥胖对AP方向的姿势稳定性有负面影响。然而,考虑到支撑基础的扩大,肥胖雌性在ML方向上比正常体重雌性更稳定。研究结果对肥胖者、医务人员和医疗保健决策者都很有用。
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Effects of Overweight and Obesity on Postural Stability of Aging Females
Background: Weight gain modifies body geometry by adding mass to different areas of the body. Objectives: The aim of this study was to determine the effect of body mass index (BMI) groups on postural stability of elderly females in a quiet stance by measuring the center of pressure (CoP) velocity. Methods: This quasi-experimental study consisted of 77 inactive females over 65 years old (67.7 ± 3.5) who had come to the Sports Medicine Center (Kiev, Ukraine) in the summer of 2017. All participants were classified into normal, overweight, and obese groups based on BMI. Postural stability was taken in a quiet stance (static situation) on a foam mat with open (OE) and closed (CE) eyes in anteroposterior (AP) and mediolateral (ML) directions by the force platform. Each test was performed two times for 30 seconds, and CoP was recorded at a sampling rate of 200 Hz. Results: In the AP direction, obese females swayed significantly faster than females with normal weight during OE (1.1 cm/s and 0.84 cm/s, respectively) and CE (1.2 cm/s and 0.88 cm/s, respectively) conditions. In the ML direction, higher CoP velocities in females with normal weight were observed than in obese females under OE conditions (0.55 cm/s and 0.43 cm/s, respectively) and CE (0.76 cm/s and 0.56 cm/s, respectively). Conclusions: Obesity had a negative influence on postural stability in the AP direction. However, given the expansion of the support base, obese females were more stable than normal-weight females along the ML direction. Study outcomes can be useful for obese people, medical staff, and healthcare decision-makers.
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