Examining the influence of body fat distribution on standing balance and functional performance in overweight female patients with degenerative lumbar disease
Introduction: Degenerative lumbar disease (DLD) is a prevalent disorder that predominantly affects the elderly population, especially female. Extensive research has demonstrated that overweight individuals (categorized by body fat distribution) have a higher susceptibility to developing DLD and an i...
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| Published in | Frontiers in bioengineering and biotechnology Vol. 12; p. 1375627 |
|---|---|
| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
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Switzerland
Frontiers Media S.A
21.06.2024
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| Abstract | Introduction:
Degenerative lumbar disease (DLD) is a prevalent disorder that predominantly affects the elderly population, especially female. Extensive research has demonstrated that overweight individuals (categorized by body fat distribution) have a higher susceptibility to developing DLD and an increased risk of falling. However, there is limited research available on the standing balance and functional performance of overweight females with DLD.
Aims:
To determine the impact of body fat distribution on standing balance and functional performance in overweight females with DLD.
Methods:
This cross-sectional study evaluated thirty females with DLD were categorized into three types of body fat distribution based on body mass index (BMI) and waist-hip ratio, specifically as android-type, gynoid-type, and normal weight groups. In addition, a control group of ten age-matched females with normal weight was recruited. The Visual Analogue Scale, Roland Morris Disability Questionnaire, Cobb angle (Determined using x-ray), and body composition (Determined using the InBody S10), were conducted only on the DLD groups. All participants were assessed standing balance in the anteroposterior and mediolateral directions. The functional assessments included timed-up-and-go and 5-times-sit-to-stand tests.
Results:
There were 10 people in each group. Android-type (Age = 65.00 ± 6.34 years; BMI = 26.87 ± 2.05 kg/m
2
), Gynoid-type (Age = 65.60 ± 4.99 years; BMI = 26.60 ± 1.75 kg/m
2
), Normal weight (Age = 65.70 ± 5.92 years; BMI = 22.35 ± 1.26 kg/m
2
), and Control (Age = 65.00 ± 5.23 years; BMI = 22.60 ± 1.12 kg/m
2
). The android-type group had higher body fat, visceral fat, and lower muscle mass (
p
< 0.05), along with an increased Cobb angle (
p
< 0.05). They showed greater ellipse area, total excursion, and mean distance in the anteroposterior direction (
p
< 0.05). During the functional performance assessments, the android-type group had longer durations in both the 5-times-sit-to-stand and timed-up-and-go tasks (
p
< 0.05).
Conclusion:
Our study found that android-type overweight individuals showed postural instability, reduced functional performance, and insufficient lower limb muscle strength and mass. These findings might help physical therapists in planning interventions, as they imply that patients with DLD may require specific types of standing balance training and lower extremities muscle-strengthening based on their body fat distribution.
Clinical Trial Registration:
ClinicalTrials.gov
, identifier NCT05375201 |
|---|---|
| AbstractList | Introduction:
Degenerative lumbar disease (DLD) is a prevalent disorder that predominantly affects the elderly population, especially female. Extensive research has demonstrated that overweight individuals (categorized by body fat distribution) have a higher susceptibility to developing DLD and an increased risk of falling. However, there is limited research available on the standing balance and functional performance of overweight females with DLD.
Aims:
To determine the impact of body fat distribution on standing balance and functional performance in overweight females with DLD.
Methods:
This cross-sectional study evaluated thirty females with DLD were categorized into three types of body fat distribution based on body mass index (BMI) and waist-hip ratio, specifically as android-type, gynoid-type, and normal weight groups. In addition, a control group of ten age-matched females with normal weight was recruited. The Visual Analogue Scale, Roland Morris Disability Questionnaire, Cobb angle (Determined using x-ray), and body composition (Determined using the InBody S10), were conducted only on the DLD groups. All participants were assessed standing balance in the anteroposterior and mediolateral directions. The functional assessments included timed-up-and-go and 5-times-sit-to-stand tests.
Results:
There were 10 people in each group. Android-type (Age = 65.00 ± 6.34 years; BMI = 26.87 ± 2.05 kg/m
2
), Gynoid-type (Age = 65.60 ± 4.99 years; BMI = 26.60 ± 1.75 kg/m
2
), Normal weight (Age = 65.70 ± 5.92 years; BMI = 22.35 ± 1.26 kg/m
2
), and Control (Age = 65.00 ± 5.23 years; BMI = 22.60 ± 1.12 kg/m
2
). The android-type group had higher body fat, visceral fat, and lower muscle mass (
p
< 0.05), along with an increased Cobb angle (
p
< 0.05). They showed greater ellipse area, total excursion, and mean distance in the anteroposterior direction (
p
< 0.05). During the functional performance assessments, the android-type group had longer durations in both the 5-times-sit-to-stand and timed-up-and-go tasks (
p
< 0.05).
Conclusion:
Our study found that android-type overweight individuals showed postural instability, reduced functional performance, and insufficient lower limb muscle strength and mass. These findings might help physical therapists in planning interventions, as they imply that patients with DLD may require specific types of standing balance training and lower extremities muscle-strengthening based on their body fat distribution.
Clinical Trial Registration:
ClinicalTrials.gov
, identifier NCT05375201 Introduction: Degenerative lumbar disease (DLD) is a prevalent disorder that predominantly affects the elderly population, especially female. Extensive research has demonstrated that overweight individuals (categorized by body fat distribution) have a higher susceptibility to developing DLD and an increased risk of falling. However, there is limited research available on the standing balance and functional performance of overweight females with DLD. Aims: To determine the impact of body fat distribution on standing balance and functional performance in overweight females with DLD. Methods: This cross-sectional study evaluated thirty females with DLD were categorized into three types of body fat distribution based on body mass index (BMI) and waist-hip ratio, specifically as android-type, gynoid-type, and normal weight groups. In addition, a control group of ten age-matched females with normal weight was recruited. The Visual Analogue Scale, Roland Morris Disability Questionnaire, Cobb angle (Determined using x-ray), and body composition (Determined using the InBody S10), were conducted only on the DLD groups. All participants were assessed standing balance in the anteroposterior and mediolateral directions. The functional assessments included timed-up-and-go and 5-times-sit-to-stand tests. Results: There were 10 people in each group. Android-type (Age = 65.00 ± 6.34 years; BMI = 26.87 ± 2.05 kg/m2), Gynoid-type (Age = 65.60 ± 4.99 years; BMI = 26.60 ± 1.75 kg/m2), Normal weight (Age = 65.70 ± 5.92 years; BMI = 22.35 ± 1.26 kg/m2), and Control (Age = 65.00 ± 5.23 years; BMI = 22.60 ± 1.12 kg/m2). The android-type group had higher body fat, visceral fat, and lower muscle mass (p < 0.05), along with an increased Cobb angle (p < 0.05). They showed greater ellipse area, total excursion, and mean distance in the anteroposterior direction (p < 0.05). During the functional performance assessments, the android-type group had longer durations in both the 5-times-sit-to-stand and timed-up-and-go tasks (p < 0.05). Conclusion: Our study found that android-type overweight individuals showed postural instability, reduced functional performance, and insufficient lower limb muscle strength and mass. These findings might help physical therapists in planning interventions, as they imply that patients with DLD may require specific types of standing balance training and lower extremities muscle-strengthening based on their body fat distribution. Clinical Trial Registration: ClinicalTrials.gov, identifier NCT05375201.Introduction: Degenerative lumbar disease (DLD) is a prevalent disorder that predominantly affects the elderly population, especially female. Extensive research has demonstrated that overweight individuals (categorized by body fat distribution) have a higher susceptibility to developing DLD and an increased risk of falling. However, there is limited research available on the standing balance and functional performance of overweight females with DLD. Aims: To determine the impact of body fat distribution on standing balance and functional performance in overweight females with DLD. Methods: This cross-sectional study evaluated thirty females with DLD were categorized into three types of body fat distribution based on body mass index (BMI) and waist-hip ratio, specifically as android-type, gynoid-type, and normal weight groups. In addition, a control group of ten age-matched females with normal weight was recruited. The Visual Analogue Scale, Roland Morris Disability Questionnaire, Cobb angle (Determined using x-ray), and body composition (Determined using the InBody S10), were conducted only on the DLD groups. All participants were assessed standing balance in the anteroposterior and mediolateral directions. The functional assessments included timed-up-and-go and 5-times-sit-to-stand tests. Results: There were 10 people in each group. Android-type (Age = 65.00 ± 6.34 years; BMI = 26.87 ± 2.05 kg/m2), Gynoid-type (Age = 65.60 ± 4.99 years; BMI = 26.60 ± 1.75 kg/m2), Normal weight (Age = 65.70 ± 5.92 years; BMI = 22.35 ± 1.26 kg/m2), and Control (Age = 65.00 ± 5.23 years; BMI = 22.60 ± 1.12 kg/m2). The android-type group had higher body fat, visceral fat, and lower muscle mass (p < 0.05), along with an increased Cobb angle (p < 0.05). They showed greater ellipse area, total excursion, and mean distance in the anteroposterior direction (p < 0.05). During the functional performance assessments, the android-type group had longer durations in both the 5-times-sit-to-stand and timed-up-and-go tasks (p < 0.05). Conclusion: Our study found that android-type overweight individuals showed postural instability, reduced functional performance, and insufficient lower limb muscle strength and mass. These findings might help physical therapists in planning interventions, as they imply that patients with DLD may require specific types of standing balance training and lower extremities muscle-strengthening based on their body fat distribution. Clinical Trial Registration: ClinicalTrials.gov, identifier NCT05375201. Introduction: Degenerative lumbar disease (DLD) is a prevalent disorder that predominantly affects the elderly population, especially female. Extensive research has demonstrated that overweight individuals (categorized by body fat distribution) have a higher susceptibility to developing DLD and an increased risk of falling. However, there is limited research available on the standing balance and functional performance of overweight females with DLD.Aims: To determine the impact of body fat distribution on standing balance and functional performance in overweight females with DLD.Methods: This cross-sectional study evaluated thirty females with DLD were categorized into three types of body fat distribution based on body mass index (BMI) and waist-hip ratio, specifically as android-type, gynoid-type, and normal weight groups. In addition, a control group of ten age-matched females with normal weight was recruited. The Visual Analogue Scale, Roland Morris Disability Questionnaire, Cobb angle (Determined using x-ray), and body composition (Determined using the InBody S10), were conducted only on the DLD groups. All participants were assessed standing balance in the anteroposterior and mediolateral directions. The functional assessments included timed-up-and-go and 5-times-sit-to-stand tests.Results: There were 10 people in each group. Android-type (Age = 65.00 ± 6.34 years; BMI = 26.87 ± 2.05 kg/m2), Gynoid-type (Age = 65.60 ± 4.99 years; BMI = 26.60 ± 1.75 kg/m2), Normal weight (Age = 65.70 ± 5.92 years; BMI = 22.35 ± 1.26 kg/m2), and Control (Age = 65.00 ± 5.23 years; BMI = 22.60 ± 1.12 kg/m2). The android-type group had higher body fat, visceral fat, and lower muscle mass (p < 0.05), along with an increased Cobb angle (p < 0.05). They showed greater ellipse area, total excursion, and mean distance in the anteroposterior direction (p < 0.05). During the functional performance assessments, the android-type group had longer durations in both the 5-times-sit-to-stand and timed-up-and-go tasks (p < 0.05).Conclusion: Our study found that android-type overweight individuals showed postural instability, reduced functional performance, and insufficient lower limb muscle strength and mass. These findings might help physical therapists in planning interventions, as they imply that patients with DLD may require specific types of standing balance training and lower extremities muscle-strengthening based on their body fat distribution.Clinical Trial Registration:ClinicalTrials.gov, identifier NCT05375201 Degenerative lumbar disease (DLD) is a prevalent disorder that predominantly affects the elderly population, especially female. Extensive research has demonstrated that overweight individuals (categorized by body fat distribution) have a higher susceptibility to developing DLD and an increased risk of falling. However, there is limited research available on the standing balance and functional performance of overweight females with DLD. To determine the impact of body fat distribution on standing balance and functional performance in overweight females with DLD. This cross-sectional study evaluated thirty females with DLD were categorized into three types of body fat distribution based on body mass index (BMI) and waist-hip ratio, specifically as android-type, gynoid-type, and normal weight groups. In addition, a control group of ten age-matched females with normal weight was recruited. The Visual Analogue Scale, Roland Morris Disability Questionnaire, Cobb angle (Determined using x-ray), and body composition (Determined using the InBody S10), were conducted only on the DLD groups. All participants were assessed standing balance in the anteroposterior and mediolateral directions. The functional assessments included timed-up-and-go and 5-times-sit-to-stand tests. There were 10 people in each group. Android-type (Age = 65.00 ± 6.34 years; BMI = 26.87 ± 2.05 kg/m ), Gynoid-type (Age = 65.60 ± 4.99 years; BMI = 26.60 ± 1.75 kg/m ), Normal weight (Age = 65.70 ± 5.92 years; BMI = 22.35 ± 1.26 kg/m ), and Control (Age = 65.00 ± 5.23 years; BMI = 22.60 ± 1.12 kg/m ). The android-type group had higher body fat, visceral fat, and lower muscle mass ( < 0.05), along with an increased Cobb angle ( < 0.05). They showed greater ellipse area, total excursion, and mean distance in the anteroposterior direction ( < 0.05). During the functional performance assessments, the android-type group had longer durations in both the 5-times-sit-to-stand and timed-up-and-go tasks ( < 0.05). Our study found that android-type overweight individuals showed postural instability, reduced functional performance, and insufficient lower limb muscle strength and mass. These findings might help physical therapists in planning interventions, as they imply that patients with DLD may require specific types of standing balance training and lower extremities muscle-strengthening based on their body fat distribution. ClinicalTrials.gov, identifier NCT05375201. |
| Author | Chen, Po-Jung Hsu, Wei-Li Tsai, Yi-Ching Lai, Dar-Ming Kantha, Phunsuk Chen, Jung-Hsuan |
| AuthorAffiliation | 2 Faculty of Physical Therapy , Mahidol University , Nakhon Pathom , Thailand 3 Division of Neurosurgery , Department of Surgery , National Taiwan University Hospital , Taipei , Taiwan 4 Physical Therapy Centre , National Taiwan University Hospital , Taipei , Taiwan 1 School and Graduate Institute of Physical Therapy , College of Medicine , National Taiwan University , Taipei , Taiwan |
| AuthorAffiliation_xml | – name: 2 Faculty of Physical Therapy , Mahidol University , Nakhon Pathom , Thailand – name: 1 School and Graduate Institute of Physical Therapy , College of Medicine , National Taiwan University , Taipei , Taiwan – name: 3 Division of Neurosurgery , Department of Surgery , National Taiwan University Hospital , Taipei , Taiwan – name: 4 Physical Therapy Centre , National Taiwan University Hospital , Taipei , Taiwan |
| Author_xml | – sequence: 1 givenname: Jung-Hsuan surname: Chen fullname: Chen, Jung-Hsuan – sequence: 2 givenname: Po-Jung surname: Chen fullname: Chen, Po-Jung – sequence: 3 givenname: Phunsuk surname: Kantha fullname: Kantha, Phunsuk – sequence: 4 givenname: Yi-Ching surname: Tsai fullname: Tsai, Yi-Ching – sequence: 5 givenname: Dar-Ming surname: Lai fullname: Lai, Dar-Ming – sequence: 6 givenname: Wei-Li surname: Hsu fullname: Hsu, Wei-Li |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/38974656$$D View this record in MEDLINE/PubMed |
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| ContentType | Journal Article |
| Copyright | Copyright © 2024 Chen, Chen, Kantha, Tsai, Lai and Hsu. Copyright © 2024 Chen, Chen, Kantha, Tsai, Lai and Hsu. 2024 Chen, Chen, Kantha, Tsai, Lai and Hsu |
| Copyright_xml | – notice: Copyright © 2024 Chen, Chen, Kantha, Tsai, Lai and Hsu. – notice: Copyright © 2024 Chen, Chen, Kantha, Tsai, Lai and Hsu. 2024 Chen, Chen, Kantha, Tsai, Lai and Hsu |
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| Keywords | spinal alignment degenerative lumbar disease (DLD) body fat distribution standing balance functional assessment center of pressure (COP) overweight |
| Language | English |
| License | Copyright © 2024 Chen, Chen, Kantha, Tsai, Lai and Hsu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
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| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Edited by: Yih-Kuen Jan, University of Illinois at Urbana-Champaign, United States Yung-Shen Tsai, University of Taipei, Taiwan Present address: Po-Jung Chen National Center for Geriatrics and Welfare Research, National Health Research Institutes, Yunlin, Taiwan. These authors have contributed equally to this work Li-Wei Chou, National Yang Ming Chiao Tung University, Taiwan Reviewed by: Fu-Lien Wu, University of Nevada, Las Vegas, United States |
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Degenerative lumbar disease (DLD) is a prevalent disorder that predominantly affects the elderly population, especially female. Extensive... Degenerative lumbar disease (DLD) is a prevalent disorder that predominantly affects the elderly population, especially female. Extensive research has... Introduction: Degenerative lumbar disease (DLD) is a prevalent disorder that predominantly affects the elderly population, especially female. Extensive... |
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| Title | Examining the influence of body fat distribution on standing balance and functional performance in overweight female patients with degenerative lumbar disease |
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