Postural changes in morbidly obese patients
Postural deviations in morbidly obese individuals may contribute to low self-esteem and to long-term adverse effects on bones and joints. In a case-control study, the axial skeleton was investigated, to disclose the main abnormalities found in obese compared to non-obese groups. 2 groups were compar...
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| Veröffentlicht in: | Obesity surgery 2005-08, Vol.15 (7), p.1013-1016 |
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| creator | Fabris de Souza, Shirley Aparecida Faintuch, Joel Valezi, Antonio Carlos Sant'Anna, Antonio Fernando Gama-Rodrigues, Joaquim José de Batista Fonseca, Inês Cristina de Melo, Roberta Donadio |
| description | Postural deviations in morbidly obese individuals may contribute to low self-esteem and to long-term adverse effects on bones and joints. In a case-control study, the axial skeleton was investigated, to disclose the main abnormalities found in obese compared to non-obese groups.
2 groups were compared. Group 1, severely obese patients (n= 32), age 41.5 +/- 8.2 years, BMI 49.4 +/- 6.6 kg/m2, 93.8% females, and group 2 non-obese (n= 30), age 43.5 +/- 5.8 years, BMI 24.6 +/- 5.1 kg/m2, 96.7% females, had their posture analyzed through clinical examination and radiological imaging. Variables measured were anterior, lateral and posterior angular deviation from the vertical body axis at the head, shoulders, pelvis, Thales triangle, spine, knees, ankles and feet. Data are shown as a percentage of abnormal angles in the 2 groups.
On anterior analysis of the 2 groups, disturbances affected head (37.5% vs 13.3%), Thales angle (78.1% vs 53.3%), knees (84.4% vs 33.3%), legs (59.4% vs 30.0%) and support base (59.4% vs 26.7%) (P |
| doi_str_mv | 10.1381/0960892054621224 |
| format | Article |
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2 groups were compared. Group 1, severely obese patients (n= 32), age 41.5 +/- 8.2 years, BMI 49.4 +/- 6.6 kg/m2, 93.8% females, and group 2 non-obese (n= 30), age 43.5 +/- 5.8 years, BMI 24.6 +/- 5.1 kg/m2, 96.7% females, had their posture analyzed through clinical examination and radiological imaging. Variables measured were anterior, lateral and posterior angular deviation from the vertical body axis at the head, shoulders, pelvis, Thales triangle, spine, knees, ankles and feet. Data are shown as a percentage of abnormal angles in the 2 groups.
On anterior analysis of the 2 groups, disturbances affected head (37.5% vs 13.3%), Thales angle (78.1% vs 53.3%), knees (84.4% vs 33.3%), legs (59.4% vs 30.0%) and support base (59.4% vs 26.7%) (P<0.05). On posterior view, the spine was the deranged segment (87.5% vs 36.7%) (P<0.05), and on lateral assessment, 100% of the results were abnormal.
1) Individuals with morbid obesity present important postural alterations. 2) Seriously altered posture was the rule for the obese population in this study, especially in the spine, knees and feet. 3) Most patients had compatible clinical complaints, but they rarely associated the bone and joint pain with the obesity and axial skeleton deviations. 4) Planned physical activity should be part of the treatment of severe obesity, in order to correct deviations, prevent new ones, and improve quality of life.</description><identifier>ISSN: 0960-8923</identifier><identifier>EISSN: 1708-0428</identifier><identifier>DOI: 10.1381/0960892054621224</identifier><identifier>PMID: 16105399</identifier><language>eng</language><publisher>United States: Springer Nature B.V</publisher><subject>Adult ; Body Weights and Measures ; Case-Control Studies ; Female ; Humans ; Male ; Middle Aged ; Musculoskeletal Diseases - etiology ; Obesity ; Obesity, Morbid - complications ; Obesity, Morbid - physiopathology ; Posture - physiology ; Weight control</subject><ispartof>Obesity surgery, 2005-08, Vol.15 (7), p.1013-1016</ispartof><rights>Springer 2005</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c324t-874fd9bab431ade3edaec3272f97414fe6cc2b91045570afab7a45d7aa7488e13</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16105399$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fabris de Souza, Shirley Aparecida</creatorcontrib><creatorcontrib>Faintuch, Joel</creatorcontrib><creatorcontrib>Valezi, Antonio Carlos</creatorcontrib><creatorcontrib>Sant'Anna, Antonio Fernando</creatorcontrib><creatorcontrib>Gama-Rodrigues, Joaquim José</creatorcontrib><creatorcontrib>de Batista Fonseca, Inês Cristina</creatorcontrib><creatorcontrib>de Melo, Roberta Donadio</creatorcontrib><title>Postural changes in morbidly obese patients</title><title>Obesity surgery</title><addtitle>Obes Surg</addtitle><description>Postural deviations in morbidly obese individuals may contribute to low self-esteem and to long-term adverse effects on bones and joints. In a case-control study, the axial skeleton was investigated, to disclose the main abnormalities found in obese compared to non-obese groups.
2 groups were compared. Group 1, severely obese patients (n= 32), age 41.5 +/- 8.2 years, BMI 49.4 +/- 6.6 kg/m2, 93.8% females, and group 2 non-obese (n= 30), age 43.5 +/- 5.8 years, BMI 24.6 +/- 5.1 kg/m2, 96.7% females, had their posture analyzed through clinical examination and radiological imaging. Variables measured were anterior, lateral and posterior angular deviation from the vertical body axis at the head, shoulders, pelvis, Thales triangle, spine, knees, ankles and feet. Data are shown as a percentage of abnormal angles in the 2 groups.
On anterior analysis of the 2 groups, disturbances affected head (37.5% vs 13.3%), Thales angle (78.1% vs 53.3%), knees (84.4% vs 33.3%), legs (59.4% vs 30.0%) and support base (59.4% vs 26.7%) (P<0.05). On posterior view, the spine was the deranged segment (87.5% vs 36.7%) (P<0.05), and on lateral assessment, 100% of the results were abnormal.
1) Individuals with morbid obesity present important postural alterations. 2) Seriously altered posture was the rule for the obese population in this study, especially in the spine, knees and feet. 3) Most patients had compatible clinical complaints, but they rarely associated the bone and joint pain with the obesity and axial skeleton deviations. 4) Planned physical activity should be part of the treatment of severe obesity, in order to correct deviations, prevent new ones, and improve quality of life.</description><subject>Adult</subject><subject>Body Weights and Measures</subject><subject>Case-Control Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Musculoskeletal Diseases - etiology</subject><subject>Obesity</subject><subject>Obesity, Morbid - complications</subject><subject>Obesity, Morbid - physiopathology</subject><subject>Posture - physiology</subject><subject>Weight control</subject><issn>0960-8923</issn><issn>1708-0428</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNpdkL1PwzAUxC0EoqWwM6GIgQUF_PwR2yOq-JIqwQCz5SQvkCqJi50M_e9x1UpITG-43909HSGXQO-Aa7inpqDaMCpFwYAxcUTmoKjOqWD6mMx3cp50PiNnMa4pZVAwdkpmUACV3Jg5uX33cZyC67Lq2w1fGLN2yHofyrbutpkvMWK2cWOLwxjPyUnjuogXh7sgn0-PH8uXfPX2_Lp8WOUVZ2LMtRJNbUpXCg6uRo61w6Qo1hglQDRYVBUrDVAhpaKucaVyQtbKOSW0RuALcrPP3QT_M2Ecbd_GCrvODeinaAstdAHSJPD6H7j2UxjSb1YzSAVKygTRPVQFH2PAxm5C27uwtUDtbkX7f8VkuTrkTmWP9Z_hMBv_BViTayU</recordid><startdate>200508</startdate><enddate>200508</enddate><creator>Fabris de Souza, Shirley Aparecida</creator><creator>Faintuch, Joel</creator><creator>Valezi, Antonio Carlos</creator><creator>Sant'Anna, Antonio Fernando</creator><creator>Gama-Rodrigues, Joaquim José</creator><creator>de Batista Fonseca, Inês Cristina</creator><creator>de Melo, Roberta Donadio</creator><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>200508</creationdate><title>Postural changes in morbidly obese patients</title><author>Fabris de Souza, Shirley Aparecida ; Faintuch, Joel ; Valezi, Antonio Carlos ; Sant'Anna, Antonio Fernando ; Gama-Rodrigues, Joaquim José ; de Batista Fonseca, Inês Cristina ; de Melo, Roberta Donadio</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c324t-874fd9bab431ade3edaec3272f97414fe6cc2b91045570afab7a45d7aa7488e13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adult</topic><topic>Body Weights and Measures</topic><topic>Case-Control Studies</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Musculoskeletal Diseases - etiology</topic><topic>Obesity</topic><topic>Obesity, Morbid - complications</topic><topic>Obesity, Morbid - physiopathology</topic><topic>Posture - physiology</topic><topic>Weight control</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fabris de Souza, Shirley Aparecida</creatorcontrib><creatorcontrib>Faintuch, Joel</creatorcontrib><creatorcontrib>Valezi, Antonio Carlos</creatorcontrib><creatorcontrib>Sant'Anna, Antonio Fernando</creatorcontrib><creatorcontrib>Gama-Rodrigues, Joaquim José</creatorcontrib><creatorcontrib>de Batista Fonseca, Inês Cristina</creatorcontrib><creatorcontrib>de Melo, Roberta Donadio</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Health and Medical</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Obesity surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fabris de Souza, Shirley Aparecida</au><au>Faintuch, Joel</au><au>Valezi, Antonio Carlos</au><au>Sant'Anna, Antonio Fernando</au><au>Gama-Rodrigues, Joaquim José</au><au>de Batista Fonseca, Inês Cristina</au><au>de Melo, Roberta Donadio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Postural changes in morbidly obese patients</atitle><jtitle>Obesity surgery</jtitle><addtitle>Obes Surg</addtitle><date>2005-08</date><risdate>2005</risdate><volume>15</volume><issue>7</issue><spage>1013</spage><epage>1016</epage><pages>1013-1016</pages><issn>0960-8923</issn><eissn>1708-0428</eissn><abstract>Postural deviations in morbidly obese individuals may contribute to low self-esteem and to long-term adverse effects on bones and joints. In a case-control study, the axial skeleton was investigated, to disclose the main abnormalities found in obese compared to non-obese groups.
2 groups were compared. Group 1, severely obese patients (n= 32), age 41.5 +/- 8.2 years, BMI 49.4 +/- 6.6 kg/m2, 93.8% females, and group 2 non-obese (n= 30), age 43.5 +/- 5.8 years, BMI 24.6 +/- 5.1 kg/m2, 96.7% females, had their posture analyzed through clinical examination and radiological imaging. Variables measured were anterior, lateral and posterior angular deviation from the vertical body axis at the head, shoulders, pelvis, Thales triangle, spine, knees, ankles and feet. Data are shown as a percentage of abnormal angles in the 2 groups.
On anterior analysis of the 2 groups, disturbances affected head (37.5% vs 13.3%), Thales angle (78.1% vs 53.3%), knees (84.4% vs 33.3%), legs (59.4% vs 30.0%) and support base (59.4% vs 26.7%) (P<0.05). On posterior view, the spine was the deranged segment (87.5% vs 36.7%) (P<0.05), and on lateral assessment, 100% of the results were abnormal.
1) Individuals with morbid obesity present important postural alterations. 2) Seriously altered posture was the rule for the obese population in this study, especially in the spine, knees and feet. 3) Most patients had compatible clinical complaints, but they rarely associated the bone and joint pain with the obesity and axial skeleton deviations. 4) Planned physical activity should be part of the treatment of severe obesity, in order to correct deviations, prevent new ones, and improve quality of life.</abstract><cop>United States</cop><pub>Springer Nature B.V</pub><pmid>16105399</pmid><doi>10.1381/0960892054621224</doi><tpages>4</tpages></addata></record> |
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| subjects | Adult Body Weights and Measures Case-Control Studies Female Humans Male Middle Aged Musculoskeletal Diseases - etiology Obesity Obesity, Morbid - complications Obesity, Morbid - physiopathology Posture - physiology Weight control |
| title | Postural changes in morbidly obese patients |
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