Acta Gymnica 2014, 44(3):149-153 | DOI: 10.5507/ag.2014.015
Assessment of postural stability in overweight and obese middle-aged women
- Faculty of Physical Culture, Palacký University, Olomouc, Czech Republic
Background: Obesity and overweight are defined as abnormal or excessive fat accumulation and are associated with balance disorders.
Objective: To assess the postural stability in a natural stance in overweight and obese women based on center of pressure (CoP) velocity in the anterior-posterior (AP) and medial-lateral (ML) directions.
Methods: A total of 102 women categorized according to body mass index into normal weight, overweight and obese categories underwent a measurement of quiet standing with their eyes open (EO) and with their eyes closed (EC). Postural stability was assessed with a force platform. The mean CoP velocity was evaluated in both directions.
Results: In the AP direction under EO conditions, obese women swayed significantly faster than normal weight women (1.01 cm/s and 0.80 cm/s). In the ML direction, a higher CoP velocity was observed in normal weight women than in obese women (0.52 cm/s and 0.41 cm/s). Under EC conditions in the AP direction, obese women swayed significantly faster than normal weight women (1.29 cm/s and 0.97 cm/s). In the ML direction, a higher CoP velocity was observed in normal weight women than in obese women (0.65 cm/s and 0.48 cm/s).
Conclusions: Results suggest a negative impact of obesity on postural stability in the AP direction. In the ML direction, obese women were more stable than normal weight women, probably due to enlargement of the support base in a natural stance.
Keywords: body mass index, static balance, posturography, quiet stance, CoP velocity
Prepublished online: September 30, 2014; Published: September 1, 2014 Show citation
ACS | AIP | APA | ASA | Harvard | Chicago | Chicago Notes | IEEE | ISO690 | MLA | NLM | Turabian | Vancouver |
References
- Åstrand, P. O. (Ed.). (2003). Textbook of work physiology: Physiological bases of exercise. Champaign, IL: Human Kinetics.
- Berrigan, F., Simoneau, M., Tremblay, A., Hue, O., & Teasdale, N. (2006). Influence of obesity on accurate and rapid arm movement performed from a standing posture. International Journal of Obesity, 30, 1750-1757.
Go to original source...
Go to PubMed...
- Błaszczyk, J. W., Cie¶linska-¦wider, J., Plewa, M., Zahorska-Markiewicz, B., & Markiewicz, A. (2009). Effects of excessive body weight on postural control. Journal of Biomechanics, 42, 1295-1300.
Go to original source...
Go to PubMed...
- Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). New York, NY: Academic Press.
- Corbeil, P., Simoneau, M., Rancourt, D., Tremblay, A., & Teasdale, N. (2001). Increased risk for falling associated with obesity: Mathematical modeling of postural control. IEEE Transactions on Neural Systems and Rehabilitation Engineering, 9, 126-136.
Go to original source...
Go to PubMed...
- Cruz-Gómez, N. S., Plascencia, G., Villanueva-Padrón, L. A., & Jáuregui-Renaud, K. (2011). Influence of obesity and gender on the postural stability during upright stance. Obesity Facts, 4, 212-217.
Go to original source...
Go to PubMed...
- Day, B. L., Steiger, M. J., Thompson, P. D., & Marsden, C. D. (1993). Effect of vision and stance width on human body motion when standing: Implications for afferent control of lateral sway. Journal of Physiology, 469, 479-499.
Go to original source...
Go to PubMed...
- Dutil, M., Handrigan, G. A., Corbeil, P., Cantin, V., Simoneau, M., Teasdale, N., & Hue, O. (2013). The impact of obesity on balance control in community-dwelling older women. Age, 35, 883-890.
Go to original source...
Go to PubMed...
- Fabris De Souza, S. A., Faintuch, J., Valezi, A. C., Sant'Anna, A. F., Gama-Rodrigues, J. J., De Batista Fonseca, I. C., & De Melo, R. D. (2005). Postural changes in morbidly obese patients. Obesity Surgery, 15, 1013-1016.
Go to original source...
- Fransson, P. A., Gomez, S., Patel, M., & Johansson, L. (2007). Changes in multi-segmented body movements and EMG activity while standing on firm and foam support surfaces. European Journal of Applied Physiology, 101, 81-89.
Go to original source...
Go to PubMed...
- Fregly, A. R., Oberman, A., Graybiel, A., & Mitchell, R. E. (1968). Thousand aviator study: Nonvestibular contributions to postural equilibrium functions. Aerospace Medicine, 39, 33-37.
- Gravante, G., Russo, G., Pomara, F., & Ridola, C. (2003). Comparison of ground reaction forces between obese and control young adults during quiet standing on a baropodometric platform. Clinical Biomechanics, 18, 780-782.
Go to original source...
Go to PubMed...
- Handrigan, G. A., Berrigan, F., Hue, O., Simoneau, M., Corbeil, P., Tremblay, A., & Teasdale, N. (2012). The effects of muscle strength on center of pressure-based measures of postural sway in obese and heavy athletic individuals. Gait and Posture, 35, 88-91.
Go to original source...
Go to PubMed...
- Hita-Contreras, F., Martínez-Amat, A., Lomas-Vega, R., Álvarez, P., Mendoza, N., Romero-Franco, N., & Aránega, A. (2013). Relationship of body mass index and body fat distribution with postural balance and risk of falls in Spanish postmenopausal women. Menopause, 20, 202-208.
Go to original source...
Go to PubMed...
- Hue, O., Simoneau, M., Marcotte, J., Berrigan, F., Doré, J., Marceau, P., … Teasdale, N. (2007). Body weight is a strong predictor of postural stability. Gait and Posture, 26, 32-38.
Go to original source...
Go to PubMed...
- Keionen, P., Kauranen, K., & Vanharanta, H. (2003). The relationship between anthropometric factors and body-balancing movements in postural balance. Archives of Physical Medicine and Rehabilitation, 84, 17-22.
Go to original source...
Go to PubMed...
- Ku, P. X., Abu Osman, N. A., Yusof, A., & Wan Abas, W. A. B. (2012). Biomechanical evaluation of the relationship between postural control and body mass index. Journal of Biomechanics, 45, 1638-1642.
Go to original source...
Go to PubMed...
- Lord, S. R., & Menz, H. B. (2000). Visual contributions to postural stability in older adults. Gerontology, 46, 306-310.
Go to original source...
Go to PubMed...
- Menegoni, F., Galli, M., Tacchini, E., Vismara, L., Cavigioli, M., & Capodaglio, P. (2009). Gender-specific effect of obesity on balance. Obesity, 17, 1951-1956.
Go to original source...
Go to PubMed...
- Peterka, R. J. (2002). Sensorimotor integration in human postural control. Journal of Neurophysiology, 88, 1097-1118.
Go to original source...
Go to PubMed...
- Raymakers, J. A., Samson, M. M., & Verhaar, H. J. J. (2005). The assessment of body sway and the choice of the stability parameter(s). Gait and Posture, 21, 48-58.
Go to original source...
Go to PubMed...
- Teasdale, N., Hue, O., Marcotte, J., Berrigan, F., Simoneau, M., Doré, J., … Tremblay, A. (2007). Reducing weight increases postural stability in obese and morbid obese men. International Journal of Obesity, 31, 153-160.
Go to original source...
Go to PubMed...
- World Health Organization. (2013a). Obesity and overweight. Retrieved from http://www.who.int/mediacentre/factsheets/fs311/en/
- World Health Organization. (2013b). WHO Global Infobase. Retrieved from https://apps.who.int/infobase/Comparisons.aspx?l=&NodeVal=WGIE_BMI_5_cd.0704&DO=1&DDLReg=ALL&DDLSex=2&DDLAgeGrp=15100&DDLYear=2010&DDLMethod=INTMDCTM&DDLCateNum=6&TxtBxCtmNum=20%2c35%2c50%2c65%2c80&CBLC1=ON&CBLC3=ON&CBLC4=ON&CBLC6=ON&CBLC8=ON&CBLC10=ON&DDLMapsize=800x480&DDLMapLabels=none&DDLTmpRangBK=0&DDLTmpColor=-3342388
- Zemková, E. (2008). Diagnostika koordinačních schopností [Diagnostics of coordination abilities] [Monograph]. Bratislava: Comenius University in Bratislava.
This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0), which permits use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.