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肥胖与姿势平衡控制:巴西老年女性生物电阻抗与平衡测力信号的相关性。

Adiposity and postural balance control: correlations between bioelectrical impedance and stabilometric signals in elderly Brazilian women.

机构信息

Augusto Motta University Center, Postgraduate Program of Rehabilitation Sciences, Rio de Janeiro, Brazil.

出版信息

Clinics (Sao Paulo). 2011;66(9):1513-8. doi: 10.1590/s1807-59322011000900001.

Abstract

OBJECTIVE

The purpose of this study was to investigate the correlation between body adiposity and postural control in elderly women.

INTRODUCTION

Aging and obesity account for a significant portion of healthcare spending. Life expectancy is increasing worldwide, and Rio de Janeiro has the largest proportion of elderly residents of all Brazilian states.

METHODS

A total of 45 women underwent bioelectrical impedance analysis, waist circumference measurements, weight and height measurements, and stabilometric tests in eight different stance conditions (opened and closed bases with both eyes opened and closed and right and left tandem and unilateral stances with eyes opened). During unilateral stances, the number of hand or foot contacts was counted.

RESULTS

Weight, body mass index, waist circumference, fat percentage, and fat mass showed statistically significant (p,0.05) and positive correlations with the number of contacts made during unilateral stances. The subjects with greater fat mass showed significantly higher anterior-posterior standard deviation and range when their eyes were closed. The sway area was also greater for this group in opened base when their eyes were closed.

DISCUSSION

The results relating body adiposity and postural control can be explained by the difficulty of maintaining a greater quantity of body fat mass within the limits of the individual support base, especially while assuming a unilateral stance.

CONCLUSION

The subjects with a greater fat mass exhibited poor balance control, indicating that body adiposity level was associated with postural control in the elderly women examined in the present study.

摘要

目的

本研究旨在探讨老年女性体脂与姿势控制之间的相关性。

简介

老龄化和肥胖是医疗保健支出的重要组成部分。全球预期寿命正在延长,里约热内卢是巴西所有州中拥有最多老年居民的州。

方法

共有 45 名女性接受了生物电阻抗分析、腰围测量、体重和身高测量以及在八种不同姿势条件下的平衡测试(睁眼和闭眼时的张开和闭合基底,以及右和左串联和单侧姿势)。在单侧姿势中,计算手或脚接触的次数。

结果

体重、体重指数、腰围、体脂百分比和体脂量与单侧姿势时的接触次数呈显著正相关(p,0.05)。体脂量较大的受试者在闭眼时前后标准差和范围显著更高。对于该组,在闭眼时张开基底的摆动面积也更大。

讨论

与体脂和姿势控制相关的结果可以通过在个体支撑基础范围内维持更大量体脂的难度来解释,特别是在采取单侧姿势时。

结论

体脂量较大的受试者平衡控制较差,表明体脂水平与本研究中检查的老年女性的姿势控制有关。

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