Maciałczyk-Paprocka Katarzyna, Stawińska-Witoszyńska Barbara, Kotwicki Tomasz, Sowińska Anna, Krzyżaniak Alicja, Walkowiak Jarosław, Krzywińska-Wiewiorowska Małgorzata
Physical Education and Sports Department, Poznań University of Medical Sciences, Marcelińska 25, 60-802, Poznań, Poland.
Department of Epidemiology Chair of Social Medicine, Poznań University of Medical Sciences, Dąbrowskiego 79, 60-529, Poznań, Poland.
Eur J Pediatr. 2017 May;176(5):563-572. doi: 10.1007/s00431-017-2873-4. Epub 2017 Feb 22.
The ever increasing epidemics of overweight and obesity in school children may be one of the reasons of the growing numbers of children with incorrect body posture. The purpose of the study was the assessment of the prevalence of incorrect body posture in children and adolescents with overweight and obesity in Poznań, Poland. The population subject to study consisted of 2732 boys and girls aged 3-18 with obesity, overweight, and standard body mass. The assessment of body mass was performed based on BMI, adopting Cole's cutoff values. The evaluation of body posture was performed according to the postural error chart based on criteria complied by professor Dega. The prevalence rates of postural errors were significantly higher among children and adolescents with overweight and obesity than among the group with standard body mass. In the overweight group, it amounted to 69.2% and in the obese group to 78.6%.
The most common postural deviations in obese children and adolescents were valgus knees and flat feet. Overweight and obesity in children and adolescents, predisposing to higher incidence of some types of postural errors, call for prevention programs addressing both health problems. What is Known: • The increase in the prevalence of overweight and obesity among children and adolescents has drawn attention to additional health complications which may occur in this population such as occurrence of incorrect body posture. What is New: • The modified chart of postural errors proved to be an effective tool in the assessment of incorrect body posture. • This chart may be used in the assessment of posture during screening tests and prevention actions at school.
在校儿童中超重和肥胖的流行率不断上升，可能是身体姿势不正确的儿童数量增加的原因之一。本研究的目的是评估波兰波兹南超重和肥胖儿童及青少年中不正确身体姿势的患病率。研究对象包括2732名3至18岁的男孩和女孩，他们分别患有肥胖、超重和标准体重。根据BMI并采用科尔的临界值进行体重评估。根据基于德加教授制定的标准的姿势误差图表进行身体姿势评估。超重和肥胖的儿童及青少年中姿势误差的患病率显著高于标准体重组。在超重组中，这一比例为69.2%，在肥胖组中为78.6%。
肥胖儿童和青少年中最常见的姿势偏差是膝外翻和平足。儿童和青少年中的超重和肥胖易导致某些类型姿势误差的发生率更高，因此需要针对这两个健康问题制定预防计划。已知信息：•儿童和青少年中超重和肥胖患病率的增加引起了人们对该人群可能出现的其他健康并发症的关注，如不正确身体姿势的出现。新发现：•改良的姿势误差图表被证明是评估不正确身体姿势的有效工具。•该图表可用于学校筛查测试和预防行动中的姿势评估。
