Hainsworth Keri R, Liu Xue Cheng, Simpson Pippa M, Swartz Ann M, Linneman Nina, Tran Susan T, Medrano Gustavo R, Mascarenhas Bryant, Zhang Liyun, Weisman Steven J
Jane B. Pettit Pain and Headache Center, Department of Anesthesiology and Children's Hospital of Wisconsin, Medical College of Wisconsin, Milwaukee, WI 53226, USA.
Department of Orthopedics, Children's Hospital of Wisconsin, Medical College of Wisconsin, Milwaukee, WI 53226, USA.
Children (Basel). 2018 Jul 4;5(7):92. doi: 10.3390/children5070092.
Obesity negatively impacts the kinematics and kinetics of the lower extremities in children and adolescents. Although yoga has the potential to provide several distinct benefits for children with obesity, this is the first study to examine the benefits of yoga for gait (primary outcome) in youths with obesity. Secondary outcomes included health-related quality of life (HRQoL), physical activity, and pain. Feasibility and acceptability were also assessed. Nine youths (11⁻17 years) participated in an eight-week Iyengar yoga intervention (bi-weekly 1-h classes). Gait, HRQOL (self and parent-proxy reports), and physical activity were assessed at baseline and post-yoga. Pain was self-reported at the beginning of each class. Significant improvements were found in multiple gait parameters, including hip, knee, and ankle motion and moments. Self-reported and parent-proxy reports of emotional functioning significantly improved. Time spent in physical activity and weight did not change. This study demonstrates that a relatively brief, non-invasive Iyengar yoga intervention can result in improved malalignment of the lower extremities during ambulation, as well as in clinically meaningful improvements in emotional functioning. This study extends current evidence that supports a role for yoga in pediatric obesity.
肥胖对儿童和青少年下肢的运动学和动力学产生负面影响。尽管瑜伽有可能为肥胖儿童带来多种显著益处，但这是第一项研究瑜伽对肥胖青少年步态（主要结果）益处的研究。次要结果包括健康相关生活质量（HRQoL）、身体活动和疼痛。还评估了可行性和可接受性。九名青少年（11至17岁）参加了为期八周的艾扬格瑜伽干预（每两周一次，每次1小时课程）。在基线和瑜伽干预后评估步态、HRQOL（自我报告和家长代理报告）以及身体活动。在每次课程开始时自我报告疼痛情况。发现多个步态参数有显著改善，包括髋、膝和踝关节的运动及力矩。自我报告和家长代理报告的情绪功能显著改善。身体活动时间和体重没有变化。这项研究表明，相对简短、非侵入性的艾扬格瑜伽干预可改善行走过程中下肢的排列不齐，以及在情绪功能方面产生具有临床意义的改善。这项研究扩展了目前支持瑜伽在儿童肥胖症中作用的证据。
